If the gastric mucosa of the human body becomes thinner, it is called atrophic gastritis. The main symptoms are generally bloating, loss of appetite, gradual weight loss, and anemia. There are no other special symptoms. It is caused by one or many reasons. So how to treat chronic superficial atrophic gastritis? 1. General treatment Quit smoking and drinking, avoid using drugs that damage the gastric mucosa such as aspirin, indomethacin, erythromycin, etc., eat regularly, avoid overheated, salty and spicy foods, and actively treat chronic oral, nasal and pharyngeal infections. 2. Weak acid treatment Patients with low or no acidity confirmed by pentagastrin test can take rice vinegar in appropriate amounts, 1 to 2 spoons each time, 3 times a day; or 0.5 to 1.0 ml of 10% dilute hydrochloric acid, before or during meals, and take pepsin mixture at the same time, 10 ml each time, 3 times a day; multi-enzyme tablets or pancreatic enzyme tablets can also be used for treatment to improve indigestion symptoms. 3. Anti-Helicobacter pylori treatment In atrophic gastritis, gastric acid is reduced or lacking, and bacteria multiply in the stomach, especially Helicobacter pylori, which has a high detection rate. Anti-Hp treatment should be carried out. 4. Inhibit bile reflux and improve gastric motility Cholestyramine can complex bile salts that reflux into the stomach and prevent bile acids from damaging the gastric mucosal barrier. Sucralfate can bind to bile acids and lysolecithin and can also be used to treat bile reflux. Ursodeoxycholic acid may also be given. Drugs such as metoclopramide, morphine, and cisapride can enhance gastric motility, promote gastric emptying, assist gastric and duodenal motility, prevent bile reflux, and regulate and restore gastrointestinal motility. 5. Increase mucosal nutrition Albizzia geranyl can increase gastric mucosal renewal, improve cell regeneration ability, and enhance the resistance of gastric mucosa to gastric acid, thereby protecting the gastric mucosa. You can also use blood-activating agent; or sucralfate, urea capsules, carbenoxolone, prostaglandin E, etc. |
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