How to Treat Chronic Gastritis

Chronic gastritis is a long-term condition characterized by inflammation of the stomach lining. Fortunately, with proper care and treatment, symptoms can be managed effectively and the condition can improve over time. Below are some key strategies for treating chronic gastritis:

1. Eradicate H. pylori infection under medical supervision
If chronic gastritis is caused by Helicobacter pylori (H. pylori) infection, it is essential to seek treatment from a gastroenterology specialist. A standard treatment plan usually includes a combination of four medications taken over a period of 10 to 14 days, which has proven effective in eliminating the bacteria and reducing inflammation.

2. Manage bile reflux to protect the stomach lining
When chronic gastritis is linked to duodenogastric reflux—where bile flows back into the stomach—treatment should focus on reducing this reflux. Lifestyle changes, such as avoiding large meals and elevating the head during sleep, along with prescribed medications, can help minimize irritation to the gastric mucosa.

3. Review and adjust medication use with a healthcare provider
Long-term use of certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can damage the stomach lining. If this is a contributing factor, a healthcare provider may recommend reducing the dosage or switching to an alternative treatment to protect gastric health.

4. Address underlying autoimmune conditions
In cases where chronic gastritis is caused by an autoimmune disorder, treating the underlying immune-related disease is crucial. Working closely with a specialist can help manage both the immune response and the associated gastric inflammation.

5. Adopt healthier lifestyle and dietary habits
Poor eating habits, high stress levels, excessive alcohol consumption, and smoking can all worsen chronic gastritis. Making positive changes—such as eating smaller, more frequent meals, avoiding spicy or acidic foods, quitting smoking, and managing stress—can significantly improve symptoms and support long-term digestive wellness.

By addressing the root cause of chronic gastritis and making sustainable lifestyle adjustments, many individuals experience noticeable improvement in their condition. If symptoms persist, consulting a healthcare professional is strongly recommended to explore personalized treatment options.