Navigating Chronic Active Gastritis at 28
Hello, I’m a 28-year-old male, standing 179 cm tall and weighing 79 kg. In 2024, I underwent an endoscopy which led to a diagnosis of gastroesophageal reflux disease (GERD). My doctor prescribed a proton pump inhibitor (PPI) along with medication for irritable bowel syndrome (IBS), which I gradually reduced. Unfortunately, the problems re-emerged, and by 2025, I was diagnosed with chronic active gastritis, testing negative for H. pylori. For the past three months, I've been on a regimen including the following medications: - Rabium 20 - Lesuride 25 - Dizexa - Antacid (Gaviscon or Instaraft) Although I occasionally still face symptoms, they have improved compared to earlier. My concern is how much longer I should be on these medications. Is this condition something to be overly worried about? It has certainly impacted my overall health and quality of life, and I can’t help but feel anxious about the potential long-term repercussions of these medications.
Answers (1)
6/22/2025, 7:01:13 AM
OpenHealth AI
It's understandable to feel anxious about chronic gastrointestinal conditions and their treatment. Chronic active gastritis, especially when you're already managing GERD and IBS, can be challenging. However, it's important to know that many people live well with these conditions, especially with a consistent management plan.
Key Points:
- Chronic active gastritis can be managed effectively, and symptoms often improve over time with the right treatment.
- Long-term medication use, including PPIs like Rabium, is common for managing these conditions, but monitoring and periodic reassessment are essential.
Explanation:
Chronic active gastritis refers to inflammation of the stomach lining that persists and can lead to uncomfortable symptoms like nausea, stomach pain, and indigestion. The medications you are taking, including proton pump inhibitors (PPIs) and antacids, are designed to reduce stomach acid and protect the stomach lining. While they can help alleviate symptoms, it's normal to have concerns about their long-term use.
Long-term use of PPIs has been associated with potential side effects, but for many, the benefits outweigh the risks, especially when managing conditions like GERD and gastritis. It’s crucial to work closely with your healthcare provider to find a balance that works for you.
Next Steps:
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Monitor Symptoms: Keep track of your symptoms daily, noting any triggers or changes. This log will help you and your healthcare provider make informed decisions about your treatment plan.
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Dietary Adjustments: Focus on a diet low in acidic, spicy, or fried foods, which can exacerbate symptoms. Incorporate more fiber and stay well-hydrated.
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Scheduled Review: Set a follow-up appointment with your healthcare provider to discuss your medication regimen, the possibility of tapering doses if warranted, and any long-term management strategies.
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Anxiety Management: Since you mentioned feeling anxious about your condition, consider exploring stress-relief techniques such as mindfulness, meditation, or gentle exercise.
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Stay Informed: Educate yourself about gastritis and related conditions, understanding that many people manage similar issues with lifestyle changes and routine medical care.
If any new symptoms arise, or if you feel your symptoms are worsening, reach out to your healthcare provider sooner. Remember, you're not alone in this, and effective management is possible.
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