How to effectively treat non-atrophic gastritis?

The occurrence of atrophic gastritis requires scientific and effective treatment, but the choice of methods should also focus on some symptoms of indigestion. Treatment should correctly use some drugs to protect the gastric mucosa, but the use of drugs should also be consulted with a doctor.

1. About eradication of Helicobacter pylori

The main symptom of chronic non-atrophic gastritis is indigestion, which should be classified as functional dyspepsia. At present, eradication treatment is recommended both at home and abroad for functional dyspepsia caused by Helicobacter pylori. Therefore, Helicobacter pylori should be eradicated in all patients with Helicobacter pylori-positive chronic non-atrophic gastritis and dyspepsia symptoms.

2. Treatment of indigestion symptoms

Since there is no clear relationship between clinical symptoms and chronic non-atrophic gastritis, symptomatic treatment is actually empirical treatment of functional dyspepsia. Patients with chronic gastritis and bile reflux can use prokinetic drugs (such as domperidone) and/or gastric mucosal protective agents that have the function of binding bile acid (such as aluminum carbonate preparations).

3. For patients with gastric mucosal erosion and/or symptoms such as acid reflux and upper abdominal pain, antacids, H2 receptor antagonists or proton pump inhibitors (PPIs) can be used according to the severity of the disease or symptoms. Prokinetic drugs such as domperidone, mosapride and itopride hydrochloride can be used for patients with upper abdominal fullness, nausea or vomiting as the main symptoms. Gastric mucosal protective agents such as sucralfate, rebamipide, teprenone, gefarnate, ecabet and aluminum carbonate are suitable for people with bile reflux, gastric mucosal damage and/or obvious symptoms. Antidepressants or antianxiety drugs can be used for patients with chronic gastritis and dyspepsia symptoms with obvious psychiatric factors. Traditional Chinese medicine treatment can broaden the treatment options for chronic gastritis. In addition to their symptomatic therapeutic effects, the above-mentioned drugs may also have certain effects on gastric mucosal epithelial repair and inflammation.