Gastritis medical therapy
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Overview
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.