Gastric sinus mucosa red and white, predominantly white is usually more serious. Gastric sinus mucosa red and white, predominantly white, in most cases refers to atrophic gastritis, and when predominantly white, the condition tends to be more serious, may be due to long-term diet or alcohol abuse and other reasons, but also may be caused by the Helicobacter pylori infection, if not treated in time, there is a certain chance of cancer. If H. pylori infection exists in atrophic gastritis, it is mainly treated with quadruple drug therapy, i.e. one proton pump inhibitor, one bismuth agent and two antibiotic drugs, of which the commonly used proton pump inhibitors are omeprazole and lansoprazole, the bismuth agents are bismuth potassium citrate and bismuth pectin, and the antibiotic drugs are amoxicillin, clarithromycin, metronidazole, and so on. Gastric sinus mucosa red and white, mainly white, it is recommended to cooperate with the doctor in a timely manner, to take further examination, clear diagnosis for treatment, the use of medication must be guided by a doctor.