How To Effectively Treat Chronic Gastritis With Erosion

Chronic gastritis with erosion is a common gastrointestinal condition that can be classified into two types based on endoscopic findings — chronic superficial gastritis and chronic atrophic gastritis. The erosive form typically falls under non-atrophic gastritis, where the inflammation affects the mucosal layer of the stomach lining. This damage can lead to visible symptoms such as erosion, redness, swelling, and irritation. Importantly, these changes are usually superficial and do not penetrate the muscular layer of the stomach wall. If the damage extends deeper, it may develop into peptic ulcer disease.

One of the main causes of chronic gastritis with erosion is infection with Helicobacter pylori (H. pylori), a bacterium known to contribute to various gastric conditions including peptic ulcers and even gastric cancer. In addition to bacterial infection, gastroesophageal reflux or duodenogastric reflux can also play a role. This type of reflux often involves bile and other digestive contents flowing back into the stomach, which can irritate and damage the gastric mucosa.

When the gastric mucosal barrier is compromised, stomach acid and digestive enzymes can further irritate the stomach lining, worsening symptoms. Common clinical manifestations include upper abdominal pain, bloating, acid reflux, heartburn, nausea, and vomiting. In some cases, minor bleeding may occur due to the erosion of blood vessels in the mucosa.

The diagnosis of chronic non-atrophic gastritis with erosion is usually based on both endoscopic findings and patient symptoms. Treatment typically involves addressing the underlying causes and managing symptoms. If H. pylori is detected, eradicating the bacteria is a key step in the treatment process. This often involves a combination of antibiotics and acid-suppressing medications.

In addition to H. pylori eradication, symptom-based treatment may include the use of proton pump inhibitors (PPIs) or H2 blockers to reduce gastric acid production. Gastroprotective agents such as sucralfate or bismuth compounds can also be prescribed to help protect the stomach lining and promote healing. Lifestyle modifications, including dietary changes, stress management, and avoiding irritants like alcohol and NSAIDs, are also essential components of a comprehensive treatment plan.