Chronic Atrophic Gastritis Treatment Options

Chronic atrophic gastritis is a common and generally benign condition that falls under the category of long-term digestive disorders. When managing this condition, there are three primary categories of medication often recommended for effective treatment.

Antibiotic Therapy

The first category includes antibiotics. If a patient tests positive for Helicobacter pylori (H. pylori), a common bacteria linked to stomach inflammation, antibiotic treatment becomes essential. Typically, doctors prescribe either triple or quadruple therapy regimens, which involve combining multiple antibiotics with acid-reducing medications to eliminate the infection effectively.

Reduced Use of Acid-Suppressing Medications

The second approach involves minimizing the use of acid-suppressing drugs. While these medications can provide symptom relief by reducing stomach acid, long-term usage may not be ideal for patients with chronic atrophic gastritis due to potential side effects and the risk of further reducing gastric acid necessary for digestion and nutrient absorption.

Gastric Mucosal Protective Agents

Thirdly, mucosal protective agents play a key role in shielding the stomach lining from harmful irritants. One of the most commonly used medications in this category is bismuth subsalicylate, which helps form a protective coating over the stomach lining, promoting healing and reducing inflammation.

In addition to medical treatment, lifestyle and dietary changes are crucial for optimal outcomes. Patients should follow a balanced and easily digestible diet while avoiding spicy, greasy, pickled, or overly hot foods. Overeating or eating irregular meals can worsen symptoms, so maintaining regular meal times and portion control is highly beneficial.

Combining proper medication with healthy eating habits significantly improves the prognosis for individuals suffering from chronic atrophic gastritis. It's always best to consult a healthcare provider to tailor a personalized treatment plan based on individual needs and test results, such as H. pylori status.