Patients with gastritis should pay special attention to their daily eating habits. There are some foods that patients should never eat, otherwise the symptoms of gastritis will recur. During this period, they should also insist on taking drugs to protect the gastric mucosa, which will prevent the gastric mucosa from being damaged and can regulate the motility of the gastrointestinal tract. However, fruits such as grapes can be consumed in moderation. 1. General treatment Quit smoking and drinking, avoid using drugs that damage the gastric mucosa such as aspirin, indomethacin, erythromycin, etc., eat regularly, avoid overheated, salty and spicy foods, and actively treat chronic oral, nasal and pharyngeal infections. 2. Medication (1) Commonly used drugs for protecting gastric mucosa include colloidal bismuth subcitrate (CBS), sucralfate, mezilin-S, aluminum hydroxide gel, and gastric mucosa. (2) Drugs that regulate gastrointestinal motility such as domperidone can be used to treat upper abdominal distension. For those who suffer from hiccups, bloating or reflux, gastrokinetic drugs can be used. (3) Antibiotics If the gastroscopy shows Helicobacter pylori is positive, antibiotics should be taken. Clarithromycin, amoxicillin, etc., all have the effect of clearing Hp. Generally, two types can be selected, and they are often used in combination with gastric mucosal protectants and acid inhibitors. (4) Commonly used antacids include sodium bicarbonate, magnesium hydroxide, aluminum hydroxide gel, etc. (5) Analgesics: Patients with severe upper abdominal pain can take atropine, propantheline, belladonna tablets or 654-2 orally to reduce gastric acid secretion and relieve abdominal pain symptoms. (6) Other symptomatic treatment drugs include digestive aids, such as pancreatic enzymes, yeast tablets, lactase, dimethicone tablets, etc. If acid reflux occurs, acid-suppressing drugs such as cimetidine, ranitidine, famotidine, etc. can also be used. To prevent bile reflux, you can take aluminum carbonate magnesium and cholestyramine to absorb bile; for those who have vomiting blood and bloody stools, take cimetidine orally. According to the clinical severity and duration of the disease, gastritis is generally divided into acute gastritis and chronic gastritis. 1. Acute gastritis Acute gastric mucosal inflammation caused by various causes. Clinically, the disease occurs acutely, often manifested by symptoms such as upper abdominal discomfort and dull pain. 2. Chronic gastritis Chronic inflammation or atrophic lesions of the gastric mucosa caused by various causes are very common clinically, accounting for about 80% to 90% of patients undergoing gastroscopy. The incidence of atrophic lesions gradually increases with age. |
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