How to treat chronic atrophic gastritis

Oct 14, 2022 Source: Cainiu Health

Dr. Zhao Haiming

Introduction

Chronic atrophic gastritis generally refers to atrophic gastritis, and treatment includes medications that protect the gastric mucosa, enhance gastric motility, inhibit gastric acid secretion, and eradicate Helicobacter pylori. When gastric mucosal erosion is present, gastric mucosal protective agents are used. For upper abdominal fullness and bile reflux, prokinetic agents are prescribed to improve gastric motility. In cases of gastric mucosal erosion accompanied by acid reflux and heartburn, drugs that suppress gastric acid are administered. For infections caused by Helicobacter pylori, quadruple therapy is used.

Chronic atrophic gastritis generally refers to atrophic gastritis and can be treated with gastric mucosal protective agents, prokinetic agents, acid-suppressing medications, and drugs for eradication of Helicobacter pylori.

1. Gastric Mucosal Protective Agents

If there is gastric mucosal erosion or significant symptoms, it is recommended to take gastric mucosal protective agents such as hydrotalcite or sucralfate under medical guidance, which helps reduce damage to the gastric mucosa.

2. Prokinetic Agents

For patients experiencing upper abdominal fullness, bloating, or bile reflux, prokinetic medications such as domperidone or mosapride may be taken under medical supervision to improve gastric motility.

3. Acid-Suppressing Agents

When gastric mucosal erosion leads to symptoms such as acid reflux or heartburn, acid-suppressing drugs like ranitidine or cimetidine can be taken according to medical advice.

4. H. pylori Eradication Therapy

If the condition is caused by Helicobacter pylori infection, quadruple therapy may be administered under medical guidance. This includes taking medications such as omeprazole, amoxicillin, clarithromycin, and potassium citrate bismuth, which help eradicate H. pylori and relieve symptoms.

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