What medicine should be taken for reflux gastritis
Reflux gastritis is a common digestive system disease, mainly characterized by the reflux of gastric acid into the esophagus, causing symptoms such as heartburn and chest pain. In recent years, with the accelerated pace of life and changes in dietary structure, the incidence of reflux gastritis has increased year by year. This article will combine the hot topics and hot content on the Internet in the past 10 days to give you a detailed introduction to the drug treatment plan for reflux gastritis.
1. Common symptoms of reflux gastritis
The main symptoms of reflux gastritis include:
| Symptoms | Description |
|---|---|
| heartburn | Burning sensation under the breastbone, especially after eating or when lying down |
| acid reflux | Reflux of gastric contents into the mouth, with a sour taste |
| chest pain | Angina-like pain |
| difficulty swallowing | In severe cases, pain or difficulty in swallowing may occur |
2. Commonly used drugs for reflux gastritis
Drugs used to treat reflux gastritis are mainly divided into the following categories:
| drug type | Representative medicine | Mechanism of action | Usage and dosage |
|---|---|---|---|
| Proton pump inhibitors (PPIs) | Omeprazole, lansoprazole, pantoprazole | Inhibit gastric acid secretion | 1-2 times a day, before meals |
| H2 receptor antagonist | ranitidine, famotidine | Reduce gastric acid secretion | 1-2 times a day |
| Gastric mucosa protectant | Sucralfate, colloidal bismuth pectin | Protect gastric mucosa | Take 3-4 times a day before meals |
| Gastrointestinal motility drugs | Domperidone, Mosapride | Promote gastric emptying | Take 3 times a day before meals |
| Antacids | Aluminum magnesium carbonate, aluminum hydroxide | Neutralize stomach acid | Take when symptoms occur |
3. Selection of drug treatment options
Treatment options vary depending on the severity of the condition:
| Degree of illness | Recommended plan | Course of treatment |
|---|---|---|
| Mild | H2 receptor antagonist + gastric mucosal protectant | 4-8 weeks |
| Moderate | Proton pump inhibitor + gastrointestinal motility drug | 8-12 weeks |
| Severe | Proton pump inhibitor + gastrointestinal motility drug + gastric mucosal protective agent | More than 12 weeks |
4. Precautions for drug treatment
1.Take medicine on time: In particular, proton pump inhibitors need to be taken 30 minutes before meals for best results.
2.Avoid drug interactions: If omeprazole may affect the efficacy of clopidogrel, you need to inform your doctor about all the drugs you are taking.
3.Long-term medication monitoring: Long-term use of proton pump inhibitors may cause side effects such as osteoporosis and hypomagnesemia, and requires regular check-ups.
4.lifestyle adjustments: Drug treatment needs to be combined with lifestyle changes, such as avoiding high-fat diet, quitting smoking and limiting alcohol, and controlling weight.
5. Latest research progress
According to recent medical research, the treatment of reflux gastritis has the following new findings:
| Research direction | new discovery |
|---|---|
| microecological treatment | Probiotics may help improve gastric microbiota |
| New PPI | Potassium ion competitive acid blockers (P-CAB) such as vonoraxin have longer lasting effects |
| Endoscopic treatment | For drug-refractory cases, endoscopic radiofrequency treatment may be considered |
6. Expert advice
1. Medication treatment should be carried out under the guidance of a doctor and avoid buying medicines on your own.
2. Do not stop taking the medicine immediately after the symptoms are relieved. You should gradually reduce the dosage as directed by your doctor.
3. For patients with recurrent attacks, it is recommended to undergo gastroscopy to rule out other diseases.
4. Maintaining good eating habits and work and rest patterns is crucial to preventing recurrence.
In short, the drug treatment of reflux gastritis requires an individualized plan, and an appropriate drug combination is selected based on the severity of the disease and the patient's specific conditions. At the same time, drug treatment must be combined with lifestyle adjustments to achieve the best results. If the symptoms persist, you should seek medical advice promptly to adjust the treatment plan.
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