The therapies for gastritis include allopathic treatment, such as eradication of HP (Helicobacter pylori); symptomatic treatment, such as inhibition or neutralization of gastric acid; and treatment of precancerous conditions, such as gastroscopic submucosal dissection.
1. Treatment for the cause: if it is HP-related gastritis, HP eradication treatment should be carried out, and bismuth-containing quadruple therapy can be used, i.e. 1 kind of PPI (proton pump inhibitor, e.g. omeprazole, etc.) + 2 antibiotics (e.g. amoxicillin, clarithromycin, etc.) + 1 kind of bismuth (such as fucus bismuth, etc.); if it is duodeno-gastric reflux, gastric mucous membrane protector (e.g. bismuth potassium citrate), gastroenterological dynamics improvement drugs (e.g. mosabeline, etc.) can be used, and the gastrointestinal tract is also improved by the use of bismuth. For duodenal-gastric reflux, gastric mucosal protectants (such as bismuth potassium citrate), drugs to improve gastrointestinal dynamics (such as mosapride) can be used.
2. Symptomatic treatment: drugs can be used to moderately inhibit or neutralize gastric acid (e.g. magnesium alumina carbonate, etc.), and prokinetic agents (e.g. mosapride, etc.) to relieve abdominal bloating and other symptoms caused by insufficient power; mucous membrane protector (e.g. bismuth potassium citrate) can help to alleviate abdominal pain and acid reflux and other symptoms.
3. Treatment of precancerous conditions: under the premise of eradicating HP, selenium-containing drugs and multivitamins can be supplemented moderately; for high-grade intraepithelial neoplasia that is ineffective in drug treatment, submucosal dissection can be performed under gastroscopy.
If the diagnosis of gastritis is confirmed, timely consultation should be made and further treatment or therapy should be prescribed by the doctor.