Chronic non-atrophic antral gastritis is a chronic inflammation of the gastric antrum mucosa without accompanying gastric gland atrophy. Treatment primarily involves medication and lifestyle modifications. This condition is commonly caused by Helicobacter pylori infection, long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), and poor dietary habits. Symptoms include upper abdominal pain and indigestion.
1. Helicobacter pylori infection is one of the main causes. It can be detected by carbon-13 or carbon-14 breath tests. Treatment involves triple or quadruple therapy, including proton pump inhibitors, antibiotics, and bismuth preparations.
2. Long-term use of nonsteroidal anti-inflammatory drugs can damage the gastric mucosa. It is recommended to adjust the medication under the guidance of a doctor, and if necessary, add gastric mucosa protectants such as sucralfate or misoprostol.
3. Poor eating habits such as overeating and excessive intake of spicy and stimulating foods require adjustment of the diet. Choose light and easily digestible foods, such as porridge, steamed fish, and vegetable soup.
4. High psychological stress and irregular work and rest can also aggravate symptoms. It is recommended to maintain a regular work and rest schedule, engage in appropriate relaxation activities such as yoga and meditation, and seek psychological counseling if necessary.
5. Drug treatment includes proton pump inhibitors that suppress gastric acid secretion, such as omeprazole; drugs that protect the gastric mucosa, such as magnesium aluminum carbonate; and drugs that promote gastric motility, such as domperidone.
Chronic non-atrophic antral gastritis requires comprehensive treatment, combining medication, dietary adjustments, and lifestyle modifications. Regular gastroscopy follow-ups are necessary to monitor changes in the condition and prevent it from developing into more serious gastric diseases.