How is chronic atrophic gastritis with intestinal metaplasia treated?

Patient's question:

Six months ago, I was diagnosed with chronic atrophic gastritis with intestinal metaplasia. After taking medication, I recently had a follow-up test, and the results are still the same. They suggested checking for anti-intrinsic factor, B12, and vitamin C. Can you help me take a look at this? Is there a problem? What treatment is needed, and what medication should I take?

Doctor's answer:

Patient, male, 57 years old, diagnosed with chronic atrophic gastritis with intestinal metaplasia after a thorough gastroscopic examination, with poor response to treatment. Based on your description of the condition and medical history: Considering the patient's chronic atrophic gastritis, it is recommended to take Rabeprazole Tablets, Metformin Tablets, and Sucralfate Oral Suspension orally. Pay attention to diet, avoid spicy and irritating foods, quit smoking and drinking alcohol, and exercise appropriately. In addition to timely treatment for chronic atrophic gastritis, the patient also needs to pay attention to dietary aspects, such as maintaining a light diet and staying active outdoors. At the same time, the patient should also pay attention to choosing a reputable hospital for diagnosis to obtain good treatment effects.

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