Keywords: superficial gastritis
Experience: diverse chronic superficial gastritis symptoms, and the disease is not necessarily proportional diagnosis must rely on gastroscopy and pathological examination. The disease case TCM epigastric pain, Xin Xiapi Scope easy to repeated attacks, delayed healing, symptoms as mixed cold and heat, the toxic stasis each node; Yongzhi in focus by stomach pain, fullness main disease. The gastroscope show mixed cold and heat the gastric mucosa red and white for card performance, congestion, edema, erosion the toxic stasis each node performance. In the treatment of western medicine the reasonable compatibility antibiotics and stomach, and associated with taste, acrid bitter drop, cold and heat, and stressed the discretion Zuo detoxification stasis the Effect of Banxiaxiexin Tonga, insecticidal drugs, it is remarkable miraculous.
Experts believe that the most superficial gastritis with mild symptoms or painless, self-limiting, and may disappear on their own. After a few months or years of lesions can be fully restored.
So, the superficial gastritis how can “not drug cured"?
1, pay attention to diet and conditioning of life. Avoid rough, long-term intake of spicy food; to avoid overheating drinks and salty diet; done eating festival, regular quantitative and prevent overeating.
2, to avoid irritation. No or minimize the use of the strong stomach irritation drugs, such as corticosteroids, non-steroidal anti-inflammatory drugs and potassium, iron, iodine and other drugs; should stop drinking the quitting smoking.
3, optimistic and open-minded. Some medical experts pointed out: a lot of stomach problems the patient’s symptoms are not derived from stomach problems, but from the fear of disease, psychological factors. Therefore, mental and psychological conditioning is very important. Pay attention to maintaining a cheerful mood, can be effective in improving symptoms.
Of course, chronic superficial gastritis can not be completely without medication and more “. The elderly and immune imbalances are easy to evolve into a chronic atrophic gastritis, increase this possibility increasing age. Therefore, superficial gastritis in the elderly should be treated early. The principles of treatment in addition to antibiotic should be given to gastric mucosal protective agents and drugs inhibit gastric acid.
Means a different etiology of chronic gastritis caused by chronic inflammatory lesions of gastric mucosa. The disease is common, the incidence increased with age.
The cause may be: long-term use of non-steroidal inflammatory anti-inflammatory drugs, and alcohol abuse; reflux of duodenal fluid; smoking; immune factors; factors of infection (Helicobacter pylori infection HP); long-term use of the food or drug that strongly stimulate the gastric mucosa , such as tea, spirits, coffee, spicy and coarse food and certain drugs. Additionally, there are age factor, lack of gastric nutritional factors, genetic factors.
Chronic gastritis is divided into the following seven types:
① erythematous / exudative gastritis; ② flat erosive gastritis; ③ uplift in erosive gastritis; of ④ atrophic gastritis; ⑤ blood type gastritis the ⑥ intestinal – gastric reflux, gastritis; ⑦ folds hyperplastic gastritis.
Non-specific symptoms of chronic gastritis, a significant proportion of patients with no clinical symptoms.
Prolonged course of chronic gastritis. Course of varying lengths, can be six months to decades, ranging from symptoms when the light weight. May be due to changes in the weather, especially in autumn and winter easy to fall ill, too cold excellent food such as fried foods, fatigue, mental factors can cause the symptoms get worse.
More than about 50% of the patients are abdominal discomfort, dull pain, burning pain, a sense of fullness, no rhythm, usually after eating heavier. Loss of appetite, belching, acid reflux, nausea, belching, abdominal fullness after a meal on dyspeptic symptoms or pain than common. Some patients appetite is not affected, but eating slightly more bloating symptoms worsened.
Gastric erosion may have a small amount or a large number of upper gastrointestinal bleeding, long-term bleeding can cause iron deficiency anemia. Type A gastritis apparent anorexia, general weakness, weakness, weight loss, looked indifferent. Typical pernicious anemia, tongue atrophy and peripheral neuropathy, such as limbs paresthesia. Type B gastritis, gastrointestinal symptoms, especially in the guts Khan reflux, sometimes resembling peptic ulcer, may have a the repeated small amount of upper gastrointestinal bleeding, or vomiting. The signs were not obvious, sometimes epigastric mild tenderness.
The most superficial gastritis symptoms can disappear on their own after a few months or years of lesions can be fully restored.
Eliminate the cause: remove all possible pathogenic factors or aggravating factors of the disease, such as smoking cessation wine, reduce salt intake; rectify the bad eating habits, avoid stomach irritation diet, the diet should be soft digestible avoid too rough too intense spice and heat, cold diet. To develop slowly, to reach and easy to digest, and mitigate the purpose of stimulation of the stomach, eat less salted, smoked, not fresh food;, and stop taking certain drugs to stimulate the gastric mucosa, especially aspirin non-steroidal anti-inflammatory drugs; nasal cavity and pharynx chronic infection focus should be cleared, chronic bronchitis should avoid sputum swallow.
① protection the gastric mucosa drugs commonly used drugs have the colloidal subcitrate bismuth (CBS), sucralfate, Smecta, marzulene-S, aluminum hydroxide gel, gastric mucin and cover the stomach equality.
② to adjust the Gastrointestinal Motility drugs epigastric fullness with metoclopramide or more domperidone. Burping, bloating or reflux phenomenon mainly available motility drugs, such as metoclopramide, bite forest or cisapride (cisapride).
③ antibiotics endoscopy found H. pylori test positive should be taking the antibiotic clarithromycin, amoxicillin, gentamicin, furazolidone, streptomycin, kanamycin, tetracycline, disabilities neomycin, have a clear HP’s role is generally the choice of the two, often in combination with gastric mucosal protective agents and antacids.
④ antacids commonly used drugs cimetidine, ranitidine, famotidine, sodium bicarbonate (baking soda), magnesium hydroxide, Weishuping, aluminum hydroxide gel, the cover stomach equality.
⑤ epigastric pain heavier oral atropine, propantheline, belladonna or 654-2 (25-10mg), to reduce gastric acid secretion and relieve symptoms of abdominal pain. Because these drugs have side effects such as dry mouth, heart palpitations, difficulty urinating, enlarged prostate, glaucoma, cardiovascular disease patients should be used with caution or hanged. You can also use Zhuxiaohuayao such as yeast tablets, Lactasin, Xiaozhang films and so on. If you have the phenomenon of acid reflux acid-suppressing drugs such as Tagamet, ranitidine, famotidine, only one can be also be used. Cholestyramine to prevent bile reflux can be served to adsorb bile; vomiting blood in the stool, the methyl cyanide m guanidine oral; atrophic gastritis, abdominal distension compared Author, lactobacillus tablets oral or liver and stomach gas pain tablets oral and Note Do not take antacids Weishuping, baking soda.
Surgery: chronic atrophic gastritis with severe dysplasia, surgery should be considered. Antrum severe atrophic gastritis and intestinal metaplasia, is not absolute surgical indications, because the remnant stomach after surgery are prone to chronic atrophic gastritis, intestinal metaplasia and carcinogenesis.
Atrophic gastritis cancer rate of about 1%, so should be regularly gastroscopy follow-up. Especially with polyps, dysplasia, or focal depression or uplift. Mild atrophic gastritis, gastric mucosa is very smooth, and the possibility of cancer.
To develop good eating habits, so the timing of eating, Eat small meals, eat easily digestible pap. Avoid eating raw, cold, hard, rough, greasy food containing fibers excessive. Avoid overeating. Meal slowly, which helps digestion and absorption, thereby reducing the burden on the stomach. Should avoid drinking tea, coffee, alcohol, etc.; eat less prone to flatulence food, such as potatoes, sweet potatoes, onions, boiled soybeans and other. Smoking cessation, Wu Shi spicy spicy food. Avoid long-term consumption of overheating, over-acid and smoked foods. Should also avoid long-term use of the drugs stimulate the gastric mucosa, especially aspirin. Paul is too loose, indomethacin, prednisone. Also, pay attention to work and rest, the law of life, remain optimistic and happy mood, avoid stress, anxiety, depression.