What is the reason for excessive flatulence recently with chronic superficial gastritis?

Patient's question:

I have had chronic superficial gastritis for a year. Recently, when taking a nap and waking up, my stomach has been making a lot of gurgling noises, and the frequency of belching and passing gas has significantly increased compared to before. What could be the reason?

Doctor's answer:

The etiology of superficial gastritis is not yet very clear, so it is mainly symptomatic treatment. Depending on the specific condition, the following medications can be used:
① Medications to protect the gastric mucosa: Sucralfate, Gastric Mucin, Lentinan tablets, Mezim-S, etc.;
② Medications to increase gastric acid secretion: Anticholinergic drugs such as atropine, propantheline, and 654-2; H2 receptor blockers such as cimetidine, ranitidine, and famotidine, as well as omeprazole and Losec;
③ Colloidal bismuth preparations: De-Nol, etc.;
④ Medications to enhance gastrointestinal motility: Domperidone, Metoclopramide, etc., as well as the newly developed Bilie.

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