Such a stomach disease as a gastritis requires immediate therapy. This is especially true if the inflammatory process on the walls of the organ leads to the formation of small ulcers. It is important to correctly diagnose erosive gastritis - the treatment directly depends on the form of pathology, the nature of its course, and also the cause that provoked the disease. As a rule, therapeutic schemes are quite similar, the differences are only in the treatment of acute, chronic and antral type of the disease.
Scheme of treatment of chronic erosive gastritis
The described form of pathology is always associated with an excess of production of gastric juice and an increase in the concentration of hydrochloric acid in it. Therefore, first of all, the treatment of erosive gastritis in conditions with high acidity.
Stopping and then preventing excessive production of gastric juice
For this purpose, blockers of the proton pump and histamine are prescribed. Among the most effective drugs, gastroenterologists prefer the following names:
- Lansoprazole;
- Proxium;
- Omez;
- Controllers;
- Omeprazole;
- Ranitidine;
- Famotidine;
- Kwamatel.
Elimination of high acidity of gastric juice
As a rule, medicines with a combined action are used, which simultaneously form a protective film on the surface of the ulcerated mucosa that promotes the rapid healing of erosion. Apply such means:
- Almagel;
- Maalox;
- Phosphalugel;
- Rennie;
- Venter.
Restoration of motility of the duodenum and stomach
The following preparations can normalize the motor activity of organs:
- Cerucal ;
- Metoclopramide;
- Domperidone;
- Motilium.
Improving the digestive process
In the conditions of progressing gastritis, the production of enzymes is disrupted, therefore, the administration of appropriate medications is required:
- Mezim;
- Creon;
- Pancreatin;
- Festal;
- Panzinorm;
- Pangrol.
Stop large and small internal bleeding
This action is required in the treatment of erosive hemorrhagic gastritis, which is often accompanied by this pathogenetic trait. Intramuscularly or intravenously (with severe bleeding) the following medicines are administered:
- Dicycin;
- thioctic acid;
- Etamsylate;
- Vikasol.
Eradication of the bacterial component of the inflammatory process
As a rule, during the diagnosis, the infection with a microorganism Helicobacter Pilari is detected. Therefore, during the treatment of erosive antral gastritis antibiotics are always prescribed:
- Metronidazole;
- Amoxicillin ;
- Clarithromycin;
- De-Nol;
- Ornidazole.
Antibiotic medicines are used as part of an integrated approach at the same time as proton pump blockers, usually omeprazole is chosen as such a drug. You can also use ready-made combination medicines, for example, Clatinol, Neo Pylobacter.
It is necessary to observe the prescribed sparing diet. During the rehabilitation period, sanatorium-resort rest with the use of alkaline mineral water is recommended.
Treatment of acute erosive gastritis
This type of disease occurs rarely and usually develops due to ingestion of aggressive medications, chemicals, acids in high concentration in the stomach. The patient's condition can be characterized as severe, so treatment of erosive gastritis with standard drugs in acute form is not allowed.
Adequate therapy is possible only in a hospital inpatient setting, since the type of pathology in question is often accompanied by intense internal bleeding and irreversible damage to the mucous membranes.