Treatment of moderate chronic gastritis with erosion in the gastric antrum requires a combination of medication and lifestyle adjustments. Common causes include Helicobacter pylori infection, long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), and poor dietary habits. Medication treatment includes proton pump inhibitors such as omeprazole, gastric mucosal protectants such as sucralfate, and antibiotics such as amoxicillin. Lifestyle adjustments include avoiding spicy and irritating foods, quitting smoking and limiting alcohol consumption, and maintaining a regular diet.
1. Helicobacter pylori infection is one of the main causes of moderate chronic gastritis with erosion in the gastric antrum, and can be diagnosed through a breath test or gastroscopy. Treatment requires triple or quadruple therapy, including a proton pump inhibitor, two antibiotics, and bismuth, with a course of treatment usually lasting 10-14 days. After eradication of Helicobacter pylori, gastric mucosal inflammation and erosion can gradually recover.
2. Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen can damage the gastric mucosa, leading to gastritis and erosion. It is recommended to use gastric mucosal protectants such as misoprostol under the guidance of a doctor, or switch to medications that are less damaging to the gastric mucosa, such as celecoxib. At the same time, avoid taking medication on an empty stomach to reduce direct irritation of the gastric mucosa.
3. Poor dietary habits such as overeating, excessive alcohol consumption, and eating spicy and irritating foods can worsen damage to the gastric mucosa. It is recommended to adopt a smaller, more frequent meal approach, choosing easily digestible foods such as porridge, noodles, and steamed eggs, and avoiding stimulating drinks such as coffee, strong tea, and carbonated beverages. Quit smoking and limit alcohol consumption to reduce further damage to the gastric mucosa.
4. Psychological factors such as chronic stress, anxiety, and depression can also affect the repair of the gastric mucosa. It is recommended to relieve stress and maintain a positive mindset through exercise, meditation, and psychological counseling. Regular sleep patterns, avoiding staying up late, and ensuring sufficient sleep are also beneficial for the self-repair of the gastric mucosa.
5. Regularly follow up with gastroscopy to monitor the recovery of the gastric mucosa. If symptoms persist or worsen, seek medical attention promptly to adjust the treatment plan. For patients with severe erosion or bleeding, endoscopic hemostasis or surgical treatment may be necessary. Early diagnosis and standardized treatment are key to improving prognosis.
Treatment of moderate chronic gastritis with erosion in the gastric antrum requires comprehensive consideration of the etiology, symptoms, and individual differences. Through medication, lifestyle adjustments, and regular follow-up examinations, most patients can achieve good treatment results. Maintaining healthy eating habits and a healthy lifestyle, and avoiding triggering factors, helps prevent recurrence and promotes gastric mucosal repair.