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  • Reasonable treatment of chronic gastritis

    Chronic gastritis is caused by a variety of gastric mucosal lesions Chronic disease, its incidence increases with age, the majority of our whole is dominated antrum gastritis, gastric glands late to atrophy and intestinal metaplasia of The main pathological features. Superficial gastritis clinical symptoms may have chronic irregular abdominal pain, bloating, belching, etc., especially when the diet significantly, some patients may have acid reflux, a few may have upper gastrointestinal bleeding, endoscopy confirmed the erosion of such patients and the majority of verrucous gastritis, and atrophic gastritis may be due to the different types, different parts of the symptoms is not the same. Such as the gastric body gastritis generally less gastrointestinal symptoms, and sometimes there may be significant loss of appetite, weight loss, glossitis, tongue papillae, may be associated with anemia. Antrum gastrointestinal symptoms are more obvious, especially with bile reflux, usually on the persistent abdominal pain occurs after eating, may be associated with vomit bile pain and burning sensation and chest, Sometimes there is a small amount of the recurrent gastrointestinal bleeding, or vomiting, the Department of the gastric mucosal barrier is compromised due to acute gastric erosion.
    Treatment of chronic gastritis, in addition to the elimination of the cause, lifestyle adjustments, but drug therapy is commonly used methods.
    Premise - cure Helicobacter pylori
    If found to have H. pylori gastritis, symptoms and long lasting and effective cure bacteria, you can receive at least two benefits: prevent gastritis continues to deteriorate, especially in blocking the development of intestinal metaplasia and dysplasia, both Severe changes in the occurrence of gastric cancer; secondly, significantly reduce or even completely cure chronic gastritis, especially bloating, belching and other symptoms, while other treatment is often ineffective, it is all the more confirmed in clinical practice.
    Helicobacter pylori cure program, which currently pylori treatment options are: standard triple scheme, bismuth quadruple therapy, sequential antibiotic therapy and the accompanying free bismuth therapy containing levofloxacin triple therapy. Eradication therapy commonly used antibiotics include: amoxicillin, clarithromycin, metronidazole, tinidazole, furazolidone, tetracycline, levofloxacin and moxifloxacin. Recommend be taken under the guidance of specialists.
    Key - protection and nutrition gastric
    Chronic gastritis is a gastric mucosal damage. Some drugs can form a protective film on the surface of the gastric mucosa, so that the harmful isolation, or can absorb harmful substances, or strengthening the protection forces of the gastric mucosa, or accelerate the repair process.
    Sucralfate is called "multi-functional umbrella", is not absorbed, the usual dose of 1 g, 3 to 4 times a day, before meals and bedtime, occasional constipation, nausea, abdominal pain and other adverse reactions, can be used separately Weichangshu (or Mg-Al mixture), vitamin b6,654-2 (or belladonna tablets) treatment. This drug should not be with ranitidine, cimetidine, omeprazole, Multienzyme with the service, it is necessary should be separated more than half an hour. There pouch recent suspensions (such as milk-like) and chewable, taking more convenient.
    Colloidal bismuth citrate are commonly used in domestic Potassium bismuth (music), pectin bismuth (Weimin), which may be slightly better, the usual dose 4 times a day, each 1.0 g. Three times before half an hour before serving, two hours after the fourth dinner service. A course of 28 days, once a week or more when the interval, while taking stool and tongue black, disappeared after stopping. It may not be combined consumption of milk and other high-protein diet and antacid medication, so as not to weaken the effect.
    Marzulene usual dose is 0.67-1.34 g, 3 times a day, after dinner with. Few people have nausea, constipation and other symptoms.
    Aluminum hydroxide gel or magnesium aluminum mixture in addition to have a protective effect, there are neutralizing the acid effect is weak, noting the former can cause constipation. Generally 15mg, 3 times a day before meals service. Patients with severe stomach pain lidocaine can add services. This drug should not be used in patients with bleeding patients and renal insufficiency, not with tetracycline with the use.
    Other factors can still choose the stomach membrane, Weimeisu, Hericium piece (Weile Ning, Weile new) and so on.
    Auxiliary - symptomatic medication selection
    There are many symptoms of gastritis, but not always caused by an "inflammatory" totally anti-inflammatory treatment is not necessarily effective, indicating that the mechanism causing the symptoms is more complex, not only symptomatic treatment can relieve the suffering of patients, but also to establish confidence in the treatment of chronic an indispensable part of gastritis medication.
    Gastrointestinal drugs for early satiety, bloating, acid reflux symptoms effectively, such as domperidone, 10 mg 3-4 times a day, or citric acid Mosapride, 5 mg 3-4 times a day, before meals, as commonly used drugs. The latter effect in patients with constipation is better, but there are serious cardiovascular disease should be careful of such substances.
    Antacids is not necessarily high acid chronic gastritis, atrophic gastritis, gastric acid and some low, but good response to acid-suppressing drugs, may reduce the gastric acid stimulation. Commonly used drugs include H2 receptor antagonists and proton pump inhibitors, the former including ranitidine, famotidine; the latter is most commonly used clinically, including omeprazole, pantoprazole, lansoprazole, Esomeprazole like.
    Zhuxiaohuayao as azintamide (Mite), Multienzyme (Hong Bishen), Lactasin, dry yeast tablets can be selected. Abdominal distension of patients, but also can add services dimethicone (Xiaozhang sheet).
    Some non-prescription drugs marketed to follow the course of time the compound preparation, often several functions rolled into one, there is still value in use, such as stomach cents -u, happy stomach, stomach Sidel, stomach Bristol and the like.
    According to traditional Chinese medicine syndrome differentiation, but also it has a good effect.
    Reminder - drug selection principles and precautions
    Only a small part of the above cited commonly used drugs, of course, does not mean that to be used for, how to choose? I think that should be based on the main symptoms, endoscopic findings and reaction reference to past drug selection, and strive to solve individual problems, rather than force all or theoretical "reasonable." Several drugs are currently in a situation worth noting:
    1. And complex at the same time taking more prescription drugs 4-5 or more, not knowing at the same time more drug use, the higher the rate of adverse drug reactions, stomach inevitably damage the existing overburdened.
    2. Feel free to use antibiotics to gastritis as general bacterial inflammation to "inflammatory", choose a single antibiotics to treat H. pylori, doing more harm than good, especially after the formal will cure H. pylori resistance to difficult.
    3. It requires "complete cure" chronic gastritis especially intestinal metaplasia (intestinal metaplasia) and dysplasia, these changes are the body's reaction to a compensation and restoration inflammation and atrophy, unless severe change, not all precancerous lesions, require treatment to completely normal (completely normal biopsy) is not practical. Moreover, there is no affirmative "panacea" and the more practical approach is regular gastroscopy, so almost no clinical symptoms can

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