What is the best medication for treating chronic gastritis?
Disease description:
I've had chronic gastritis for quite some time, and I often experience stomach bloating, acid reflux, and occasional stomach pain. I would like to ask what medication offers the best treatment effect? What should I pay attention to in daily life?
Doctor's answer (1)
Dr. Shen Yonghua
In treating chronic gastritis, drug selection should be based on the patient's specific condition, cause, and symptoms. Generally speaking, treatment strategies include antacids, gastric mucosal protectants, antibiotics (targeting Helicobacter pylori infection), gastrointestinal prokinetic agents, and analgesics when necessary.
Antacids such as proton pump inhibitors (PPIs) or H2 receptor antagonists can reduce gastric acid secretion and provide an environment conducive to healing of the gastric mucosa. Commonly used PPIs include omeprazole and lansoprazole. Gastric mucosal protectants such as sucralfate and magnesium aluminum carbonate can form a protective layer on the surface of the gastric mucosa, enhance the defense capability of the gastric mucosa, and promote repair and healing of the gastric mucosa.
For chronic gastritis caused by Helicobacter pylori (HP) infection, antibiotic therapy is required. The commonly used triple therapy includes a proton pump inhibitor, amoxicillin, and clarithromycin; quadruple therapy adds another antimicrobial agent to this regimen. Nonsteroidal anti-inflammatory drugs should be used cautiously, as they may exacerbate gastritis. For pain management, relatively safe analgesics such as acetaminophen may be considered.
It should be noted that drug therapy must be conducted under the guidance of a physician.
