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Gastritis (cont.)

Gastritis Treatment

Once the diagnosis of gastritis has been confirmed by a medical professional, treatment can begin. The choice of treatment depends to some extent on the cause of the gastritis. Some treatments target the exact cause of a particular type of gastritis. Most treatments aim at reducing symptoms. The patient's stomach often will heal over time if the underlying cause is identified and corrected.

Gastritis Self-Care at Home

If a person knows what causes their gastritis, the simplest approach is to avoid the cause.

  • Aspirin and alcohol are two widely used substances that cause gastritis.
  • If the patient develops an upset stomach and nausea after drinking alcohol or using aspirin, then avoid these substances.

Sometimes a person cannot avoid certain substances that cause gastritis.

  • The health-care professional may have a good reason to recommend aspirin, iron, potassium, or some other medication that causes gastritis.
  • If the patient develops minor gastritis symptoms, it may be best to continue the recommended medication and treat the gastritis symptoms.
  • Consult a health-care professional before stopping any medication.

In the case of aspirin, coated aspirin may not cause the same symptoms because:

  • Coated aspirin does not dissolve in the stomach.
  • Check the contents of any other over-the-counter medication the patient is taking because more than 300 medications contain aspirin in some form.

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin, Nuprin) also cause gastritis.

  • The health-care professional may recommend that these medications be taken with food or with antacids.
  • Doing this may lessen the chance of developing gastritis symptoms.

Switching from aspirin or NSAIDs to another pain reliever may help as well. Acetaminophen (Liquiprin, Tylenol, Panadol) is not known to cause gastritis.

  • Talk with a health-care professional before switching to acetaminophen.
  • He or she may have recommended aspirin or an NSAID for a specific purpose.

If gastritis symptoms continue, antacids are sometimes recommended. Three main types of antacids are available. All three are about equal in effectiveness.

  • Magnesium-containing antacids may cause diarrhea. People with certain kidney problems should use these cautiously or not at all.
  • Aluminum-containing antacids can cause constipation.
  • Calcium-containing antacids have received a great deal of attention for their ability to control stomach acid and also supplement body calcium. Calcium supplementation is most important for postmenopausal women. Calcium-based antacids can also lead to constipation.
  • Antacids may also change the body's ability to absorb certain other medications. Only take medications with antacids after checking with a pharmacist or physician.
  • If the patient requires an antacid more than occasionally, consult a health-care professional as they can decide which one is best for the patient.

Histamine (H2) blockers have received a lot of attention for stomach problems.

  • Some of these medications, for example, cimetidine (Tagamet) and ranitidine (Zantac), are available without a prescription.
  • Histamine blockers work by reducing acid secretion in the stomach.
  • This reduces gastritis pain and other symptoms.
  • If a person needs one of these medications regularly, should consult a health-care professional for a recommendation.

Stronger medications that protect the stomach's lining or lessen acid production in the stomach are available by prescription. Talk to a health-care professional if the nonprescription medications do not work.

Medically Reviewed by a Doctor on 11/7/2014
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