Treatment of chronic gastritis in children

Children are in a period of rapid growth and development, so their body resistance is relatively poor and they are always prone to some diseases. Therefore, parents always choose to take medication for treatment, but many medications are irritating and are particularly prone to stomach diseases. The family’s usual feeding methods can easily lead to stomach diseases in babies, among which chronic gastritis in children is the most common. Here are some information and treatment methods for chronic gastritis in children.

Clinical manifestations

The symptoms of chronic gastritis in children are non-specific, and most have varying degrees of indigestion symptoms. The severity of clinical manifestations is not consistent with the degree of gastric mucosal lesions, and the course of the disease is prolonged. The main symptom is recurrent abdominal pain with no obvious regularity, which usually worsens after eating. The location of pain is not specific, mostly around the navel. Young children may only experience abdominal pain with restlessness and changes in normal eating behavior, while older children may have symptoms similar to those of adults, often complaining of upper abdominal pain, followed by belching, early satiety, nausea, upper abdominal discomfort, and acid reflux. Eating hard, cold, spicy foods or catching a cold when the temperature drops may trigger or aggravate symptoms. Some children may experience loss of appetite, fatigue, weight loss and dizziness. Those with gastric erosion may have signs of black stools, which are usually not obvious. The tenderness may be in the upper and middle abdomen or around the navel, covering a wide range.

Treatment of chronic gastritis in children

There is no specific treatment for chronic gastritis, and those without symptoms do not need treatment. First, identify the cause and treat it accordingly.

1. Diet

It is advisable to choose easily digestible, non-irritating foods, and eat less cold drinks and condiments.

2. Clear Hp

Anti-Hp treatment should be given for gastritis caused by Hp, especially active gastritis. The drugs used are:

①Bismuth potassium citrate (colloidal bismuth subcitrate, CBS).

② Antibiotics: amoxicillin (ampicillin), clarithromycin, metronidazole, and furazolidone.

③Proton pump inhibitors: omeprazole.

④Combination therapy: The treatment plan can be selected from the above-mentioned drugs. Composition of dual or triple therapy: Bismuth-containing regimen: bismuth plus 1 or 2 antibiotics. Non-bismuth regimens: Proton pump inhibitor plus 1 or 2 antibiotics.

3. Gastrokinetic drugs

For those with abdominal distension, nausea, and vomiting, gastrokinetic drugs such as domperidone (Metoclopramide) and cisapride are given.

4. H2 receptor blockers

Patients with high acidity or active gastritis can be given H2 receptor blockers: cimetidine, ranitidine, and famotidine.

5. Bile Reflux

Patients with bile reflux are given aluminum carbonate magnesium (Weidaxilin) ​​and ursodeoxycholic acid to bind bile acids and promote bile emptying.

The above is an introduction to the treatment methods of chronic gastritis in children. In particular, many children will experience severe pain if the disease is not discovered and treated in time, and it will also seriously affect the growth and development of children. However, when treating chronic gastritis in children, the treatment must also be based on the child’s physical fitness and condition.