The symptoms of chronic atrophic gastritis are mainly in the upper abdomen, manifested as pain in the upper abdomen, because after the atrophy of the gastric mucosa, the gastric digestive function will be reduced, and the distended feeling in the upper abdomen will appear after the gastric emptying dysfunction, and the distended feeling will be aggravated after eating, causing loss of appetite, and in serious cases, it will also lead to weight loss. In a few cases, there is a possibility of transformation into gastric cancer.
Poor dietary habits, such as excessive drinking of alcohol (spirits), strong tea, coffee or indigestible food, and Helicobacter pylori infection can damage the gastric mucosa, leading to the transformation of superficial gastritis into atrophic gastritis; due to the relaxation of the pylorus function, the reflux of intestinal fluid and bile through the pylorus to the stomach will stimulate the gastric mucosa and destroy the barrier of the gastric mucosa, leading to the development of chronic superficial gastritis into atrophic gastritis.
Patients with atrophic gastritis should be treated aggressively. The main therapeutic measures are.
1. Anti-H. pylori therapy.
Helicobacter pylori is the causative agent of atrophic gastritis. Therefore the treatment of atrophic gastritis should be preceded by antibacterial therapy. The specific method is to choose 1 of the colloidal bismuth (bismuth pectin, omeprazole, bismuth citrate, etc.), plus 2 of the 3 antimicrobials of clarithromycin, amoxicillin and metronidazole, and take them at the same time.
2.Take gastric mucosal protective agents.
With the common drugs used to protect the gastric mucosa are aluminum thioglycollate, gastrin, chlorophyll, etc. Aluminum thioglycollate can form a protective film with the mucin of the gastric mucosa to protect the gastric mucosa; gastrin can form a film in the stomach to cover the gastric mucosa to reduce the stimulation of bile reflux on the gastric mucosa; chlorophyll has the role of promoting the healing of inflammation of the gastric mucosa.
3.Take vincristine treatment.
Vimentin has the function of improving human immunity and inhibiting the growth of cancer cells. Therefore, patients with atrophic gastritis can be treated with vincristine.
4.Control of bile reflux treatment.
Bile reflux is a common cause of the formation of atrophic gastritis. In order to control bile reflux, patients can take morpholine (domperidone), Prevacid (cisapride) and gastric reversion and other drug therapy.
5.Diet therapy.
Patients with atrophic gastritis should avoid drinking strong tea, strong alcohol, coffee and other irritating foods, when eating should pay attention to chewing slowly, avoid overeating. The patient with low gastric acid and bile reflux atrophic gastritis, it is advisable to eat more lean meat, poultry, fish, milk and other foods with high protein content and low fat content.
6, eliminate certain causative factors.
Patients with atrophic gastritis should quit smoking, quit drinking, and avoid long-term use of drugs that irritate the gastric mucosa (sodium salicylate, anti-inflammatory pain, pau d’arco and aspirin, etc.) in order to prevent aggravation of the disease. In addition, patients with atrophic gastritis should maintain an optimistic mood to enhance the body’s ability to resist disease.
7. Regular review.
In order to monitor the dynamic changes of the lesion, patients with atrophic gastritis should be reviewed regularly for gastroscopy. Patients with general atrophic gastritis (pathologically without intestinal epithelial hyperplasia and atypical hyperplasia) should be examined once every three years; those with incomplete colonic intestinal epithelial hyperplasia with mild atypical hyperplasia (cancer rate of 2.5%) should be examined once a year; those with moderate atypical hyperplasia (cancer rate of 4%-8%) should be examined once every three months; those with severe atypical hyperplasia (cancer rate of rate of 10% or more) should be regarded as precancerous lesions and can be surgically removed.
Chinese medicine believes that chronic atrophic gastritis is caused by external evil, improper diet, emotional disorders, and weakness of the spleen and stomach. The spleen and stomach are responsible for digestion and nutrient absorption, and play a role in maintaining the body’s breath. When the spleen and stomach are weak, a series of symptoms of atrophic gastritis will occur, including loss of appetite and stagnant breath. It is the characteristic of TCM to choose different treatment methods according to the individualized situation of the patient. If the patient has symptoms such as vague pain in the upper abdomen, distension and pain, preference for warmth and pressure, fatigue, loss of appetite, abdominal zhang after eating, easy diarrhea, pale tongue, tooth marks on the edge of the tongue, thin white tongue coating and thin pulse, then the patient is judged to be suffering from spleen and stomach weakness, and can be treated by benefiting the qi and strengthening the spleen with the following formulas. Liu Jun Zi Tang and Huang Qi Jian Zhong Tang. If the patient has symptoms such as distension and pain in the upper abdomen (even to both sides), chest tightness, belching more often, sighing, the onset and aggravation of symptoms are significantly related to emotions, thin white tongue coating and stringent pulse, then the patient is judged to be suffering from liver and stomach disharmony.
If the patient has symptoms such as vague pain or burning pain in the upper abdomen, frequent attacks with a long history of illness, hunger without desire to eat, dry mouth without desire to drink, dry stools, red tongue with little fluid, cracked lines, flaking moss or light red without moss, thin pulse, etc., the patient is judged to be suffering from deficiency of stomach yin, and can be treated by nourishing yin and benefiting the stomach. If the patient has symptoms such as burning, distension and pain in the upper abdomen, fullness and stuffiness, not thinking about eating and drinking, thirsty and not wanting to drink, bitter and sticky mouth, unpleasant stool, red tongue, yellow and greasy coating, and slippery pulse, the patient is judged to be suffering from damp-heat in the spleen and stomach, and can be treated by clearing heat and resolving dampness.
Chinese medicine treatment of atrophic gastritis is generally 3 months for a course of treatment, treatment takes about 2-3 courses, if the gastroscopy review no symptoms can no longer take drugs. The actual fact is that you will be able to get a lot more than just a few of these. If the symptoms are mild, it is recommended to review once every 1-2 years, and if the symptoms are severe, it is recommended to review once every 3-6 months.