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Gastritis - Treatment

Treatment:

Treatment depends on the specific cause. Some of the causes will disappear over time.

You may need to stop taking aspirin, ibuprofen, naproxen, or other medicines that may be causing gastritis, but only after you talk with your health care provider.

You may use other over-the-counter and prescription drugs that decrease the amount of acid in the stomach, such as:

  • Antacids
  • H2 antagonists: famotidine (Pepsid), cimetidine (Tagamet), ranitidine (Zantac), and nizatidine (Axid)
  • Proton pump inhibitors (PPIs) -- omeprazole (Prilosec), esomeprazole (Nexium), iansoprazole (Prevacid), rabeprazole (AcipHex), and pantoprazole (Protonix)

Antacids may be used to treat chronic gastritis caused by infection with Helicobacter pylori bacteria.

Expectations (prognosis):

The outlook depends on the cause, but is usually good.

Complications:

Blood loss and increased risk of gastric cancer are possible complications.

Calling your health care provider:

Call for an appointment with your health care provider if you develop:

  • Pain in the upper part of the belly or abdomen that does not go away
  • Black or tarry stools
  • Vomiting blood or coffee-ground-like material
  • Reviewed last on: 1/31/2011
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Kuipers, E. Acid peptic disease. In: Goldman L, Ausiello D. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 141.

Lee EL, Feldman M. Gastritis and gastropathies. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 51.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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