Treatment of gastritis

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.

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.

"Triple therapy," including a proton pump inhibitor to reduce acid

production and 2 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. 2 drug regimens are currently being developed.

as well as for symptoms (like indigestion) due to ulcers:

Antibiotic

medications to kill H. pylori. If H. pylori is found in your digestive tract, your doctor may recommend a combination of antibiotics to kill the bacterium. Antibiotic regimens are different throughout the world. In the United States, antibiotics prescribed for treatment of H. pylori include amoxicillin, clarithromycin (Biaxin), metronidazole (Flagyl) and tetracycline. You'll likely need to take antibiotics for two weeks, depending on their type and number.

in your drug regimen. Antacids neutralize existing stomach acid and

can provide rapid pain relief. Side effects can include constipation or diarrhea, depending on the main ingredients.

but will not treat an ulcer. Antacids may block medications

from being absorbed and thereby decrease the medicine's effectiveness. Doctors recommend taking 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)

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)

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 lean meats, cold water fish, tofu (soy, if no allergy) or beans for protein.
Use healthy oils, such as olive 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.

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.

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. People who have weakened immune systems or who are taking immune suppressive drugs should take probiotics only under the direction of their physician.

the body's systems. As with any therapy, you should work

with your health care provider 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.

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