Chronic superficial gastritis

Chronic superficial gastritis is also known as chronic superficial gastritis, which is a common disease of the digestive system. People's living standards have greatly improved now, but many people have bad eating habits. This can easily lead to chronic superficial gastritis in the long run. We must have a full understanding of this disease and treat it as soon as possible when it occurs. Let’s take a look at the causes, symptoms, etc. of chronic superficial gastritis.

Chronic superficial gastritis is a disease in which the gastric mucosa presents chronic superficial inflammation. It is a common disease of the digestive system and a type of chronic gastritis. It may be caused by alcoholism, strong coffee, bile reflux, or Helicobacter pylori infection. Patients may have varying degrees of indigestion symptoms, such as upper abdominal discomfort and dull pain after eating, accompanied by belching, nausea, heartburn, and occasional vomiting.

Clinical manifestations

1. Upper abdominal pain

The most common symptom is epigastric pain, which occurs in most patients with chronic superficial gastritis. Most upper abdominal pain is irregular and has nothing to do with diet. The pain is generally diffuse upper abdominal burning pain, dull pain, bloating, etc. Symptoms are often aggravated by eating cold, hard, spicy or other irritating foods, and in a few cases are related to climate change.

2. Abdominal bloating

Patients with chronic superficial gastritis often have abdominal distension. It is often caused by food retention in the stomach, delayed emptying, and indigestion.

3. Belching

The patient has belching. It indicates that the gas in the stomach increases and is discharged through the esophagus, temporarily relieving the upper abdominal fullness.

4. Recurrent bleeding

It is a common symptom. The cause of bleeding is an acute inflammatory change of the gastric mucosa occurring on the basis of chronic superficial gastritis.

5. Others

Loss of appetite, acid reflux, nausea, vomiting, fatigue, constipation or diarrhea, etc.

6. Physical signs

There is upper abdominal tenderness during examination, and a few patients may have weight loss and anemia.

treat

Most symptoms of chronic superficial gastritis will disappear on their own, and the lesions will completely recover after several months or years.

1. Eliminate the cause

For example, quit smoking and drinking, reduce salt intake; correct bad eating habits, avoid foods that irritate the stomach, the food should be soft and easy to digest, avoid overly rough, overly strong spices and overly hot or cold food. Eat less salted, smoked, and stale food; stop taking certain medications that irritate the gastric mucosa, especially non-steroidal anti-inflammatory drugs such as aspirin; chronic infection foci in the nasal cavity and pharynx should be cleared.

2. Medication

(1) Commonly used drugs for protecting the gastric mucosa include colloidal bismuth subcitrate (CBS), sucralfate, smectite, mezilin-S, aluminum hydroxide gel, gastrosin and gastric mucosa.

(2) Drugs that regulate gastrointestinal motility: For upper abdominal distension, use metoclopramide or domperidone. For those who mainly suffer from hiccups, abdominal distension or reflux, gastrokinetic drugs such as metoclopramide, methylprednisolone and mosapride can be used.

(3) Antibiotics If the gastroscopy shows Helicobacter pylori is positive, antibiotics should be taken. Clarithromycin, amoxicillin, etc., all have the effect of clearing Hp. Generally, two types can be selected, and they are often used in combination with gastric mucosal protectants and antacids.

(4) Commonly used antacids include cimetidine, ranitidine, famotidine, sodium bicarbonate (baking soda), magnesium hydroxide, aluminum hydroxide gel, and gadolinium.

(5) Analgesics: Patients with severe upper abdominal pain can take atropine, propantheline, belladonna tablets or 654-2 orally to reduce gastric acid secretion and relieve abdominal pain symptoms.

(6) You can also use digestive aids such as pancreatic enzymes, yeast tablets, lactase, and anti-bloating tablets. If acid reflux occurs, acid-suppressing drugs such as Tagamet, Ranitidine, Famotidine, etc. can also be used. To prevent bile reflux, you can take aluminum carbonate magnesium and cholestyramine to absorb bile; for those who have vomiting blood and bloody stools, take cimetidine orally.