What are the treatment options for acute gastritis?

Updated: Jun 13, 2019
  • Author: Mohammad Wehbi, MD; Chief Editor: BS Anand, MD  more...
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Answer

No specific therapy exists for acute gastritis, except for cases caused by H pylori. The American College of Gastroenterology guidelines suggest that the current evidence does not support the notion that treating H pylori worsens gastroesophageal reflux disease (GERD). For patients who need eradication of H pylori, this should not be a concern. [7] In patients with persistent H pylori infection despite appropriate initial treatment, combination therapy with a proton pump inhibitor (PPI), levofloxacin, and amoxicillin for 10 days appears to be more effective and better tolerated than a combination of a PPI, bismuth, tetracycline, and metronidazole. However this has not been validated in the US literature. [7, 8, 9, 10]


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