A variety of forms of gastritis makes doctors improve diagnostic methods, because it is increasingly difficult to succeed in the treatment.
However, before treating gastritis with antibiotics, we turn to if there is an infectious underlying condition of the disease. Antibiotics for gastritis: amoxicillin and a group of macrolides (Klabaks, rollet, sometimes sumamed and rovamycin) - they are sensitive to gastric bacteria.
Amoxicillin is an acid-proof antibiotic, in combination with metronidazole it is active against gastric bacteria and is used in conjunction with it. Take them at a dose of 500 mg three times a day for 1 hour before a meal, a course of 7 days. At high acidity omeprazole is added, it is taken twice daily for 20mg for 1 month.
However, amoxicillin with metronidazole is not recommended for patients under 18 years of age, contraindicated in liver diseases and a huge obstacle to such use is gastritis with diarrhea and vomiting. Partly this problem is solved when creating the finished combined preparation Pilobact AM, in which protective coatings prevent the increase of nausea and diarrhea. The finished drug Pilobact AM is taken twice a day (unlike separate administration), which also reduces the load on the liver.
The initial version of the combined drug, designed to suppress and remove the gastric infection (eradication), is called Pilobact, which contains the antibiotic clarithromycin (Klabaks), the antimicrobial preparation Tinidazole and antioxidant omeprazole. In the finished product, omeprazole dissolves earlier, preventing the destruction of the antibiotic acid gastric juice. This drug also has side effects, but they are poorly expressed, there is no age limit, and it can be used for diarrhea (one of the side effects - constipation). Pilobact is taken twice daily for 1 tablet of each component within 7 days.
Drug treatment for gastritis involves several circuits, according to the forms of the disease. Treatment of gastritis with antibiotics is used for erosive, associated, mixed, phlegmonous and gastritis of the Crohn (granulomatous). Associated forms of gastritis: superficial, hypersecretory, antral, follicular, diffuse.
The basic scheme of treatment of gastritis with an infectious component includes an antibiotic, antiprotozoal agent (metronidazole, tinidazole) and depressing (or neutralizing) the acidity of the drug. All this is contained in the combined preparations Pilobact and Pilobact. Other components of treatment are varied, depending on the form of gastritis and the degree of its manifestation. In most cases, antispasmodics, enzymes, astringent and enveloping agents are prescribed. In erosive processes, drugs that accelerate healing (methyluracil, aktovegin) are required. In severe vomiting, motility disorders are shown antitoxic, nausea and motilum.
It is important to remember that for a successful treatment of any gastritis you need a decent diet.