Causes of chronic gastritis.
1, bacteria, viruses or their toxins:Most often seen after acute gastritis, gastric mucosal lesions over time and develop into chronic superficial gastritis.
2, irritants: long-term drinking of strong alcohol, strong tea, strong coffee and other irritants, can destroy the protective barrier of the gastric mucosa and gastritis occurs.
3, drugs: some drugs such as salicylates, digitalis, pau d’arco, anti-inflammatory pain, cinchofen, etc. can cause chronic gastric mucosal damage.
4, chronic infection of the mouth and pharynx.
5, bile reflux; bile salts contained in bile can destroy the gastric mucosal barrier, so that the hydrogen ions in gastric juice counter-diffuse into the gastric mucosa and cause inflammation.
6, Helicobacter pylori infection.
7, physical changes: such as environmental changes, climate change, if people can not adapt in a short period of time, it can cause the nerve dysfunction of the stomach, gastric secretion and gastric movement is not coordinated, resulting in gastritis.
8, long-term mental tension, life is not regular.
9, the impact of other organ lesions: such as chronic uremia, chronic heart failure, liver cirrhosis portal hypertension, etc. can cause chronic gastritis.
Life precautions.
1, keep a happy spirit: depression or excessive stress and fatigue, easily caused by the pyloric sphincter dysfunction, bile reflux and chronic gastritis.
2, quit smoking and alcohol. Avoid taking strong tea, strong coffee and other stimulating drinks.
3, prohibit or use less drugs that damage the gastric mucosa (pay attention to drug instructions or consult your doctor).
4.Actively treat the foci of infection in the oropharynx, do not swallow sputum, nasal discharge and other bacterial secretions into the stomach.
5, too acidic, too spicy and other stimulating food and raw and cold indigestible food should be avoided as far as possible, chew and swallow slowly when eating to facilitate digestion. Diet should be regular and quantitative.
6, the most important point is not to eat unhygienic street snacks (probably made with gutter oil, a drop of incense, poisonous blood, etc.), eat bad once, may not be able to recover for a long time, or even develop chronic gastroenteritis.
How to treat gastritis?
There are no more than two types of drugs, one is the gastric mucous membrane protector, such as aluminum thioglycollate gel, aluminum phosphate gel, gastric treatment, Metzolim-S, Delo or Delo Punch, Shansa Stomach Pill, Monkey Head Mushroom Tablets, Sanjiu Gastrodia, Stomach Fuchun, etc. The other category is gastric mucosal attack factor inhibitors, commonly used are ranitidine, famotidine, omeprazole, pantoprazole, esomeprazole, etc.
The current treatment of chronic gastritis is mainly focused on addressing the main symptoms.
1, chronic superficial gastritis: this is the most common type of gastritis in clinical practice, accounting for about 80% of patients with chronic gastritis. The main symptoms are epigastric pain, nausea, vomiting, belching, acid reflux, heartburn, loss of appetite and epigastric fullness. According to the different symptoms of patients, different drugs are administered. For example, in patients with gastric cramping pain and hypermotility, 2 tablets of Gastropin 3 times a day or 1 tablet of Belladonna 3 times a day can be given orally. For those with significant acid reflux, or gastric bleeding, omeprazole, esomeprazole and pantoprazole can be given orally once a day, or ranitidine 150 mg once in 12 hours, or famotidine 20 mg once in 12 hours. And for patients with general abdominal distension and epigastric vague pain, they can take 1 packet of Xiang Sha Yang Gastric Pill orally twice daily; or 1 packet of San Jiu Gastrodia twice daily or 2 tablets of Lodestone Gastric 3 times daily; Metsulin-S 0.67g 3 times daily. For those with nausea, add domperidone 10 mg.
2, chronic atrophic gastritis: atrophic gastritis is sometimes accompanied by intestinal epithelial hyperplasia (enteric), atypical hyperplasia (heterogeneous hyperplasia, intraepithelial neoplasia), for the treatment of the disease, there is no particularly effective method. The commonly used clinical drugs are Gastroflux 4 tablets 3 times a day; Sanjiu Gastrodin, Morodan, and Danggui Xiang can also be applied. The efficacy of each drug, which varies widely, may be related to the correct diagnosis of gastritis, the different diagnostic criteria, and the different length of time to take the drug. The important thing for such patients is follow-up observation. Atrophic gastritis generally has a lack of gastric acid, so drugs that inhibit gastric acid secretion such as omeprazole, pantoprazole, esomeprazole, ranitidine should be used with caution.
3, bile reflux gastritis: For bile reflux gastritis, the gastrointestinal motility drug morpholine 10 mg, 3 times daily, is commonly used orally; a mucosal protective agent, such as aluminum phosphate gel 16 g, 3 times daily, is usually routinely added.
4, regardless of which gastritis, if combined with H. pylori infection, it is recommended to remove H. pylori treatment.