How to Effectively Treat Chronic Gastritis

Chronic gastritis is a long-term condition that many patients believe cannot be fully cured. However, the truth is that most cases of chronic gastritis can be improved or even reversed with proper treatment. Only in rare cases does it progress into chronic atrophic gastritis. Therefore, early and consistent treatment is crucial for managing the condition effectively.

Identify and Eliminate Triggers

One of the first steps in treating chronic gastritis is identifying and removing factors that irritate the stomach lining. Patients should avoid consuming spicy, acidic, or overly processed foods, as well as medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) that can damage the gastric mucosa. It's also essential to quit smoking and limit alcohol consumption. Practicing good dietary hygiene and engaging in regular physical activity can help boost overall immunity and digestive health.

Medication Options Based on Symptoms

For those experiencing abdominal pain, antispasmodic medications like 654-2 or atropine may provide relief. If excess stomach acid is an issue, proton pump inhibitors (PPIs) such as rabeprazole, lansoprazole, omeprazole, or pantoprazole are commonly prescribed. For milder symptoms, H2 receptor antagonists like ranitidine or famotidine may suffice. In cases of atrophic gastritis where acid production is reduced, certain herbal medicines such as Weifuchun have shown beneficial effects in supporting gastric healing. Additionally, patients suffering from indigestion may benefit from enzyme supplements like pancreatin or multienzyme tablets to aid digestion.

Test for and Treat H. pylori Infection

A key part of managing chronic gastritis involves testing for Helicobacter pylori (H. pylori), a common bacterial infection linked to gastritis and ulcers. If detected, it's important to undergo eradication therapy, typically involving a four-drug regimen known as quadruple therapy, which significantly improves the chances of clearing the infection.

Manage Bile Reflux Effectively

In patients experiencing significant bile reflux, prokinetic agents such as domperidone can help speed up gastric emptying and reduce bile accumulation in the stomach. Alongside this, bile acid sequestrants like hydrotalcite or sucralfate can bind to bile acids, protecting the stomach lining and promoting mucosal healing. These combined treatments can significantly reduce inflammation and discomfort caused by bile reflux.

By following a comprehensive treatment plan tailored to individual symptoms and underlying causes, patients with chronic gastritis can experience meaningful improvements in their condition and overall quality of life.