The list of treatments mentioned in various sources for Ménétrier's disease includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.
The first step in getting correct treatment is to get a correct diagnosis. Differential diagnosis list for Ménétrier's disease may include:
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Treatment is usually supportive and consists of bed rest, nutritional support, and increased fluid intake. When gastroenteritis is severe or affects a young child or an elderly or debilitated person, treatment may necessitate hospitalization, specific antimicrobials, I.V. fluid and electrolyte replacement and, possibly, antiemetics (given orally, I.M., or by rectal suppository).
Source: Professional Guide to Diseases (Eighth Edition), 2005
Treatment for gastritis focuses on eliminating the cause; for example, bacterial gastritis is treated with antibiotics, whereas gastritis caused by ingested poison is treated by neutralizing the poison with the appropriate antidote. Histamine-2 (H2) receptor antagonists may block gastric secretions. Many over-the-counter preparations are available. Antacids may be used as buffers.
For critically ill patients, antacids administered hourly, with or without H2-receptor antagonists, may reduce the frequency of gastritis attacks. Some patients also require analgesics. Until healing occurs, patients’oxygen needs, blood volume, and fluid and electrolyte balance must be monitored.
When gastritis causes massive bleeding, treatment includes blood replacement; iced saline lavage, possibly with norepinephrine; angiography with vasopressin infused in normal saline solution; and, sometimes, surgery.
Vagotomy and pyloroplasty achieve limited success when conservative treatments fail. Rarely, partial or total gastrectomy may be required.
Simply avoiding aspirin and spicy foods may prevent exacerbations of chronic gastritis. If symptoms develop or persist, antacids may be taken. If pernicious anemia is the cause, vitamin B12 may be administered parenterally. A combination of bismuth and an antibiotic, such as amoxicillin, may relieve H. pylori infection, but eradication is difficult.
Source: Professional Guide to Diseases (Eighth Edition), 2005
Usually supportive, treatment consists of nutritional support and increased fluid intake.
An episode of acute gastroenteritis is self-limiting. When an episode is severe and produces symptoms for more than 3 or 4 days and the patient is a young child or an elderly or debilitated person, hospitalization may be necessary. Treatment may include fluid and electrolyte replacement, antibiotic therapy, and antiemetics.
Source: Handbook of Diseases, 2003
H. pylori infection is treated with antibiotics (amoxicillin) if the patient is immunocompromised. Treatment is aimed at the sequelae, not the inflammation.
Histamine2-receptor antagonists, such as cimetidine and ranitidine, may block gastric secretions. Antacids may also be used as buffers.
For critically ill patients, antacids administered every 4 hours when the pH of the stomach is less than 4.0, with or without histamine-receptor antagonists, may reduce the frequency of gastritis attacks. Some patients also require analgesics. Until healing occurs, oxygen needs, blood volume, and fluid and electrolyte balance must be monitored.
When gastritis causes massive bleeding, treatment includes blood replacement, nasogastric lavage, angiography with vasopressin infused in normal saline solution and, sometimes, surgery.
Vagotomy and pyloroplasty have achieved limited success when conservative treatments have failed. Rarely, partial or total gastrectomy may be required.
If pernicious anemia is the cause, vitamin B12 may be administered parenterally.
Source: Handbook of Diseases, 2003
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