Verrucous Gastritis did not improve after taking medicine for a week
summary
Patients with Verrucous Gastritis generally have epigastric pain, with dull pain and distending pain. The second is abdominal distension, heating, pantothenic acid. One third of the cases had upper gastrointestinal bleeding (hematemesis, melena). A few cases may be asymptomatic. Therefore, the treatment is very important, so let's share the knowledge about Verrucous Gastritis after taking medicine for a week.
Verrucous Gastritis did not improve after taking medicine for a week
Drug 1: inhibition of bile reflux and improvement of gastric motility: xiaocholamine can complexed bile salt reflux into the stomach and prevent bile acid from damaging the gastric mucosal barrier. The method is 3-4g each time, 3-4 times a day. Sucralfate can be combined with bile acid and lysophosphatidylcholine. It can also be used to treat bile reflux. The method is 0.5-1 g, three times a day.
Drug 2: add mucosal nutrition: Leucaena julibrissin can increase the regeneration of gastric mucosa, improve the ability of cell regeneration, enhance the resistance of gastric mucosa to gastric acid, and achieve the effect of protecting gastric mucosa. The dose is 50-60mg, taken three times a day. The dosage of huoxuesu is 80-90mg per day, or sucralfate, urea capsule, shengweitong, prostaglandin E, etc.
Drug 3: pentagastrin and hormone: pentagastrin not only promotes the secretion of hydrochloric acid by parietal cells and increases the secretion of Pepsinogen, but also has obvious proliferative effect on gastric mucosa and other upper gastrointestinal mucosa. It can be used for the treatment of patients with chronic atrophic gastritis with low acid and no acid or with gastric atrophy 50 μ g, intramuscular injection half an hour before breakfast, once a day, once every other day in the third week, twice a week in the fourth week, once a week in the future, 3 months as a course of treatment. Chronic atrophic gastritis is related to autoimmunity, so we can try short-term prednisone as immunosuppressive therapy. This method is especially suitable for patients with chronic atrophic gastritis who are positive for PCA and pernicious anemia, but the clinical effect is not exact.
matters needing attention
Many drugs will damage the gastric mucosa for a long time, leading to erosive gastritis, hemorrhagic gastritis and gastric ulcer. Among them, there are three kinds of commonly used drugs that can damage gastric mucosa: one is antipyretic analgesics such as aspirin, Baotaisong, indomethacin, etc.; one is hormone drugs such as prednisone and dexamethasone; the other is antibacterial drugs such as erythromycin, etc. Pay attention to the use of such drugs, to strictly follow the doctor's advice, careful use, in order to avoid damage to the stomach.
