Managing Chronic Gastritis and Constipation

Chronic gastritis can present in different forms, and understanding the type is crucial for effective management. If diagnosed with chronic superficial gastritis and no signs of inflammation, erosion, or Helicobacter pylori infection are found during endoscopy, and if there are no noticeable symptoms, treatment may not be necessary. However, if symptoms such as discomfort or indigestion occur, targeted treatment can be applied. For instance, acid suppression and mucosal protective agents may be used for mucosal erosion, while prokinetic drugs can help improve gastric motility.

On the other hand, chronic atrophic gastritis requires more attention. Patients with this condition should undergo regular endoscopic follow-ups at least once a year to monitor the progression of atrophy and detect any intestinal metaplasia or epithelial dysplasia early. Early detection and intervention are key to preventing potential complications.

Regarding constipation, it is a widespread issue, especially among older adults, and is often functional rather than structural. The first step in addressing constipation is to rule out serious conditions such as tumors or polyps through a colonoscopy. Once organic diseases are excluded, lifestyle and dietary changes become the main approach. Maintaining a regular eating schedule, increasing water intake, consuming more fiber-rich foods like fruits and vegetables, and engaging in regular physical activity are essential. Medications can be used as a supplement when necessary but should not be the primary solution.

In summary, managing both chronic gastritis and constipation involves a combination of medical evaluation, lifestyle modification, and regular monitoring, especially for those with atrophic changes in the stomach lining.