What should atrophic gastritis pay attention to?
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 The commonly used drugs for protecting gastric mucosa are colloidal bismuth subcitrate (CBS), 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 the 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. Prevention should develop good eating habits, eating rules, eating less and more meals, and eating 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. General principle: a diet with no stimulation, low fiber content, easy digestion and sufficient nutrition; Eat less and eat more; Relax and keep a good mood while eating. 1, eliminate the reason. Thoroughly treat acute gastritis; Quit smoking and drinking; Avoid irritating food and drugs; Treat chronic oral infection, diet, etc. 2. Eat more soft food. Eat easily digestible food, minimize irritation to gastric mucosa, chew slowly, let the teeth completely grind the food, and make the food fully mixed with gastric juice. Avoid cold, hot and sour and hard food. Eat less and eat more, and make coarse grains carefully. Patients with gastric diseases can eat five meals, and the demonstration examples are as follows: breakfast: 50 grams of rice porridge, 50 grams of flower rolls, boiled eggs 1 piece, and tofu brain 1 piece. Meal 1: 300g milk with sugar15g biscuits15g. Lunch: rice soft rice 100g, fried fish fillet 100g, spinach and egg soup. Meal 2: 300 grams of soybean milk, 0/0 grams of sugar/kloc, and 25 grams of cake. Dinner: 50 grams of rice porridge, 50 grams of cake, mashed potatoes with minced meat 150 grams. 3. If you have malnutrition or anemia, you should give more eggs and eat more fresh vegetables and animals' livers and kidneys. 4, hyperacidity, concentrated broth and acidic foods should be banned, so as not to cause more gastric acid secretion, milk, vegetable puree, starch, bread, etc. Yes, it's light and salty. 5. Hypogastric acid can stimulate gastric acid secretion in thick broth and gravy, help digestion and promote appetite.