What is the best medication for chronic atrophic gastritis?
Disease description:
Three months ago, I experienced pain in my esophagus and went to the hospital for examination. A nasal endoscopy and pathological biopsy diagnosed me with (antral) atrophic gastritis (intestinal metaplasia type). I don't know what to do. Doctor, what is the best medication for chronic atrophic gastritis?
Doctor's answer (1)
Dr. Shen Yonghua
For the treatment of chronic atrophic gastritis, the following types of medications are commonly used:
1. Proton pump inhibitors: such as omeprazole and lansoprazole, which effectively reduce gastric acid secretion, protect the gastric mucosa, and promote healing of inflammation. These are especially suitable for patients with excessive gastric acid or peptic ulcer.
2. Gastric mucosal protectants: such as potassium bismuth citrate tablets and vitamin U belladonna alum capsule II, which can enhance the barrier function of the gastric mucosa, reduce mucosal damage, and promote mucosal repair.
3. Anti-Helicobacter pylori therapy: If chronic atrophic gastritis is associated with Helicobacter pylori infection, eradication therapy should be implemented. Commonly used regimens include PPI plus two antibiotics.
4. Digestive enzyme supplements: For patients with symptoms of indigestion, appropriate use of digestive enzyme supplements such as pancreatic enzyme preparations can help improve digestive function.
5. Antibiotics: If chronic atrophic gastritis is caused by Helicobacter pylori infection, antibiotics such as amoxicillin capsules and metronidazole tablets may be required to eliminate the bacteria and alleviate inflammation and symptoms.
