Brief Answer:
may need combination therapy
Detailed Answer:
Hi
Thanks for the info
In
chronic gastritis there is chronic or persistent inflammation of the stomach lining.
Since infection has been ruled out and you are already using the recommended diet other causes must be considered.
Other possible causes of persistent gastritis would be: (1) autoimmune gastritis- in this case
antibodies (formed in this case when the body reacts against itself) present
(2)reactive chemical gastritis- this is as a result of medication such as
aspirin or related to reflux of bile into the stomach.This however is more likely in persons with previous surgery to the stomach.
(3)conditions such as crohns,
sarcoidosis, allergic granulomatosis,
(4) there is also gastritis that can be associated with
celiac disease, it is called lymphocytic gastritis. this is more likely if you were not adhering to the
gluten free diet
(5)in some persons no specific cause can be found
It is difficult to understand when there is a failure to respond to therapy. You may need combination of different types of medications that can treat the gastritis from different avenues.
This would mean combining the
ranitidine with a PPI that you do not experience any significant side effects with or reducing the dose of one you would have used previously (for example nexium once daily combined with the ranitidine)
It is possible that since the 2 medications work differently that they may be able to treat your symptoms effectively.
Please feel free to ask any other questions
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