Gastritis: treatment and prevention

Gastritis: treatment and prevention

Gastritis is accompanied by inflammatory swelling of the gastric mucosa or even ulcer-like mucosal damage. Although spontaneous healing of the stomach ulcers is possible in many cases, treatment of gastritis is often necessary. Here, we inform you about therapy and prevention.

Spontaneous healing possible

A certain percentage (up to 40 per cent) of gastric and duodenal ulcers resolve spontaneously. The healing process is promoted by a change in the patient’s psycho-vegetative constellation.

Scientific studies also support this assumption, according to which around 40 to 50 per cent of patients are cured by placebos (dummy drugs without active ingredients). The effectiveness of acid-binding medicines (antacids) is similar to the success rate of placebos.


Treatment – ​​Acute gastritis

Acute gastritis often does not require treatment. It usually heals relatively quickly without treatment. The acute painful phase lasts about 24 hours. Because of this short period, medication is generally avoided.

If external influences such as excessive alcohol consumption are the trigger, the patient is prescribed at least 24 hours of fasting. During this time, the gastric mucosa calms down. It can recover if the cause can be seen in the medication, such as rheumatism painkillers or acute gastritis, which is treated with proton pump inhibitors or prostaglandin derivatives.

Treatment – ​​Chronic Gastritis: Type-A & Type-B

The vitamin is injected to treat vitamin B12 anaemia. Since there is an increased risk of gastric cancer with type A gastritis, a regular, annual endoscopic examination with the removal of tissue samples from the gastric mucosa (biopsy) should be carried out.

In type B gastritis ( Helicobacter pylori infection), the aim is to eradicate the pathogen with medication. This treatment is called eradication. Today’s standard is the combination of antibiotics and proton pump inhibitors. Only with this combination treatment can it directly combat the Helicobacter pylori pathogen. Targeted use:

  • Proton pump inhibitors. They reduce gastric acid production.
  • Antibiotics

All three medicines must be taken for at least seven days; otherwise, the safe effect is not guaranteed. A new gastroscopy will be carried out after four weeks at the earliest. Samples are retaken from the stomach wall to check the success of the therapy. If the urease test is negative, then the eradication treatment was successful.


Treatment – ​​Chronic Gastritis: Type-C

The most effective treatment for type C gastritis is to reduce stomach acid production so that the damage to the stomach lining can heal or stop it from progressing. Today, proton pump inhibitors are primarily used for this purpose. If medications known to cause gastritis are taken, they should be discontinued for the duration of treatment.

As an additional treatment, if gastritis is triggered by bile juices, gastric emptying can be accelerated so that the contact time of the bile juices with the gastric mucosa is as short as possible. This can be achieved by administering certain medications called prokinetics.

Preventive measures

To prevent gastritis from occurring in the first place, the following advice should be followed:

  • Take care of your psychosocial health
  • Never take painkillers on your prescription. Discuss the dose and duration of taking painkillers with your doctor!
  • Excessive use of acid-promoting substances such as alcohol, coffeetea, nicotine or citrus fruits is not advisable.


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