Treatment Options for Acute Gastritis

Acute gastritis can be a painful and uncomfortable condition, and many people want to know how to treat it effectively. The first step in managing this condition is identifying and eliminating the underlying cause. For example, certain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids, often used for conditions like rheumatoid arthritis, can irritate the stomach lining and lead to acute gastritis. Similarly, poor dietary habits—such as consuming excessive spicy foods or drinking alcohol regularly—can also damage the gastric mucosa. Once the trigger is identified, removing it is crucial to allow the stomach to heal properly.

When it comes to medication, doctors typically prescribe either gastric mucosal protectants or acid-suppressing agents. Patients with mild symptoms may only need mucosal protectants such as aluminum magnesium carbonate, sucralfate, rebamipide, or H2 receptor antagonists. For more severe cases, proton pump inhibitors (PPIs) are often recommended due to their stronger acid-reducing effects. If a patient must take medications that can irritate the stomach, such as aspirin, using enteric-coated formulations and taking them after meals can help reduce risk. Additionally, combining these drugs with mucosal protectants or low-dose H2 blockers may further protect the stomach lining.

Infections caused by Helicobacter pylori require a specialized treatment approach. These cases usually involve a quadruple therapy regimen consisting of two antibiotics, a proton pump inhibitor, and a bismuth compound. This combination has proven highly effective in eradicating the bacteria and resolving gastritis symptoms.

While medical treatment plays a key role, lifestyle and dietary adjustments are equally important. Eating easily digestible foods like rice porridge, soft noodles, and flour-based pastes can ease the burden on the stomach. It's also essential to avoid cold, spicy, or overly acidic foods that could worsen inflammation. Making consistent, healthy food choices supports faster recovery and helps prevent future flare-ups.

In summary, treating acute gastritis involves a dual approach: targeted medical therapy based on symptom severity and careful dietary management. By addressing both the cause and symptoms, patients can achieve quicker relief and better long-term outcomes. Always consult a healthcare provider for personalized advice and treatment options tailored to your specific condition.