Treatment Options for Chronic Superficial Gastritis with Erosion

Chronic superficial gastritis with erosion is a common gastrointestinal condition that can cause discomfort and digestive issues. While the symptoms may vary from person to person, there are several effective treatment strategies that can help manage the condition and promote healing of the gastric lining.

Medical Treatments

1. Eradication of Helicobacter pylori

If tests confirm the presence of Helicobacter pylori infection, a targeted antibiotic regimen is typically prescribed. The most common approach today is the quadruple therapy, which includes a proton pump inhibitor (PPI) and three different antibiotics taken over a 10-14 day period. This method has proven to be more effective in eliminating the bacteria compared to older triple therapy regimens.

2. Acid Suppression Therapy

Proton pump inhibitors (PPIs) such as Omeprazole are widely used to reduce stomach acid production. Lowering acidity helps the gastric mucosa heal and alleviates symptoms such as heartburn and indigestion. In some cases, H2 receptor antagonists may also be considered, though PPIs are generally more effective for this condition.

3. Gastrointestinal Pain Relief

For patients experiencing discomfort or pain, certain herbal remedies like Puyuan Hewe Capsules or Qizhi Weitong Granules may be recommended. These traditional formulas are believed to soothe the stomach and relieve pain, though they should always be used under the guidance of a qualified practitioner.

4. Prokinetic Medications

Drugs such as Domperidone and Mosapride can help improve gastric motility, reducing symptoms like bloating, early satiety, and nausea. These medications work by enhancing the movement of the digestive tract, ensuring food passes through more efficiently.

Lifestyle and Dietary Modifications

5. Dietary Adjustments

Diet plays a crucial role in managing gastritis. It is advisable to avoid spicy, acidic, or overly processed foods. Instead, opt for bland, easily digestible meals and eat at regular intervals. Limiting alcohol consumption and avoiding tobacco are also essential steps in supporting gastric healing.

6. Stress Management and Emotional Well-Being

Psychological factors such as stress and anxiety can exacerbate symptoms of gastritis. Incorporating relaxation techniques like mindfulness, yoga, or deep breathing exercises may help reduce flare-ups. Maintaining a positive outlook and a balanced lifestyle contributes significantly to overall digestive health.

It is important to note that the treatment plan should be personalized and based on a thorough medical evaluation. Always consult with a licensed healthcare provider before starting any new medication or therapy. A proper diagnosis and ongoing monitoring are key to effectively managing chronic superficial gastritis with erosion.