Chronic superficial gastritis how to “without taking medication,”
Diverse symptoms of chronic superficial gastritis, and is not necessarily proportional with the illness, diagnosis is dependent on gastroscopy and pathological examination. The disease is a traditional Chinese medicine Epigastralgia, Xin Xiapi scope, easy to repeated seizures, persistent unhealed, multi-manifested as chills and fever jumbled, drugs, blood stasis in each node; if the coke Ze Yi Yong Zhi stomach pain, fullness-based disease. Gastroscopy showed mucosal red and white card for the chills and fever jumbled the main performance, congestion, edema, erosion, etc. for each drug stasis knot performance. In the treatment, reasonable compatibility of antibiotics and stomach of the Western, and accompanied by Banxiaxiexin Tonga Weixin Bitter down, cold and heat, and stressed that discretion Zuo detoxification Heals bruises, insect of the drugs, so remarkable Most Effective.
Experts study suggests that the majority of superficial gastritis symptoms of mild or painless, with self-limiting, may go away. After several months or years lesions can also be fully restored.
So, superficial gastritis how to achieve “without taking medication” mean?
One, pay attention to diet and life conditioning. Avoid long-term intake of rough, irritating food; avoid overheating drinks and salty diet; be eating festival, regular quantitative and prevent overeating.
2, avoid stimulating. With no or minimal irritation of the stomach with strong drugs such as corticosteroids, non-steroidal anti-inflammatory drugs and potassium, iron, iodine and other substances; and to quit drinking.
3, optimistic, open-minded. Some medical experts pointed out: a lot of patient’s symptoms did not result from gastric stomach itself, but from the fear of disease psychological factors. Therefore, the spiritual and psychological conditioning is very important. Pay attention to maintaining positive open-minded mood, you can effectively improve the symptoms.
Of course, chronic superficial gastritis has not completely “not taking medication,” the. The elderly and immune imbalances are easy to evolve into a chronic atrophic gastritis, this possibility increases with age. Therefore, superficial gastritis in the elderly should be early treatment. In addition to antibiotic treatment principle, there should at the same time giving protection agents inhibit gastric acid medicine and so on.
Refers to the different causes of chronic gastritis caused by chronic gastric inflammation. The disease is common the incidence with age.
Cause may be: long-term use of non-steroidal anti-inflammatory drugs, and alcohol inflammation; duodenal fluid reflux; smoking; immune factors; infection factors (HP Helicobacter pylori infection); long-term use of the gastric mucosa have a strong stimulation of food or drugs, such as tea, spirits, coffee, spicy food and certain drugs, and rough. Additionally, there are age factor, the lack of gastric nutritional factors, genetic factors.
Chronic gastritis is divided into the following seven types:
① erythema / exudative gastritis; ② flat erosive gastritis; ③ swell erosive gastritis; ④ atrophic gastritis; ⑤ ⑥ intestinal hemorrhagic gastritis – gastric reflux gastritis; ⑦ folds proliferative gastritis.
Clinical
Non-specific symptoms of chronic gastritis, a considerable proportion of patients without clinical symptoms.
Protracted course of chronic gastritis. Course of varying lengths can range from six months to a few decades, the symptoms when light weight. May be due to changes in the weather, especially in fall and winter seasons easy to fall ill, or too cold perfect food such as fried foods, fatigue, mental factors that can cause symptoms get worse.
About 50% of patients are abdominal discomfort, men Tong, burning pain, fullness feeling, no obvious rhythm, generally after eating heavier. Loss of appetite, belching, acid reflux, nausea, belching, upper abdominal fullness after meals, or pain symptoms such as indigestion than common. Some patients appetite is not affected, but significantly increased the consumption of slightly more symptoms of abdominal distention.
There may a small amount of gastric mucosal erosion, or a large number of upper gastrointestinal bleeding, long-term bleeding can cause iron-deficiency anemia. A-gastritis may be a noticeable loss of appetite, general weakness, weakness, weight loss, and looked indifferent. A typical pernicious anemia, can occur tongue atrophy and peripheral neuropathy, such as the limb paresthesia. B-type gastritis gastrointestinal symptoms more pronounced, especially in the guts Khan reflux, sometimes resembling peptic ulcer, may have repeated a small amount of upper gastrointestinal bleeding, and even hematemesis. Signs more obvious, and sometimes abdominal tenderness with light.
Treatment
Most superficial gastritis symptoms may go away after a few months or years lesions can also be fully restored.
Elimination of causes: should remove all possible risk factors or aggravating the condition factors such as smoking cessation alcohol, to reduce salt intake; to correct bad eating habits, avoid stomach to stimulate the diet, diet soft-digest should avoid too rough too intense spices and heat, cold food. To develop slowly, in order to achieve and easy to digest, reducing incentives for the purpose of the stomach by eating salted, smoked, not fresh food; and stop taking certain drugs to stimulate the gastric mucosa, especially aspirin, etc. non-steroidal anti-inflammatory drugs; a nasal cavity and pharynx should be cleared with chronic Gan Ranzao, chronic bronchitis should avoid swallowing phlegm.
Drug treatment:
① Protection of gastric mucosa of the drugs commonly used drugs colloidal bismuth subcitrate (CBS), sucralfate, Smecta marzulene-S, aluminum hydroxide gel, gastric mucin and cover the stomach of equality.
② to adjust drug bloating gastrointestinal motility with metoclopramide or more, etc. domperidone. Hiccups, abdominal distention or regurgitation were the main phenomena that can be used gastric motility drugs, such as metoclopramide, do bite forest or cisapride (cisapride).
③ antibiotics if the experimental endoscopic examination revealed H. pylori-positive should be taking antibiotics, clarithromycin and amoxicillin, gentamicin, furazolidone, streptomycin, kanamycin, tetracycline, ADM and other disabilities, there clear the role of HP in general the choice of two kinds, often associated with gastric mucosal protective agents and antacids in combination.
④ antacids commonly used drugs cimetidine, ranitidine, famotidine, sodium bicarbonate (baking soda), magnesium hydroxide, Wei Shuping, aluminum hydroxide gel, cover the stomach equality.
⑤ epigastric pain heavier can oral atropine, Propantheline, belladonna tablets, or 654-2 (25-10mg), in order to reduce gastric acid secretion and relieve abdominal pain. Because these drugs have a dry mouth, palpitations, difficulty urinating side effects such as prostatic hypertrophy, glaucoma, cardiovascular disease, patients should be used with caution, or hanged.
Zhuxiaohuayao can also be used, such as yeast tablets Lactasin, Xiaozhang films and so on. If the phenomenon can also be returned to acid antisecretory drugs such as Tagamet, ranitidine, famotidine and so only one can be. Prevention of bile reflux may serve to adsorption of bile cholestyramine; a hematemesis hematochezia persons, a cyanide m guanidine oral; atrophic gastritis, abdominal distension more authors, lactobacillus tablet or a tablet hepatogastric gas pain, and be careful not to wear acid agents, such as Wei Shuping, baking soda and so on.
Surgical treatment of: chronic atrophic gastritis with severe dysplasia should be considered when surgery. Gastric antrum with severe atrophic gastritis and intestinal metaplasia is not an absolute indication for surgery because of the residual stomach after surgery is also very prone to chronic atrophic gastritis, intestinal metaplasia, and cancer.
Atrophic gastritis cancer rate of about 1%, it should be regular follow-up endoscopy. Particularly associated with polyps, dysplasia persons, or those who focal depression or uplift. Gastric mucosa is smooth with mild atrophic gastritis, the possibility of a small cancerous.
Prevention
To develop good eating habits, so that regular eating, Eat small meals often and eat easily digestible pap. Avoid eating raw, cold, hard, rough, greasy, too much fiber-containing foods. Avoid overeating. Meal when chewing food thoroughly, which helps digestion and absorption, thus reducing the burden on the stomach. Ying Ji drink tea, coffee, alcohol, etc.; eat less prone to flatulence food such as potatoes, sweet potato, onion, boiled soybeans and so on. Smoking cessation, Wu Shi stimulating strong spicy food. Avoid long-term consumption of heat, acid and BBQ food. Should also be taken long-term stimulation of the gastric mucosa with the drug, especially aspirin. Paul is too loose, anti-inflammatory pain, prednisone and so on. Also, pay attention to work and rest, patterns of life remain optimistic about a happy mood, to avoid the stress, anxiety, depression.
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