My husband has white foam on his mouth when he sleeps. This is most likely due to chronic gastritis. However, there are many types of stomach diseases with similar characteristics to this disease. In order to understand the situation as clearly as possible, you need to know the other characteristics of chronic gastritis, make judgments based on your own situation, and find the root cause so that you can better solve it. Let’s first take a look at the situation of chronic gastritis. Clinical manifestations of chronic gastritis lack specific symptoms, and the severity of the symptoms is not consistent with the degree of gastric mucosal lesions. Most patients are often asymptomatic or have varying degrees of indigestion symptoms such as upper abdominal pain, loss of appetite, fullness after meals, acid reflux, etc. Patients with chronic atrophic gastritis may have anemia, weight loss, glossitis, diarrhea, etc. Some patients with mucosal erosion have obvious upper abdominal pain and may have bleeding, such as vomiting blood and black stools. Symptoms often recur, with irregular abdominal pain. The pain often occurs during or after meals and is mostly located in the upper abdomen, around the navel, and in some patients the location is not fixed. Mild cases have intermittent dull pain or pain, while severe cases have severe colic. Differential diagnosis 1. Gastric cancer Symptoms of chronic gastritis include loss of appetite, upper abdominal discomfort, anemia, etc., and the X-ray signs of a few antral gastritis are quite similar to those of gastric cancer, so special attention should be paid to differentiation. Gastroscopy and biopsy are helpful in the identification of most patients. 2. Both peptic ulcers present with chronic upper abdominal pain, but peptic ulcers are characterized by regular, cyclical pain in the upper abdomen, while chronic gastritis pain is rarely regular and is mainly characterized by indigestion. Differentiation relies on gastroscopy. 3. Chronic biliary diseases such as chronic cholecystitis and cholelithiasis often have symptoms of indigestion such as chronic right upper abdominal pain, abdominal distension, belching, etc., which can easily be misdiagnosed as chronic gastritis. However, no abnormalities were found in the gastrointestinal examination of this disease, and abnormalities in cholecystography and B-ultrasound can finally confirm the disease. 4. Other diseases such as hepatitis, liver cancer and pancreatic diseases may also be delayed in diagnosis and treatment due to symptoms such as loss of appetite and indigestion. A comprehensive physical examination and related tests can prevent misdiagnosis.Most cases of chronic superficial gastritis can be reversed by treatment , while a small number may turn into chronic atrophic gastritis. Chronic atrophic gastritis gradually worsens with age, but mild cases can be reversed. Therefore, the treatment of chronic gastritis should start as early as possible from chronic superficial gastritis, and treatment of chronic atrophic gastritis should also be persisted. 1. Eliminate the cause of the disease and eliminate various factors that may cause the disease, such as avoiding food and medicine that have strong irritation to the gastric mucosa, quitting smoking and drinking. Pay attention to food hygiene and avoid overeating. Actively treat chronic diseases of the mouth, nose, and pharynx. Strengthen exercise to improve physical fitness. 2. When pain attacks occur, you can use atropine, propantheline, belladonna mixture, etc. to treat the disease. For increased gastric acid, PPI proton pump inhibitors such as rabeprazole, lansoprazole, omeprazole, etc. can be used. For those with milder symptoms, H2 receptor blockers such as cimetidine, ranitidine, aluminum hydroxide ammonium, etc. can be used. Those who lack gastric acid or have no gastric acid can be given 1% dilute hydrochloric acid or pepsin mixture. Those with indigestion can add digestive aids such as pancreatic enzyme tablets and multi-enzyme tablets. Patients who are found to have Helicobacter pylori in gastric mucosal biopsy should be given additional antibiotic treatment. For patients with obvious bile reflux, metoclopramide and metoclopramide can be used to enhance gastric antral motility and reduce bile reflux. Aluminum carbonate tablets, cholestyramine, and sucralfate can bind to bile acids and relieve symptoms. |
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