Chronic gastritis with Helicobacter pylori infection can be improved by taking metronidazole, clarithromycin, and other quadruple drugs, if only metronidazole does not work. Chronic gastritis caused by decreased autoimmunity and bile reflux should not take metronidazole.
1. Helicobacter pylori infection: chronic gastritis caused by Helicobacter pylori, eat metronidazole, clarithromycin, bismuth pectin, omeprazole and other quadruple drugs can be eradicated, relieve the inflammatory reaction, if only eat metronidazole a drug can not relieve gastritis. Commonly used quadruple drugs are two antibiotics, a bismuth, a proton pump inhibitor.
2. autoimmune decline: if autoimmune decline caused by chronic atrophic gastritis, eating metronidazole can not, you can use aluminum thiosulfate, magnesium aluminum carbonate and other drugs to protect the gastric mucosa, reduce gastric mucosal damage.
3. bile reflux: due to bile reflux, stimulation of the gastric mucosa caused by gastric mucosal damage, take metronidazole can not, can use bismuth potassium citrate and other drugs to protect the gastric mucosa, to reduce the damage of bile. You can also use domperidone to promote gastrointestinal peristalsis and reduce bile reflux. Use ursodeoxycholic acid, etc., to reduce the concentration of cholesterol in bile and reduce the damage of bile to the gastric mucosa.
Chronic gastritis may also be caused by drinking alcohol, taking aspirin for a long time, etc., should be under the guidance of the doctor to identify the cause, and carry out reasonable treatment, do not blindly use drugs, in order to avoid adverse reactions. Usually pay attention to the diet of light, avoid hot pot, barbecue and other stimulating food.