Gastritis and reflux esophagitis are two kinds of diseases, the treatment, symptoms and causes of the two are different, through the adjustment of diet and other general treatment, omeprazole, domperidone and other medications, surgical treatment, etc. can be treated for these two diseases.
1. Gastritis: first of all, remove the cause of the disease, give inhibition of gastric acid, rehydration, antispasmodic antiemetic and other symptomatic supportive treatment, usually choose a liquid, semi-liquid diet. Drugs recommended to choose ranitidine, omeprazole and other drugs, inhibit gastric acid secretion. At the same time take aluminum sulfate to protect the gastric mucosa, itopride and other drugs to reduce intestinal fluid reflux. During the period, pay attention to rest, avoid eating spicy and stimulating food.
Patients with Helicobacter pylori infection should be treated with quadruple eradication therapy, such as omeprazole + bismuth potassium citrate + amoxicillin + metronidazole.
2. Reflux esophagitis: including medical treatment and surgical treatment, medical treatment has to pay attention to do not eat before 6 hours before bedtime, avoid smoking and alcohol, reduce esophageal reflux. For obese patients, weight should be reduced to minimize intra-abdominal pressure and reflux, and drugs such as domperidone can be chosen to promote gastric emptying and omeprazole for acid suppression. When internal medicine treatment is ineffective, surgical treatment, such as fundoplication, is needed.
If gastritis and reflux esophagitis are diagnosed, early consultation and standardized treatment are recommended to reduce the adverse effects of the disease.