Chronic atrophic gastritis can be effectively controlled through standardized treatment and lifestyle adjustments, but a complete cure is difficult. Treatment includes medication, dietary adjustments, and regular check-ups, while also paying attention to underlying causes such as Helicobacter pylori infection and long-term unhealthy dietary habits.
1. Drug therapy is the main treatment for chronic atrophic gastritis. Commonly used drugs include proton pump inhibitors such as omeprazole and lansoprazole to reduce gastric acid secretion, gastric mucosal protectants such as sucralfate and bismuth preparations to repair the gastric mucosa, and antibiotics such as amoxicillin and clarithromycin to eradicate Helicobacter pylori infection. The specific medication regimen needs to be determined by a doctor based on the patient's condition.
2. Dietary regulation is crucial for improving symptoms and promoting gastric mucosal repair. It is recommended to choose easily digestible, low-irritant foods such as porridge, steamed or boiled vegetables, and lean meat, while avoiding spicy, greasy, excessively cold, or excessively hot foods. Eat smaller, more frequent meals to reduce the burden on the stomach. Appropriate supplementation with foods rich in vitamin B12 and folic acid, such as animal liver and leafy green vegetables, can help improve gastric mucosal atrophy.
3. Regular follow-up examinations are crucial for monitoring changes in the condition and adjusting the treatment plan. It is recommended to have a gastroscopy every 6-12 months to assess the degree of gastric mucosal atrophy and the presence of precancerous lesions such as intestinal metaplasia or dysplasia. Simultaneously, regular testing for Helicobacter pylori infection should be conducted, and eradication therapy should be performed if necessary.
4. Lifestyle adjustments can help alleviate symptoms and prevent disease progression. Quit smoking and limit alcohol consumption, and avoid long-term use of medications that damage the gastric mucosa, such as nonsteroidal anti-inflammatory drugs (NSAIDs). Maintain a regular sleep schedule, avoid overwork and mental stress, and engage in appropriate aerobic exercise such as walking and swimming to enhance the body's immunity.
Treatment for chronic atrophic gastritis requires long-term adherence. Patients should actively cooperate with their doctors, have regular check-ups, and pay attention to adjusting their diet and lifestyle to control disease progression and reduce the risk of cancer.