Does chronic atrophic gastritis require lifelong medication?

Written by Wu Hai Wu
Gastroenterology
Updated on January 10, 2025
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If the patient has lifelong atrophic gastritis, they may need to follow a doctor's advice and take medications that increase mucosal nutrition for life, such as sucralfate, live gastric ketone, prostaglandin E1, etc. The main causes of atrophic gastritis are Helicobacter pylori infection, as well as other factors such as autoimmune mechanisms, genetic factors, and decreased gastric mucosal barrier function. The main symptoms of atrophic gastritis include obscure pain in the upper abdomen, distension, burning pain, along with accompanying symptoms like weight loss and anemia. Treatment for atrophic gastritis involves eradicating Helicobacter pylori and using medications that protect the gastric mucosa.

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Non-atrophic gastritis with focal erosion treatment

Non-atrophic gastritis with erosive lesions, primarily diagnosed through gastroscopic examination that revealed erosive and other changes in the gastric mucosa. If erosion is detected, doctors generally perform a biopsy under gastroscopy to ascertain the nature of the erosion. If the erosion is inflammatory, it can be treated with oral medications, including acid-suppressing and stomach-protective drugs, promoting gastric motility, and protecting the gastric mucosa. If the erosion involves intestinal metaplasia or atypical hyperplasia, it requires endoscopic APC treatment or endoscopic submucosal dissection (ESD) to eliminate the erosive areas, thereby addressing the erosion fundamentally. Additionally, attention should be paid to a light and easily digestible diet.

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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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Is atrophic gastritis easy to treat?

Atrophic gastritis is a type of chronic gastritis characterized by the atrophy of gastric mucosal glands. It carries a certain risk of becoming cancerous. The main symptoms include upper abdominal pain, postprandial fullness, heartburn, indigestion, belching, and acid reflux. Gastroscope examination reveals atrophy of the gastric glands, and a biopsy is needed for a pathological examination to confirm the diagnosis of chronic atrophic gastritis. In terms of treatment, the first step is to eradicate Helicobacter pylori, which includes a regimen of one proton pump inhibitor, two antibiotics, and one bismuth agent, lasting for 14 days. This is followed by acid suppression and mucosal repair treatments. Additionally, the treatment with traditional Chinese medicine plays a significant role in managing atrophic gastritis. This condition is challenging to treat, has poor outcomes, is prone to relapse, and carries a risk of cancer transformation.

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Can chronic atrophic gastritis be cured?

Chronic atrophic gastritis is primarily a chronic digestive system disease caused by atypical hyperplasia. It is mainly characterized by upper abdominal dull pain, bloating, loss of appetite, weight loss, anemia, etc., and lacks specificity. It is a disease caused by multiple pathogenic factors and is a precancerous lesion. There are many causes, including Helicobacter pylori infection and dietary factors, among others. Moreover, treatment for atrophic gastritis can be targeted based on the specific condition, clinical symptoms, and auxiliary examinations.

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How to regulate non-atrophic gastritis

Chronic gastritis is divided into chronic atrophic gastritis and chronic non-atrophic gastritis. Chronic non-atrophic gastritis, also known as chronic superficial gastritis, mainly presents symptoms such as upper abdominal distension, belching, acid reflux, nausea, vomiting, and indigestion. Gastroscope examination revealing redness, edema, or erosion of the gastric mucosa can diagnose chronic non-atrophic gastritis. The treatment primarily involves acid suppression, stomach protection, and enhancement of gastric motility, typically requiring about four to six weeks. It is also recommended to conduct a Carbon-14 breath test to determine if there is an infection with Helicobacter pylori; if the infection is positive, a 14-day treatment against Helicobacter pylori is necessary. Additionally, dietary considerations should focus on easily digestible foods, avoiding spicy, fried, barbecued, sweet, or cold foods. Smoking and alcohol consumption should be avoided, as well as foods like milk, soy milk, glutinous rice, and sweet potatoes.