What are the treatment principles for atrophic gastritis symptoms

Atrophic gastritis is a relatively common gastritis. The patient's gastric mucosa is damaged, which will cause atrophy of the gastric mucosa and even cause symptoms of gradual shrinkage. It will cause pathological changes. If you do not pay attention to regular conditioning, it may even induce some malignant tumors. For patients, the principle of treatment is to protect the gastric mucosa, eliminate Helicobacter pylori in the stomach, and enhance the gastrointestinal emptying capacity.

1. General treatment: Try to eliminate all factors that cause the disease, develop good eating habits, avoid foods and drinks that are irritating to the gastric mucosa, quit smoking and avoid drinking. Avoid taking medications that are harmful to the gastric mucosa;

2. Increase gastric acidity: People with low gastric acid can be given 10% dilute hydrochloric acid. Some people advocate intramuscular injection of pentagastrin to promote gastric acid secretion. Try to avoid the use of drugs that reduce gastric acid;

3. Protect the gastric mucosa: Strengthening the gastric mucosal barrier and avoiding mucosal damage are particularly important for the treatment of atrophic gastritis. Drugs such as sucralfate, colloidal bismuth, prostaglandin E (Simulex), and Silvacan can be given. Long-term use of Vitase may have a certain positive effect on mucosal protection;

4. Eliminate Helicobacter pylori: For chronic atrophic gastritis with Helicobacter pylori positive, Helicobacter pylori should be actively eliminated, usually with antibiotics or colloidal bismuth.

5. Enhance gastric emptying ability: Gastrointestinal motility drugs can be used to accelerate gastric emptying and reduce the damage of bile to the gastric mucosa. Metoclopramide or cisapride can be used.