Chronic gastritis is very common in our life, is due to a variety of reasons caused by chronic inflammation or atrophic lesions of the gastric mucosa. There are numerous reasons for the occurrence of chronic gastritis, and today we will learn the following:

1, bad eating habits: such as eating irregularly, eat too spicy, too salty, too hot and so on.

2, eating stimulating substances: such as long-term excessive alcohol, strong tea, strong coffee, or eating high fat, high salt, high cholesterol and other heavy foods.

3, smoking and drinking: long-term smoking and drinking will damage the gastric mucosa and increase the occurrence of chronic gastritis.

4, mental tension or stay up late: long-term mental tension, stay up late, tired, etc. will also damage the gastric mucosa.

5, long-term use of pain medication, etc.: long-term oral non-steroidal anti-inflammatory drugs (such as ibuprofen, etc.), glucocorticoids or aspirin, etc. will also damage the gastric mucosa.

6, Helicobacter pylori infection: Helicobacter pylori infection is related to the occurrence and development of a variety of gastrointestinal diseases, we should pay enough attention.

7. Others: such as chronic infections of the oropharynx, exposure to radioactive substances, and the effects of other diseases.

For patients with chronic gastritis, we need to pay attention to actively improve lifestyle and maintain good dietary habits, regular work and rest, and try to avoid the use of drugs that can damage the gastric mucosa. We should also pay attention to monitoring the changes of the condition and regular review, especially for chronic atrophic gastritis, there is the possibility of cancer, more active treatment and monitoring.

If you have any questions, please feel free to leave a comment at the end of the article to discuss. Follow the author for continuous daily updates on health knowledge.

Hello, I'm glad to answer your question, chronic gastritis is a common digestive disease, mainly refers to the inflammatory lesions occurring in the gastric mucosa, the site of the occurrence of the sinus is mostly, we often hear superficial gastritis, erosive gastritis, atrophic gastritis can be summarized as chronic gastritis, which...Chronic atrophic gastritis is slower to recover and tends to persist.At present, the incidence rate is very high, with the accelerated pace of life, staying up late, alcoholism, unhealthy diet structure, making the population with chronic gastritis increased substantially, it is no exaggeration to say that the incidence of this disease in the digestive tract diseases in the first place, the folk have".lit. ten people have nine stomachs (idiom); fig. nine out of ten people have the same idea"The statement needs to be taken seriously enough. Clinically, there are indeedChronic gastritis with prolonged treatment，The causes can be related to the wide incidence of the population, the chronic course of the disease, the influence of diet, the lack of a clear diagnosis and non-standardized treatment. Mental and emotional factors also have a certain influence, for example, atrophic gastritis can induce cancer, and some patients have a big burden of thought that can lead to recurrence of the disease.Understanding the medical aspects of chronic gastritis and dealing with it with precision is the only way to get rid of the problems caused by gastritis.

It is well known that the development of a common disease is related to the physiological functions and pathological manifestations of its tissues and organs themselves.The physiological function of the stomach is reflected in the three aspects of daily dietary accommodation, digestion and absorption, and its digestion and absorption mainlyEmbodied in the stomachSecretion and motility. Examples include the secretion of gastric acid, which digests proteins, pepsin, and gastrointestinal hormones, which regulate the regular diastolic and peristaltic movements of the stomach;Known ingredients, e.g.Alcohol is basically all absorbed through the gastric mucosa.

In summary.A healthy stomach needs to fulfill the physiological functions of digestion, absorption, secretion, and motility, so that theFactors such as diet, environment, emotions, and aging organs can predispose to the development of chronic gastritis.

★The occurrence of chronic gastritis is related to the above factors, among which, in terms of diet, the culprits of chronic gastritis that have been recognized by the world medical community areHelicobacter pylori, then we talk about the common causes of chronic gastritis, according to the cause of the clues to find "chronic" and how to avoid.

I. Helicobacter pylori with its "golden mask" and "iron cloth shirt

★ The stomach in the process of digesting food and drink, need to go through the glands of the stomach to secrete a lot of gastric juice, gastric juice ph value is very low, between 0.9-1.5, mainly in the gastric juice contains hydrochloric acid, this environment helps the initial digestion of the protein decomposition, iron substances can be well absorbed. The more important benefit is that it canSterilization, most bacteria and other microorganisms can not survive. Helicobacter pylori, on the other hand, is like wearing a "golden mask" and is completely unaffected by stomach acid.

As early as 1983, scientists discovered from the gastric mucosal tissue of patients with chronic gastritis thatHelicobacter pylori, which is a spiral bacterium with flagella, is highly invasive and can be transmitted through fecal-oral transmission (infection can occur when family members get together to eat and drink and use each other's tableware). It is not afraid of the strong acidic environment in the stomach, and the target organ is mainly the gastric mucosa, and its tenacity is similar to the "undefeatable little strong". And established as the first cause of chronic gastritis.

★Helicobacter pyloriIt leads to inflammatory lesions of the gastric mucosa, which may manifest as mild changes in the mucosa that gradually worsen. The pathologic changes areCongestion, edema → erosion → atrophy → intestinal epithelial hyperplasia → epiglottic intramural neoplasia, xenomorphic hyperplasia → carcinoma of the gastric mucosa.

The rate of progression of pathologic changes varies from person to person; my patients with persistentMore than ten years of stomach upset, gastroscopy three times, still chronic superficial gastritis. While some patients progress faster, I think it has something to do with etiologic stimuli, causative influences, and individual differences.

II. Other common causes of chronic gastritis

①Autoimmune function and nerveDisorders are another common cause of chronic gastritis, mainly self-producedAntibodies attack the cells of the stomach wall, causing inflammation of the entire body of the stomach, while at the same time, the gastric glands atrophy and the secretion of too little gastric acid, causing atrophic gastritis.

In addition, the stomach is easily affected by emotions, leading to nerve disorders in the stomach lining, which causes gastric endocrine imbalance, leading to the occurrence or development of gastritis.

② Dietary factors can be used as influencing or triggering factors, excessive alcohol consumption or consumption of greasy, spicy, cold food to stimulate the gastric mucosa, inflammatory changes such as congestion and edema can occur, food stimulation can reduce the immune function of the gastric mucosa triggered by the onset of the disease.

(iii) Chronic gastritis in the elderly is associated with organ degeneration, and the aging gastric mucosa may show changes of chronic atrophic gastritis.

III. Clinical manifestations and diagnosis of chronic gastritis

The clinical symptoms of chronic gastritis lack of typicality, mild patients may be asymptomatic, Helicobacter pylori infection can be bloating, hidden pain in the stomach, acid reflux, hiccups; atrophic gastritis due to too little gastric acid, can be accompanied by significant dyspepsia or anemia.

Commonly used diagnosis: 1) Electron gastroscopy and histologic pathology are the main criteria. Pathologic examination can determine the presence of intraepithelial neoplasia or heterogeneous hyperplasia, enterosis, and Helicobacter pylori infection.

② Blowing 13C or 14C to check for H. pylori infection is of some significance.

(iii) Barium meal has a reference value

IV. Causes of chronic gastritis that do not heal and ways to cope with it

★Chronic gastritis is a common condition that is prolonged, but most can recover completely with standardized treatment and do notCancer occurs. The word "gastritis prolonged" makes people nervous, in fact, there is no need for too much anxiety and panic, the so-called prolonged treatment is mostly caused by specific reasons. For example, lack of clear diagnosis, lack of standardized treatment, unhealthy life habits, etc.. Now we summarize the reasons why the condition is prone to prolonged healing:

①Lack of a clear diagnosis

In the clinic, there are many patients with stomach discomfort, diagnosed as chronic gastritis, in fact, after gastroscopy to rule out chronic gastritis, only functional dyspepsia; some patients have developed into atrophic gastritis or warty gastritis, intraepithelial neoplasia and intestinal, etc., the condition is complex, it is difficult to cure the disease in the short term, need to be scientific and standardized treatment, can not be too hasty, the guidance of a professional doctor, according to the instructions of the doctor to take medication, do not stop taking medication on your own. Do not stop taking the medication on your own.

Therefore, after a clear diagnosis, targeted treatment can be taken according to the degree of gastritis, and active review胃镜, tracking the lesions, there would be noA long-lasting condition.

②Unregulated treatment

People with chronic gastritis who are asymptomatic usually do not need to take medication and focus on diet and other lifestyle habits.

In the case of concomitant H. pylori infection, a radical treatment program is available, and the latest version of the treatment norm is the gastric quadruple therapy:

Proton pump inhibitor + two antibiotics + bismuth for 10 to 14 days.

Gastric stimulants are also given, and glucocorticoids may be considered for immune dysregulation.

Treatments are tailored to the patient's condition and need to be analyzed and randomized by a physician to adjust the medication and duration of treatment.Unstandardized use of drugs or abuse of prescriptions will inevitably lead to gastritis is not cured for a long time, should believe in science, active standardized treatment.

③Unhealthy lifestyle

Chronic gastritis requires good lifestyle habitsGastric mucosa is susceptible to dietary and emotional factors. Barbecue, frying, irritability and easy to aggravate the condition of gastritis, need to pay attention to. As the saying goes, "three parts treatment and seven parts nourishment", control smoking and drinking, avoid irritability, do not stay up late, regular diet, chewing slowly in order to make chronic gastritis as soon as possible to heal.

★ Elderly people with deteriorating stomachs wear proper dentures and chew slowly to reduce the burden on their stomachs.

★Family members with chronic gastritis Helicobacter pylori infection, you can take tableware meal sharing system to avoid the spread of Helicobacter pylori infection.

Summary: chronic gastritis is not cured for a long time is mostly related to the diagnosis is not clear, lack of standardized treatment and unhealthy lifestyle, and actively search for the causes of gastritis is the key to solving the problem, according to clinical practice, most of the gastritis is relatively easy to treat, and at the same time, pay attention to the daily diet, emotions and other aspects of the care, keep a good mood, establish a good routine, do not smoke, do not drink, more exercise, eat a light and have regular quantitative, I believe that the recovery of chronic gastritis is close at hand. If you are a good smoker, a good drinker, a good exerciser, and eat a light diet with regular meals, I believe that the recovery of chronic gastritis is just around the corner.

Lastly, I hope my answer was helpful!

Chronic gastritis is endoscopically categorized into two basic types: chronic non-atrophic gastritis (chronic superficial gastritis) and chronic atrophic gastritis. If the main signs are bulging erosion, bleeding, coarse mucosal folds or bile reflux, then the diagnosis can be made as chronic non-atrophic gastritis or chronic atrophic gastritis with erosion and bile reflux, in that order. In other words, chronic gastritis varies. Most diagnoses of chronic gastritis are based on endoscopic diagnosis, so going for a gastroscopy for an upset stomach is the most reliable thing to do.

What are some of the reasons why chronic gastritis doesn't go away?

1、Helicobacter pylori infection

The first is H. pylori infection, H. pylori is one of the important causes of the formation of chronic gastric inflammation, if H. pylori is not eliminated, resulting in recurrent symptoms of stomach pain and bloating, plaguing people's lives. For this part of the patient, the best way is to eradicate that is to kill the Helicobacter pylori. Otherwise, you will also have repeated gastritis for a long time.

2、Related to the drugs taken

A portion of patients may have cardiovascular diseases or problems, or even gout or rheumatism, and if they take antipyretic and analgesic drugs or antiplatelet nonsteroidal anti-inflammatory drugs for a long period of time, they may also cause damage to the mucosa of the gastrointestinal tract. This is also a reason why gastritis is not cured for a long time.

3. Unhealthy lifestyle

Some patients often like cold and spicy unrestrained, spicy as life, love to eat raw cool, or tobacco and alcohol inordinately lead to long-term adverse stimulation of the gastrointestinal tract and cause chronic gastritis for a long time.

4、Bile reflux

Bile reflux is also one of the causes of chronic gastritis. Bile reflux into the stomach weakens or destroys the function of the gastric mucosal barrier, causing the gastric mucosa to be subjected to the action of digestive juices, which results in inflammatory reactions, erosion, hemorrhage, and epithelial hyperplasia and other related lesions.

5. Abnormalities in gastric motility

Abnormal gastric motility is an important cause of chronic gastritis, and the onset of epigastric fullness or nausea and vomiting may also be associated with delayed gastric emptying, which is a possible cause of recurrent gastritis.

6. Psychological factors

Psychological sensitivities may also be a non-negligible reason why gastritis persists.

Good life from the beginning of health, the beginning of health, health science professional media!

Chronic gastritis is generally categorized into non-atrophic gastritis and atrophic gastritis according to the severity of gastric mucosal lesions. It is mostly caused by long-term high salt and high fat diet, smoking and drinking and other bad dietary habits, taking non-steroidal anti-inflammatory drugs, hormones and other drugs, bile reflux, Helicobacter pylori infection and so on.

There are about two reasons why chronic gastritis is not cured for a long time, which are shared as follows, in the hope that you will pay attention to the treatment process.

1. In terms of living habits:Some people suffering from chronic gastritis, although in accordance with the doctor said that the treatment method on time regularly take, but still can not control their own mouth, continue to smoke and drink, high salt and high fat diet, irregular diet leads to gastric mucosal damage is difficult to repair the efficacy of drug therapy is not good, and easy to relapse.

2. Pharmacological aspects:Since the causes and pathological changes of chronic gastritis are different, the medications applied in its treatment are not only the same.

(1). If chronic gastritis caused by Helicobacter pylori infection, in the pre-treatment stage of taking acid suppressants, gastric mucosa protectants and other treatments, there is no application of triple or quadruple therapies to kill Helicobacter pylori, or the effect of killing is not good resulting in the continuation of the cause of the disease and prolonged treatment, although it seems to be effective, it will flare up again after stopping the medication.

(2). Gastroscopy has been diagnosed with atrophic gastritis, in the choice of drugs still choose acid suppressants combined with other drugs, which will make the treatment ineffective or aggravate the condition, and sometimes even induce gastric cancer. There is also the fact that people with atrophic gastritis must take medication for a long period of time, and some people can't adhere to the treatment is also the reason why the treatment is ineffective or not cured for a long time.

(3). Patients with bile reflux gastritis, who themselves have varying degrees of gastric acid deficiency, are still being treated with the application of omeprazole-type or famotidine-type acid-suppressing agents in combination with gastric mucosal protectants leading to poor efficacy or aggravation of the condition.

In general, the treatment of chronic gastritis should be based on the results of gastroscopy and the cause of the disease, with targeted adequate amount of full course of treatment, in addition, but also to choose the right drugs, do not look at the chronic gastritis, indiscriminate long-term treatment with acid suppression, which we should pay enough attention to.

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Chronic gastritis is not cured for a long time, what is the reason? The reason is actually mainly divided into two aspects: one is the treatment is not standardized, and the other is not pay attention to the usual life. We often say, gastric disease, "three points treatment, seven points to maintain", and this "three points treatment", is the most critical, the treatment is not standardized, is the root cause of the condition of the repetitive.
There are two tests that are mandatory when you have chronic gastritis, gastroscopy and C13 breath test. Gastroscopy can visually assess the damage to the gastric mucosa, while the C13 breath test can identify whether you have H. pylori infection. Many patients with chronic gastritis have recurring conditions that are caused by H. pylori infection!

To cure H. pylori, a standardized quadruple therapy treatment is needed for 2-3 weeks, and the cure rate is high for patients who receive quadruple therapy for the first time. If you have already taken some medications, especially antibiotics, before receiving the quadruple therapy, it will reduce the rate of cure. That is to say, irregular treatment not only can't help, but also bring negative effects and reduce the space of subsequent medication!

If there is no Helicobacter pylori infection, for patients with chronic gastritis, we will focus on symptomatic treatment, such as acid suppression, promote gastric peristalsis, digestion and other conventional treatment. At this time, we can also accept the treatment of traditional Chinese medicine, functional lesions, the efficacy of the motherland medicine is still very reliable!

Finally, we have to say that "seven points to raise", in fact, the stomach does not need to raise, as long as the diet pay more attention, do not increase the burden of the stomach can be! Smoking and drinking is necessary to quit. At the same time, we also need to do three regular meals, balanced nutrition, do not eat moldy food; eat less smoked, pickled, rich in nitrates and nitrites of food; avoid too rough, strong, spicy food, maintain a good mindset, regular work and rest!

Dr. Zhang Online - Welcome to your attention!

Chronic gastritis is the most frequent and common gastrointestinal disease in the clinic, because of its intricate etiology and complexity, mainly characterized by non-specific inflammatory reaction of the gastric mucosa, and the causes considered by Western medicine are also presenting a multi-causal disease, including insufficient secretion of gastric acid, bacterial and viral infections, especially Helicobacter pylori infection, medications and stimulating foods, etc., which can be caused.

Chronic gastritis in Chinese medicine belongs to the category of "gastric pain", "pain under the heart", "acid swallowing", "stomach plumping" and so on. Common symptoms may include discomfort, pain, fullness after eating, belching, nausea, acidity, etc., and generalized weakness, emaciation, pernicious anemia and other symptoms.

Chronic gastritis, what do Chinese medicine practitioners believe is the cause of this can go on for a long time?

Said above, the etiology of chronic gastritis is intricate and complex, for example, Henan Hospital of Traditional Chinese Medicine liver, gallbladder, spleen and gastroenterology director of Professor Dang Zhongqin that the causes of chronic gastritis can be summarized as - congenital insufficiency, external six obscenities, dietary indiscretion, overwork and over-indulgence, emotional and emotional disorders.

Chronic gastritis disease organ key position stomach loss of harmony and descending, for a long time, dampness and heat, phlegm, blood stasis internal obstruction, qi lifting and lowering disorder.

We need to know that the stomach, gallbladder and intestines belong to the six viscera, six viscera to pass for use, if the gallbladder, intestines can not be, it will affect the stomach and drop, so that the disease.

Therefore, chronic gastritis, do not see the disease in the stomach, but with the liver, spleen, gallbladder and intestines are closely related.

State-level famous Chinese medicine, Jiangxi Rui'an People's Hospital, Chinese medicine chief physician Professor Chen Yingyi that chronic gastritis to this virtual standard is common, on the one hand, the liver is rebellious, too much excretion, the liver and wood by the spleen appeared in the wrist and abdomen to attack the string to do bloating, or splenic deficiency liver multiplied by the spirit of the uncomfortable and plagued with belching;

On the other hand, excessive thinking, dark depletion of heart and blood, mother's disease and son, affecting the spleen and earth, or spleen and stomach weakness, ascension disorder without source, son's disease and mother, there will be palpitations, dizziness, insomnia and so on. Therefore, chronic gastritis is also closely related to the heart and liver.

Prof. Cai Gan of Shanghai Shuguang Hospital, on the other hand, believes that the common causes of chronic gastritis are overthinking, emotional disorders, work pressure, overeating, smoking and drinking, but the causes are different from those of the era in which Li Dongyuan lived, such as those due to starvation, loss of warmth and cold, and overwork and over-indulgence, which are relatively few.

Prof. Cai Gan also believes that the pathogenesis of chronic gastritis is closely related to the liver and spleen, and that the core pathogenesis of chronic superficial gastritis is spleen deficiency, liver multiplication, and internalized dampness-heat, while the core pathogenesis of chronic atrophic gastritis is spleen deficiency and stagnant heat.

Prof. Wang Shu of the Union Hospital of the Chinese Academy of Medical Sciences believes that chronic gastritis is a combination of deficiency and reality, and is often associated with long term illnesses and blood stasis.

This perception, as Ye Tianshi, the founder of the Fire God School of Chinese medicine in the Qing Dynasty, put it, "The first disease is in the meridians, and the long term disease enters the collaterals, so that the meridians are the masters of qi, and the collaterals are the masters of blood."

Chronic gastritis identification and staging treatment

Because the cause of each person's pathogenesis, etiology and pathogenesis are different, and Chinese medicine is concerned about the identification of the type of treatment, in the thousands of years of actual practice, various generations of doctors for chronic gastritis dialectic typing, summarized is the spleen and stomach cold type, the liver and stomach disharmony, the spleen and stomach damp-heat type, stomach and yin insufficiency, stomach and stagnant blockage of these common types of evidence.

Spleen and stomach deficiency and coldness can be considered to be treated with Xiangsha Liujunzi Tang, Strengthening the Spleen and Warming the Middle Soup and so on. Liver-stomach disharmony can be treated with Si Reverse San, Liver-Sparing and Stomach-Harmonizing Tang, and Chai Hu Liver-Sparing San. Damp-heat type of the spleen and stomach can be treated with Hanxia Laxingxin Tang and Foshan Si Huang Tang. Stomach Yin deficiency can be treated with Stomach Benefiting Drink and Maimendong Soup. Stagnant stomach channels can be treated with the formula of activating blood circulation and removing blood stasis.

In short, chronic gastritis, the longer the delay, or treatment is not timely method is not right, it is easy to cause a long time, and if infected with Helicobacter pylori virus, if the removal is not complete, it is also easy to lead to a long time.

Thanks for the invitation to answer.

Hello, the main reason for not treating gastritis is not to take gastritis seriously, some people because of the work required, dietary disorders, drinking a lot of alcohol, not only the fatty liver to find the door, gastric disease also haunted the body, even if it has been warned by the doctor, still I do what I do, gastritis can not be cured as well as not treating the disease, due to the chronic gastritis of improper diet, poor mood and overworked and triggered by the aggravation of the disease, or recurring disease.

Many patients think that recurrent gastritis is not curable, better than no treatment, random abuse of drugs, some patients are induced by advertisements, thinking that the side effects of traditional Chinese medicine is small, random use of drugs, can not solve the fundamental problem, if there is a clear inflammation, please accept targeted treatment.

Hello, I'm medical worker Zhang, a practicing physician, can popularize health knowledge for everyone, if you want to know more, please pay attention to me!

What causes chronic gastritis to persist?

1. Helicobacter pylori HP infection is the most important cause of chronic gastritis, HP can settle in the sinus mucosal concavity for a long time, decomposition of urea to produce NH3, and VagA protein, damage. Epithelial cells, cytotoxin-related gene proteins cause inflammatory response.
   
2. Genetic factors Genetic susceptibility in humans plays a role in the development of chronic gastritis.
3. Age Clinical statistics show a significant positive correlation between the occurrence of chronic gastritis and age. The older the patient, the worse the gastric mucosal function and "resistance".
4. Smoking The incidence of gastritis can be elevated in heavy smokers.
5. Diet Epidemiologic studies have shown that diets high in salt and lacking in fresh fruits and vegetables are closely related to gastric mucosal atrophy, intestinal metaplasia, and the occurrence of gastric cancer. Certain stimulating foods, too cold and too hot foods or drinks can repeatedly damage the gastric mucosa.
6. Non-steroidal anti-inflammatory drugs such as aspirin and pau d'arco can cause gastric mucosal erosion, erosion can be left after the healing of chronic gastritis. There are also some antibiotics on the gastric mucosa also has a certain damage.
   
7. Autoimmunity, autoimmune gastritis is dominated by atrophy of the mucosa of the gastric body, which is rich in mural cells; autoantibodies such as mural cell antibodies are present in the patient's blood, and antibodies to endogenous factors can be detected in those with pernicious anemia; the disease can be accompanied by other autoimmune diseases, such as Hashimoto's thyroiditis, vitiligo, and so on.
8. Metal exposure For example, the incidence of gastric ulcers is high among lead workers. In addition to lead, many heavy metals such as mercury, tellurium, copper and zinc have a certain damaging effect on the gastric mucosa.
9. Duodenal fluid reflux When gastroscopy is performed on patients with chronic gastritis, yellowish-green bile can often be found in the mucus pool, and in addition, when the pylorus is open, bile can be seen to reflux or even ejected into the stomach.
10. Other bacterial, viral infections
    

What is the treatment for chronic gastritis?

• general treatment

Diet should be rich in nutrients, less stimulation, easy to digest food, avoid smoking, alcoholism, coffee, strong tea and drugs that stimulate the stomach. Eliminate the patient's doubts, adjust the mental mood, optimism, comfort, peace, and establish a positive and healthy attitude towards life.

• medication

1. Acid inhibitors or acid suppressants are indicated for those with mucosal erosions or those with predominantly heartburn, acid reflux, epigastric pain, and other symptoms. Depending on the severity of the disease or symptoms, H2 receptor blockers (cilastatin, ranitidine, famotidine, rosatidine, etc.), proton pump inhibitors (omeprazole, lansoprazole, pantoprazole, rabeprazole, esomeprazole, epratazole, etc.), and acid suppressants (gastroschisine, sodium bicarbonate, aluminum hydroxide, etc.) are used.
   
2. Bile-binding agents for all types of gastritis with bile reflux, cholestyramine, glycoalumina, magnesium aluminum carbonate (Daxi, Weidi magnesium), etc., the latter also has an antacid, mucosal protection effect.
3. Eradication of Hp treatment is suitable for Hp-positive people: ( 1) chronic gastritis with gastric mucosal erosion and atrophic lesions: ( 2) people with a family history of gastric cancer: ( 3) people with erosive duodenitis: ( 4) chronic gastritis with symptoms of dyspepsia, and the current recommendation is a quadruple regimen composed of bismuth, PPI, and 2 types of antibiotics.
4. Mucosal protective agents are suitable for people with gastric mucosal erosion, bleeding or obvious symptoms. Commonly used drugs include bismuth (Rezidor, bismuth pectin, etc.), aluminum thioglycollate, rehabilitation of new liquid, misoprostol (Hiker's ulcer), compound glutamine, gefadroxil, Schwesol, film Gustav, etc.
5. The prokinetic agents are suitable for those who are predominantly suffering from epigastric fullness, early satiety, belching, vomiting, etc. Commonly used drugs include domperidone, mosapride, itopride hydrochloride, trimethoprim maleate, etc.
6. Digestive aids are suitable for atrophic gastritis, low stomach acid, or loss of appetite and other symptoms of the main person, commonly used drugs have had protease, urinary special, get every pass, etc..
   

Summarize: the treatment of chronic gastritis is a long time, need to actively cooperate with the patient, taking medication can not be arbitrarily stopped or increase or decrease the amount of medication.

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The reason why chronic gastritis is difficult to cure has a lot to do with our habits in daily life, especially for people in areas such as Sichuan, Hunan and Chongqing who have been eating spicy and stimulating foods for a long time. At the same time, some other factors such as drugs, Helicobacter pylori, etc. can also lead to difficult gastritis, today we will learn together.

Chronic gastritis is caused by many reasons, common such as: ① poor eating habits, such as irregular diet, overeating, like spicy stimulation points heavy food, eat too fast fructose, etc.; ② smoking and drinking alcohol, will damage the gastric mucosa, causing chronic gastritis occurs; ③ irregular work and rest, often stay up late; ④ emotionally agitated, life stress; ⑤ often take pain relievers or glucocorticoid hormones; ⑥ Helicobacter pylori infection; ⑦ the oropharynx has a chronic infection. Infection; ⑦ Chronic infection in the oropharynx.

Among the many factors of chronic gastritis, Helicobacter pylori infection is often overlooked. Helicobacter pylori infection is one of the main causes of the occurrence of digestive diseases, especially in chronic atrophic gastritis, long-term development, and even the possibility of cancerous, leading to the occurrence of gastric cancer.

For chronic gastritis, we do not need to worry too much, pay attention to maintain a good diet and living habits, active treatment of the underlying disease, and thanks to the crowd for gastroscopy and other screenings, in order to early detection, timely treatment, and improve the quality of life. We hope that you have a correct understanding, listen to the guidance of professional doctors, and avoid biased beliefs, so as not to delay the condition, resulting in serious consequences.

This article has been written by GP Sweeps and we hope it has been helpful. Please correct any deficiencies, the article is for reference only and is not intended as medical advice.

Yesterday a patient on the ward went for a gastroscopy and was found to have chronic atrophic gastritis with erosions, and was also tested positive for Helicobacter pylori, and was told to use separate bowls and chopsticks from the rest of the family.

He came back and asked me.

Dr. Sun, is gastritis still contagious? Why are you still sharing dishes like hepatitis?

It is currently believed that H. pylori is contagious and may be spread through dishes. Care needs to be taken in life, such as dishes, e.g. don't chew food and feed it to children, etc.

And Helicobacter pylori is the most important reason why chronic gastritis is not cured.

The liquid inside the stomach is called gastric juice, the main component is hydrochloric acid, hydrochloric acid is the pH value of the gastric juice is maintained between 0.9-1.5, this environment is conducive to the initial digestion and decomposition of proteins, the effective absorption of iron in food. Extremely acidic environment also makes it impossible for bacteria to survive, but there is Helicobacter pylori in the stomach, which seems to be wearing a "golden mask, iron cloth shirt" completely unaffected by the gastric juice.

Helicobacter pylori was discovered by scientists in 1983 from gastric mucosal tissue in chronic gastritis. It is a flagellated Helicobacter that is highly infectious, and the main target organ it boards is the stomach, so no other organ examined has H. pylori present.

If the test reveals the infection of Helicobacter pylori, two antibiotics are usually used, usually choosing amoxicillin and metronidazole orally for 2 weeks, which usually cures it. However, many people do not have the patience and often fail to reach the course of treatment, or in the course of treatment, the following problems are not well paid attention to, which can also lead to the reappearance of gastritis symptoms.

"Nine out of ten people's stomachs" is a common saying that I believe many people have heard before. Poor diet, consumption of spicy and cold foods, and medications can stimulate the gastric mucosa leading to congestion and edema of the gastric mucosa, resulting in epigastric discomfort and leading to the appearance of gastritis symptoms.

And these conditions are almost unavoidable in life, especially for some chronic patients who need to take a lot of drugs to control. Many drugs are gastric mucosa irritation, which is also a reason why chronic gastritis is not cured for a long time.

Talk to your doctor when you have epigastric discomfort. When treating the disease, try to choose medications that are less irritating to the stomach or choose to take them with meals. If stomach problems are severe, diabetics may opt for insulin therapy.

Attention in life, avoid eating into the cold, hard and spicy food, eat into the food feel uncomfortable should also reduce to eat, such as some people eat into the leek, rice, etc. is not comfortable, then do not eat again.

The treatment of gastritis is often referred to as "stomach nourishment", and a regular lifestyle is very important. A regular lifestyle is very important. Not eating all meals or eating too much is a burden to the stomach.

By paying attention to the above points, I believe that gastritis will also be cured quickly.