How to treat chronic non atrophic gastritis?
summary
Chronic non atrophic gastritis refers to the chronic gastritis without atrophic changes of gastric mucosa and infiltrated by chronic inflammatory cells mainly composed of lymphocytes and plasma cells. According to the distribution of lesions, it can be divided into antral gastritis, gastritis, total gastritis (mainly antral gastritis) or total gastritis (mainly body gastritis). How to treat chronic non atrophic gastritis? Next, I'd like to share my views with you.
How to treat chronic non atrophic gastritis?
The main symptom of chronic non atrophic gastritis is dyspepsia, which should belong to functional dyspepsia. At present, eradication of Helicobacter pylori positive functional dyspepsia is recommended both at home and abroad. Therefore, Helicobacter pylori should be eradicated in all patients with dyspepsia.
Chronic gastritis with bile reflux can be treated with prokinetic drugs (such as domperidone) and / or gastric mucosal protective agents (such as hydrotalcite). Patients with gastric mucosal erosion and / or acid regurgitation and epigastric pain can choose antacids, H2 receptor antagonists or proton pump inhibitors (PPI) according to the severity of the disease or symptoms. Prokinetic drugs such as domperidone, mosapride and itopride hydrochloride can be used in patients with upper abdominal fullness, nausea or vomiting as the main symptoms.
Gastric mucosal protective agents such as sucralfate, rebamipide, teprenone, gefalide, ecabet and hydrotalcite are suitable for patients with bile reflux, gastric mucosal damage and / or obvious symptoms. Antidepressants or anti anxiety drugs can be used in patients with chronic gastritis and dyspepsia with obvious mental factors. Traditional Chinese medicine can broaden the treatment of chronic gastritis. In addition to symptomatic treatment, these drugs may also have certain effects on the repair and inflammation of gastric mucosal epithelium.
matters needing attention
Special attention is paid to the daily diet, in peacetime should be light and easy to digest food, but also can't eat liquid food, don't eat stimulating food, can't smoke and drink, otherwise it will also lead to aggravation of symptoms or affect the treatment effect.
