Old stomach problems come and go, can it still be better? Is chronic atrophic gastritis irreversible once diagnosed? How to repair the gastric mucosa? Which is more effective in the treatment of atrophic gastritis with traditional Chinese medicine and Western medicine?
In this issue, Pan Feng, vice president and chief physician of Hangzhou Red Cross Hospital, is invited to explain in detail the integration of Chinese and Western essences to protect the health of the spleen and stomach.
01
Treatment of chronic atrophic gastritis
After a gastroscopy is diagnosed with chronic atrophic gastritis, many people consult their doctor about how to intervene or reverse it.
Director Pan said that chronic atrophic gastritis is a physiological process, which is basically irreversible, and if it is mild, it may be improved after lifestyle changes and drug intervention.
There is currently no specific treatment for atrophic gastritis, and the condition can only be improved by folic acid supplementation, gastric mucosal protectors, and drugs that promote the growth of the gastric mucosa.
If you want to improve chronic atrophic gastritis, it is very important to change your bad eating habits, eat less spicy and stimulating food, quit smoking and drinking, and drink less coffee and strong tea.
In addition, the following two points need to be noted when using pharmacological interventions:
Many patients with gastric mucosal atrophy will use antacids (PPI preparations) such as omeprazole after experiencing stomach pain, but these drugs are not suitable for long-term use, otherwise they will cause insufficient gastric acid secretion and affect their own digestive function.
In addition to not being used for too long, some gastric mucosal protectors and folic acid can also be used during the period of taking antacids.
02
Traditional Chinese medicine in chronic atrophic gastritis
Role in treatment
In the process of clinical practice, it has been found that in addition to improving the symptoms of atrophic gastritis, traditional Chinese medicine can also play an anti-atrophy and anti-intestinal role.
Director Pan said that one of the biggest characteristics of traditional Chinese medicine is that "treating people but not treating diseases", and traditional Chinese medicine syndrome differentiation believes that atrophic gastritis is a manifestation of "distention", which should be treated from the liver and adjust the state of the whole body to achieve the therapeutic effect.
In modern studies, it has been found that drugs such as fragrant tea cabbage, lobelia and southern yew can significantly improve gastric mucosal atrophy and intestinalization.
Traditional Chinese medicine believes that stomach diseases "rely on medicine for 3 points and nourishment for 7 points", and there are many beneficial living and eating habits in the theoretical experience of Chinese medicine that can be taught to patients.
03
Non-atrophic gastritis
Need intervention?
Chronic gastritis is also divided into atrophic and non-atrophic, and non-atrophic generally refers to superficial gastritis.
Clinically, most people will find themselves with superficial gastritis or atrophic gastritis after gastroscopy.
Non-atrophic gastritis is actually a physiological manifestation of the gastric mucosa, and the inflammation can be classified as mild, moderate and severe according to pathological examination.
Moderate to severe inflammation can be treated with some antacids and gastric mucosal protectors, and generally needs to be maintained for about two weeks, at most one month, and the inflammation can be effectively controlled.
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