Gastritis Treatment
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 isn' t required. If your gastritis is due to H. pylori infection, you will be given antibiotics.
Lifestyle
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)
These steps may also help:
Eat a fiber-rich diet.
Foods containing flavonoids, like apples, celery, cranberries (including cranberry juice), onions, garlic, and tea may stop the growth of H. pylori.
Avoid high-fat foods. In animal studies, high-fat foods increase inflammation in the stomach lining.
Medications
If you have H. pylori, you will probably be prescribed three medications. "Triple therapy," including a proton pump inhibitor to reduce acid production and two antibiotics, is commonly used to treat H. pylori-related gastritis and ulcers. 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. Two-drug regimens are currently being developed.
Some of the same drugs are used for non-H. pylori gastritis as well as for symptoms (like indigestion) due to ulcers:
Antacids -- Available over the counter, they may relieve heartburn or indigestion but will not treat an ulcer. Antacids may block medications from being absorbed and thereby decrease the medicine's effectiveness. It is recommended to take antacids at least 1 hour before or 2 hours after taking medications. Ask your pharmacist or doctor for more information. Antacids include:
Aluminum hydroxide (Amphojel, AlternaGEL)
Magnesium hydroxide (Phillips' Milk of Magnesia)
Aluminum hydroxide and magnesium hydroxide (Maalox, Mylanta)
Calcium carbonate (Rolaids, Titralac, Tums)
Sodium bicarbonate (Alka-Seltzer)
H2 blockers -- reduce gastric acid secretion. They include:
Cimetidine (Tagemet)
Ranitidine (Zantac)
Nizatidine (Axid)
Famotidine (Pepcid)
Proton-pump inhibitors -- decrease gastric acid production. They include:
Esomeprazole (Nexium)
Lansoprazole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)
Nutrition and Dietary Supplements
Doctors used to recommend eating bland foods with milk and only small amounts of food with each meal. Researchers now know that such a diet isn' t required to treat gastritis or ulcers.
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.
Eat antioxidant foods, including fruits (such as blueberries, cherries, and tomatoes), and vegetables (such as squash and bell peppers).
Eat foods high in B-vitamins and calcium, such as almonds, beans, whole grains (if no allergy), dark leafy greens (such as spinach and kale), and sea vegetables.
Avoid refined foods, such as white breads, pastas, and sugar.
Eat fewer red meats and more lean meats, cold-water fish, tofu (soy, if no allergy) or beans for protein.
Use healthy oils, such as olive oil or vegetable oil.
Reduce or eliminate trans-fatty acids, found in commercially baked goods such as cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.
Avoid beverages that may irritate the stomach lining or increase acid production including coffee (with or without caffeine), alcohol, and carbonated beverages.
Drink 6 - 8 glasses of filtered water daily.
Exercise at least 30 minutes daily, 5 days a week.
Identify and eliminate food allergies.
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.
Omega-3 fatty acids, such as fish oil, 1 - 2 capsules or 1 tablespoonful oil 2 - 3 times daily -- may help decrease inflammation. Fish oil may increase the risk of bleeding. If you take aspirin or other anticoagulants (blood-thinners), talk to your doctor before taking fish oil.
Probiotic supplement (containing Lactobacillus acidophilus ), 5 - 10 billion CFUs (colony forming units) a day -- Probiotics or “friendly” bacteria may help maintain a balance in the digestive system between good and harmful bacteria such as H. pylori. Probiotics may help suppress H. pylori infection and may also help reduce side effects from taking antibiotics, the treatment for an H. pylori infection. Some probiotic supplements may need to be refrigerated for best results.
Herbs
Herbs are generally a safe way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures alone or in combination as noted.
Cranberry (Vaccinium macrocarpon) 400 mg twice daily -- Some preliminary research suggests cranberry may inhibit H. pylori growth in the stomach.
Mastic (Pistacia lentiscus) standardized extract, 1,000 - 2,000 mg daily in divided dosages -- Mastic is a traditional treatment for peptic ulcers and inhibits H. pylori in test tubes. More studies are needed to see whether it works in humans.
DGL-licorice (Glycyrrhiza glabra) standardized extract, 250 - 500 mg 3 times daily, chewed either 1 hour before or 2 hours after meals -- may help protect against stomach damage from NSAIDs. Glycyrrhizin is a chemical found in licorice that causes side effects and drug interactions. DGL is deglycyrrhizinated licorice, or licorice with the glycyrrhizin removed.
Peppermint (Mentha piperita) standardized, enteric coated tablet, 1 tablet 2 - 3 times daily -- may help relieve symptoms of peptic ulcer. Each tablet contains 0.2 ml peppermint oil. Be sure to use the enteric coated form to avoid heartburn.
Homeopathy
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. Before prescribing a remedy, homeopaths take into account your constitution -- your physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for you individually.
Pulsatilla -- for heartburn, queasiness, a bad taste in the mouth brought on by eating rich foods and fats (especially ice cream); symptoms may include vomiting partly digested food. This remedy is most appropriate for someone whose tongue is coated with a white or yellow substance.
Ipecacuahna -- for persistent and severe nausea, with or without vomiting and diarrhea, caused by an excess of rich or fatty foods.
Carbo vegetabilis -- for bloating and indigestion, especially with flatulence and fatigue.
Nux vomica -- for heartburn, nausea, retching without vomiting, and sour burps caused by overeating, alcohol use, or coffee drinking. This remedy is most appropriate for people who also feel irritable and sensitive to noise and light.
Acupuncture
Acupuncture may help reduce stress and improve overall digestive function.
Source :
http://www.umm.edu/altmed/articles/gastritis-000067.htm
Lifestyle
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)
These steps may also help:
Eat a fiber-rich diet.
Foods containing flavonoids, like apples, celery, cranberries (including cranberry juice), onions, garlic, and tea may stop the growth of H. pylori.
Avoid high-fat foods. In animal studies, high-fat foods increase inflammation in the stomach lining.
Medications
If you have H. pylori, you will probably be prescribed three medications. "Triple therapy," including a proton pump inhibitor to reduce acid production and two antibiotics, is commonly used to treat H. pylori-related gastritis and ulcers. 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. Two-drug regimens are currently being developed.
Some of the same drugs are used for non-H. pylori gastritis as well as for symptoms (like indigestion) due to ulcers:
Antacids -- Available over the counter, they may relieve heartburn or indigestion but will not treat an ulcer. Antacids may block medications from being absorbed and thereby decrease the medicine's effectiveness. It is recommended to take antacids at least 1 hour before or 2 hours after taking medications. Ask your pharmacist or doctor for more information. Antacids include:
Aluminum hydroxide (Amphojel, AlternaGEL)
Magnesium hydroxide (Phillips' Milk of Magnesia)
Aluminum hydroxide and magnesium hydroxide (Maalox, Mylanta)
Calcium carbonate (Rolaids, Titralac, Tums)
Sodium bicarbonate (Alka-Seltzer)
H2 blockers -- reduce gastric acid secretion. They include:
Cimetidine (Tagemet)
Ranitidine (Zantac)
Nizatidine (Axid)
Famotidine (Pepcid)
Proton-pump inhibitors -- decrease gastric acid production. They include:
Esomeprazole (Nexium)
Lansoprazole (Prevacid)
Omeprazole (Prilosec)
Pantoprazole (Protonix)
Rabeprazole (Aciphex)
Nutrition and Dietary Supplements
Doctors used to recommend eating bland foods with milk and only small amounts of food with each meal. Researchers now know that such a diet isn' t required to treat gastritis or ulcers.
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.
Eat antioxidant foods, including fruits (such as blueberries, cherries, and tomatoes), and vegetables (such as squash and bell peppers).
Eat foods high in B-vitamins and calcium, such as almonds, beans, whole grains (if no allergy), dark leafy greens (such as spinach and kale), and sea vegetables.
Avoid refined foods, such as white breads, pastas, and sugar.
Eat fewer red meats and more lean meats, cold-water fish, tofu (soy, if no allergy) or beans for protein.
Use healthy oils, such as olive oil or vegetable oil.
Reduce or eliminate trans-fatty acids, found in commercially baked goods such as cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.
Avoid beverages that may irritate the stomach lining or increase acid production including coffee (with or without caffeine), alcohol, and carbonated beverages.
Drink 6 - 8 glasses of filtered water daily.
Exercise at least 30 minutes daily, 5 days a week.
Identify and eliminate food allergies.
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.
Omega-3 fatty acids, such as fish oil, 1 - 2 capsules or 1 tablespoonful oil 2 - 3 times daily -- may help decrease inflammation. Fish oil may increase the risk of bleeding. If you take aspirin or other anticoagulants (blood-thinners), talk to your doctor before taking fish oil.
Probiotic supplement (containing Lactobacillus acidophilus ), 5 - 10 billion CFUs (colony forming units) a day -- Probiotics or “friendly” bacteria may help maintain a balance in the digestive system between good and harmful bacteria such as H. pylori. Probiotics may help suppress H. pylori infection and may also help reduce side effects from taking antibiotics, the treatment for an H. pylori infection. Some probiotic supplements may need to be refrigerated for best results.
Herbs
Herbs are generally a safe way to strengthen and tone the body's systems. As with any therapy, you should work with your health care provider to get your problem diagnosed before starting any treatment. You may use herbs as dried extracts (capsules, powders, teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, you should make teas with 1 tsp. herb per cup of hot water. Steep covered 5 - 10 minutes for leaf or flowers, and 10 - 20 minutes for roots. Drink 2 - 4 cups per day. You may use tinctures alone or in combination as noted.
Cranberry (Vaccinium macrocarpon) 400 mg twice daily -- Some preliminary research suggests cranberry may inhibit H. pylori growth in the stomach.
Mastic (Pistacia lentiscus) standardized extract, 1,000 - 2,000 mg daily in divided dosages -- Mastic is a traditional treatment for peptic ulcers and inhibits H. pylori in test tubes. More studies are needed to see whether it works in humans.
DGL-licorice (Glycyrrhiza glabra) standardized extract, 250 - 500 mg 3 times daily, chewed either 1 hour before or 2 hours after meals -- may help protect against stomach damage from NSAIDs. Glycyrrhizin is a chemical found in licorice that causes side effects and drug interactions. DGL is deglycyrrhizinated licorice, or licorice with the glycyrrhizin removed.
Peppermint (Mentha piperita) standardized, enteric coated tablet, 1 tablet 2 - 3 times daily -- may help relieve symptoms of peptic ulcer. Each tablet contains 0.2 ml peppermint oil. Be sure to use the enteric coated form to avoid heartburn.
Homeopathy
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. Before prescribing a remedy, homeopaths take into account your constitution -- your physical, emotional, and psychological makeup. An experienced homeopath assesses all of these factors when determining the most appropriate treatment for you individually.
Pulsatilla -- for heartburn, queasiness, a bad taste in the mouth brought on by eating rich foods and fats (especially ice cream); symptoms may include vomiting partly digested food. This remedy is most appropriate for someone whose tongue is coated with a white or yellow substance.
Ipecacuahna -- for persistent and severe nausea, with or without vomiting and diarrhea, caused by an excess of rich or fatty foods.
Carbo vegetabilis -- for bloating and indigestion, especially with flatulence and fatigue.
Nux vomica -- for heartburn, nausea, retching without vomiting, and sour burps caused by overeating, alcohol use, or coffee drinking. This remedy is most appropriate for people who also feel irritable and sensitive to noise and light.
Acupuncture
Acupuncture may help reduce stress and improve overall digestive function.
Source :
http://www.umm.edu/altmed/articles/gastritis-000067.htm
