How to Treat Chronic Antral Gastritis with Erosion

Chronic antral gastritis with erosion is a common gastrointestinal condition that affects many people worldwide. It typically presents with upper abdominal pain that occurs in episodes and is not always linked to eating habits. Additional symptoms may include acid reflux, belching, bloating, and a persistent feeling of fullness in the upper abdomen. In more severe cases, patients may experience vomiting blood or passing black, tarry stools, which are signs of gastrointestinal bleeding.

Diagnosing the underlying cause is the first step in treating this condition. One of the key factors to evaluate is the presence of Helicobacter pylori (H. pylori) infection, a common cause of chronic gastritis. If H. pylori is detected, a targeted eradication therapy is usually prescribed, often involving a combination of antibiotics and acid-reducing medications.

For patients without H. pylori infection, the treatment approach focuses on reducing stomach acid and protecting the gastric lining. Proton pump inhibitors (PPIs) such as omeprazole or lansoprazole are commonly used to suppress acid production, which helps relieve symptoms and promote healing of the stomach lining.

In addition to acid suppression, mucosal protectants play a crucial role in the recovery process. Medications like rebamipide, teprenone, or even topical agents such as kangfuxin solution can help strengthen the gastric mucosa and accelerate the healing of erosions.

Lifestyle modifications are also an important part of managing chronic antral gastritis with erosion. Avoiding irritants such as alcohol, spicy foods, and nonsteroidal anti-inflammatory drugs (NSAIDs) can significantly reduce flare-ups. Eating smaller, more frequent meals and managing stress levels may also contribute to better outcomes.

In conclusion, a comprehensive treatment plan tailored to the individual patient—based on the presence or absence of H. pylori, symptom severity, and lifestyle factors—is essential for effectively managing chronic antral gastritis with erosion and preventing complications.