Gastritis is a condition where the lining of the stomach becomes inflamed or swollen. If left untreated, it can cause ulcers and further complications. Here are some key treatments and lifestyle changes that can help manage gastritis and prevent complications.

Medications to Reduce Stomach Acid

Reducing stomach acid production is one of the primary goals in gastritis treatment. Medications such as proton pump inhibitors (PPIs) and H2 blockers help do this. PPIs like omeprazole, pantoprazole are highly effective in reducing stomach acid levels. They work by blocking the hydrogen-potassium ATPase enzyme system (proton pump) present on the stomach parietal cell surface. This prevents formation of gastric acid in the stomach. H2 blockers like famotidine, cimetidine also reduce acid secretion but are less potent than PPIs. Antacids like aluminum hydroxide gel provide instant but temporary relief by neutralizing the gastric acid. These medications should be taken as prescribed for 4-8 weeks for optimal healing of inflammation.

Dietary Modifications for Gastritis Relief

Diet plays a key role in gastritis treatment. Some important dietary do's and don'ts include:

- Eat small, frequent meals instead of Three large meals - This places less strain on the stomach.

- Chew food well - Thorough chewing makes digestion easier.

- Avoid spicy, fatty and fried foods - Spicy foods aggravate inflammation. Fried foods are hard to digest.

- Limit acidic foods and beverages - Citrus fruits, tomatoes, caffeinated and carbonated drinks increase acidity.

- Eat bland, soft foods - Foods like bananas, cooked vegetables, rice, bread are gentle on the stomach.

- Drink plenty of water - Staying hydrated dilutes stomach acid and helps digestion.

- Avoid alcohol - Alcohol irritates the stomach lining.

Following these dietary modifications along with medications provides effective relief from gastritis symptoms and promotes healing.

Treatment of H. Pylori Infection

Around 60% of gastritis cases are caused due to H. pylori bacterial infection. Tests like breath test or stool antigen test are done to check for H. pylori infection in gastritis patients. If present, it is important to eradicate the bacteria completely to prevent recurrence of symptoms. This usually involves a course of triple therapy comprising two antibiotics (like clarithromycin, amoxicillin, metronidazole) along with a PPI medication for 7-14 days. Eradication rates post triple therapy are around 80-90%. Re-treatment may be needed if infection persists. Complete elimination of H. pylori is essential for long term management of gastritis caused due to it.

Herbal Remedies for Natural Relief

In addition to medications, certain herbal remedies can also provide relief from gastritis symptoms:

- Aloe Vera juice - Soothes inflammation with its antioxidant compounds.

- Licorice root - Protects the lining and reduces acidity.

- Slippery Elm - Forms a protective coating over inflamed areas.

- Chamomile tea - Calms irritation with apigenin and other flavonoids.

- Peppermint - Relieves bloating, nausea due to menthol content.

However, herbal remedies work best when taken along with prescription drugs under medical guidance. Prolonged use of some herbs like licorice may cause side effects. It is advisable not to replace medications with herbs without consulting a practitioner.

Lifestyle Changes to Manage Gastritis

In addition to medications and diet, certain lifestyle modifications are recommended:

- Manage stress through yoga, meditation, massage - Relieves stress-induced acid build up.

- Get adequate sleep every night - Lack of sleep increases cortisol which stimulates acid production.

- Avoid smoking and excess alcohol - Both are direct irritants of stomach lining.

- Maintain a healthy weight - Extra weight puts pressure on abdominal organs including stomach.

- Control diabetes and high blood pressure, if present - Improves overall health and healing.

Adhering to gastritis treatment guidelines along with supportive lifestyle changes helps relieve symptoms quickly and prevent future flare-ups. Consulting a gastroenterologist is important for guidance on the right treatment protocol based on individual condition and severity. With proper treatment and care, gastritis is very well manageable these days.