Is It Easy to Treat Carditis with Chronic Gastritis?

Understanding the Treatment Approach

Treating carditis accompanied by chronic gastritis is generally manageable when the underlying causes are properly addressed. If symptoms arise due to acid reflux, the primary treatment strategy involves acid suppression. Proton pump inhibitors (PPIs) and H2 receptor antagonists are commonly prescribed for this purpose. While PPIs offer stronger acid suppression, long-term use may be associated with an increased risk of developing multiple gastric polyps. A typical treatment duration ranges from 6 to 8 weeks.

Managing Symptoms Like Bloating and Discomfort

Some patients primarily experience upper abdominal fullness or discomfort after meals. In such cases, prokinetic agents are often recommended to improve gastrointestinal motility. Commonly used medications include domperidone and mosapride. The duration of therapy typically depends on symptom improvement—once symptoms subside, medication can usually be discontinued without the need for long-term use.

The Role of H. pylori in Chronic Gastritis

In certain cases, Helicobacter pylori (H. pylori) infection may play a role in the development of gastritis. When significant gastric atrophy, intestinal metaplasia, or mucosal erosion is present, H. pylori eradication therapy should be considered. However, treatment decisions should be individualized based on the patient's overall condition. Not all individuals with H. pylori require eradication therapy. For example, those with mild superficial gastritis or no family history of gastric cancer may not benefit significantly from antibiotic treatment aimed at eliminating the bacteria.