Atrophic gastritis feels gastric alkaline

There are many types of stomach diseases, and atrophic gastritis is a typical one. Many patients with atrophic gastritis feel very uncomfortable due to the alkaline stomach. Some patients also experience loss of appetite, anemia and other symptoms, which have a great impact. After suffering from atrophic gastritis, you must actively seek treatment to recover as quickly as possible and prevent the harm from continuing. Let’s take a look at the main treatments for atrophic gastritis.

1. General treatment

Quit smoking and drinking, avoid using drugs that damage the gastric mucosa such as aspirin, indomethacin, erythromycin, etc., eat regularly, avoid overheated, salty and spicy foods, and actively treat chronic oral, nasal and pharyngeal infections.

2. Weak acid treatment

Patients with low or no acidity confirmed by pentagastrin test can take rice vinegar in appropriate amounts, 1 to 2 spoons each time, 3 times a day; or 0.5 to 1.0 ml of 10% dilute hydrochloric acid, before or during meals, and take pepsin mixture at the same time, 10 ml each time, 3 times a day; multi-enzyme tablets or pancreatic enzyme tablets can also be used for treatment to improve indigestion symptoms.

3. Anti-Helicobacter pylori treatment

In atrophic gastritis, gastric acid is reduced or lacking, and bacteria multiply in the stomach, especially Helicobacter pylori, which has a high detection rate. Anti-Hp treatment should be carried out.

4. Inhibit bile reflux and improve gastric motility

Cholestyramine can complex bile salts that reflux into the stomach and prevent bile acids from damaging the gastric mucosal barrier. Sucralfate can bind to bile acids and lysolecithin and can also be used to treat bile reflux. Ursodeoxycholic acid may also be given. Drugs such as metoclopramide, morphine, and cisapride can enhance gastric motility, promote gastric emptying, assist gastric and duodenal motility, prevent bile reflux, and regulate and restore gastrointestinal motility.

5. Increase mucosal nutrition

Albizzia geranyl can increase gastric mucosal renewal, improve cell regeneration ability, and enhance the resistance of gastric mucosa to gastric acid, thereby protecting the gastric mucosa. You can also use blood-activating agent; or sucralfate, urea capsules, carbenoxolone, prostaglandin E, etc.

6. Pentagastrin

In addition to promoting the secretion of hydrochloric acid by parietal cells and increasing the secretion of pepsinogen, pentagastrin also has a significant proliferative effect on the gastric mucosa and other upper gastrointestinal mucosa. It can be used to treat patients with atrophic gastritis with low acid or no acid or gastric atrophy. It is injected intramuscularly half an hour before breakfast, once a day. In the third week, change to once every other day. In the fourth week, change to twice a week. Thereafter, change to once a week. A course of treatment is 3 months. It is used for mild to moderate atrophic gastritis, has good therapeutic effect and effectively promotes gland repair.