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Is atrophic gastritis serious? Which medicines are more effective? Is there anything I should pay attention to in my daily diet?

People often say that diseases come from the mouth, because the first thing that is affected by what is eaten is the stomach. The stomach has the functions of storing, digesting and transporting food. Therefore, improper diet is an important factor causing stomach diseases. .Chronic gastritis is a very common digestive tract disease, with non-specific inflammation of the gastric mucosa as the main pathological change. According to the histological changes of the gastric mucosa, it can be divided into superficial, atrophic and hypertrophic. Clinically*** Some symptoms include upper abdominal distention, pain, frequent heating, pantothenic acid, loss of appetite, weight loss, and diarrhea.

The one that deserves the most attention is chronic atrophic gastritis. Patients with chronic atrophic gastritis, especially those with moderate to severe atrophic gastritis accompanied by intestinal metaplasia (intestinal metaplasia) or dysplasia (dysplasia) , the incidence rate of gastric cancer is higher than that of the general population, and about 5%-10% of patients can eventually develop gastric cancer, but there is no necessary connection between atrophic gastritis and gastric cancer. Moreover, metaplasia and atypical hyperplasia of the gastric mucosa can be reversed if treated appropriately. Therefore, regular review of patients with chronic atrophic gastritis is extremely important.

The treatment of chronic atrophic gastritis mainly adopts symptomatic treatment. At the same time, avoid taking drugs that damage the gastric mucosa, such as aspirin, indomethacin, erythromycin, cortisone, etc. In particular, some cold medicines may also irritate the gastric mucosa. According to personal experience, if the upper abdominal discomfort, belching, and acid reflux symptoms worsen after taking that cold medicine, you should try to avoid taking such medicines the next time you have a cold. . Patients who test positive for Helicobacter pylori (H.pylori) should take antibiotics, such as amoxicillin capsules, which can directly kill bacteria. Livzon Dela should also be used. Its main ingredient is colloidal bismuth subcitrate ( collidal bismuth subcitrate CBD), the drug can form a complex with inflammatory exudates and mucin, wrapping the bacteria so that they lose the ability to attach to epithelial cells. The bismuth ions enter the bacteria and kill them. Gastric mucosal protective agents can also be used. Protect and enhance the gastric mucosal defense function. Commonly used gastric mucosal protective agents include colloidal citrate (such as Denox or Dela), sucralfate, gastric acid, Hericium tablets, Mezrin-S, Prostate Su et al. There are also some antacids, such as Weibizhi, Ledewei, etc., which also have the protective effect of improving the gastric mucosa.

In addition, improving gastric motility is also the key to treatment. For example, domperidone and cisapride can increase the tension of the lower esophageal sphincter, enhance gastric peristalsis, promote gastric emptying, and coordinate Movement of the stomach and duodenum, preventing bile reflux, regulating and restoring gastrointestinal motility, and has a good effect on eliminating fullness, bloating, postprandial discomfort, epigastric burning, nausea, etc., with few side effects.

In addition, since dietary factors play an important role in the onset of chronic gastritis, developing good eating habits is the key to preventing and treating gastritis, which is also different from other diseases. In general, do the following when eating.

1. Chew slowly to reduce food irritation to the gastric mucosa.

2. There should be a rhythm in eating, avoid overeating and irregular eating.

3. Pay attention to dietary hygiene and prevent external microorganisms from invading the gastric mucosa.

4. Try to eat more refined, easily digestible and nutritious food.

5. Eat less fatty, sweet, thick, greasy, spicy and other foods, and drink less alcohol and strong tea.