Best Medications for Gastritis and Gastrointestinal Bleeding

When dealing with gastritis or minor stomach bleeding, oral medications can be effective in managing symptoms and promoting healing. This is especially true in cases of erosive gastritis or ulcers with minimal bleeding. Below are commonly recommended types of medications:

1. Acid-Suppressing Medications:
The first line of treatment often involves reducing stomach acid to allow the gastric lining to heal. Options include H2 receptor antagonists and proton pump inhibitors (PPIs). A newer and more potent option is vonoprazan, a potassium-competitive acid blocker that provides faster and more sustained acid suppression.

2. Mucosal Protective Agents and Antacids:
Protecting the stomach lining is crucial during recovery. Medications like teprenone and rebamipide (marketed as Mucosta or Hyaluronic Acid Compound) help strengthen the mucosal barrier. Antacids such as aluminum magnesium carbonate, sucralfate, and products like Reconstituted Xin Liquid or aluminum magnesium suspension can also provide relief by neutralizing stomach acid and supporting tissue repair.

3. Hemostatic Agents for Minor Bleeding:
In cases where there is visible bleeding, local hemostatic agents may be used. Oral medications such as Yunnan Baiyao (a traditional Chinese medicine with blood-clotting properties) or thrombin can assist in stopping mild gastrointestinal bleeding.

Lifestyle and Dietary Considerations:
It's equally important to avoid foods and medications that can irritate the stomach. Common culprits include spicy foods, alcohol, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroids. During recovery, opt for bland, soft foods such as porridge, noodles, egg custard, and finely chopped vegetables. Avoid rough, fibrous, or overly hot meals that could aggravate the stomach lining.

By combining appropriate medication with dietary adjustments, most cases of gastritis and minor gastric bleeding can improve significantly within a short time frame. Always consult a healthcare provider before starting any treatment regimen.