Zapalenie żołądka
Leczenie

Zapalenie żołądka (gastritis) to zapalenie błony śluzowej żołądka, które może mieć charakter ostry (2-10 dni) lub przewlekły. Etiologia jest zróżnicowana, z najczęstszą przyczyną zakażeniem Helicobacter pylori, wymagającym eradykacji IPP (np. omeprazol, pantoprazol) oraz dwóch antybiotyków (amoksycylina, klarytromycyna) przez 7-14 dni. Alternatywnie stosuje się terapię poczwórną z bizmutem. W przypadku NLPZ zaleca się odstawienie lub zmniejszenie dawki, stosowanie IPP lub blokerów H2 oraz leków cytoprotekcyjnych (misoprostol, sukralfat). Leczenie refluksu żółciowego obejmuje kwas ursodeoksycholowy, IPP i leki prokinetyczne. Autoimmunologiczne zapalenie wymaga suplementacji witaminy B12, żelaza i kwasu foliowego oraz regularnej endoskopii ze względu na ryzyko raka żołądka. W stanach krytycznych stosuje się profilaktykę stresowego zapalenia IPP i blokerami H2.

Zapalenie żołądka – definicja i typy

Zapalenie żołądka (gastritis) to stan zapalny błony śluzowej żołądka, który może mieć postać ostrą lub przewlekłą. W przebiegu tego schorzenia dochodzi do reakcji zapalnej w miękkiej warstwie śluzowej żołądka, gdy układ odpornościowy wykrywa zagrożenie dla tej bariery ochronnej. Zapalenie żołądka może być erozyjne (gdy czynnik przyczynowy powoduje uszkodzenie błony śluzowej prowadzące do powstawania nadżerek lub owrzodzeń) lub nieerozyjne (gdy wywołuje jedynie podrażnienie, np. zaczerwienienie błony śluzowej, bez jej uszkodzenia).1

Właściwe leczenie zapalenia żołądka jest kluczowe, ponieważ nieleczone może prowadzić do poważnych powikłań, takich jak owrzodzenia żołądka i krwawienia. W rzadkich przypadkach niektóre typy zapalenia żołądka mogą zwiększać ryzyko rozwoju raka żołądka.23

Ogólne podejście do leczenia zapalenia żołądka

Leczenie zapalenia żołądka zależy od jego przyczyny, nasilenia objawów oraz od tego, czy ma charakter ostry czy przewlekły. Ogólne cele terapeutyczne obejmują:45

  • Zmniejszenie stanu zapalnego błony śluzowej żołądka
  • Złagodzenie objawów klinicznych
  • Leczenie przyczyny podstawowej
  • Zapobieganie powikłaniom

W przypadku ostrego zapalenia żołądka, które trwa od 2 do 10 dni, leczenie często obejmuje usunięcie czynnika wywołującego (np. odstawienie NLPZ, alkoholu) oraz terapię objawową.6 Natomiast przewlekłe zapalenie żołądka wymaga długotrwałego leczenia ukierunkowanego na przyczynę.7

Leczenie przyczynowe zapalenia żołądka

Eradykacja Helicobacter pylori

Zakażenie Helicobacter pylori jest najczęstszą przyczyną zapalenia żołądka. Skuteczna terapia eradykacyjna obejmuje kombinację leków stosowanych przez 7-14 dni i zazwyczaj składa się z:8910

  • Inhibitora pompy protonowej (IPP), takiego jak omeprazol (Prilosec), lanzoprazol (Prevacid), pantoprazol (Protonix)
  • Dwóch antybiotyków, najczęściej amoksycyliny i klarytromycyny
  • Czasami dodawany jest związek bizmutu (np. Pepto-Bismol)

Obecnie stosuje się dwa główne schematy leczenia: terapię potrójną (IPP + dwa antybiotyki) lub terapię poczwórną z bizmutem (IPP + związek bizmutu + nitroimidazol + tetracyklina). Konieczne jest przyjęcie pełnej przepisanej kuracji antybiotykowej, aby zapewnić całkowite wyeliminowanie bakterii.1112

Po zakończeniu leczenia przeprowadza się test kontrolny (test oddechowy, test na antygen w kale) w celu potwierdzenia skuteczności eradykacji H. pylori.1314

Zapalenie żołądka wywołane przez NLPZ

Jeśli przyczyną zapalenia żołądka jest stosowanie niesteroidowych leków przeciwzapalnych (NLPZ), leczenie obejmuje:1516

  • Odstawienie lub zmniejszenie dawki NLPZ, jeśli to możliwe
  • Zastąpienie NLPZ alternatywnym lekiem przeciwbólowym (np. paracetamolem)
  • Zastosowanie leku zmniejszającego wydzielanie kwasu żołądkowego (IPP lub bloker H2)
  • W przypadku konieczności kontynuowania terapii NLPZ – równoczesne stosowanie leku gastroprotekcyjnego (misoprostol, sukralfat)

Ważne jest, aby omówić z lekarzem możliwość zastosowania alternatywnych leków, jeśli NLPZ są przyczyną zapalenia żołądka.17

Zapalenie żołądka spowodowane refluksem żółciowym

W przypadku refluksu żółciowego, który najczęściej występuje po operacjach żołądka lub cholecystektomii, leczenie może obejmować:1819

  • Kwas ursodeoksycholowy (Ursodiol, Actigall) – pomaga w leczeniu błony śluzowej żołądka
  • Inhibitory pompy protonowej
  • Leki prokinetyczne, takie jak metoklopramid (Reglan) – przyspieszają opróżnianie żołądka
  • W ciężkich przypadkach – interwencja chirurgiczna w celu zatrzymania przepływu żółci do żołądka

Autoimmunologiczne zapalenie żołądka

W autoimmunologicznym zapaleniu żołądka, które charakteryzuje się obecnością przeciwciał przeciwko komórkom okładzinowym i czynnikowi wewnętrznemu, leczenie koncentruje się na uzupełnianiu niedoborów i monitorowaniu pacjenta:2021

  • Suplementacja witaminy B12 (domięśniowo lub doustnie) w celu zapobiegania anemii złośliwej
  • Suplementacja żelaza w przypadku niedoboru
  • Suplementacja kwasu foliowego
  • Regularne monitorowanie endoskopowe ze względu na zwiększone ryzyko raka żołądka

Obecnie nie ma specyficznego leczenia przyczynowego autoimmunologicznego zapalenia żołądka, a terapie immunosupresyjne są przedmiotem badań klinicznych.22

Stresowe zapalenie żołądka

Stresowe zapalenie żołądka występuje najczęściej u pacjentów w stanie krytycznym i stanowi kontinuum choroby od powierzchownych nadżerek do głębokich uszkodzeń błony śluzowej. Leczenie obejmuje:2324

  • Inhibitory pompy protonowej (IPP)
  • Blokery receptora H2
  • Sukralfat (Carafate)
  • Leczenie choroby podstawowej i stabilizacja pacjenta

Profilaktyka stresowego zapalenia żołądka u pacjentów w stanie krytycznym pozostaje standardem postępowania w oddziałach intensywnej terapii.25

Farmakoterapia objawowa w zapaleniu żołądka

Inhibitory pompy protonowej (IPP)

IPP są najskuteczniejszymi lekami zmniejszającymi wydzielanie kwasu żołądkowego i stanowią podstawę leczenia farmakologicznego zapalenia żołądka. Działają poprzez blokowanie pompy protonowej w komórkach okładzinowych żołądka, hamując ostatni etap wydzielania kwasu.2627

Dostępne IPP to:2829

  • Omeprazol (Prilosec)
  • Esomeprazol (Nexium)
  • Lanzoprazol (Prevacid)
  • Pantoprazol (Protonix)
  • Rabeprazol (Aciphex)
  • Dekslanzoprazol (Dexilant)

IPP są dostępne zarówno na receptę, jak i bez recepty. Zaleca się ich stosowanie rano przed posiłkiem, aby osiągnąć maksymalną skuteczność.30

Blokery receptora histaminowego H2

Blokery H2 redukują wydzielanie kwasu żołądkowego poprzez blokowanie receptorów histaminowych w komórkach okładzinowych żołądka. Są mniej skuteczne niż IPP, ale nadal stanowią wartościową opcję terapeutyczną, szczególnie w łagodniejszych przypadkach zapalenia żołądka.3132

Do blokerów H2 należą:3334

  • Famotydyna (Pepcid)
  • Cymetydyna (Tagamet)
  • Nizatydyna (Axid)
  • Ranitydyna (Zantac) – obecnie z ograniczeniami w niektórych krajach

Leki te są dostępne zarówno na receptę, jak i bez recepty, a ich działanie utrzymuje się przez 8-12 godzin.35

Leki zobojętniające kwas żołądkowy (antacida)

Antacida neutralizują kwas żołądkowy i zapewniają szybką, ale krótkotrwałą ulgę w objawach zapalenia żołądka. Są przydatne w doraźnym łagodzeniu dolegliwości, ale nie leczą przyczyny zapalenia.3637

Popularne leki zobojętniające kwas żołądkowy to:3839

  • Węglan wapnia (Tums)
  • Wodorotlenek magnezu (Milk of Magnesia)
  • Wodorotlenek glinu z wodorotlenkiem magnezu (Maalox, Mylanta)
  • Dwuwęglan sodu
  • Subsalicylan bizmutu (Pepto-Bismol) – dodatkowo ma właściwości powlekające i przeciwbakteryjne

Skutki uboczne antacidów mogą obejmować zaparcia lub biegunkę, w zależności od głównych składników.40

Leki cytoprotekcyjne

Leki cytoprotekcyjne chronią błonę śluzową żołądka przed uszkodzeniem przez kwas i enzymy trawienne, wspierając proces gojenia.41

  • Sukralfat (Carafate) – tworzy powłokę ochronną na powierzchni błony śluzowej żołądka42
  • Misoprostol (Cytotec) – syntetyczny analog prostaglandyny E1, który stymuluje wydzielanie śluzu i wodorowęglanów oraz zwiększa przepływ krwi w błonie śluzowej43
  • Rebamipid – aktywuje prostaglandyny i hamuje reakcję neutrofilów w błonie śluzowej żołądka44

Leki te są szczególnie przydatne w zapaleniu żołądka wywołanym przez NLPZ lub w przypadku trudno gojących się owrzodzeń.45

Leki przeciwwymiotne

W przypadku znacznych nudności i wymiotów towarzyszących zapaleniu żołądka, lekarz może zalecić leki przeciwwymiotne:4647

  • Metoklopramid – działa zarówno jako lek przeciwwymiotny, jak i prokinetyczny
  • Ondansetron – antagonista receptora serotoninowego
  • Maropitant – stosowany głównie w weterynarii

Leczenie niefarmakologiczne i styl życia

Modyfikacje diety

Odpowiednie postępowanie dietetyczne może znacząco wpłynąć na złagodzenie objawów zapalenia żołądka:4849

  • Spożywanie mniejszych, częstszych posiłków zamiast 2-3 dużych posiłków dziennie
  • Unikanie pokarmów podrażniających błonę śluzową żołądka:
    • Potrawy pikantne, ostre
    • Pokarmy kwaśne (np. soki cytrusowe)
    • Potrawy smażone i tłuste
    • Produkty wysoko przetworzone
    • Żywność bogata w cukier
  • Unikanie jedzenia późno wieczorem (przynajmniej 3 godziny przed snem)
  • Zwiększenie spożycia pokarmów o właściwościach przeciwzapalnych:
    • Kiełki brokuła
    • Świeże borówki
    • Żywność zawierająca flawonoidy (jabłka, seler, żurawina, cebula, czosnek, herbata)

W przypadku podejrzenia nietolerancji lub alergii pokarmowych, lekarz może zalecić dietę eliminacyjną, w tym czasami bezglutenową lub bezlaktozową.5051

Eliminacja używek i środków drażniących

Kluczowym elementem leczenia zapalenia żołądka jest unikanie substancji, które podrażniają błonę śluzową:5253

  • Całkowite zaprzestanie lub ograniczenie spożycia alkoholu
  • Rzucenie palenia tytoniu
  • Ograniczenie lub wyeliminowanie napojów zawierających kofeinę (kawa, również bezkofeinowa)
  • Unikanie napojów gazowanych
  • Ograniczenie przyjmowania NLPZ (jeśli są one przyczyną zapalenia żołądka)

Zaprzestanie stosowania tych substancji może przyspieszyć proces gojenia błony śluzowej żołądka.54

Probiotyki i naturalne suplementy

Probiotyki i niektóre naturalne suplementy mogą wspierać leczenie zapalenia żołądka poprzez poprawę równowagi mikroflory jelitowej i zmniejszenie stanu zapalnego:5556

  • Probiotyki – wprowadzają dobre bakterie do przewodu pokarmowego, pomagają zrównoważyć mikroflorę i mogą hamować rozprzestrzenianie się H. pylori
  • Ekstrakt z czosnku – wykazuje działanie przeciwbakteryjne przeciwko H. pylori
  • Zielona i czarna herbata – regularne spożywanie może zmniejszyć obecność H. pylori w przewodzie pokarmowym
  • Miód Manuka – posiada właściwości antybakteryjne skuteczne przeciwko H. pylori
  • Olejki eteryczne (mięta pieprzowa, imbir, goździk) – mogą łagodzić objawy zapalenia żołądka

Przed zastosowaniem jakichkolwiek suplementów należy skonsultować się z lekarzem, zwłaszcza jeśli przyjmuje się inne leki.57

Zarządzanie stresem

Stres może nasilać objawy zapalenia żołądka poprzez zwiększenie produkcji kwasu żołądkowego i nasilenie stanu zapalnego. Techniki redukcji stresu mogą stanowić ważny element leczenia:5859

  • Techniki relaksacyjne
  • Joga
  • Medytacja
  • Regularna aktywność fizyczna
  • Terapie umysł-ciało

Leczenie powikłań zapalenia żołądka

Krwawienie żołądkowe

W przypadku krwawienia z zapalenia żołądka, szczególnie w ciężkich przypadkach, może być konieczne intensywne leczenie:60

  • Dożylne podawanie inhibitorów pompy protonowej (bolus, a następnie ciągły wlew przez 72 godziny)
  • Endoskopowe metody tamowania krwawienia:
    • Koagulacja
    • Klipsy hemostatyczne
    • Miejscowe wstrzyknięcie adrenaliny
    • Natryskiwanie substancji hemostatycznych
  • Przetoczenie płynów i krwi w razie potrzeby
  • W rzadkich przypadkach – interwencja chirurgiczna

Niedobory witaminowe i mineralne

W przypadku przewlekłego zapalenia żołądka, zwłaszcza autoimmunologicznego, mogą wystąpić niedobory witamin i minerałów wymagające suplementacji:6162

  • Witamina B12 – zwykle podawana w postaci iniekcji domięśniowych lub doustnie
  • Żelazo – suplementacja doustna lub w postaci wlewów dożylnych w przypadku anemii z niedoboru żelaza
  • Kwas foliowy

Zmiany przednowotworowe i nowotworowe

Niektóre formy przewlekłego zapalenia żołądka, zwłaszcza atroficzne i związane z infekcją H. pylori, wiążą się ze zwiększonym ryzykiem rozwoju raka żołądka. Postępowanie w takich przypadkach obejmuje:6364

  • Regularne kontrole endoskopowe (co 1-2 lata) w celu wczesnego wykrycia zmian przednowotworowych lub nowotworowych
  • Endoskopową resekcję śluzówki w przypadku wykrycia zmian przednowotworowych lub wczesnego raka żołądka
  • Zastosowanie systemu stratyfikacji ryzyka do oceny nasilenia choroby i ryzyka rozwoju nowotworów złośliwych żołądka

W przypadku zapalenia żołądka z metaplazją jelit (stadium przedrakowe) szczególnie ważne jest ścisłe monitorowanie endoskopowe.65

Leczenie w specjalnych grupach pacjentów

Pacjenci w stanie krytycznym

U pacjentów hospitalizowanych w oddziałach intensywnej terapii często stosuje się profilaktykę stresowego zapalenia żołądka:6667

  • Inhibitory pompy protonowej
  • Blokery receptora H2
  • Odpowiednie nawodnienie i utrzymanie przepływu krwi przez błonę śluzową żołądka

Aktualnie zaleca się stosowanie profilaktyki przeciwwrzodowej u krytycznie chorych dorosłych z koagulopatią, we wstrząsie lub z przewlekłą chorobą wątroby, leczonych na oddziale intensywnej terapii.68

Kobiety w ciąży

W przypadku konieczności leczenia zapalenia żołądka u kobiet w ciąży, należy wybierać leki o najlepszym profilu bezpieczeństwa:69

  • Leki zobojętniające kwas żołądkowy (antacida)
  • Blokery H2
  • Inhibitory pompy protonowej

Antybiotyki takie jak klarytromycyna i amoksycylina powinny być stosowane tylko wtedy, gdy korzyści przewyższają potencjalne ryzyko.70

Monitorowanie leczenia i kontrola

Po zakończeniu leczenia, szczególnie w przypadku infekcji H. pylori, ważne jest przeprowadzenie badań kontrolnych:7172

Monitorowanie jest szczególnie ważne w przypadku autoimmunologicznego zapalenia żołądka oraz przewlekłego zapalenia żołądka z atrofią, ze względu na zwiększone ryzyko rozwoju raka żołądka.73

Rokowanie i efekty leczenia

Rokowanie w zapaleniu żołądka zależy od jego przyczyny i czasu trwania:7475

  • Ostre zapalenie żołądka zwykle ustępuje w ciągu kilku dni do tygodnia przy odpowiednim leczeniu
  • Przewlekłe zapalenie żołądka może wymagać leczenia trwającego od kilku tygodni do kilku miesięcy
  • Zapalenie żołądka wywołane przez H. pylori można wyleczyć poprzez skuteczną eradykację bakterii
  • Autoimmunologiczne zapalenie żołądka nie jest obecnie uleczalne, ale jego objawy można kontrolować

Dla większości pacjentów odpowiednie leczenie zapalenia żołądka prowadzi do znacznej poprawy objawów i jakości życia. Kluczowe jest jednak wczesne rozpoznanie i odpowiednie leczenie, aby zapobiec potencjalnym powikłaniom.76

Należy pamiętać, że w przypadku utrzymywania się objawów pomimo leczenia, pojawienia się nowych dolegliwości lub krwawienia z przewodu pokarmowego, konieczna jest natychmiastowa konsultacja lekarska w celu modyfikacji terapii i wykluczenia poważniejszych schorzeń.77

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  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Gastritis: What It Is, Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10349-gastritis
    Gastritis is inflammation in the soft mucous lining of your stomach. Gastritis happens when your immune system detects a threat to this barrier. Your immune system triggers inflammation in the tissues to help fight infections and promote healing. […] Gastritis can also be erosive or nonerosive. Erosive gastritis means the thing that’s causing your gastritis is actually eating away at your stomach lining, leaving wounds (ulcers). Nonerosive gastritis doesn’t leave erosive changes but may cause irritation, such as reddening of the stomach lining. […] Chronic gastritis doesn’t go away by itself, but treatment can help it go away. Chronic gastritis is linked to another chronic condition that you have. Specific treatments can cure some of these conditions. Other conditions aren’t curable, but long-term treatments can reduce the inflammation they cause.
  • #2 Gastritis – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/gastritis
    Gastritis is when your stomach lining becomes inflamed (irritated, swollen and red). […] Treatment will depend on the cause of your gastritis. […] Treatment for gastritis aims to: reduce the inflammation, improve your symptoms, treat the underlying cause of your gastritis. […] If you have an H. pylori infection, your doctor will prescribe medicines to treat the infection. This will include antibiotics and acid-lowering medicine. […] It’s important to stop taking NSAIDs and/or drinking alcohol if you have gastritis. […] There are medicines that can reduce the amount of acid made in your stomach. These are called H2 blockers or proton pump inhibitors (PPIs). These medicines can help improve your symptoms. […] You can also make some lifestyle changes to help improve your symptoms. You could try to: eat smaller meals, eat more often, avoid foods that irritate your stomach such as spicy, acidic, fried or fatty foods, stop smoking if you are a smoker. […] Avoiding or decreasing your use of alcohol and NSAIDs can help prevent gastritis. […] If left untreated, gastritis can lead to stomach ulcers and bleeding. While rare, some types of gastritis can also raise your risk of stomach cancer.
  • #3 Gastritis – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/816
    Gastritis is the histological presence of gastric mucosal inflammation. Treatment depends on the aetiology. Options include H pylori-eradication therapy, reduction of NSAIDs or alcohol exposure, and symptomatic therapy with H antagonists and/or proton-pump inhibitors. […] If untreated, progression to peptic ulcer disease may occur. Other complications of some forms of gastritis include gastric carcinoma and gastric lymphoma. […] Helicobacter pylori infection may cause both an acute and chronic gastritis. Erosive gastritis may occur in response to non-steroidal anti-inflammatory drugs (NSAIDs), alcohol use or misuse, and to bile reflux into the stomach that may follow previous gastric surgery or cholecystectomy. […] Stress gastritis, most commonly related to mucosal ischaemia seen in critically ill patients, represents a continuum of disease ranging from superficial (erosions) to deep mucosal damage known as stress ulceration.
  • #4 Treatment of Gastritis & Gastropathy – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy/treatment
    Your doctor will recommend treatments based on the type of gastritis or gastropathy you have and its cause. Treating gastritis and gastropathy can improve symptoms, if present, and lower your chance of complications. […] Doctors treat Helicobacter pylori (H. pylori) gastritis with a combination of medicines to kill H. pylori bacteria. […] If you are given medicines, take all doses exactly as your doctor prescribes. […] Making sure that all of the H. pylori bacteria have been killed is important to prevent further complications of the infection. […] If long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) leads to reactive gastropathy, your doctor may recommend that you stop taking NSAIDs, take a lower dose, or take a different medicine for pain. […] If bile reflux is causing reactive gastropathy, doctors may prescribe ursodiol, a medicine that contains bile acids and can help heal the stomach lining, or surgery to stop flow of bile into the stomach.
  • #5 Gastritis – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/gastritis
    Gastritis is when your stomach lining becomes inflamed (irritated, swollen and red). […] Treatment will depend on the cause of your gastritis. […] Treatment for gastritis aims to: reduce the inflammation, improve your symptoms, treat the underlying cause of your gastritis. […] If you have an H. pylori infection, your doctor will prescribe medicines to treat the infection. This will include antibiotics and acid-lowering medicine. […] It’s important to stop taking NSAIDs and/or drinking alcohol if you have gastritis. […] There are medicines that can reduce the amount of acid made in your stomach. These are called H2 blockers or proton pump inhibitors (PPIs). These medicines can help improve your symptoms. […] You can also make some lifestyle changes to help improve your symptoms. You could try to: eat smaller meals, eat more often, avoid foods that irritate your stomach such as spicy, acidic, fried or fatty foods, stop smoking if you are a smoker. […] Avoiding or decreasing your use of alcohol and NSAIDs can help prevent gastritis. […] If left untreated, gastritis can lead to stomach ulcers and bleeding. While rare, some types of gastritis can also raise your risk of stomach cancer.
  • #6 Gastritis (Acute vs Chronic) Causes, Symptoms, Treatment, Pain
    https://www.medicinenet.com/gastritis/article.htm
    There are general recommendations about what foods and drinks you should consume to help reduce and relieve symptoms of gastritis. […] Foods and other substances that should be avoided to reduce or prevent gastritis symptoms include alcohol, spicy, fatty, and fried foods. […] The University of Maryland healthcare professionals and others suggest that eating smaller, more frequent meals and avoiding spicy, acidic, fried, or fatty foods will help reduce symptoms. […] Although these home remedies may help reduce or soothe symptoms, home remedies seldom treat the underlying causes of gastritis. […] Acute gastritis lasts for about 2-10 days. If chronic gastritis is not treated, it may last from weeks to years. […] Most people who get gastritis have few short-term symptoms, recover completely, and are cured of the condition. […] If the underlying cause of gastritis is preventable, then gastritis can be prevented and people can get gastritis relief.
  • #7 Gastritis: What It Is, Symptoms, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/10349-gastritis
    Gastritis is inflammation in the soft mucous lining of your stomach. Gastritis happens when your immune system detects a threat to this barrier. Your immune system triggers inflammation in the tissues to help fight infections and promote healing. […] Gastritis can also be erosive or nonerosive. Erosive gastritis means the thing that’s causing your gastritis is actually eating away at your stomach lining, leaving wounds (ulcers). Nonerosive gastritis doesn’t leave erosive changes but may cause irritation, such as reddening of the stomach lining. […] Chronic gastritis doesn’t go away by itself, but treatment can help it go away. Chronic gastritis is linked to another chronic condition that you have. Specific treatments can cure some of these conditions. Other conditions aren’t curable, but long-term treatments can reduce the inflammation they cause.
  • #8 Gastritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
    Treatment of gastritis depends on the specific cause. Acute gastritis caused by NSAIDs or alcohol may be relieved by stopping use of those substances. […] Medicines used to treat gastritis include: […] Antibiotics to kill H. pylori. For H. pylori in your digestive tract, your healthcare professional may recommend a combination of antibiotics to kill the germs. Be sure to take the full antibiotic prescription, usually for 7 to 14 days. You also may take a medicine to block acid production. Once treated, your healthcare professional will retest you for H. pylori to be sure it has been destroyed. […] Medicines that block acid production and promote healing. Medicines called proton pump inhibitors help reduce acid. They do this by blocking the action of the parts of cells that produce acid. You may get a prescription for proton pump inhibitors, or you can buy them without a prescription.
  • #9 Chronic Gastritis Treatment & Management: Approach Considerations, Pharmacotherapy for H pylori, Long-Term Monitoring
    https://emedicine.medscape.com/article/176156-treatment
    Treatment of chronic gastritis can be aimed at a specific etiologic agent, if such an agent is known. For example, the treatment approach for H pylori infection is described in detail below. […] Some entities manifested by chronic gastritis do not have well-established treatment protocols. For example, in lymphocytic gastritis, some cases of spontaneous healing have been reported. However, because the disease has a chronic course, treatment is recommended. Some studies have reported successful treatment of exudative lymphocytic gastritis with omeprazole. […] H pylori infection is not easily cured, and research has shown that multidrug therapy is required. As with any bacterial infection, therapy must include antimicrobial agents to which the bacterium is sensitive. Antibiotics that have proven effective against H pylori include clarithromycin, amoxicillin, metronidazole, tetracycline, and furazolidone.
  • #10 Acute Gastritis Treatment & Management: Approach Considerations, Medical Care, Prevention
    https://emedicine.medscape.com/article/175909-treatment
    Over-the-counter (OTC) drugs such as mucosal coating (sucralfate, antacids) agents or short-term histamine-2 antagonists can stabilize mild to moderate cases in the short term. In the long term, treatment of the underlying cause (ie, avoid nonsteroidal anti-inflammatory drugs, caffeine, smoking; H Pylori eradication; etc.) is the most satisfactory course of action. […] No specific therapy exists for acute gastritis, except for cases caused by H pylori. […] First-line therapy for H pylori eradication consists of bismuth quadruple therapy with a proton-pump inhibitor (PPI), a nitroimidazole, and tetracycline for 10-14 days or clarithromycin-based triple therapy with amoxicillin or amitronidazole and a PPI for 14 days (both strong recommendations). […] Administer medical therapy for patients with acute gastritis as needed, depending on the underlying cause and the pathological findings.
  • #11 Acute Gastritis Treatment & Management: Approach Considerations, Medical Care, Prevention
    https://emedicine.medscape.com/article/175909-treatment
    Over-the-counter (OTC) drugs such as mucosal coating (sucralfate, antacids) agents or short-term histamine-2 antagonists can stabilize mild to moderate cases in the short term. In the long term, treatment of the underlying cause (ie, avoid nonsteroidal anti-inflammatory drugs, caffeine, smoking; H Pylori eradication; etc.) is the most satisfactory course of action. […] No specific therapy exists for acute gastritis, except for cases caused by H pylori. […] First-line therapy for H pylori eradication consists of bismuth quadruple therapy with a proton-pump inhibitor (PPI), a nitroimidazole, and tetracycline for 10-14 days or clarithromycin-based triple therapy with amoxicillin or amitronidazole and a PPI for 14 days (both strong recommendations). […] Administer medical therapy for patients with acute gastritis as needed, depending on the underlying cause and the pathological findings.
  • #12 Gastritis medicines | healthdirect
    https://www.healthdirect.gov.au/gastritis-medicines
    Antacids work by neutralising stomach acid. They may be used to help improve symptoms, but other medicines will also be needed to treat gastritis. […] If you have Helicobacter pylori, this may be treated with several antibiotics, such as: amoxycillin, clarithromycin. […] Its important to take these medicines as instructed by your doctor. Make sure you finish the full course of antibiotics. […] If you have gastritis, discuss with your doctor: the benefits of medicines for gastritis, the risks of these medicines. […] See your doctor if you have ongoing symptoms. Also see your doctor if you have side effects when taking your gastritis medicines. […] Avoiding taking non-steroidal anti-inflammatory drugs (NSAIDS) and alcohol can treat gastritis in some people. […] The treatment of gastritis depends on the cause.
  • #13 Gastritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
    Treatment of gastritis depends on the specific cause. Acute gastritis caused by NSAIDs or alcohol may be relieved by stopping use of those substances. […] Medicines used to treat gastritis include: […] Antibiotics to kill H. pylori. For H. pylori in your digestive tract, your healthcare professional may recommend a combination of antibiotics to kill the germs. Be sure to take the full antibiotic prescription, usually for 7 to 14 days. You also may take a medicine to block acid production. Once treated, your healthcare professional will retest you for H. pylori to be sure it has been destroyed. […] Medicines that block acid production and promote healing. Medicines called proton pump inhibitors help reduce acid. They do this by blocking the action of the parts of cells that produce acid. You may get a prescription for proton pump inhibitors, or you can buy them without a prescription.
  • #14
    https://link.springer.com/article/10.1007/s11938-020-00298-8
    The gastritis constellation includes heterogeneous clinicopathological entities, among which long-standing, non-self-limiting gastritis, mainly due to Helicobacter pylori infection, has been epidemiologically, biologically, and clinically linked to gastric cancer development (i.e. inflammation-associated cancer). […] Helicobacter pylori eradication is the leading strategy in the primary prevention of gastric cancer. […] In cases of Helicobacter pylori gastritis, eradication therapy is recommended in all international consensus and guideline reports. […] In the absence of severe gastric disease and/or preneoplastic changes, the success of Helicobacter pylori eradication therapy can be tested with a noninvasive surrogate marker (urea breath test [UBT], fecal antigen test). […] No etiological therapy is available as yet for autoimmune gastritis, the clinical impact of which is constantly increasing all over the industrialized world.
  • #15 Treatment of Gastritis & Gastropathy – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy/treatment
    Your doctor will recommend treatments based on the type of gastritis or gastropathy you have and its cause. Treating gastritis and gastropathy can improve symptoms, if present, and lower your chance of complications. […] Doctors treat Helicobacter pylori (H. pylori) gastritis with a combination of medicines to kill H. pylori bacteria. […] If you are given medicines, take all doses exactly as your doctor prescribes. […] Making sure that all of the H. pylori bacteria have been killed is important to prevent further complications of the infection. […] If long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) leads to reactive gastropathy, your doctor may recommend that you stop taking NSAIDs, take a lower dose, or take a different medicine for pain. […] If bile reflux is causing reactive gastropathy, doctors may prescribe ursodiol, a medicine that contains bile acids and can help heal the stomach lining, or surgery to stop flow of bile into the stomach.
  • #16 Gastritis: Symptoms, Causes, and Treatment
    https://patient.info/digestive-health/dyspepsia-indigestion/gastritis
    Antacids can be used as a treatment for gastritis to reduce the amount of acid in your stomach and allow the gastritis resolve. […] If treatment with antacid medicine is not enough, then a medicine called an H2 blocker (such as famotidine) may be used. An alternative medicine that may be used is a proton pump inhibitor (PPI) such as lansoprazole or omeprazole. […] The tests may show an infection with H. pylori. This can be treated with a combination of antibiotics and proton pump inhibitors. H. pylori treatment should not be used without confirmed H. pylori on a stool test. […] It is important to stop the anti-inflammatory medicine where possible. This allows the gastritis to heal. Acid-suppressing medicine will also usually be prescribed for several weeks. This stops the stomach from making acid and allows the gastritis to heal.
  • #17 Gastritis: Symptoms, Causes, and Treatment
    https://patient.info/digestive-health/dyspepsia-indigestion/gastritis
    It is important to discuss symptoms of gastritis with a doctor if it could be caused by medication as there may be alternative medications that could help. If not, another option is to take an acid-suppressing medicine each day indefinitely. This reduces the amount of acid made by the stomach and greatly reduces the chance of gastritis forming again.
  • #18 Treatment of Gastritis & Gastropathy – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy/treatment
    Your doctor will recommend treatments based on the type of gastritis or gastropathy you have and its cause. Treating gastritis and gastropathy can improve symptoms, if present, and lower your chance of complications. […] Doctors treat Helicobacter pylori (H. pylori) gastritis with a combination of medicines to kill H. pylori bacteria. […] If you are given medicines, take all doses exactly as your doctor prescribes. […] Making sure that all of the H. pylori bacteria have been killed is important to prevent further complications of the infection. […] If long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) leads to reactive gastropathy, your doctor may recommend that you stop taking NSAIDs, take a lower dose, or take a different medicine for pain. […] If bile reflux is causing reactive gastropathy, doctors may prescribe ursodiol, a medicine that contains bile acids and can help heal the stomach lining, or surgery to stop flow of bile into the stomach.
  • #19 Gastritis Treatment: Medications and Lifestyle Changes
    https://www.verywellhealth.com/gastritis-treatment-8631186
    Preventing gastritis from NSAIDs can mean using the lowest dose possible or avoiding their use. […] A proton pump inhibitor or a histamine-2 receptor agonist (H2 blocker) drug such as Tagamet HB (cimetidine) or Pepcid AC (famotidine) may be prescribed to treat the irritation or inflammation. […] Treatment may start with therapies to affect the perception of stress, such as relaxation techniques, yoga, exercise, meditation, and mind-body therapies. […] There is no specific treatment for autoimmune gastritis. Treatments are under study, but there are no guidelines on their use. […] Treatment includes cutting back on drinking. PPIs, H2 blockers, and antacids may also be recommended. […] Medications that might be used to treat bile acid reflux include Actigall (ursodiol), PPIs, and prokinetic agents such as Reglan (metoclopramide).
  • #20 Treatment of Gastritis & Gastropathy – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy/treatment
    If you have autoimmune gastritis, your doctor may recommend iron, folic acid, and vitamin B12 supplements to prevent pernicious anemia. […] For patients with severe injuries or critical illness, doctors may prescribe medicines that reduce stomach acid such as PPIs, H2 blockers, or sucralfate (Carafate) to prevent or treat stress gastritis. […] To treat gastritis or gastropathy due to other causes, doctors may prescribe medicines to treat the underlying cause or improve symptoms.
  • #21 Living with Autoimmune Gastritis: What You Need to Know
    https://www.autoimmuneinstitute.org/articles/living-with-autoimmune-gastritis-what-you-need-to-know
    Sandy finally found relief through a multi-faceted approach to her care. She began practicing yoga, which helped her manage stress and improve her sleep. With the guidance of her healthcare provider, she adopted a customized diet and supplement plan tailored to her food sensitivities. After several weeks of this treatment, Sandy experienced a significant improvementher digestive symptoms nearly disappeared, her anxiety lessened, and her sleep improved dramatically. […] Since there currently isnt a cure for autoimmune gastritis, treatment approaches focus on symptom relief, treatment of anemia, and lifestyle modifications. […] Healthcare providers may recommend taking vitamin B12 for pernicious anemia or iron supplements for iron deficiency anemia. […] Management of stomach symptoms such as dyspepsia, bloating, pain, and altered colonic transit can have a big impact on quality of life. Some things to try include eating a healthy diet rich in vegetables, grains, and fruits, consuming smaller meals spread throughout the day, avoiding high-protein meals, avoiding trigger foods such as spicy and fatty foods, citrus fruits, caffeine, alcohol, and carbonated beverages, taking prokinetics for early fullness, and taking Rifaximin and/or probiotics for bacterial overgrowth in the stomach.
  • #22 Gastritis Treatment: Medications and Lifestyle Changes
    https://www.verywellhealth.com/gastritis-treatment-8631186
    Preventing gastritis from NSAIDs can mean using the lowest dose possible or avoiding their use. […] A proton pump inhibitor or a histamine-2 receptor agonist (H2 blocker) drug such as Tagamet HB (cimetidine) or Pepcid AC (famotidine) may be prescribed to treat the irritation or inflammation. […] Treatment may start with therapies to affect the perception of stress, such as relaxation techniques, yoga, exercise, meditation, and mind-body therapies. […] There is no specific treatment for autoimmune gastritis. Treatments are under study, but there are no guidelines on their use. […] Treatment includes cutting back on drinking. PPIs, H2 blockers, and antacids may also be recommended. […] Medications that might be used to treat bile acid reflux include Actigall (ursodiol), PPIs, and prokinetic agents such as Reglan (metoclopramide).
  • #23 Treatment of Gastritis & Gastropathy – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy/treatment
    If you have autoimmune gastritis, your doctor may recommend iron, folic acid, and vitamin B12 supplements to prevent pernicious anemia. […] For patients with severe injuries or critical illness, doctors may prescribe medicines that reduce stomach acid such as PPIs, H2 blockers, or sucralfate (Carafate) to prevent or treat stress gastritis. […] To treat gastritis or gastropathy due to other causes, doctors may prescribe medicines to treat the underlying cause or improve symptoms.
  • #24 Gastritis – Symptoms, diagnosis and treatment | BMJ Best Practice
    https://bestpractice.bmj.com/topics/en-gb/816
    Gastritis is the histological presence of gastric mucosal inflammation. Treatment depends on the aetiology. Options include H pylori-eradication therapy, reduction of NSAIDs or alcohol exposure, and symptomatic therapy with H antagonists and/or proton-pump inhibitors. […] If untreated, progression to peptic ulcer disease may occur. Other complications of some forms of gastritis include gastric carcinoma and gastric lymphoma. […] Helicobacter pylori infection may cause both an acute and chronic gastritis. Erosive gastritis may occur in response to non-steroidal anti-inflammatory drugs (NSAIDs), alcohol use or misuse, and to bile reflux into the stomach that may follow previous gastric surgery or cholecystectomy. […] Stress gastritis, most commonly related to mucosal ischaemia seen in critically ill patients, represents a continuum of disease ranging from superficial (erosions) to deep mucosal damage known as stress ulceration.
  • #25 Erosive Gastritis – Gastrointestinal Disorders – MSD Manual Professional Edition
    https://www.msdmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/erosive-gastritis
    Treat with a proton pump inhibitor (PPI) or histamine-2 receptor antagonist and removal of the causative agent; treat bleeding patients with IV fluids and/or blood transfusion as needed and endoscopic hemostasis with surgical backup. […] Prevention of acute stress gastritis with a PPI is recommended for selected critically ill patients, though this may slightly increase the risk of pneumonia. […] Prevention of NSAID-related gastritis with a PPI or histamine-2 receptor antagonists is not indicated unless there is a prior history of peptic ulcer disease.
  • #26 Gastritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
    Treatment of gastritis depends on the specific cause. Acute gastritis caused by NSAIDs or alcohol may be relieved by stopping use of those substances. […] Medicines used to treat gastritis include: […] Antibiotics to kill H. pylori. For H. pylori in your digestive tract, your healthcare professional may recommend a combination of antibiotics to kill the germs. Be sure to take the full antibiotic prescription, usually for 7 to 14 days. You also may take a medicine to block acid production. Once treated, your healthcare professional will retest you for H. pylori to be sure it has been destroyed. […] Medicines that block acid production and promote healing. Medicines called proton pump inhibitors help reduce acid. They do this by blocking the action of the parts of cells that produce acid. You may get a prescription for proton pump inhibitors, or you can buy them without a prescription.
  • #27 Gastritis: Symptoms, Causes, Treatments, and More
    https://www.webmd.com/digestive-disorders/digestive-diseases-gastritis
    H2 blockers. Histamine-blocker (H2) drugs, available either over the counter or by prescription, reduce how much acid your stomach produces. They include cimetidine (Tagamet), famotidine (Pepcid), and nizatidine. […] Proton pump inhibitors. These drugs help block stomach acid production. They’re also available over the counter or by prescription. These include dexlansoprazole (Dexilant), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), and rabeprazole (Aciphex). […] Surface coating agents. These prescription drugs protect damaged stomach tissue from acid and enzymes so it can heal. They include sucralfate (Carafate) and misoprostol (Cytotec). […] Antibiotics. If your gastritis is caused by a bacterial infection, such as H. pylori, your doctor will likely prescribe antibiotics along with medications to reduce stomach acid.
  • #28 Gastritis: Symptoms, Treatment, Causes, and More
    https://www.healthline.com/health/gastritis
    Gastritis can cause nausea and indigestion, among other symptoms. It often goes away on its own. Chronic gastritis may require treatment with medication, such as proton pump inhibitors or antacids. […] The treatment for gastritis depends on the cause of the condition. […] Doctors routinely treat gastritis as a result of H. pylori with antibiotics in order to kill the bacteria. […] In addition to antibiotics, several other types of medication are used to treat gastritis: […] Medications called proton pump inhibitors work by blocking cells that create stomach acid. […] Speak with your doctor before beginning one of these medications to create a treatment plan that is right for you. […] Famotidine (Pepcid) is one example of a medication that reduces the amount of acid your stomach produces.
  • #29 Gastritis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001150.htm
    Gastritis occurs when the lining of the stomach becomes inflamed or swollen. […] Treatment depends on what is causing the problem. Some of the causes will go away over time. […] You may need to stop taking aspirin, ibuprofen, naproxen, or other medicines that may be causing gastritis. Always talk to your health care provider before stopping any medicine. […] You may use other over-the-counter and prescription drugs that decrease the amount of acid in the stomach, such as: Antacids, H2 antagonists: famotidine (Pepcid), cimetidine (Tagamet), and nizatidine (Axid), Proton pump inhibitors (PPIs): omeprazole (Prilosec), esomeprazole (Nexium), Iansoprazole (Prevacid), rabeprazole (AcipHex), and pantoprazole (Protonix). […] Antibiotics may be used to treat gastritis caused by infection with Helicobacter pylori bacteria.
  • #30 Gastritis – Harvard Health
    https://www.health.harvard.edu/digestive-health/gastritis
    Treating gastritis begins with stopping or removing the cause, such as drinking too much alcohol or smoking. […] If you take nonsteroidal anti-inflammatory drugs for arthritis or other pain, trying an alternative such as misoprostol may be important. […] A common treatment for gastritis is taking medication to decrease stomach acid. Several classes of medication can do this: over-the-counter antacids, over-the-counter or prescription H2 blockers (also known as acid reducers) such as Tagamet, Zantac, Pepcid, and their generic equivalents, and proton pump inhibitors such as omeprazole (Prilosec), esomeprazole (Nexium), lansoprazole (Prevacid), and pantoprazole (Protonix). […] Proton pump inhibitors are the strongest acid blockers, but are usually more expensive. […] If your test for Helicobacter pylori is positive, a two-week course of „triple therapy” may stop the infection and improve your symptoms. Triple therapy includes a proton-pump inhibitor plus two different antibiotics, amoxicillin and clarithromycin.
  • #31 Gastritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
    Medicines to reduce acid production. Acid blockers, also called histamine blockers, reduce the amount of acid released into your digestive tract. Reducing acid relieves gastritis pain and encourages healing. You may get a prescription for an acid blocker, or you can buy one without a prescription. […] Medicines that neutralize stomach acid. Your healthcare professional may include an antacid in your treatment. Antacids neutralize existing stomach acid and can provide rapid pain relief. These help with immediate symptom relief but are generally not used as a primary treatment. Side effects of antacids can include constipation or diarrhea, depending on the main ingredients. Proton pump inhibitors and acid blockers are more effective and have fewer side effects.
  • #32 Gastritis: Symptoms, Causes, Treatments, and More
    https://www.webmd.com/digestive-disorders/digestive-diseases-gastritis
    H2 blockers. Histamine-blocker (H2) drugs, available either over the counter or by prescription, reduce how much acid your stomach produces. They include cimetidine (Tagamet), famotidine (Pepcid), and nizatidine. […] Proton pump inhibitors. These drugs help block stomach acid production. They’re also available over the counter or by prescription. These include dexlansoprazole (Dexilant), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), and rabeprazole (Aciphex). […] Surface coating agents. These prescription drugs protect damaged stomach tissue from acid and enzymes so it can heal. They include sucralfate (Carafate) and misoprostol (Cytotec). […] Antibiotics. If your gastritis is caused by a bacterial infection, such as H. pylori, your doctor will likely prescribe antibiotics along with medications to reduce stomach acid.
  • #33 Gastritis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001150.htm
    Gastritis occurs when the lining of the stomach becomes inflamed or swollen. […] Treatment depends on what is causing the problem. Some of the causes will go away over time. […] You may need to stop taking aspirin, ibuprofen, naproxen, or other medicines that may be causing gastritis. Always talk to your health care provider before stopping any medicine. […] You may use other over-the-counter and prescription drugs that decrease the amount of acid in the stomach, such as: Antacids, H2 antagonists: famotidine (Pepcid), cimetidine (Tagamet), and nizatidine (Axid), Proton pump inhibitors (PPIs): omeprazole (Prilosec), esomeprazole (Nexium), Iansoprazole (Prevacid), rabeprazole (AcipHex), and pantoprazole (Protonix). […] Antibiotics may be used to treat gastritis caused by infection with Helicobacter pylori bacteria.
  • #34 Gastritis medicines | healthdirect
    https://www.healthdirect.gov.au/gastritis-medicines
    There are several different prescription medicines used to treat gastritis (inflammation of the stomach). […] Gastritis medicines are used to treat both your symptoms and the inflammation in your stomach. […] Acid-reducing medicines and antibiotics are the main types of gastritis medicines. […] The whole course of antibiotics should be taken if you have H.pylori infection. […] Gastritis medicines may be used to: reduce the acid in your stomach, treat an infection with Helicobacter pylori (also called H. pylori), which is one cause of gastritis. […] The medicines your doctor prescribes will depend on: your symptoms, the type of gastritis you have, the cause of your gastritis. […] H2 blockers are medicines that reduce the amount of acid in your stomach. […] Proton pump inhibitors (PPIs) also reduce the amount of acid in your stomach.
  • #35 Gastritis Treatment: Medications & Home Remedies – Tua Saúde
    https://www.tuasaude.com/en/gastritis-treatment/
    Histamine receptor antagonists, such as cimetidine or famotidine, inhibit the production of acid by the stomach by binding to specific receptors in stomach wall cells. […] These drugs should be prescribed by a doctor and are relatively effective in treating gastritis, with a rapid onset of action that can last up to 12 hours. […] Most cases of gastritis are caused by a bacterial infection from H. pylori. In these cases, the doctor may prescribe a combination of antibiotics such as clarithromycin combined with amoxicillin or metronidazole for 7 to 14 days. […] Medications for chronic gastritis should be prescribed by a gastroenterologist and can include various treatment approaches, such as a proton pump inhibitor inhibitor on an empty stomach, an antacid as needed for flare-ups or antibiotics taken for specific periods of time. […] Cases of acute gastritis (ie. gastritis that comes on suddenly) should be assessed by a gastroenterologist to identify the underlying cause and start the appropriate treatment.
  • #36 Gastritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
    Medicines to reduce acid production. Acid blockers, also called histamine blockers, reduce the amount of acid released into your digestive tract. Reducing acid relieves gastritis pain and encourages healing. You may get a prescription for an acid blocker, or you can buy one without a prescription. […] Medicines that neutralize stomach acid. Your healthcare professional may include an antacid in your treatment. Antacids neutralize existing stomach acid and can provide rapid pain relief. These help with immediate symptom relief but are generally not used as a primary treatment. Side effects of antacids can include constipation or diarrhea, depending on the main ingredients. Proton pump inhibitors and acid blockers are more effective and have fewer side effects.
  • #37 Gastritis: Symptoms, Causes, Treatments, and More
    https://www.webmd.com/digestive-disorders/digestive-diseases-gastritis
    Gastritis treatment depends on what’s causing it and how serious it is. […] Acute gastritis may go away on its own, or get better when you stop smoking, drinking alcohol, or taking certain drugs. If you have an alcohol or drug use disorder, your doctor can refer you to treatment programs. If NSAIDs are causing your gastritis, they can suggest alternative pain medications. If you have chronic gastritis, you’ll need treatment to cure it permanently. […] Gastritis medications may include: […] Antacids. These are medications you can buy over the counter to ease indigestion and heartburn. They work by neutralizing stomach acids. There are many different types, including Maalox, Mylanta, Rolaids, and Tums. Talk to your doctor or pharmacist about what kind to take, and avoid those that contain aspirin.
  • #38 Gastritis: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/001150.htm
    Gastritis occurs when the lining of the stomach becomes inflamed or swollen. […] Treatment depends on what is causing the problem. Some of the causes will go away over time. […] You may need to stop taking aspirin, ibuprofen, naproxen, or other medicines that may be causing gastritis. Always talk to your health care provider before stopping any medicine. […] You may use other over-the-counter and prescription drugs that decrease the amount of acid in the stomach, such as: Antacids, H2 antagonists: famotidine (Pepcid), cimetidine (Tagamet), and nizatidine (Axid), Proton pump inhibitors (PPIs): omeprazole (Prilosec), esomeprazole (Nexium), Iansoprazole (Prevacid), rabeprazole (AcipHex), and pantoprazole (Protonix). […] Antibiotics may be used to treat gastritis caused by infection with Helicobacter pylori bacteria.
  • #39 Types of Medication for Gastritis: Common List & Side Effects
    https://www.rxlist.com/types_of_medication_for_gastritis/drugs-condition.htm
    Gastritis refers to inflammation of the stomach lining that protects the stomach from the effects of acid. […] In most cases, gastritis is curable and improves quickly with treatment. […] Some of the commonly prescribed medications for gastritis include: […] If the root cause of gastritis is H. pylori infection, your physician may prescribe a combination of antibiotics such as: […] These are effective in destroying the bacterium. Your physician may prescribe proton pump inhibitors (PPIs) along with these drugs. […] Antacids relieve the symptoms of gastritis by neutralizing the stomach acid responsible for the inflammation. […] H2 blockers relieve inflammation by blocking the action of histamine. […] These drugs block acid production for longer periods than H2 blockers. […] There is no best medicine for gastritis. Treatment depends on the cause of gastritis.
  • #40 Gastritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
    Medicines to reduce acid production. Acid blockers, also called histamine blockers, reduce the amount of acid released into your digestive tract. Reducing acid relieves gastritis pain and encourages healing. You may get a prescription for an acid blocker, or you can buy one without a prescription. […] Medicines that neutralize stomach acid. Your healthcare professional may include an antacid in your treatment. Antacids neutralize existing stomach acid and can provide rapid pain relief. These help with immediate symptom relief but are generally not used as a primary treatment. Side effects of antacids can include constipation or diarrhea, depending on the main ingredients. Proton pump inhibitors and acid blockers are more effective and have fewer side effects.
  • #41 Gastritis: Symptoms, Causes, Treatments, and More
    https://www.webmd.com/digestive-disorders/digestive-diseases-gastritis
    H2 blockers. Histamine-blocker (H2) drugs, available either over the counter or by prescription, reduce how much acid your stomach produces. They include cimetidine (Tagamet), famotidine (Pepcid), and nizatidine. […] Proton pump inhibitors. These drugs help block stomach acid production. They’re also available over the counter or by prescription. These include dexlansoprazole (Dexilant), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), and rabeprazole (Aciphex). […] Surface coating agents. These prescription drugs protect damaged stomach tissue from acid and enzymes so it can heal. They include sucralfate (Carafate) and misoprostol (Cytotec). […] Antibiotics. If your gastritis is caused by a bacterial infection, such as H. pylori, your doctor will likely prescribe antibiotics along with medications to reduce stomach acid.
  • #42 Medications for the Treatment of Gastric Acidity – Gastrointestinal Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/medications-for-the-treatment-of-gastric-acidity
    Medications for decreasing acidity are used for peptic ulcer, gastroesophageal reflux disease (GERD), and many forms of gastritis. […] Gastritis and GERD require 8 to 12 weeks of therapy; GERD additionally often requires long-term maintenance. […] For GERD, histamine-2 receptor antagonists are mostly used for pain management. These medications have been replaced by proton pump inhibitors for most patients with ulcer disease. Gastritis heals with famotidine given 2 times a day for 8 to 12 weeks. […] Sucralfate is comparable to H2 receptor antagonists in healing ulcers and preventing relapse. […] Potassium-competitive acid inhibitors (PCABs) work by competing for potassium on the luminal side of the parietal cell, causing rapid and reversible inhibition of proton pumps and therefore acid secretion.
  • #43 Gastritis – Wikipedia
    https://en.wikipedia.org/wiki/Gastritis
    Gastritis is the inflammation of the lining of the stomach. Treatment includes medications such as antacids, H2 blockers, or proton pump inhibitors. During an acute attack drinking viscous lidocaine may help. If gastritis is due to NSAIDs these may be stopped. If H. pylori is present it may be treated with a combination of antibiotics such as amoxicillin and clarithromycin. For those with pernicious anemia, vitamin B12 supplements are recommended either by mouth or by injection. People are usually advised to avoid foods that bother them. […] Antacids are a common treatment for mild to medium gastritis. When antacids do not provide enough relief, medications such as H2 blockers and proton-pump inhibitors that help reduce the amount of acid are often prescribed. Cytoprotective agents are designed to help protect the tissues that line the stomach and small intestine. They include the medications sucralfate and misoprostol. If NSAIDs are being taken regularly, one of these medications to protect the stomach may also be taken. Another cytoprotective agent is bismuth subsalicylate. […] Several regimens are used to treat H. pylori infection. Most use a combination of two antibiotics and a proton pump inhibitor. Sometimes bismuth is added to the regimen.
  • #44 Acute Gastritis Treatment & Management: Approach Considerations, Medical Care, Prevention
    https://emedicine.medscape.com/article/175909-treatment
    Administer fluids and electrolytes as required, particularly if the patient is vomiting. […] Discontinue the use of drugs known to cause gastritis (eg, nonsteroidal anti-inflammatory drugs [NSAIDs], alcohol). […] Rebamipide is a drug that provides mucosal protection through activation of prostaglandins and inhibition of neutrophil response in the stomach lining, thus increasing the mucosal healing in NSAID-induced gastritis and H pylori infection. […] In a meta-analysis that examined the efficacy and safety of vonoprazan in the eradication of H pylori as compared to that of PPI-based triple-therapy, vonoprazan was associated with greater eradication (91.4% vs 74.8%) and fewer adverse events (32.7% vs 40.5%) in treatment-nave patients. […] In patients with gastritis, it is recommended to eradicate H pylori infection before starting nonsteroidal anti-inflammatory drug (NSAIDs)/aspirin treatment for the first time, as this will decrease the possibility of inducing gastroduodenal ulceration.
  • #45 Gastritis – Digestive Disorders – Merck Manual Consumer Version
    https://www.merckmanuals.com/home/digestive-disorders/gastritis-and-peptic-ulcer-disease/gastritis
    Gastritis is inflammation of the stomach lining. […] Treatment is with medications that reduce stomach acid and sometimes antibiotics. […] Regardless of the cause of gastritis, symptoms of gastritis can be relieved by taking medications that neutralize or reduce the production of stomach acid and by discontinuing medications that cause symptoms. […] For mild symptoms, taking antacids, which neutralize acid that has already been produced and released in the stomach, is often sufficient. […] Acid-reducing medications include Histamine-2 (H2) blockers and Proton pump inhibitors. […] Doctors most often prescribe proton pump inhibitors for gastritis associated with bleeding. […] When gastritis is caused by H. pylori infection, antibiotics are also prescribed. […] People with erosive gastritis must avoid taking medications that irritate the stomach lining (such as NSAIDs).
  • #46 Gastritis: Symptoms, Causes, Treatments, and More
    https://www.webmd.com/digestive-disorders/digestive-diseases-gastritis
    Anti-nausea medications. If you have nausea as a result of gastritis, you can take over-the-counter or prescription medications to ease this symptom. […] If an autoimmune disorder is causing your gastritis, your doctor can prescribe medications to treat that disorder. For autoimmune gastritis, they might recommend supplements of Vitamin B12, folic acid, or iron. […] If you have bile reflux or gastrointestinal (GI) bleeding, your doctor may suggest surgery to repair the problem. But this is uncommon.
  • #47 Gastritis Treatment, Causes, Diet, Symptoms & Medication
    https://www.emedicinehealth.com/gastritis/article_em.htm
    An antibiotic may be prescribed if H pylori is the cause of the patient’s gastritis. […] Antiemetic medications help control nausea and vomiting. A number of different antiemetics can be used to control gastritis symptoms. […] Avoid substances that irritate the stomach or cause symptoms. […] If a person knows what causes their gastritis, the simplest approach is to avoid the cause. […] The mainstay of gastritis prevention is to avoid those things that irritate or inflame the stomach’s lining. […] Most people recover from gastritis. Depending on the many factors that affect the stomach lining, gastritis symptoms may flare-up from time to time. Overall, gastritis is a common ailment that responds well to simple treatments.
  • #48 Gastritis: Symptoms, Causes, and Treatment
    https://patient.info/digestive-health/dyspepsia-indigestion/gastritis
    Gastritis is very common. It occurs when the lining of the stomach becomes inflamed. Gastritis is often mild and resolves without any treatment. However, gastritis can cause pain in the upper part of the tummy (abdomen) and may sometimes lead to a stomach ulcer. […] Some simple lifestyle changes and over-the-counter antacid medicines are often all that is required. Other medicines to reduce the acid in the stomach are sometimes needed. Gastritis usually resolves without any problems. […] It is sensible to try treating indigestion and upper stomach (epigastric) pain with changes to diet and lifestyle such as: Eating smaller and more frequent meals. Avoiding irritating foods, such as spicy, acidic (for example, fruit juices), fried or fatty foods. Not drinking any alcohol. Stopping smoking. Reducing stress. Stopping non-steroidal anti-inflammatory drugs (NSAIDs) and switching to a different painkiller if needed, such as paracetamol.
  • #49 Home remedies for gastritis: 9 best natural treatments
    https://www.medicalnewstoday.com/articles/321138
    Gastritis is inflammation of the stomach lining. Home and lifestyle remedies, such as garlic extract, green tea, and stress management, may help. However, medical treatment may also be necessary. […] Although there are instances where medical treatment is necessary to treat gastritis, many people find that they can manage these symptoms at home. […] This article looks at nine home remedies and lifestyle changes that may help relieve gastritis symptoms. Not all remedies will work for everyone, so a person may need to try several of these before finding what works best for them. […] Gastritis refers to inflammation of the stomach lining, so consuming a diet that helps minimize inflammation may provide relief over time. […] According to a 2020 study, some foods that may worsen gastritis include: meat products, sugary foods, spicy foods, fried foods, alcohol.
  • #50 7 Home Remedies for Gastritis: Natural Treatments and More
    https://www.healthline.com/health/home-remedies-for-gastritis
    Most people that have gastritis are able to treat it and find relief for their symptoms. […] There are also ways to treat gastritis with home remedies. […] Gastritis gets activated when your digestive system is taxed and your stomach lining becomes inflamed. […] You can choose to eat foods that reduce inflammation and avoid the foods that trigger your stomach lining to become irritated. […] Research suggests that adding broccoli sprouts and fresh blueberries into your diet can encourage your body to fight back against gastritis. […] According to case reports, if there are potential gluten allergies, working toward a gluten free diet might reduce symptoms. […] When gastritis is caused by H. pylori, garlic extract can help get rid of these bacteria. […] One study shows that consuming garlic extract is an effective way to kill H. pylori bacteria.
  • #51 Living with Autoimmune Gastritis: What You Need to Know
    https://www.autoimmuneinstitute.org/articles/living-with-autoimmune-gastritis-what-you-need-to-know
    Some lifestyle behaviors can exacerbate symptoms. Addressing these behaviors may improve disease management and quality of life. Lifestyle changes often focus on weight management, stress reduction, and smoking cessation. […] In her practice, Blake recommends following a diet tailored to each individuals unique triggers, such as allergies and food sensitivities. […] She notes that an elimination diet might help identify problematic foods and ingredients for some. […] Despite limited evidence of their effectiveness, some people experience improvement using alternative or integrative approaches for managing symptoms. […] Its crucial to discuss integrating any alternative therapies with a healthcare provider to make sure theyre safe and wont negatively interact with conventional treatments.
  • #52 Gastritis – symptoms and treatment | healthdirect
    https://www.healthdirect.gov.au/gastritis
    Gastritis is when your stomach lining becomes inflamed (irritated, swollen and red). […] Treatment will depend on the cause of your gastritis. […] Treatment for gastritis aims to: reduce the inflammation, improve your symptoms, treat the underlying cause of your gastritis. […] If you have an H. pylori infection, your doctor will prescribe medicines to treat the infection. This will include antibiotics and acid-lowering medicine. […] It’s important to stop taking NSAIDs and/or drinking alcohol if you have gastritis. […] There are medicines that can reduce the amount of acid made in your stomach. These are called H2 blockers or proton pump inhibitors (PPIs). These medicines can help improve your symptoms. […] You can also make some lifestyle changes to help improve your symptoms. You could try to: eat smaller meals, eat more often, avoid foods that irritate your stomach such as spicy, acidic, fried or fatty foods, stop smoking if you are a smoker. […] Avoiding or decreasing your use of alcohol and NSAIDs can help prevent gastritis. […] If left untreated, gastritis can lead to stomach ulcers and bleeding. While rare, some types of gastritis can also raise your risk of stomach cancer.
  • #53 Gastritis Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/gastritis
    Treatment of gastritis depends on the cause of the problem. Some cases of gastritis may resolve by themselves over time, or be relieved when you stop drinking alcohol, smoking cigarettes, or taking NSAIDs. You may need to change your diet, although doctors now know that a bland diet is not required. If your gastritis is due to H. pylori infection, your doctor will prescribe antibiotics. […] The treatment for gastritis that is caused by irritants is to stop using them. These include: Alcohol, Tobacco, Acidic beverages, such as coffee (both caffeinated and decaffeinated), carbonated beverages, and fruit juices with citric acid, NSAIDS, such as aspirin and ibuprofen. Switch to other pain relievers (like acetaminophen). […] If you have H. pylori, you will probably be prescribed three medications. Doctors commonly use „triple therapy,” to treat H. pylori-related gastritis and ulcers, including a proton pump inhibitor to reduce acid production and two antibiotics. Bismuth salicylate (Pepto Bismol) may be used instead of the second antibiotic. This drug, available over the counter, coats and soothes the stomach, protecting it from the damaging effects of acid.
  • #54 Home remedies for gastritis: 9 best natural treatments
    https://www.medicalnewstoday.com/articles/321138
    Older 2016 research suggests that garlic extract can help reduce the symptoms of gastritis caused by the H. pylori bacteria. […] Probiotics can help improve digestion and encourage regular bowel movements. Probiotic supplements introduce good bacteria into a persons digestive tract, which may help stop the spread of H. pylori. […] An older 2015 study showed that drinking green tea or black tea at least once a week could significantly reduce the presence of H. pylori in the digestive tract. […] Essential oils that may positively affect gastritis symptoms include peppermint, ginger, and clove. […] Eating large, heavy meals can put a strain on a persons digestive system and aggravate gastritis. […] Stopping smoking may decrease the irritation to a persons stomach lining, allowing it to heal and helping alleviate the symptoms of gastritis.
  • #55 Home remedies for gastritis: 9 best natural treatments
    https://www.medicalnewstoday.com/articles/321138
    Older 2016 research suggests that garlic extract can help reduce the symptoms of gastritis caused by the H. pylori bacteria. […] Probiotics can help improve digestion and encourage regular bowel movements. Probiotic supplements introduce good bacteria into a persons digestive tract, which may help stop the spread of H. pylori. […] An older 2015 study showed that drinking green tea or black tea at least once a week could significantly reduce the presence of H. pylori in the digestive tract. […] Essential oils that may positively affect gastritis symptoms include peppermint, ginger, and clove. […] Eating large, heavy meals can put a strain on a persons digestive system and aggravate gastritis. […] Stopping smoking may decrease the irritation to a persons stomach lining, allowing it to heal and helping alleviate the symptoms of gastritis.
  • #56 7 Home Remedies for Gastritis: Natural Treatments and More
    https://www.healthline.com/health/home-remedies-for-gastritis
    Taking a probiotic supplement will introduce good bacteria to your digestive tract, which should stop the spread of H. pylori and help start the process of healing your gut. […] Drinking green tea with raw honey has several potential benefits for healing gastritis. […] Manuka honey has also been shown to have antibacterial properties that effectively keep H. pylori in check. […] Gastritis symptoms aren’t just aggravated by what you eat; they’re also aggravated by how you eat. […] Eating smaller meals throughout the day as opposed to loading up on carbs and calories two or three times a day can ease the symptoms of gastritis. […] Gastritis is a risk factor for developing stomach cancer, so being especially aware of your lifestyle choices is important if you have it. […] Eliminating smoking and alcohol should improve your gastritis symptoms. […] Take steps to treat your gastritis symptoms at home, and make sure to contact a medical professional if the symptoms don’t go away with home treatment.
  • #57 Gastritis Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/condition/gastritis
    Some of the same drugs used for non-H. pylori gastritis as are used for symptoms (like indigestion) due to ulcers: Antacids. […] H2 blockers reduce gastric acid secretion. […] Proton pump inhibitors decrease gastric acid production. […] Following these nutritional tips may help reduce symptoms: Foods containing flavonoids, like apples, celery, cranberries (including cranberry juice), onions, garlic, and tea may inhibit the growth of H. pylori. […] The following supplements may help with digestive health: A multivitamin daily, containing the antioxidant vitamins A, C, E, the B vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium. […] Herbs may strengthen and tone the body’s systems. […] Although few studies have examined the effectiveness of specific homeopathic therapies, professional homeopaths may consider the following remedies for the treatment of gastritis symptoms (such as nausea and vomiting) based on their knowledge and experience. […] Acupuncture may help reduce stress and improve overall digestive function.
  • #58 Home remedies for gastritis: 9 best natural treatments
    https://www.medicalnewstoday.com/articles/321138
    Using NSAIDs, such as ibuprofen (Advil, Motrin), can increase a persons risk of developing gastritis and other gastrointestinal complications. […] Stress can cause gastritis flare-ups, so reducing stress levels is an important way to help manage the condition. […] Home remedies can help many people manage gastritis. However, if the symptoms do not go away, it is essential to speak with a doctor. […] Medications that doctors commonly prescribe for gastritis include: Antacids, Histamine 2 (H2) blockers, Proton pump inhibitors (PPIs), Antibiotics. […] Natural remedies for gastritis may include avoiding NSAID overuse, consuming probiotics, and eating lighter meals. […] In most cases, gastritis clears up on its own. However, a doctor may recommend medications that can help reduce stomach acid or clear up an infection.
  • #59 Gastritis Treatment: Medications and Lifestyle Changes
    https://www.verywellhealth.com/gastritis-treatment-8631186
    Preventing gastritis from NSAIDs can mean using the lowest dose possible or avoiding their use. […] A proton pump inhibitor or a histamine-2 receptor agonist (H2 blocker) drug such as Tagamet HB (cimetidine) or Pepcid AC (famotidine) may be prescribed to treat the irritation or inflammation. […] Treatment may start with therapies to affect the perception of stress, such as relaxation techniques, yoga, exercise, meditation, and mind-body therapies. […] There is no specific treatment for autoimmune gastritis. Treatments are under study, but there are no guidelines on their use. […] Treatment includes cutting back on drinking. PPIs, H2 blockers, and antacids may also be recommended. […] Medications that might be used to treat bile acid reflux include Actigall (ursodiol), PPIs, and prokinetic agents such as Reglan (metoclopramide).
  • #60 Acute Gastritis Treatment & Management: Approach Considerations, Medical Care, Prevention
    https://emedicine.medscape.com/article/175909-treatment
    Surgical intervention is not necessary for gastritis, except in the case of phlegmonous gastritis or acute necrotizing gastritis. With the latter entity, surgical intervention with resection of the affected area may be the most effective form of treatment. […] Consult a gastroenterologist in complicated cases. […] In cases of suspected upper gastrointestinal (GI) bleeding (decreased hemoglobin, melena, hematemesis), diagnostic endoscopy is mandatory to exclude bleeding ulcers, angiomatous malformations, erosions and malignant transformation. Severe cases with upper GI bleeding can be treated by cautery, hemoclips, local epinephrine injection, or hemostatic spraying of the bleeding area along with an intravenous (IV) proton-pump inhibitor (PPI) bolus, then continuous infusion for 72 hours to stabilize the bleeding.
  • #61 Treatment of Gastritis & Gastropathy – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy/treatment
    If you have autoimmune gastritis, your doctor may recommend iron, folic acid, and vitamin B12 supplements to prevent pernicious anemia. […] For patients with severe injuries or critical illness, doctors may prescribe medicines that reduce stomach acid such as PPIs, H2 blockers, or sucralfate (Carafate) to prevent or treat stress gastritis. […] To treat gastritis or gastropathy due to other causes, doctors may prescribe medicines to treat the underlying cause or improve symptoms.
  • #62 Living with Autoimmune Gastritis: What You Need to Know
    https://www.autoimmuneinstitute.org/articles/living-with-autoimmune-gastritis-what-you-need-to-know
    Sandy finally found relief through a multi-faceted approach to her care. She began practicing yoga, which helped her manage stress and improve her sleep. With the guidance of her healthcare provider, she adopted a customized diet and supplement plan tailored to her food sensitivities. After several weeks of this treatment, Sandy experienced a significant improvementher digestive symptoms nearly disappeared, her anxiety lessened, and her sleep improved dramatically. […] Since there currently isnt a cure for autoimmune gastritis, treatment approaches focus on symptom relief, treatment of anemia, and lifestyle modifications. […] Healthcare providers may recommend taking vitamin B12 for pernicious anemia or iron supplements for iron deficiency anemia. […] Management of stomach symptoms such as dyspepsia, bloating, pain, and altered colonic transit can have a big impact on quality of life. Some things to try include eating a healthy diet rich in vegetables, grains, and fruits, consuming smaller meals spread throughout the day, avoiding high-protein meals, avoiding trigger foods such as spicy and fatty foods, citrus fruits, caffeine, alcohol, and carbonated beverages, taking prokinetics for early fullness, and taking Rifaximin and/or probiotics for bacterial overgrowth in the stomach.
  • #63 Gastritis | MUSC Health | Charleston SC
    https://muschealth.org/medical-services/ddc/patients/digestive-diseases/stomach-and-duodenum/gastritis
    How is gastritis treated? […] The most important part of acute gastritis treatment obviously is to remove the irritant when found. Simple antacid medicines, more powerful „H2 antagonists” (such as Tagamet or Zantac), or a „Proton pump inhibitor” (such as Nexium) are helpful for reducing the amount of acid in the stomach. Anti-nausea medications may be needed. […] Consultation with a physician for further investigations and more sophisticated treatments will be necessary if symptoms do not settle quickly, or if any vomit contains blood. When H. pylori infection is diagnosed, treatment involves antibiotics, often in combination for up to two weeks. Most cases settle quickly unless the irritant or infection is not removed. […] Eliminating any causative infection (usually H. pylori) with antibiotics is important to prevent progression of the chronic gastritis, but the stomach mucosa rarely returns to normal. Vitamin B12 deficiency is treated by intermittent injections. […] Patients with severe changes to the mucosa (i.e. pre-cancerous changes in the cell lining of the stomach) may need an upper endoscopy every year or so to detect and treat lesions which can develop into cancer.
  • #64 Chronic Gastritis Treatment & Management: Approach Considerations, Pharmacotherapy for H pylori, Long-Term Monitoring
    https://emedicine.medscape.com/article/176156-treatment
    Clinical experience has shown that the most effective of these regimens is BMT triple therapy, followed by ranitidine bismuth citrate plus clarithromycin and then by omeprazole plus clarithromycin. […] Because higher success rates can be achieved when a third drug is added to the dual therapies, most authorities now recommend triple-drug combinations. This recommendation was confirmed by the FDAs approval of a combination regimen comprising the proton pump inhibitor (PPI) lansoprazole, clarithromycin, and amoxicillin. The cure rate with this combination exceeds 85%. […] The most widely used regimens for eradicating H pylori are triple therapies, which are recommended as first-line treatments; quadruple therapies are recommended as second-line treatment when triple therapies fail. […] If a patient was treated for H pylori infection, confirm that the organism has been eradicated. Evaluate eradication at least 4 weeks after the beginning of treatment. Eradication may be assessed by means of noninvasive methods such as the urea breath test or the stool antigen test. […] For patients with atrophic gastritis or dysplasia, follow-up endoscopy is recommended after 6 months.
  • #65
    https://link.springer.com/article/10.1007/s11938-020-00298-8
    When pernicious anemia ensues, vitamin B12 supplementation is indicated. […] In patients with advanced atrophic changes (high-risk OLGA/OLGIM stages III/IV), regular endoscopic follow-up serves the fundamental purpose of a reliable secondary gastric cancer prevention strategy. […] The high risk of cancer developing in such cases enables us to identify patients early enough in their progression to gastric malignancy for timely intervention, which involves endoscopic resection of crucial areas of the stomach showing signs of early gastric cancer.
  • #66 Treatment of Gastritis & Gastropathy – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy/treatment
    If you have autoimmune gastritis, your doctor may recommend iron, folic acid, and vitamin B12 supplements to prevent pernicious anemia. […] For patients with severe injuries or critical illness, doctors may prescribe medicines that reduce stomach acid such as PPIs, H2 blockers, or sucralfate (Carafate) to prevent or treat stress gastritis. […] To treat gastritis or gastropathy due to other causes, doctors may prescribe medicines to treat the underlying cause or improve symptoms.
  • #67 Erosive Gastritis – Gastrointestinal Disorders – MSD Manual Professional Edition
    https://www.msdmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/erosive-gastritis
    Erosive gastritis is gastric mucosal erosion caused by damage to mucosal defenses. […] Treatment is supportive, with removal of the inciting cause and initiation of acid-suppressant therapy. […] For acid suppression: A proton pump inhibitor or histamine-2 receptor antagonist. […] In severe gastritis, bleeding is managed with IV fluids and blood transfusion as needed. […] Acid-suppressing therapy should be started if the patient is not already receiving it. […] For milder gastritis, removing the offending agent and using medications to reduce gastric acidity to limit further injury and promote healing may be all that is required. […] Prophylaxis with acid-suppressive medications can reduce the incidence of acute stress gastritis. […] One guideline recommends stress ulcer prophylaxis with histamine-2 receptor antagonists or proton pump inhibitors in critically ill adults with coagulopathy, shock, or chronic liver disease who are being treated in an ICU.
  • #68 Erosive Gastritis – Gastrointestinal Disorders – MSD Manual Professional Edition
    https://www.msdmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/erosive-gastritis
    Erosive gastritis is gastric mucosal erosion caused by damage to mucosal defenses. […] Treatment is supportive, with removal of the inciting cause and initiation of acid-suppressant therapy. […] For acid suppression: A proton pump inhibitor or histamine-2 receptor antagonist. […] In severe gastritis, bleeding is managed with IV fluids and blood transfusion as needed. […] Acid-suppressing therapy should be started if the patient is not already receiving it. […] For milder gastritis, removing the offending agent and using medications to reduce gastric acidity to limit further injury and promote healing may be all that is required. […] Prophylaxis with acid-suppressive medications can reduce the incidence of acute stress gastritis. […] One guideline recommends stress ulcer prophylaxis with histamine-2 receptor antagonists or proton pump inhibitors in critically ill adults with coagulopathy, shock, or chronic liver disease who are being treated in an ICU.
  • #69 Types of Medication for Gastritis: Common List & Side Effects
    https://www.rxlist.com/types_of_medication_for_gastritis/drugs-condition.htm
    If a bacterial infection is a cause, antibiotics with proton pump inhibitors are the main treatment choice. […] Antacids, H2 blockers, and proton pump inhibitors are safe during pregnancy. […] Antibiotics such as clarithromycin and amoxicillin should be used when there is no other alternative during pregnancy. […] Alcohol can cause gastritis or exacerbate its symptoms; therefore, it is better to avoid them completely or limit them based on the severity of the disease.
  • #70 Types of Medication for Gastritis: Common List & Side Effects
    https://www.rxlist.com/types_of_medication_for_gastritis/drugs-condition.htm
    If a bacterial infection is a cause, antibiotics with proton pump inhibitors are the main treatment choice. […] Antacids, H2 blockers, and proton pump inhibitors are safe during pregnancy. […] Antibiotics such as clarithromycin and amoxicillin should be used when there is no other alternative during pregnancy. […] Alcohol can cause gastritis or exacerbate its symptoms; therefore, it is better to avoid them completely or limit them based on the severity of the disease.
  • #71 Gastritis – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
    Treatment of gastritis depends on the specific cause. Acute gastritis caused by NSAIDs or alcohol may be relieved by stopping use of those substances. […] Medicines used to treat gastritis include: […] Antibiotics to kill H. pylori. For H. pylori in your digestive tract, your healthcare professional may recommend a combination of antibiotics to kill the germs. Be sure to take the full antibiotic prescription, usually for 7 to 14 days. You also may take a medicine to block acid production. Once treated, your healthcare professional will retest you for H. pylori to be sure it has been destroyed. […] Medicines that block acid production and promote healing. Medicines called proton pump inhibitors help reduce acid. They do this by blocking the action of the parts of cells that produce acid. You may get a prescription for proton pump inhibitors, or you can buy them without a prescription.
  • #72 Chronic Gastritis Treatment & Management: Approach Considerations, Pharmacotherapy for H pylori, Long-Term Monitoring
    https://emedicine.medscape.com/article/176156-treatment
    Clinical experience has shown that the most effective of these regimens is BMT triple therapy, followed by ranitidine bismuth citrate plus clarithromycin and then by omeprazole plus clarithromycin. […] Because higher success rates can be achieved when a third drug is added to the dual therapies, most authorities now recommend triple-drug combinations. This recommendation was confirmed by the FDAs approval of a combination regimen comprising the proton pump inhibitor (PPI) lansoprazole, clarithromycin, and amoxicillin. The cure rate with this combination exceeds 85%. […] The most widely used regimens for eradicating H pylori are triple therapies, which are recommended as first-line treatments; quadruple therapies are recommended as second-line treatment when triple therapies fail. […] If a patient was treated for H pylori infection, confirm that the organism has been eradicated. Evaluate eradication at least 4 weeks after the beginning of treatment. Eradication may be assessed by means of noninvasive methods such as the urea breath test or the stool antigen test. […] For patients with atrophic gastritis or dysplasia, follow-up endoscopy is recommended after 6 months.
  • #73 Gastritis – Guts UK
    https://gutscharity.org.uk/advice-and-information/conditions/gastritis/
    If the gastritis has been caused by a medicine, ask your doctor or pharmacist if there are suitable alternatives for you to try. […] Treatment will be discussed with your doctor, who may advise one or more of the following medicines: Antacids: These medicines are either liquids or tablets that neutralise (reduce) the amount of acid produced by the stomach. […] Antibiotics: You might be given antibiotics if the gastritis has been caused by an infection. For Helicobacter pylori the usual treatment is triple therapy using two antibiotics and a proton pump inhibitor. The treatment will treat both the Helicobacter pylori infection and the gastritis. It is important that the full course of antibiotics is taken as your doctor advises. […] Most people will recover from gastritis with treatment, but others will unfortunately continue to experience symptoms of gastritis and continuing inflammation, this is called chronic gastritis. If medicines such as PPI’s are needed longer term you may be monitored by your GP. […] People who have been diagnosed with autoimmune atrophic gastritis or have a long-term Helicobacter pylori infection can have a small risk of developing stomach cancer in the future.
  • #74 Gastritis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/symptoms-causes/syc-20355807
    Gastritis is a general term for a group of conditions with one thing in common: Inflammation of the lining of the stomach. […] For most people, however, gastritis isn’t serious and improves quickly with treatment. […] Tell your healthcare professional if your symptoms aren’t improving despite treatment for gastritis.
  • #75 Gastritis: Symptoms, Treatment, Causes, and More
    https://www.healthline.com/health/gastritis
    By lowering the amount of acid that’s released into your digestive tract, these medications relieve the pain of gastritis and allow your stomach lining to heal. […] Your doctor may recommend that you use antacids for rapid relief of gastritis pain. […] Probiotics have been shown to help replenish digestive flora and heal gastric ulcers. However, there’s no evidence that they have any impact on acid secretion. […] The outlook for gastritis depends on the underlying cause. Acute gastritis usually resolves quickly with treatment. H. pylori infections, for example, can often be treated with one or two rounds of antibiotics. […] However, sometimes treatment fails and it can turn into chronic, or long-term, gastritis. Talk with your doctor to develop an effective treatment plan for you.
  • #76 Gastritis (Acute vs Chronic) Causes, Symptoms, Treatment, Pain
    https://www.medicinenet.com/gastritis/article.htm
    There are general recommendations about what foods and drinks you should consume to help reduce and relieve symptoms of gastritis. […] Foods and other substances that should be avoided to reduce or prevent gastritis symptoms include alcohol, spicy, fatty, and fried foods. […] The University of Maryland healthcare professionals and others suggest that eating smaller, more frequent meals and avoiding spicy, acidic, fried, or fatty foods will help reduce symptoms. […] Although these home remedies may help reduce or soothe symptoms, home remedies seldom treat the underlying causes of gastritis. […] Acute gastritis lasts for about 2-10 days. If chronic gastritis is not treated, it may last from weeks to years. […] Most people who get gastritis have few short-term symptoms, recover completely, and are cured of the condition. […] If the underlying cause of gastritis is preventable, then gastritis can be prevented and people can get gastritis relief.
  • #77 Gastritis – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/gastritis/symptoms-causes/syc-20355807
    Gastritis is a general term for a group of conditions with one thing in common: Inflammation of the lining of the stomach. […] For most people, however, gastritis isn’t serious and improves quickly with treatment. […] Tell your healthcare professional if your symptoms aren’t improving despite treatment for gastritis.