Effective Treatment Options for Chronic Gastritis with Erosion

Chronic gastritis with erosion can cause discomfort and long-term digestive issues. Fortunately, there are several effective ways to manage and treat this condition. Making lifestyle changes and following medical advice are key to improving symptoms and promoting healing.

1. Dietary Adjustments Are Crucial

One of the most important steps in managing chronic gastritis with erosion is adopting a gentle, easy-to-digest diet. It's best to avoid overly spicy, acidic, sweet, cold, or hard foods that can irritate the stomach lining. Instead, opt for bland, nutrient-rich meals that support digestive health and reduce inflammation.

2. Treat H. pylori Infection If Present

If testing confirms the presence of Helicobacter pylori (H. pylori), a common bacterial infection linked to gastritis, doctors often recommend a 10- to 14-day course of triple or quadruple therapy. This typically includes two antibiotics, a proton pump inhibitor (PPI), and sometimes a bismuth compound to protect the stomach lining.

3. Use Medications To Reduce Stomach Acid and Protect the Stomach Lining

For individuals who test negative for H. pylori, acid-suppressing medications such as proton pump inhibitors like omeprazole or rabeprazole can help reduce irritation and promote healing. Additionally, mucosal protectants such as sucralfate, aluminum magnesium carbonate, or colloidal bismuth pectin may be prescribed to form a protective barrier over the stomach lining.

4. Address Symptoms Like Bloating With Prokinetic Agents

If bloating or delayed gastric emptying is an issue, adding prokinetic drugs such as domperidone or mosapride can improve digestion and relieve discomfort by helping the stomach empty more efficiently.

5. Seek Medical Help If Symptoms Persist

If symptoms do not improve after following the recommended treatment plan, it's important to consult a gastroenterologist. Further diagnostic tests such as endoscopy may be needed to rule out other conditions and tailor a more effective treatment strategy.

Managing chronic gastritis with erosion requires a combination of proper nutrition, medication when necessary, and regular follow-up with a healthcare provider. By taking these steps, patients can significantly reduce symptoms and improve their quality of life.