What should I do for chronic atrophic gastritis? Can I buy my own medicine and take it? If a gastroscopy reveals that I have chronic atrophic gastritis, how do I treat it? There are generally two stages: a. Identification of the cause, symptomatic treatment, sterilization stage First of all, the cause of chronic atrophic gastritis should be identified, at present, you can check whether it is H. pylori that is at fault by urea breath test. If H. pylori is identified, we should concentrate our efforts on eliminating this group of bad guys. Currently, a combination of antibiotics is used to eradicate H. pylori, including conventional triple therapy and quadruple therapy. If diagnosed with chronic atrophic gastritis with H. pylori infection, you must go to a regular hospital for treatment and not take medication on your own. The doctor will decide exactly which antibiotic drugs to use and develop an individualized treatment plan based on the patient’s age, liver and kidney function status, whether he or she has other diseases, what medications he or she is taking, and other specific circumstances. This phase of H. pylori elimination usually requires 10 to 14 days of antibiotic treatment. After stopping the medication, go back to the hospital at least one month apart for a repeat breath test. If the test results are negative for H. pylori, this can initially indicate successful sterilization. The elimination of H. pylori can inhibit the development of atrophic gastritis and thus reduce the risk of gastric cancer. Second, cleaning up the battlefield, protecting the gastric mucosa and repairing the stage On the one hand, H. pylori itself causes an inflammatory response in the gastric mucosa. On the other hand, the process of sterilization, antibiotics and H. pylori warring on the gastric mucosa, will also lead to damage and inflammation of the gastric mucosa. After the H. pylori is cleared, the inflammation will slowly disappear. But the gastric mucosa is in a mess, so a logistic force, gastric mucosal protector, is needed to clean up the battlefield and repair the gastric mucosa. Gastric mucosal protector covers the gastric mucosa and protects the fragile gastric mucosa; in addition, it promotes the growth of epithelial cells and enhances the function of the gastric mucosa itself. After the good treatment of gastric mucosal protector, the patient’s symptoms such as epigastric distension and heartburn will be slowly relieved. In addition, patients can be allowed to take some folic acid or drugs rich in trace elements of selenium. These drugs can be helpful in the treatment of chronic atrophic gastritis. I need to remind you of one thing: Nowadays, many patients look up on the Internet to find out exactly what drugs to use, then go to the pharmacy to buy them and take them by themselves according to the instructions. This is a very dangerous situation! 1, some patients may be allergic to certain antibiotics, if the patient is not aware of the situation, eat these antibiotics, may cause very serious consequences. 2, the patient is eating, used to treat other diseases, may be and some antibiotics there is interference between drugs, then these antibiotics also can not be used. 3, different antibiotics used in combination, may also appear drug interactions. This will not only reduce the therapeutic effect, but also have greater side effects. 4, some antibiotics have a certain damage to the human liver and kidney function. If the patient’s own liver and kidney function is not good, after eating these antibiotics, it will aggravate the damage of liver and kidney function. 5, even if you choose the right drug, but not in accordance with the regular treatment plan and method to take drugs, it is easy to lead to bacterial resistance. Once the bacteria are resistant, the original treatment plan will be invalidated, and these antibiotics will not work for H. pylori. 6, many patients buy their own antibiotics in the pharmacy to eat, eat a few days after the effect is not seen to change other types. This frequent change of drugs, not only can not cure the disease, but may lead to bacterial resistance to a variety of antibiotics. Therefore, in order to ensure the effectiveness of treatment, you must do the following two things: 7, once diagnosed with chronic atrophic gastritis caused by Helicobacter pylori infection, the first treatment must go to a regular hospital. When visiting a doctor, not only should you describe your symptoms in detail; you should also take the initiative to tell the doctor: what diseases you are suffering from, what medications you are taking, and what medications you are allergic to …… If you can’t remember, you can write them all down in a notebook beforehand. In addition, you can also bring the medicine box of the medicine you are taking (or have taken) to show the doctor. This will not only improve the efficiency of the visit, but more importantly, reduce misdiagnosis and missed diagnoses. Many patients have been taking medication, but the H. pylori bacteria in the stomach is always eradicated. In this case, it is likely that the treatment plan was wrong at the beginning and the right medicine was not chosen; coupled with the wrong method and course of medication for the patient, it eventually led to bacterial resistance. It can be said that the first treatment of H. pylori infection is crucial! Because the right treatment plan is the first step to get success. 8, the process of sterilization, some patients epigastric distension, heartburn, burning pain and other uncomfortable conditions may be aggravated. This is normal, as long as it is not an allergic reaction, generally do not easily stop the drug, otherwise you will have lost all your previous work! During the treatment process, it is important to take the medication on time and in the right amount according to the doctor’s requirements and not to stop the medication on your own; this will reduce the bacterial resistance and improve the success rate of the treatment.