Patient's question:
Suffering from chronic erosive gastritis for half a year, it frequently recurs. Could you please recommend symptomatic medications for treatment and daily maintenance methods?Duration and persistence of the current episode: 6 months (from half a year ago to the present).
Current condition: Frequent stomach bloating, discomfort, bad breath, occasionally accompanied by stomach pain.
Medical history: Diagnosis and treatment in the past half year and their effectiveness: Took Amoxicillin, Bismuth Subsalicylate, Omeprazole, etc., for 6 months, but the effect was not significant.
Doctor's answer:
Hello: Also known as acute hemorrhagic gastritis, it is commonly caused by the use of acetylsalicylic acid, phenylbutazone, indomethacin, or corticosteroids, or due to excessive alcohol consumption, severe trauma, major surgery, or failure of vital organs (heart, liver, kidneys). It typically manifests suddenly, with upper gastrointestinal bleeding being the primary clinical symptom. The incidence rate accounts for more than one-fourth of the causes of upper gastrointestinal bleeding, second only to bleeding from peptic ulcers. In mild cases, only occult blood in the stool is positive, while most patients experience hematemesis and black stools. Bleeding occurs intermittently with the fluctuation of the condition. Generally, the severity of this disease is more serious than bleeding from peptic ulcers, although even with large amounts of blood transfusions, hemoglobin levels are difficult to rise. In addition to bleeding, most patients have symptoms such as upper abdominal discomfort, abdominal pain, dizziness, fatigue, and loss of appetite. However, physical examination typically reveals only signs of bleeding, such as a rapid pulse, decreased pulse pressure, and anemia, without other significant abnormal physical findings.