How to Effectively Treat Chronic Superficial Gastritis with Erosion

Chronic non-atrophic gastritis with erosion can be effectively managed through a combination of lifestyle changes, medical treatments, and dietary adjustments. This condition involves inflammation of the stomach lining along with surface erosions, but without significant thinning of the gastric mucosa. Proper treatment is essential to relieve symptoms and prevent complications.

Lifestyle and Dietary Modifications

Diet plays a crucial role in managing gastritis. Patients should avoid spicy, acidic, or overly processed foods that may irritate the stomach lining. Instead, opt for a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. Eating smaller, more frequent meals and avoiding late-night eating can also help reduce gastric stress.

In addition to dietary changes, it's important to eliminate irritants such as alcohol, tobacco, and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or aspirin, which can worsen gastric erosion and delay healing.

Testing and Treatment for H. pylori

One of the primary causes of chronic gastritis is infection with Helicobacter pylori (H. pylori) bacteria. If this infection is present, eradicating H. pylori is a key step in treating the condition. A standard triple or quadruple therapy regimen is often prescribed, typically including antibiotics and a proton pump inhibitor (PPI) to reduce stomach acid and support healing.

Successful eradication of H. pylori not only helps alleviate symptoms but also significantly lowers the risk of recurrence and further damage to the gastric lining.

Medication Options

Acid suppression therapy is commonly used to relieve symptoms and promote healing of the gastric mucosa. Proton pump inhibitors (PPIs) such as omeprazole, rabeprazole, or esomeprazole are considered the most effective for reducing gastric acid production. Alternatively, H2 receptor antagonists like famotidine may also be used, especially for mild cases.

Gastric Mucosal Protection

In addition to acid suppression, mucosal protectants are often prescribed to shield the stomach lining and aid in tissue repair. Commonly used agents include aluminum-magnesium antacids, which neutralize stomach acid, and gefarnate, which has anti-inflammatory and mucosal protective properties.

Combining these medications with lifestyle improvements offers the best chance for long-term symptom relief and mucosal healing. Always consult with a gastroenterologist to tailor the treatment plan based on individual health conditions and medical history.