How to treat esophagitis, gastroenteritis and superficial gastritis

Esophagitis, gastroenteritis and superficial gastritis are three common stomach diseases. They are quite harmful and need to be treated in time after the onset of the disease. Otherwise, once they become chronic, they will cause lasting harm. Various stomach diseases have a great impact on the health of patients, and the treatment method is also a matter of concern to everyone. So, how to treat esophagitis, gastroesophageal inflammation and superficial gastritis? Let’s take a look below.

Esophagitis Treatment

According to the different causes, choose the corresponding treatment principle

1. Eliminate the cause of the disease.

2. Gastric acid inhibitors and mucosal protective agents.

3. When there is concurrent infection, antibiotics (bacterial, fungal) will be given for treatment.

4. Provide hemostatic treatment (including endoscopic) when bleeding occurs.

5. When symptoms of stenosis or obstruction occur, endoscopic dilation and stent placement may be considered.

Cardiac inflammation treatment

Most cases of chronic superficial gastritis can be reversed, and a small number can turn into chronic atrophic gastritis. Chronic atrophic gastritis gradually worsens with age, but mild cases can be reversed. Therefore, the treatment of chronic gastritis should start as early as possible from chronic superficial gastritis, and treatment of chronic atrophic gastritis should also be persisted.

1. Eliminate the cause

Eliminate various factors that may cause the disease, such as avoiding food and medicine that are highly irritating to the gastric mucosa, and quitting smoking and drinking. Pay attention to food hygiene and avoid overeating. Actively treat chronic diseases of the mouth, nose, and pharynx. Strengthen exercise to improve physical fitness.

2. Medication

Atropine, propantheline, belladonna mixture, etc. can be used when pain occurs. For increased gastric acid, PPI proton pump inhibitors such as rabeprazole, lansoprazole, omeprazole, etc. can be used. For those with milder symptoms, H2 receptor blockers such as cimetidine, ranitidine, aluminum hydroxide ammonium, etc. can be used. Those who lack gastric acid or have no gastric acid can be given 1% dilute hydrochloric acid or pepsin mixture. Those with indigestion can add digestive aids such as pancreatic enzyme tablets and multi-enzyme tablets. Patients who are found to have Helicobacter pylori in gastric mucosal biopsy should be given additional antibiotic treatment. For patients with obvious bile reflux, metoclopramide and metoclopramide can be used to enhance gastric antral motility and reduce bile reflux. Aluminum carbonate tablets, cholestyramine, and sucralfate can bind to bile acids and relieve symptoms.

Superficial gastritis treatment

Most symptoms of chronic superficial gastritis will disappear on their own, and the lesions will completely recover after several months or years.

1. Eliminate the cause

For example, quit smoking and drinking, reduce salt intake; correct bad eating habits, avoid foods that irritate the stomach, the food should be soft and easy to digest, avoid overly rough, overly strong spices and overly hot or cold food. Eat less salted, smoked, and stale food; stop taking certain medications that irritate the gastric mucosa, especially non-steroidal anti-inflammatory drugs such as aspirin; chronic infection foci in the nasal cavity and pharynx should be cleared.

2. Medication

(1) Commonly used drugs for protecting the gastric mucosa include colloidal bismuth subcitrate (CBS), sucralfate, smectite, mezilin-S, aluminum hydroxide gel, gastrosin and gastric mucosa.

(2) Drugs that regulate gastrointestinal motility: For upper abdominal distension, use metoclopramide or domperidone. For those who mainly suffer from hiccups, abdominal distension or reflux, gastrokinetic drugs such as metoclopramide, methylprednisolone and mosapride can be used.

(3) Antibiotics If the gastroscopy shows Helicobacter pylori is positive, antibiotics should be taken. Clarithromycin, amoxicillin, etc., all have the effect of clearing Hp. Generally, two types can be selected, and they are often used in combination with gastric mucosal protectants and antacids.

(4) Commonly used antacids include cimetidine, ranitidine, famotidine, sodium bicarbonate (baking soda), magnesium hydroxide, aluminum hydroxide gel, and gadolinium.

(5) Analgesics: Patients with severe upper abdominal pain can take atropine, propantheline, belladonna tablets or 654-2 orally to reduce gastric acid secretion and relieve abdominal pain symptoms.

(6) You can also use digestive aids such as pancreatic enzymes, yeast tablets, lactase, and anti-bloating tablets. If acid reflux occurs, acid-suppressing drugs such as Tagamet, Ranitidine, Famotidine, etc. can also be used. To prevent bile reflux, you can take aluminum carbonate magnesium and cholestyramine to absorb bile; for those who have vomiting blood and bloody stools, take cimetidine orally.