Experience: Chronic superficial gastritis has various symptoms, which are not necessarily proportional to the condition. Diagnosis depends on gastroscopy and pathological examination. The disease belongs to the category of epigastric pain and hypochondriac swelling pain in traditional Chinese medicine, which is easy to recur and persist, and is characterized by the combination of cold and heat and toxic blood stasis. If you are stuck in the middle coke, you will have a stomachache and fullness. Gastroscope shows that red and white gastric mucosa is the main manifestation of cold-heat syndrome, and congestion, edema and erosion are the manifestations of toxic blood stasis. In the treatment, antibiotics and western medicine are reasonably combined to strengthen the stomach, combined with Banxia Xiexin Decoction, hard work, cold and heat are mixed, and drugs such as detoxification, blood stasis and insecticide are combined, which has a miraculous effect.
Experts believe that most superficial gastritis symptoms are mild or painless, self-limited and can disappear on their own. After several months or years, the lesion can be completely recovered.
So, how to treat superficial gastritis without taking medicine?
1, pay attention to diet and life conditioning. Avoid long-term intake of rough and irritating food; Avoid overheated drinks and salty diet; Eat moderately and regularly to prevent overeating.
2. Avoid irritation. Do not use or use drugs with strong stomach irritation as little as possible, such as corticosteroids, non-steroidal anti-inflammatory drugs and drugs such as potassium, iron and iodine; And quit smoking and drinking.
3. Optimistic and open-minded. Some medical experts pointed out that the symptoms of many patients with stomach diseases do not come from stomach diseases themselves, but from psychological factors of phobia. Therefore, mental and psychological conditioning is very important. Paying attention to maintaining an optimistic and open-minded mood can effectively improve symptoms.
Of course, chronic superficial gastritis cannot be completely cured without drugs. Middle-aged and elderly people and people with immune imbalance are prone to chronic atrophic gastritis, and this possibility increases with age. Therefore, superficial gastritis in middle-aged and elderly people should be treated as soon as possible. In addition to antibacterial therapy, gastric mucosal protective agents and drugs for inhibiting gastric acid should also be given.
chronic gastritis
Chronic gastritis refers to chronic inflammatory lesions of gastric mucosa caused by different reasons. This disease is very common, and the incidence increases with age.
The reasons may be: long-term use of non-steroidal anti-inflammatory drugs and alcoholism; Duodenal fluid reflux; Smoking; Immune factors; Infection factors (Helicobacter pylori infection); Long-term use of foods or drugs that strongly stimulate gastric mucosa, such as strong tea, spirits, coffee, spicy and rough foods and some drugs. In addition, there are age factors, gastric mucosal nutritional deficiency factors, genetic factors and so on.
Chronic gastritis is divided into the following seven types:
① Erythema/exudative gastritis; ② Flat erosive gastritis; ③ Convex erosive gastritis; ④ Atrophic gastritis; ⑤ Hemorrhagic gastritis ⑤ Gastrointestinal reflux gastritis; ⑦ Proliferative gastritis of plica.
clinical picture
The symptoms of chronic gastritis are not specific, and quite a few patients have no clinical symptoms.
The course of chronic gastritis is prolonged. The course of the disease ranges from half a year to decades, and the symptoms are light and heavy. Because of the weather changes, especially in autumn and winter, it is easy to get sick. Too cold and hard food such as fried food, fatigue and mental factors will lead to aggravated symptoms.
About 50% patients often have epigastric discomfort, stuffy pain, burning pain and fullness, and have no obvious rhythm, which is generally heavier after eating. Dyspepsia symptoms such as loss of appetite, belching, acid regurgitation, nausea, burping, fullness or dull pain in the upper abdomen after meals are also common. Some patients' appetite is not affected, but the symptoms of abdominal distension are obviously aggravated by eating more.
People with gastric mucosal erosion can have a small amount or a large amount of upper gastrointestinal bleeding, and a small amount of bleeding for a long time can cause iron deficiency anemia. Type A gastritis can appear obvious anorexia, general weakness, weakness, emaciation and apathy. Typical pernicious anemia can lead to tongue atrophy and peripheral neuropathy, such as limb paresthesia. Gastrointestinal symptoms of type B gastritis are obvious, especially when there is bile and sweat reflux, which sometimes looks like peptic ulcer, and a small amount of upper gastrointestinal bleeding and even hematemesis may occur repeatedly. The signs are not obvious, and sometimes there is mild tenderness in the upper abdomen.
treat cordially
Most of the symptoms of superficial gastritis can disappear by themselves, and the lesions can be completely recovered after several months or years.
Eliminate the cause: all possible pathogenic factors or factors that aggravate the condition should be ruled out, such as quitting smoking and drinking, reducing salt intake; Correct bad eating habits and avoid a diet that is irritating to the stomach. Diet should be light and easy to digest, and avoid too rough and strong spices and overheated and too cold diet. To develop the habit of chewing slowly, in order to achieve the purpose of easy digestion, reduce the stimulation to the stomach, eat less salty, smoked and stale food; And stop using some drugs that stimulate gastric mucosa, especially non-steroidal anti-inflammatory drugs such as aspirin; Chronic infection of nasal cavity and pharynx should be removed, and people with chronic bronchitis should avoid swallowing phlegm.
Drug therapy:
① Commonly used drugs for protecting gastric mucosa are colloidal bismuth subcitrate, sucralfate, smecta, Maizilin -S, aluminum hydroxide gel, gastrin and weiping.
Metoclopramide or domperidone is used to regulate gastrointestinal motility. For patients with hiccups, bloating or reflux, gastric motility drugs such as metoclopramide, ephedrine or cisapride can be used.
(3) Antibiotics If gastroscopy shows that Helicobacter pylori is positive, you should take antibiotics. Clarithromycin, amoxicillin, gentamicin, furazolidone, streptomycin, kanamycin, tetracycline and shikimic acid all have the effect of eliminating HP. Generally, you can choose two kinds, which are often used in combination with gastric mucosal protective agents and antacids.
④ The commonly used drugs of acid generator are cimetidine, ranitidine, famotidine, sodium bicarbonate (baking soda), magnesium hydroxide, metoclopramide, aluminum hydroxide gel and Gaiweiping.
⑤ Patients with severe epigastric pain can take atropine, propofol, belladonna tablets or 654-2(25- 10mg) orally to reduce gastric acid secretion and relieve abdominal pain symptoms. Because these drugs have side effects such as dry mouth, palpitation and dysuria, patients with prostatic hypertrophy, glaucoma and cardiovascular diseases should be cautious or contraindicated.
You can also use digestive AIDS, such as yeast tablets, lactase and Zhang Xiao tablets. In case of acid regurgitation, you can also use only one acid inhibitor, such as Tavime, Ranitidine and Famotidine. In order to prevent bile reflux, cholestyramine can be taken to adsorb bile; For those with hematemesis and hematochezia, take cyanoguanidine orally; For atrophic gastritis with abdominal distension, you should take Lactobacillus tablets or Ganweiqitong tablets orally, and be careful not to take antacids such as weishuping and baking soda.
Surgical treatment: when chronic atrophic gastritis is accompanied by severe atypical hyperplasia, surgical treatment should be considered. Severe atrophic gastritis and intestinal metaplasia in the antrum of stomach are not absolute indications for surgery, because chronic atrophic gastritis, intestinal metaplasia and cancer are easy to occur in the remnant stomach after operation.
The canceration rate of atrophic gastritis is about 65438 0%, so it should be followed up by gastroscope regularly. Especially for those patients with polyps, dysplasia or local depression or uplift. Mild atrophic gastritis, smooth gastric mucosa, little possibility of canceration.
prevent
It is necessary to develop good eating habits, eat regularly, eat less and eat more meals, and eat soft food that is easy to digest. Avoid eating raw, cold, hard, rough, greasy and fiber-rich foods. Avoid overeating. Chewing slowly when eating helps digestion and absorption, thus reducing the burden on the stomach. Avoid drinking strong tea, coffee, wine, etc. Eat less flatulence-prone foods, such as potatoes, sweet potatoes, onions and boiled soybeans. Quit smoking and don't eat spicy food. Avoid eating overheated, sour and smoked food for a long time. At the same time, we should also avoid taking drugs that stimulate gastric mucosa for a long time, especially aspirin. Propafenone, indomethacin, prednisone, etc. In addition, pay attention to the combination of work and rest, live a regular life, maintain an optimistic and happy mood, and avoid tension, anxiety and depression.
Clinical manifestations of chronic superficial gastritis
Chronic superficial gastritis lacks specific symptoms, and the severity of symptoms is not consistent with the degree of gastric mucosal lesions. Most patients often have asymptomatic or varying degrees of dyspepsia, such as dull pain in the upper abdomen, loss of appetite, fullness after meals, acid reflux and so on. Individual patients with mucosal erosion have obvious epigastric pain and may have bleeding.
Some patients often feel abdominal fullness and discomfort, belching, and were diagnosed as "superficial gastritis" by many hospitals and many gastroscopes. Long-term use of a variety of Chinese and western medicines has no obvious effect, but medical expenses have cost a lot. Similar patients are not uncommon. In fact, many of these patients are accompanied by neuropsychiatric symptoms, such as insomnia, anxiety, irritability, palpitations, hypochondriasis and so on. Some patients always suspect that they have stomach cancer and seek medical treatment everywhere, and repeatedly ask for gastroscopy. In terms of treatment, patients should be advised to give up smoking and drinking, avoid irritating food and overeating, and at the same time pay more attention to mental and soothing therapy, increase physical labor and exercise, improve the body's disease resistance and immunity, distract patients' attention and other non-drug treatments, and appropriately apply symptomatic treatments such as mood stabilizers and gastric motility drugs, so that patients can understand and accept your treatment plan, enhance their confidence in overcoming the disease, and increase unnecessary pain without spending huge sums of money on long-term medication and frequent gastroscopy. If the symptoms of individual patients persist and worsen, gastroscopy should be reviewed in time to avoid missed diagnosis of malignant diseases.
What Chinese patent medicines are there to treat chronic superficial gastritis?
The main clinical manifestations of chronic superficial gastritis are abdominal distension and pain, or nausea, vomiting, belching, noisy and pantothenic acid. All Chinese patent medicines with the functions of invigorating spleen and regulating stomach, promoting circulation of qi to reduce swelling, relieving depression and eliminating swelling are suitable for the prevention and treatment of chronic superficial gastritis. At present, the commonly used Chinese patent medicines for treating this disease are:
(1) baohe pill
Main ingredients: Massa Medicata Fermentata, Fructus Crataegi, Rhizoma Pinelliae Preparata, Pericarpium Citri Tangerinae, Fructus Forsythiae, and Radish Seed.
Function: digestion, stagnation, stomach and spleen.
Indications: anorexia, abdominal distension, pantothenic acid, belching and other symptoms caused by food stagnation.
(2) Yueju Pill
Main ingredients: Rhizoma Cyperi, Rhizoma Chuanxiong, Fructus Gardeniae, Rhizoma Atractylodis and Massa Medicata Fermentata.
Function: regulating qi, relieving depression and relieving flatulence.
Indications: Chest tightness, abdominal distension, belching and acid swallowing.
(3) Xiangsha Liujunzi Pills
Main ingredients: Radix Aucklandiae, Fructus Amomi, Radix Codonopsis, Atractylodis Rhizoma, Poria, Radix Glycyrrhizae, Rhizoma Pinelliae, and Pericarpium Citri Tangerinae.
Function: invigorating spleen and stomach, regulating qi and relieving pain.
Indications: Chest tightness, nausea, vomiting and diarrhea.
(4) Xiangsha Yangwei Pill
Main ingredients: Fructus Amomi, Radix Aucklandiae, Atractylodis Rhizoma, Poria, Fructus Aurantii Immaturus, Fructus Amomi Rotundus, Cortex Magnolia Officinalis, Rhizoma Cyperi, Pericarpium Citri Tangerinae, Rhizoma Pinelliae, Radix Glycyrrhizae and Herba Pogostemonis.
Function: invigorating spleen and stomach, regulating qi and resolving food stagnation.
Indications: anorexia, fatigue, stomachache, abdominal distension, belching and acid regurgitation.
(5) Shugan Pill
Main ingredients: Bupleurum, Magnolia Officinalis, Ligusticum Chuanxiong, Rhizoma Cyperi, Fructus Aurantii, Aquilaria Resinatum, Fructus Amomi and Radix Aucklandiae.
Function: soothing the liver, relieving depression, regulating stomach and relieving pain.
Indications: bilateral pain, abdominal distension, belching and nausea.
(6) Qizhiweitong Granule
Main ingredients: Radix Bupleuri, Fructus Aurantii, Radix Glycyrrhizae, Rhizoma Cyperi, etc.
Function: Soothing liver and regulating qi, regulating stomach and relieving pain.
Indications: fullness in chest and hypochondrium and epigastric pain caused by stagnation of liver qi.
(7) Liangfu Pills
Main ingredients: Alpinia officinarum and Rhizoma Cyperi.
Function: Warming middle warmer, dispelling cold, promoting qi circulation and relieving pain.
Indications: epigastric cold pain caused by deficiency and cold of middle energizer, and those who like warming.
(8) Wenweishu Capsule
Main ingredients: Radix Codonopsis, Atractylodis Rhizoma, Fructus Crataegi, Radix Astragali, Herba Cistanches, etc.
Functions: strengthening the body resistance, nourishing the stomach, promoting qi circulation and relieving pain, and warming the yang and soil.
Indications: It can be used to treat epigastric cold pain, flatulence, belching, anorexia and chills caused by chronic atrophic gastritis and chronic gastritis.
(9) Yinxingtongtong Granules
Main ingredients: Radix Glehniae, Radix Ophiopogonis, Fructus Toosendan, Radix Glycyrrhizae, etc.
(8) Wenweishu Capsule
Main ingredients: Radix Codonopsis, Atractylodis Rhizoma, Fructus Crataegi, Radix Astragali, Herba Cistanches, etc.
Functions: strengthening the body resistance, nourishing the stomach, promoting qi circulation and relieving pain.
Prevention and treatment of digestive tract inflammation and ulcer 186 Q&A salon series functions: nourishing yin, benefiting stomach and relieving pain.
Indications: It is used for symptoms such as burning pain in upper abdomen, dry mouth and tongue, anorexia and retching caused by insufficient stomach yin.
(10) Yangweishu Granules
Main ingredients: Radix Codonopsis, Rhizoma Polygonati, Radix Codonopsis, Mume Fructus, Atractylodis Rhizoma, Semen Cuscutae, etc.
Functions: strengthening body resistance, nourishing yin and stomach, regulating middle energizer, promoting qi circulation and promoting digestion.
Indications: It is used for chronic atrophic gastritis, heartburn in the epigastric cavity, hand and foot heartburn, dry mouth and bitter taste, loss of appetite and other symptoms caused by chronic gastritis.
(1 1) weinaian capsule
Main ingredients: Radix Astragali, Radix Notoginseng, artificial bezoar and pearl powder.
Functions: invigorating qi and spleen, calming the heart and calming the nerves, promoting qi and blood circulation, diminishing inflammation and promoting granulation.
Indications: gastric and duodenal ulcer, chronic gastritis.
(12) Weikangling Capsule
Main ingredients: Radix Paeoniae Alba, Radix Glycyrrhizae, Rhizoma Corydalis, Radix Notoginseng, etc.
Functions: softening liver and stomach, removing blood stasis and stopping bleeding, relieving pain, removing putrefaction and promoting granulation.
Indications: Suitable for chronic gastritis, gastric ulcer, gastrorrhagia and duodenal ulcer.
(13) Sanjiu Weitai
Main ingredients: Sanku, Murraya murraya, Radix Paeoniae Alba and Radix Aucklandiae.
Function: diminishing inflammation and relieving pain, regulating qi and strengthening spleen.
Indications: Chronic gastritis such as superficial gastritis, erosive gastritis and atrophic gastritis.
(14) Hericium erinaceus slices
Main ingredients: Hericium erinaceus.
Function: diminish inflammation and relieve pain.
Indications: chronic gastritis, gastric and duodenal ulcer, gastric cancer and esophageal cancer.
In addition, Su Wei Granule, Shugan Hewei Pill, Muxiang Shunqi Pill, Buzhong Yiqi Pill and other Chinese patent medicines are also used to treat this disease, which should be selected and applied according to syndromes.
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