Gastritis medical therapy
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Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing. Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical therapy for gastritis depends on the cause, but commonly includes reducing stomach acidity (e.g., with proton pump inhibitors) or eradicating H. pylori infection with antibiotics.
Medical Therapy
Treatment depends on the specific cause. Some of the causes will disappear over time.
- Medications known to cause gastritis should be discontinued.
- Medications to neutralize stomach acid or decrease its production will usually eliminate the symptoms and promote healing.
- Vitamin B12: Gastritis caused by pernicious anemia is treated with vitamin B12.
- Proton pump inhibitors: Gastritis due to stress is best treated by prevention. Medications to decrease gastric acid production such as proton pump inhibitors (PPI) should be given to stressed hospital patients.
- Antibiotics: In cases of infection, a doctor will most often prescribe antimicrobial drugs. Helicobacter infection typically responds well to the triple therapy protocol (consisting of two antibiotics, and a proton pump inhibitor). Regimens that work well include PCA or PCM triple therapy (PPI, Clarithromycin, Amoxicillin) or (PPI, Clarithromycin, Metronidazole). Quadruple therapy has a >90% success rate and includes PPIs, Bismuth subsalicylates, Metronidazole, and Tetracycline.