What medicine should be taken for atrophic gastritis with erosion?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 25, 2024
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Chronic atrophic gastritis with erosion requires drug treatment based on the specific symptoms of the patient and whether there is a Helicobacter pylori infection. The infection rate of Helicobacter pylori is very high, often exceeding 50%, so it is also necessary to check for Helicobacter pylori infection in cases of chronic atrophic gastritis. If there is a Helicobacter pylori infection, antibacterial treatment is needed, typically employing a quadruple therapy. If there is no Helicobacter pylori infection, symptomatic treatment is generally used. Common treatments include protecting the gastric mucosa, suppressing gastric acid, and enhancing gastric motility, among others. Additionally, it is important to pay attention to daily diet and lifestyle habits, focusing on light and easy-to-digest foods, and avoiding raw, greasy, spicy, and irritating foods; quitting smoking and drinking can also be helpful. (Specific medication usage should be conducted under the guidance of a doctor.)

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What is the cause of recurrent atrophic gastritis?

Recurrent atrophic gastritis is likely caused by Helicobacter pylori infection. When atrophic gastritis recurs, a Carbon-13 urea breath test or Carbon-14 urea breath test should be conducted to detect whether there is an infection of Helicobacter pylori. If the test is positive, a two-week quadruple therapy containing a bismuth agent should be used to eradicate Helicobacter pylori. Consider using a proton pump inhibitor, such as omeprazole or lansoprazole, combined with two of the antibiotics amoxicillin, clarithromycin, metronidazole, and furazolidone, as well as bismuth citrate, to form the quadruple therapy. (Please use medication under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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What to do about the pain from atrophic gastritis?

Atrophic gastritis is a condition where the mucous membrane of the stomach atrophies, associated with poor neural nutrition and excessive gastric acid secretion, leading to a reduction in the barrier function of the gastric mucosa. To first alleviate pain, proton pump inhibitors can be used to reduce the secretion of gastric acid, and at the same time, gastric mucosal protectants should be used. If there is an infection with Helicobacter pylori, active use of triple or quadruple therapy should be employed to eradicate Helicobacter pylori. It is important to adjust one's diet, eat regularly, and avoid overeating. Greasy and spicy foods should be consumed less, and more bland, soft, and easily digestible foods should be eaten. (Please use medication under the guidance of a doctor.)

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Written by Huang Gang
Gastroenterology
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The difference between chronic superficial gastritis and chronic non-atrophic gastritis

Chronic superficial gastritis only shows lesions on the superficial layer of the gastric mucosa, and the condition generally is not very severe; while chronic atrophic gastritis refers to the atrophy of the gastric mucosa and a reduction in glandular tissue. Both conditions can be distinguished by undergoing a gastroscopy. Symptomatically, they are generally hard to differentiate, and both may present clinical symptoms of chronic gastritis such as loss of appetite, belching, nausea, vomiting, and stomach pain.

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Written by Huang Gang
Gastroenterology
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Is atrophic gastritis grade I serious?

Grade I atrophic gastritis is not serious. Atrophic gastritis refers to the atrophy and reduction of the gastric mucosa and glands, and it manifests with symptoms like stomach discomfort, bloating, stomach pain, and loss of appetite. For those with atrophic gastric cancer, it is important to control the diet, avoid overeating, and abstain from spicy, raw, greasy, and irritating foods. This type of chronic digestive system disease, if not properly managed, can frequently relapse and has the potential to become malignant. If the condition can be controlled and does not frequently recur, it generally does not have a significant impact on the body.

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Written by Wu Hai Wu
Gastroenterology
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What fruits should be avoided with atrophic gastritis?

The main dietary restrictions for atrophic gastritis include quitting smoking and drinking. It is important to eat less salty and overly hot foods, and to avoid spicy and irritating foods. In addition, patients should avoid coarse foods and eat more fresh vegetables and fruits rich in vitamins. They should eat regularly, have small frequent meals, chew slowly, and maintain a pleasant mood. Patients with atrophic gastritis should maintain a regular diet and have periodic gastroscopy check-ups, as there is a potential for malignancy in atrophic gastritis patients.