Patient's question:
I have had chronic duodenitis since I was a child, with chronic abdominal bloating, pain, and diarrhea. I took two boxes of medicine and it was effective. Expert, could you please give me some guidance on what I should do now?Doctor's answer:
Acute gastritis is generally believed to be primarily caused by Helicobacter pylori infection and autoimmune factors. Alcohol consumption, irregular diet, psychological stress, drugs that can damage the gastric mucosa (such as aspirin, ibuprofen, etc.), and bile reflux are contributing factors. Treatment typically involves a triple therapy, which includes: 1. Colloidal bismuth preparation (De powder) + proton pump inhibitor (omeprazole) + anti-inflammatory medication (amoxicillin, metronidazole); 2. Identifying and removing the underlying cause; 3. Using atropine tablets for pain relief, domperidone, and enzyme tablets to aid digestion. Additionally, patients should avoid alcohol, maintain a light diet, drink plenty of water, exercise regularly, prevent staying up late, and focus on maintaining a positive mood. It is also important to avoid overeating and spicy, irritating foods.In addition to immediate treatment, patients with gastritis should pay attention to maintaining deep sleep throughout their daily lives.