instruction: hello doctor I am 43 years old from my 25 years of age I am suffering from burning epigastrium I erosive astral gastritis the endoscopy report shows erosion congestion my physician has suggested any of pi like pantroprazole 40 my od or rabeprazole 40 my od I simply wish to know is there any way out to cure it I am taking pips for years I am negative for pyloric
output: hi along with chronic gastritis you seem to be having hypertension and might also have diabetes you must get your hba1c glycated hemoglobin levels done the chronic gastritis is basically of types environmental autoimmune and least common diffuse astral gastritis as you have reported above yours is an astral type the problem with astral type gastritis is that it is associated with increased acid output from the gastric glands and might lead to duodenal ulcers pi proton pump inhibitors are ion proton inhibitors they block acid secretion and hence are helpful in this type now the catch here is pyloric usually pyloric is harmful and causes destruction of gastric glands but in case of astral gastritis where the gastric glands are hypersecreting the destruction of these glands provides symptomatic relief in your case pyloric is negative and hence you are having these symptoms your symptoms will remain suppressed while you take pi and whenever you will stop pi there would be an exacerbation of these symptoms you should get yourself thoroughly investigated and other organic causes should be ruled out some lifestyle modifications you can try which I have already answered in this link here was a study performed in china where it was found that green tea reduced the risk of gastritis by 50 I hope your treating physician would have tried giving you sucralfate or gefarnate if not you can try the above either of the two also you should keep a check on your blood sugar levels and exercise regularly an hour of a brisk walk for five out of seven days in a week will definitely help