What is the best medication for antral erosion with superficial gastritis?
Disease description:
I have been diagnosed with antral erosion accompanied by superficial gastritis. I usually feel bloated and experience acid reflux, with occasional stomach pain. I would like to know what medications I can take to alleviate these symptoms?
Doctor's answer (1)
Dr. Shen Yonghua
The treatment for antral erosion accompanied by superficial gastritis typically requires a comprehensive approach that considers both medication and lifestyle adjustments. Medication choices should be determined based on the patient's specific condition and the physician's recommendations.
Drugs that inhibit gastric acid secretion can reduce the irritation of gastric mucosa by gastric acid, thus facilitating the healing of erosions. Commonly used medications include proton pump inhibitors (such as omeprazole and pantoprazole) and H2 receptor antagonists (such as nizatidine and ranitidine).
Gastric mucosal protectants such as bismuth preparations (potassium bismuth citrate), sucralfate, etc., can form a protective layer covering the gastric mucosa, promoting its repair. If Helicobacter pylori testing is positive, antibiotic combination therapy is required, such as amoxicillin, clarithromycin, etc., along with proton pump inhibitors for eradication treatment.
Gastrointestinal prokinetic agents such as domperidone can improve gastric emptying and alleviate gastric discomfort. At the same time, patients are advised to adjust their eating habits, avoid spicy, greasy, and irritating foods, quit smoking, limit alcohol consumption, maintain regular作息 (作息 should be translated as "作息" in English, but it seems to be a placeholder here), and reduce mental stress.
