When it comes to atrophic gastritis, people associate it with gastric cancer, scaring themselves so much that they can't eat or sleep.

In fact, in clinical atrophic gastritis is mostly mild, localized, and the chance of cancer is very low.

In order for the gastric mucosa to become cancerous, it often has to go through the process of intestinal epithelial hyperplasia - atypical hyperplasia - intraepithelial neoplasia - gastric cancer.

This series of lesions is not a one-day process; it takes several years or even a decade to evolve.

What's more, only about 5% of people at each stage of the process will progress to the next step.

Even when intraepithelial neoplasia or early-stage cancer does occur, it can be treated endoscopically with minimally invasive surgery.

Atrophic gastritis is not irreversible, active treatment is expected to recover

For atrophic gastritis, Western medicine has always been considered irreversible, while Chinese medicine has been explored for many years, and has achieved a certain degree of efficacy.

Through Chinese medicine treatment, some patients have been cured. The only thing is that the course of treatment is longer, taking 3 to 6 months.

The cure here is not only a change in symptoms, but also the atrophied mucosal glands returned to normal, no longer atrophic, and confirmed by gastroscopy or pathology section is cured.

The evolution of atrophic gastritis into cancer generally requires the following conditions to be present at the same time:

Age over 50 years + atrophic gastritis + intestinal epithelial hyperplasia + severe atypical hyperplasia.

Therefore, patients do not need to worry, active treatment can still be reversed, especially for relatively young patients.

However, due to the high incidence of atrophic gastritis, and often accompanied by atypical hyperplasia and other pre-cancerous lesions, there is a certain chance of cancer, so it should be followed up regularly for review.

What medications should I take for atrophic gastritis?

Atrophic gastritis itself does not have any special effect medicine, mainly symptomatic treatment. Including the following aspects:

1. Increase mucosal nutrition

Take gastric mucosal protection agent to protect the gastric mucosa, promote mucosal recovery.

Acacia leaf ester can increase the renewal of the gastric mucosa, improve cell regeneration ability, enhance the resistance of the gastric mucosa to gastric acid, to achieve the role of gastric mucosa protection.

It can also be used to live blood or aluminum sulfate, urethane capsule, gastric ketone, prostaglandin E and so on.

To avoid the use of mucosal damage drugs, non-steroidal drugs, adrenocorticotropic hormones and so on.

2. Anti-Helicobacter pylori treatment

If the presence of Helicobacter pylori infection is confirmed, anti-Helicobacter pylori infection treatment must be carried out, especially for atrophic gastritis.

Because lower stomach acid proliferates bacteria in the stomach, eradicating H. pylori can be helpful in relieving atrophic gastritis.

3. Weak Acid Treatment

Patients with indigestion can use gastric stimulants, digestive enzymes, to reduce abdominal discomfort, and those who lack gastric acid can also eat some weak acid foods, such as rice vinegar, vinegar, etc. to help digestion.

Patients with low or no acidity as measured by pentagastrin test can take rice vinegar in appropriate amount, 1~2 spoons each time, three times a day;

or 10% dilute hydrochloric acid 0.5~1.0 ml, before or during meals, and at the same time, take pepsin combination, 10 ml each time, three times a day.

4. Inhibit bile reflux and increase gastric motility

Cholestyramine can complex bile salts refluxing to gastric acid, preventing bile acids from destroying the gastric mucosal barrier.

Aluminum thioglycollate binds to bile acids and hemolyzed lecithin to treat bile reflux. Ursodeoxycholic acid may also be given.

Gastrografin, morphine, cisapride and other drugs can enhance gastric peristalsis, promote gastric emptying, assist for, duodenal motility, prevent bile reflux, regulate and restore gastrointestinal motility.

5. Pentagastrin

It can be used in the treatment of patients with atrophic gastritis who have low or no acid or have atrophy of the gastric body.

Intramuscular injection half an hour before breakfast, once a day, in the third week to every other day, in the fourth week to twice a week, and then once a week for three months as a course of treatment.

6. Herbal treatment

Some Chinese medicines and pCms are helpful for atrophic gastritis, which can be reversed in patients with mild atrophic gastritis. Chinese medicines can be taken ulcer san, gastric granules, it can reverse the atrophy of atrophic mucosal atrophy.

Prevention of atrophic gastritis, do these seven points, you will be successful

1. Get rid of the cause

Atrophic gastritis patients first need to thoroughly treat acute and chronic gastritis, as well as chronic infections of the mouth, nose and throat.

Such as alveolar overflow pus, tonsillitis, sinusitis, etc., otherwise bacteria or viruses are often swallowed or directly stimulate the stomach, can be repeated onset.

2. Healthy diet

Overeating, eating too cold or too hot, drinking coffee, strong tea and partiality, etc., can destroy the rhythm of gastric secretion, triggering atrophic gastritis.

Food that is not fresh, too rough, not easy to digest and irregular eating can damage the gastric mucosa.

High-fat, high-sugar, high-salt, high-oil foods, fried, pickled, smoked, spicy and other stimulating foods, will increase the burden on the stomach.

3. Quit smoking and drinking

Long-term nicotine stimulation will cause excessive stomach acid, which can cause great damage to the stomach.

Long-term alcohol abuse, can cause gastric mucosal damage, the higher the concentration of alcohol, the more serious the damage.

4. Peace of mind, not angry

Stress, low mood or anxiety, resentment, nervousness, fear and other conditions if the persistence of the patient, and strongly stimulate the patient, will affect the peristalsis of the stomach and the secretion of gastric acid, which induced gastritis or worsened the condition.

5. Reasonable use of drugs

Some drugs have direct or indirect damage to the gastric mucosa, which can lead to gastric mucosal erosion and ulceration.

There are antipyretic and analgesic drugs, antibiotics, painkillers, anticancer drugs, hormones, such as aspirin, indomethacin, ibuprofen, erythromycin and so on.

These drugs can not be abused, even if you want to use, it is best to take after meals.

6. Prevent contagion

Helicobacter pylori is generally parasitized in the stomach and duodenum, and is mainly transmitted through saliva, with kissing and potlucking being common modes of transmission.

Due to our Chinese dietary habits, preventive measures for H. pylori infection are to use communal chopsticks or to eat separate meals in order to avoid eating with someone who is infected with H. pylori.

7. Regular checkups, especially gastroscopy

In simple chronic atrophic gastritis, with no combination of intestinalization or atypical hyperplasia, endoscopy and pathology can be done every 1 to 2 years.

Moderate to severe atrophy or with intestinal chemosis can be followed up every 1 year,

Mild atypical hyperplasia (biopsy is not taken from the paraneoplastic area) can be followed up every 6 months,

Severe atypical hyperplasia needs to be followed up with immediate review of the endoscopy and biopsy pathology, and surgical treatment or localized endoscopic treatment if necessary.