Does chronic gastritis need long-term medication? Principles of medication for chronic gastritis

Chronic gastritis definitely needs to take medicine, so should chronic gastritis take medicine for a long time? What kind of medication principle does chronic gastritis have? What are the precautions of chronic gastritis in life and what are the taboos in diet?

Does chronic gastritis need to take medicine for a long time?

Chronic gastritis generally does not need to take medicine all the time. Patients with chronic gastritis can take some drugs to protect gastric mucosa or some drugs to promote digestion. If the stomach is seriously affected for a long time, it may cause serious damage to the gastric mucosa. After the gastric mucosa is damaged, patients will have symptoms such as nausea and vomiting, stomachache and acid reflux.

Principles of medication for chronic gastritis

1. Chronic gastritis with Helicobacter pylori infection must be eradicated first. At present, many eradication schemes can be summarized into two categories: colloidal bismuth and proton pump inhibitors, that is, a colloidal bismuth or proton pump inhibitor plus several antibacterial drugs.

2. Chronic gastritis accompanied by bile reflux requires proper amount of antacids and bile adsorption drugs, such as magnesium aluminum carbonate or aluminum hydroxide gel, sucralfate, etc., and gastrointestinal motility drugs are added to prevent reflux.

3. Controlling mucosal inflammatory activity is the key to the protection and treatment of gastric mucosa. Gastric mucosal protective drugs such as magnesium aluminum carbonate and gefarnate can play a certain role.

4. For chronic atrophic gastritis with intestinal metaplasia and atypical hyperplasia, VitE, β-carotene, folic acid and trace element selenium can be appropriately selected. VitE and β -carotene have antioxidant and immune regulating functions, folic acid can correct the disorder of DNA methylation, and selenium can enhance the immune system and prevent cancer.

5. Acid suppression or antacid therapy: it is suitable for patients with gastric mucosal erosion or symptoms such as heartburn, acid regurgitation and epigastric hunger pain. According to the severity of the disease or symptoms, antacids, H2 receptor antagonists or proton pump inhibitors are selected.

6. For gastritis caused by NSAID, NSAID should be stopped; If the condition requires that the drug cannot be stopped, selective COX-2 inhibitors can be used and acid inhibitors can be added for treatment.

Precautions for chronic gastritis

1. Be sure to eat a diet that is easy to digest, and don't eat spicy, stimulating and cold food, which will cause certain damage to the gastric mucosa and cause recurrent gastritis.

2. You can't smoke or drink alcohol. Nicotine in smoke and ethanol in wine will cause certain damage to gastric mucosa.

3. Pay attention to the changes of emotions, and the ups and downs of emotions will also have a certain impact on the damage of gastric mucosa.

4. Pay attention to the weather changes. If the weather changes suddenly, you must add clothes in time, keep warm and try not to catch cold.

Dietary contraindications for chronic gastritis

1. Avoid irritating foods

Irritating foods for patients with chronic gastritis need to be avoided, such as raw garlic, strong tea, strong coffee and wine. If eaten, the stomach will be stimulated, and foods that are too hot or too cold or spicy can not be eaten. Usually, the diet should be chewed slowly, so that the food can be better mixed with saliva and the impact on the stomach can be reduced.

2. Avoid overeating

People with gastritis should have a regular diet, eat on time and in quantity every day, and should also pay attention to eating slowly, not overeating, and the nutrition of each meal should be balanced, paying attention to the correct collocation, and it is best to eat more foods containing protein, sugar and vitamins.

3. Avoid smoking and drinking

Never smoke and drink again after chronic gastritis. Cigarettes can irritate gastric mucosa, and there is no way to repair cells better, and even bile will reflux, which will make chronic gastritis more serious and need special attention.

4. Avoid hard food

Patients with chronic gastritis can't eat hard food, which will have adverse effects on their stomachs, such as peanuts and beans. If you want to eat it, you should cook it thoroughly, so that digestion and absorption can be better, and foods with high cellulose content and rough food can't be eaten.

5. Avoid heavy-flavored foods

Patients with chronic gastritis also need to avoid heavy-flavored foods. They should eat more light and fresh foods, such as oranges, bananas, apples, Chinese cabbage, spinach leaves, potatoes, tomatoes, cucumbers and wax gourd. Light foods can be better digested and absorbed by the body, which will make the recovery of stomach diseases faster.

6. Avoid irritating condiments

People with chronic gastritis also need to avoid irritating condiments, such as mustard, pepper and pepper. Foods that are too sour, too cold, too salty and too sweet will cause secondary damage to the gastric mucosa.