Most of the symptoms of chronic superficial gastritis can disappear on their own, and the lesions can be completely recovered after several months or years.
1. Eliminate the causes of the disease
such as quitting smoking and alcohol, reducing salt intake; correcting bad dietary habits, avoiding diets that irritate the stomach, eating soft and easily digestible diets, and avoiding diets that are too rough, too strongly flavored and spiced, and that are too hot or too cold. Eat less salted, smoked, not fresh food; as well as stop taking certain drugs that stimulate the gastric mucosa, especially non-steroidal anti-inflammatory drugs such as aspirin; there is a chronic infection foci in the nasal cavity and pharynx should be removed.
2. Pharmacological treatment
(1) to protect the gastric mucosa drugs commonly used drugs are colloidal bismuth subcitrate (CBS), aluminum sulfate, Simethicone, Mazurin-S, aluminum hydroxide gel, gastric membrane and cover the stomach and so on.
(2) Adjustment of gastrointestinal motor function drugs epigastric fullness and bloating with gastrodin or domperidone, etc.. Hiccups, bloating or have reflux phenomenon is the main person, can use gastric power drugs, such as gastrodin, morcellators, mosapride.
(3) antibiotics if gastroscopy found positive Helicobacter pylori, should take antibiotics, clarithromycin, hydroxybenzylpenicillin and so on, have the effect of removing Hp, generally can choose two, often with gastric mucosa protector and acidifier joint application.
(4) acid-making agent commonly used drugs are cimetidine, ranitidine, famotidine, sodium bicarbonate (baking soda), magnesium hydroxide, aluminum hydroxide gel, cover the stomach and so on.
(5) Painkillers for heavier epigastric pain can be orally atropine, probenecid, belladonna tablets or 654-2 to reduce gastric acid secretion and relieve abdominal pain symptoms.
(6) Also available are digestive aids such as pancreatic enzymes, yeast tablets, lactasexan, and flatulence tablets. If there is acid reflux phenomenon can also be used to inhibit acid drugs such as tamoxifen, ranitidine, famotidine and so on. To prevent bile reflux, magnesium aluminum carbonate and cholestyramine can be used to adsorb bile; for those who have vomited blood or blood in the stool, metformin can be taken orally.