How to Treat Chronic Superficial Gastritis with Erosion

Chronic superficial gastritis with erosion refers to a condition where the stomach lining experiences inflammation and minor damage. During an endoscopy, signs such as redness, swelling, or uneven mucosal surfaces may be observed. Under microscopic examination, lymphocytes and other inflammatory cells can be seen infiltrating the gastric mucosa, which leads to the diagnosis of chronic superficial gastritis.

This type of gastritis is generally considered mild and does not usually pose serious health risks. When it progresses to include erosion, it means that the surface of the stomach lining has started to wear away, causing small breaks in the mucosa. These erosions typically appear as red patches or areas of missing mucosa during an endoscopic exam, but they are not deep enough to be classified as ulcers.

The good news is that this condition can often be effectively managed and healed with appropriate treatment. One common approach involves using medications that protect the stomach lining, such as sucralfate, rebamipide (Mucosta), or alginates (like Gaviscon). These drugs help create a protective barrier over the damaged mucosa, allowing it to heal.

In addition to mucosal protectants, doctors may prescribe acid-reducing medications like proton pump inhibitors (PPIs) — for example, omeprazole — or H2 blockers such as ranitidine. Reducing stomach acid helps relieve irritation and supports the healing process.

Lifestyle changes also play a crucial role in recovery. Avoiding irritants like alcohol, spicy foods, and nonsteroidal anti-inflammatory drugs (NSAIDs) can prevent further damage to the stomach lining. Eating balanced meals and managing stress levels can also contribute to better digestive health.

In most cases, with proper medical care and dietary adjustments, chronic superficial gastritis with erosion can be resolved successfully. If symptoms persist or worsen, however, it's important to follow up with a gastroenterologist for further evaluation and personalized treatment options.