What medicine should be taken for gastritis and how long should it last?
Gastritis is a general term for inflammation of the gastric mucosa. Common symptoms include upper abdominal pain, bloating, nausea, etc. Treatment options and medication cycles vary greatly depending on the cause and severity. The following is a gastritis medication guide compiled based on recent medical hot spots.
1. Common types and medications of gastritis
| Gastritis type | Recommended medicine | Medication cycle |
|---|---|---|
| acute gastritis | Proton pump inhibitors (such as omeprazole), gastric mucosal protectants (such as sucralfate) | 2-4 weeks |
| chronic superficial gastritis | H2 receptor blockers (such as ranitidine), gastrointestinal motility drugs (such as domperidone) | 4-8 weeks |
| Helicobacter pylori-associated gastritis | Antibiotics (amoxicillin + clarithromycin) + proton pump inhibitor + bismuth agent | 10-14 days (quadruple therapy) |
2. Recent Hot Controversies: Medication Cycle Optimization
A recent study in the journal Gastroenterology pointed out that long-term use of proton pump inhibitors (>8 weeks) may increase the risk of osteoporosis. Suggestions:
| drug type | Safe medication cycle | reduction plan |
|---|---|---|
| proton pump inhibitor | 4-8 weeks | After symptoms subside, medication is administered every other day. |
| antibiotic combination | Take strictly according to the course of treatment | Do not increase or decrease the dose on your own |
3. Adjuvant treatment suggestions
Based on recent nutritional research, the following auxiliary programs are recommended:
| Auxiliary measures | specific suggestions | Things to note |
|---|---|---|
| diet modification | Eat small meals frequently and avoid spicy food | Choose a liquid diet during the acute phase |
| probiotic supplement | Specific strains of Bifidobacterium | Take 2 hours apart from antibiotics |
4. Pay attention to medication for special groups of people
According to recent clinical guideline updates:
| crowd | Medication adjustment | Monitoring requirements |
|---|---|---|
| elderly | Reduce proton pump inhibitor dose | Check bone density regularly |
| pregnant woman | Aluminum magnesium carbonate is preferred | Avoid misoprostol |
5. Latest treatment trends
1.Precise medication: Clear the type of gastritis through gastroscopy and then take targeted medication.
2.Microecological regulation: Recent studies have found that specific probiotics can improve the eradication rate of Helicobacter pylori
3.Integrated Traditional Chinese and Western Medicine: The newly released "Chinese Gastritis Diagnosis and Treatment Guidelines" in 2024 adds new recommendations for traditional Chinese medicine
Warm reminder:Specific medication needs to be evaluated by a gastroenterologist, and the data in this article are for reference only. If the symptoms are not relieved after 2 weeks of medication, it is recommended to follow up with the doctor in time to adjust the plan.
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