Diagnosis and treatment of antral gastritis

The article was professionally consulted by a doctor from the Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.

Congestive antral gastritis has different levels of manifestations, although the disease is not too dangerous, if not treated, it causes pain and affects the patient's life.

Based on the clinical symptoms of the disease such as:
Pain, burning in the epigastrium, pain can be dull or sharp, pain increases at night when the weather changes, pain increases when eating full. Direction of spread: Pain may radiate to the chest, shoulders, and back. Pain is often accompanied by bloating, slow digestion, belching, heartburn There may be a feeling of vomiting, nausea. To make a definitive diagnosis, it is necessary to use paraclinical methods such as:
X-ray using contrast: This method can be used but cannot evaluate moderate antral congestive mild or severe antral bleeding Gastroscopy : Is the gold standard in diagnosing and evaluating the extent of antral gastritis . When endoscopy can take tissue to determine the presence of H.
Mild antral congestion: Signs of mild epigastric pain, may not show clinical symptoms, but on endoscopy, mild inflammation and congestion are seen.
Moderate antral congestion: Patients often experience symptoms of burning pain in the epigastrium, nausea, vomiting, belching, and heartburn. On endoscopy, the inflammatory site appears as a mottled lesion with a larger inflammatory area.
Severe antral congestion: The site of inflammation may not only be in the antrum but also spread to other areas, dangerous because it can cause many complications.

Methods of diagnosing the cause of HP bacteria: In addition to the invasive method, which is endoscopic, tissue sampling to determine the status of HP infection
Using non-invasive methods such as:
Breath test Find bacteria in stool Find anti-HPV antibodies in the blood

Patients must be thoroughly examined to assess their condition. If due to HP, it is necessary to use antibiotics to kill HP. Use medical drugs to help reduce acid secretion... Combine drug treatment and change lifestyle. Re-examination after completion of treatment.

Drugs used to treat gastritis include:
Acid neutralizers: Gastropulgit, phosphalugel... Drugs to reduce gastric acid secretion: H2 receptor blockers of histamine: have a stimulant effect. inhibit the formation of HCL acid, commonly used drugs such as: Cimetidine, ranitidine... Proton pump inhibitors drugs that inhibit the secretion of border cells of HCL Omeprazole, lansoprazole... Drugs acting on the central nervous system Central: Help reduce spasms, relieve pain Sedative diazepam... Medicine to kill HP bacteria when HP is positive Kill HP according to standard 3-drug regimen, if not effective, use 4-drug regimen or salvage regimen .
Antibiotics used in the regimen: Amoxicillin, metronidazol, clarithromycin, bismuth salt tetracycline....

Eat in moderation, don't skip meals, don't eat too full, don't let your stomach get too hungry, divide meals, eat foods that are easy to digest, soft, avoid foods that are too hard. Do not use beverages that stimulate the stomach such as wine, beer, coffee, carbonated drinks... Do not eat sour, spicy, spicy foods... Avoid staying up late. Do not exercise or exercise immediately after eating. Rest for at least 30 minutes after eating. Regular exercise avoids stress, reduces anxiety, helps to relax. You can practice subjects such as yoga, nursing, walking... Before proceeding to treat antral gastritis, the patient should be correctly diagnosed with medical methods. After a course of treatment, the patient should be re-examined to see if the treatment has been successful. Regular check-ups help to screen for early risk of disease progression or recurrence.