Reasons why it is difficult to cure
Chronic gastritis is one of the most frequently mentioned diseases in daily life. Although the prevalence in the population is so high, gastritis is fortunately not as torturous as gastric ulcers and thus is often overlooked.
Chronic gastritis is characterized by indigestion, and the stomach pain of gastritis patients is mainly vague and dull, especially during meals or after a full meal, with only a few severe cases of severe colic. At the same time, patients with gastritis may also feel bloated and acid reflux because of reduced digestion and slower gastric emptying, and cause loss of appetite.
Individuals with erosive gastritis may have upper gastrointestinal bleeding, which manifests as the resolution of black stools and vomiting of blood. In patients with atrophic gastritis, there may be anemia and wasting.
These symptoms may be mild or severe, with irregular episodes and irregular locations, and do not have an acute and serious impact on life. Therefore, many patients with gastritis complain of discomfort at best and do not pay attention to correcting the cause of the disease, nor do they insist on treatment, so gastritis is delayed and recurrent and cannot be controlled.
Promote active treatment
Chronic gastritis is divided into three main types.
1, chronic superficial gastritis. This is the mildest type of pathology and the most reversible.
2. Chronic erosive gastritis. It is characterized by erosion of the gastric mucosa, which means that the gastric mucosa has been destroyed and therefore bleeding is more likely.
3. Chronic atrophic gastritis. The main manifestation is atrophy or reduction of the epithelium and glands of the gastric mucosa, and thinning of the gastric mucosa. The main feature of this type is the possibility of mucosal glandular hyperplasia and atypical hyperplasia, in other words, chronic atrophic gastritis often appears as precancerous lesions and is a prelude to gastric cancer.
For superficial and erosive, two types of non-atrophic gastritis, the gastric mucosa mostly shows inflammatory changes and relatively mild lesions. In contrast, atrophic gastritis is a long-term inflammation resulting in glandular destruction, atrophy, and possibly even chemosis and atypical hyperplasia, which may develop into gastric cancer in long-term evolution.
Most non-atrophic gastritis has a good chance of being cured, but if treatment is delayed, it is likely to transform into atrophic gastritis, so non-atrophic gastritis must be intervened and don’t make the treatment of gastritis more difficult.
For atrophic gastritis, there is no doubt that immediate treatment is needed to relieve the symptoms of the digestive tract on the one hand, and to improve the morphology and function of the gastric mucosa to prevent cancer on the other.
In particular, chronic gastritis caused by Helicobacter pylori develops faster and is more severe, often combined with peptic ulcers, severe abdominal pain, and may even be complicated by gastric perforation, gastric bleeding, pyloric obstruction, and gastric cancer, which should also be actively treated.
There are rules for medication use
It should be emphasized here that different types of chronic gastritis with different symptoms require different medications to deal with them.
For those with gastric mucous membrane erosion or symptoms such as heartburn, acid reflux and epigastric pain, you can choose drugs that inhibit gastric acid secretion such as omeprazole or alkaline drugs that neutralize gastric acid such as aluminum hydroxide. It is worth noting that for atrophic gastritis, stomach acid may be reduced because of the decrease in the function of the gastric mucosa, and it is inappropriate to use drugs that inhibit stomach acid at this time, so a doctor should be consulted for specific analysis.
If bile reflux exists, or if the symptoms of upper abdominal fullness and early satiety are predominant, prokinetic drugs such as pendolone (which is morpholine) and mosapride can be used.
If chronic gastritis is caused by taking anti-inflammatory drugs, or even currently taking anti-inflammatory drugs, gastric mucosal protective agents (such as misoprostol) can be applied in combination with omeprazole to inhibit gastric acid to reduce the damage of anti-inflammatory drugs on the gastric mucosa.
If gastric mucosal erosion or symptoms are particularly obvious, colloidal bismuth, magnesium aluminum carbonate, aluminum thioglycollate, etc. can be used to enhance gastric mucosal defense. If combined with H. pylori infection, anti-infective treatment is also required. Antioxidants such as vitamin C, hyaluronic acid E, β-carotene and trace element selenium can scavenge oxygen free radicals produced by inflammation of H. pylori infection and inhibit the formation of nitramine compounds in the stomach, which are useful in preventing gastric cancer.
In addition, for chronic gastritis caused by mental factors such as anxiety and poor sleep, antidepressants and sedatives are available.
Removing the cause is the key
The key to treating chronic gastritis is to get rid of the causes of inflammation.
1, try not to drink a lot of coffee, wine, strong tea, spicy and other irritating foods.
2, if you want to take aspirin and other anti-inflammatory drugs, you should choose enteric tablets, and take them after meals, and add gastric mucosa protectors and acid inhibitors, in order to reduce the discomfort of the gastrointestinal tract reaction.
3, each meal should not be too full, to regular ration.
4.Mental stress should be self-regulated well, not in a long-term state of tension, to exercise properly.
5, phlegm, nasal fluid with bacteria, do not swallow them back into the stomach.
Chronic gastritis to get rid of the causes, the right remedy, you learned?