Treatment Options for Chronic Superficial Gastritis

1. Acid Suppression Therapy

One of the primary approaches in treating superficial gastritis is reducing stomach acid production. This is crucial because excess acid can further irritate the inflamed stomach lining. In the past, H2 receptor antagonists were commonly used, but today, proton pump inhibitors (PPIs) are the preferred choice. Medications such as rabeprazole and esomeprazole are highly effective in controlling acid secretion and promoting healing of the gastric mucosa.

2. Gastric Mucosal Protection

Protecting the stomach lining is another essential aspect of treatment. In many cases of gastritis, not only does the stomach produce more acid, but the natural protective barriers of the gastric mucosa also weaken. To counter this, doctors often prescribe medications that form a protective layer over the stomach lining, aiding in the healing process and reducing discomfort.

3. Eradicating Helicobacter pylori Infection

Helicobacter pylori (H. pylori) is a bacterial infection that can significantly contribute to the development of gastritis and other gastrointestinal issues. Detecting and eliminating this infection through a targeted course of antibiotics and acid-reducing medications is a key step in treating chronic superficial gastritis and preventing its recurrence.

4. Avoiding Harmful Substances

It's important to minimize exposure to substances that can damage the stomach lining. This includes certain medications like aspirin, clopidogrel (Plavix), and some traditional herbal remedies such as notoginseng powder, which can all irritate the stomach. Patients are generally advised to discontinue these medications during treatment unless they are absolutely necessary and can be taken under medical supervision.

5. Managing Symptoms

Addressing specific symptoms can also improve quality of life for those with superficial gastritis. For instance, if bloating or indigestion is present, doctors may recommend prokinetic agents to enhance gastric motility or digestive enzyme supplements to aid in food breakdown. These treatments can significantly reduce discomfort and support better digestion.