Chronic Superficial Gastritis: Medications to Avoid and Why

Chronic superficial gastritis is a condition characterized by inflammation of the stomach lining, often involving symptoms such as congestion, edema, pinpoint bleeding, and erosion. Due to the sensitive state of the gastric mucosa, individuals suffering from this condition must be cautious about the medications they take. Improper use of certain drugs can significantly worsen the condition, leading to increased discomfort and more severe complications.

Potential Risks of Improper Medication Use

When patients with chronic superficial gastritis take unsuitable medications, they risk aggravating their gastric symptoms. Mild reactions may include intensified upper abdominal discomfort, nausea, and vomiting. However, more serious consequences such as the development of peptic ulcers or silent gastrointestinal bleeding can occur. These complications may lead to unnoticed anemia, weakened physical condition, reduced immunity, and an increased likelihood of developing other health issues.

Medications That Should Be Avoided

1. Salicylates – These include medications like aspirin and sodium salicylate. Salicylates are known to irritate the stomach lining and increase the risk of gastric ulcers and bleeding.

2. Aniline Derivatives – Examples include acetaminophen (paracetamol) and phenacetin. While these drugs are commonly used for pain relief and fever reduction, they can pose risks to individuals with pre-existing gastric conditions.

3. Pyrazolones – Drugs such as phenylbutazone and aminopyrine fall into this category. These medications have anti-inflammatory properties but can be harmful to the gastric mucosa.

4. Other Anti-inflammatory Organic Acids – This group includes indomethacin and ibuprofen. Non-steroidal anti-inflammatory drugs (NSAIDs) like these are particularly problematic for people with chronic superficial gastritis due to their potential to cause gastrointestinal irritation and ulcers.

5. Corticosteroids – Medications such as prednisone, dexamethasone, and cortisone can increase gastric acid secretion and reduce the protective mucus layer in the stomach, making the lining more vulnerable to damage.

Consultation and Caution

If a patient with chronic superficial gastritis requires treatment for another condition and must consider using any of the above medications, it is essential to consult a healthcare professional. A physician can assess the necessity of the medication, weigh the potential risks, and possibly recommend safer alternatives or protective measures to minimize gastric damage.