Esophageal erosion, bile reflux gastritis, HP: positive. What do these mean, what drugs can be used, congestion and edema of gastric antrum mucosa,

This is bile reflux gastritis with helicobacter pylori infection. Esophageal erosion may be caused by repeated reflux of gastric juice to stimulate esophageal mucosa, which is more common in clinic. Bile reflux gastritis is an inflammatory disease caused by bile discharged from gallbladder into duodenum mixed with other intestinal fluids and flowing back to stomach through pylorus, which stimulates gastric mucosa. The main causes of bile reflux gastritis are subtotal gastrectomy and gastrojejunostomy, as well as pyloric dysfunction and chronic biliary diseases, which may be mainly caused by two reasons.

The key to the treatment of bile reflux gastritis is how to prevent bile from flowing back into the stomach, so as to eliminate the damage of bile to gastric mucosa. It is reasonable to choose gastric motility drugs, which can act on pyloric sphincter to increase its tension and "turn off the switch" to prevent bile from flowing back to the stomach or reduce bile from flowing back to the stomach. Such as metoclopramide and domperidone.

Gastric mucosal protective agents, such as sucralfate, Schweitzer, etc., can also be added to reduce the damage to gastric mucosa caused by a small amount of bile flowing back to the stomach. It needs to adhere to regular treatment to cure.

For "HP: positive", triple therapy specifically for "Helicobacter pylori" can be adopted, as follows:

First, bismuth+two antibiotics

1. standard dose bismuth+amoxicillin 500mg+ metronidazole 400mg, BID× 2 weeks.

2. The standard dose of bismuth+tetracycline 500mg+ metronidazole 400mg, BID × 2 weeks.

3. The standard dose of bismuth+clarithromycin 250mg+ metronidazole 400mg, BID × 1 week.

Second, proton pump inhibitor+two antibiotics

1.PPI standard dose+clarithromycin 500mg+ amoxicillin 1g, BID × 1 Tuesday. PPI standard dose+amoxicillin 1g+ metronidazole 400mg, BID × 1 week.

3.PPI standard dose+clarithromycin 250mg+ metronidazole 400mg, BID × 1 week.

It is recommended to find an experienced doctor to prescribe medicine for you according to your situation! )

What should I pay attention to at ordinary times?

1. Diet therapy: Quit smoking and drinking, and avoid irritating food.

2. Psychotherapy: Keep a good mood and reduce stress and tension.

3. Posture method: Avoid lying down within 3 hours after meals, and raise the bedside lamp during sleep, which can speed up esophageal clearance and reduce gastroesophageal reflux.

4. Reduce abdominal pressure, obese people lose weight, avoid heavy physical labor and strong physical exercise, and other exercises that can increase abdominal pressure.

I am a medical graduate student at school. The above is based on my clinical medication with my tutor and your personal situation. I hope you can refer to it and get well soon!