Atrophic gastritis

Chronic atrophic gastritis with abdominal symptoms mainly manifested as abdominal pain, because the atrophy of gastric mucosa, gastric diges

Content

Chronic atrophic gastritis with abdominal symptoms mainly manifested as abdominal pain, because the atrophy of gastric mucosa, gastric digestive function decline, gastric emptying dysfunction occurs after upper abdominal fullness, feeling of fullness after eating will increase, cause loss of appetite, serious will also lead to weight loss. A few cases have the possibility of turning into gastric cancer.

Poor eating habits, such as excessive drinking (spirits), tea, coffee or not easy to digest food, which will damage the gastric mucosa of Helicobacter pylori infection, leading to changes in superficial gastritis atrophic gastritis; due to pyloric function through the pylorus relaxation, intestinal fluid and bile reflux into the stomach, will stimulate the gastric mucosa, damage of the gastric mucosal barrier, leading to the development of chronic superficial gastritis atrophic gastritis.

Patients with atrophic gastritis should be actively treated. The main treatment measures are:

1 anti Helicobacter pylori therapy. Helicobacter pylori is the causative agent of atrophic gastritis. Therefore, the treatment of atrophic gastritis should first be antibacterial treatment. The specific method is in colloidal bismuth (bismuth pectin, omeprazole, bismuth citrate, etc.) in 1, 2 plus clarithromycin, amoxicillin and metronidazole in 3 kinds of antibiotics, taken at the same time.

2 gastric mucosal protective agent. Commonly used drugs with gastric mucosal protection with sucralfate, Gastric Mucin, chlorophyll and so on. Sucralfate and gastric mucosal mucin can form a protective film, play a protective role in gastric mucosa; Gastric Mucin membrane formation in the stomach covered in gastric mucosa, to reduce bile reflux on gastric mucosal stimulation; chlorophyll can promote gastric mucosal inflammation healing.

3 treatment with vitamin D. It has the function of improving human immunity and inhibiting the growth of cancer cells. Therefore, patients with atrophic gastritis can choose the treatment of vitamin D.

4 bile reflux therapy. Bile reflux is a common cause of atrophic gastritis. In order to control the bile reflux, patients taking domperidone (multi pan Li ketone), Puri Boss (cisapride) and metoclopramide therapy.

5 diet therapy. Atrophic gastritis patients should avoid drinking tea, alcohol, coffee and other irritating foods, eating should pay attention to eat slowly, avoid overeating. The acid is too low and atrophic gastritis with bile reflux, should eat lean meat, poultry, fish, milk and other high protein content and lower fat content of food.

6 eliminate certain causes. Atrophic gastritis patients in order to prevent illness, should stop smoking, drinking, and avoid long-term use of drugs to stimulate the gastric mucosa (sodium salicylate and indomethacin, phenylbutazone and aspirin). In addition, atrophic gastritis patients should also maintain an optimistic mood, in order to enhance the body's resistance to disease

7 periodic review. In order to monitor the dynamic changes of the disease, atrophic gastritis patients should regularly review the gastroscope. General atrophic gastritis patients (without the pathology of intestinal metaplasia and dysplasia) should be checked 1 times every 3 years; incomplete colonic intestinal metaplasia with mild dysplasia (incidence was 2.5%) should check 1 times a year; with moderate dysplasia (canceration rate 4% - 8%) should be checked every 3 months for 1 times; with severe dysplasia (the canceration rate of more than 10%) should be considered as precancerous lesions, can be treated with surgical operation.

Traditional Chinese medicine believes that chronic atrophic gastritis is due to feelings of external evil, improper diet, emotional disorders, spleen and stomach caused by weak. Spleen and stomach in charge of digestion and absorption of nutrients, plays a role in maintaining the role of the human body breath, when the spleen and stomach weakness will appear anorexia, loss of breath and a series of symptoms of atrophic gastritis. Syndrome differentiation is the characteristics of TCM, is according to the patient's individual situation, to choose different methods of treatment, if the patient had upper abdominal pain, pain, warm Hi, lassitude, anorexia, abdominal after eating, easy to diarrhea, pale tongue, tongue, tongue with teeth marks thin white, fine pulse and other symptoms, judging as weakness of the spleen and stomach syndrome, can adopt the method of replenishing qi to invigorate the spleen for treatment, taking prescription: Six Gentlemen Decoction and Huangqi Jianzhong decoction. If the patient had upper abdominal pain (and even two mm), chest tightness is not smooth, belching more, sigh, like the onset of symptoms and exacerbations and emotional relationship is significant, thin white tongue, pulse and other symptoms, determine the disharmony between liver and stomach, liver and stomach method could be used for treatment, can taking prescription: chaihushugansan. If the patient had abdominal pain or burning, and often attack, long history of anorexia, thirst without desire to drink, dry stool, red tongue Shaojin, crack, peeling or light red moss flowers no moss, pulse breakdown and other symptoms, judging as stomach yin deficiency syndrome, the method can take the stomach Yi Yin for treatment, taking prescription: Yiwei decoction, yiguanjian. If the patient had upper abdominal pain, nausea, heartburn, with poor appetite, thirst without desire to drink, mouth sticky mouth, stool, red tongue, yellow greasy moss, pulse string slide and other symptoms, judging as spleen stomach damp heat syndrome, can take away heat dampness treatment method, taking the recipe: Qin Wei San lianping. Chinese medicine treatment of atrophic gastritis in 3 months for 1 courses of treatment, treatment about 2-3 treatment, if no symptoms can no longer gastroscope examination medication. Should be the law of life after medication, should eat easily digestible food, do not eat stimulating food, should be appropriate to supplement nutrition, suggest less smoking, but also pay attention to food hygiene, in addition to adhere to treatment, regular examination is also very important. Symptoms are lighter, it is recommended that 1-2 review once, if the symptoms are more serious, it is recommended to review 3-6 months.

 

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