Gastritis


How is gastritis with bleeding treated?
Gastritis that leads to bloody stools generally manifests as black stools. Treatment primarily involves dietary adjustments and oral medication. It is suggested that patients consume easy-to-digest, light foods. Medications can include acid-reducing and gastric-protective drugs, as well as hemostatics. The treatment duration is usually four to six weeks. Generally, through dietary modifications and medication, very positive effects can be achieved, so patients need not worry excessively. However, for patients experiencing bloody stools, it is necessary to confirm gastric disorders. Routine examinations should include complete blood count, stool analysis, and especially gastroscopy, which is the most crucial diagnostic tool. This can assess the condition of the gastric mucosa and determine if there are any accompanying inflammations, erosions, tumors, or ulcers. Gastroscopy is widely used in clinical practice and generally has a high safety profile, so patients should not be overly reluctant to undergo it. (Please take any medications under the guidance of a physician.)


Is gastritis serious?
Chronic gastritis includes three types: chronic non-atrophic gastritis, chronic atrophic gastritis, and special types of gastritis. The severity of chronic gastritis depends on the type of gastritis and the extent of the lesion. If the chronic gastritis is chronic non-atrophic gastritis, and the gastric mucosa only shows hyperemia or edema without erosion, then it is relatively mild. With treatment, it can be cured in a short time. If chronic gastritis presents with erosion, and the nature of the erosion includes moderate to severe intestinal metaplasia or atypical hyperplasia, or if there is atrophy of the intrinsic gastric glands, then the condition is relatively severe. Treatment is relatively complicated, and there is a certain risk of cancer transformation.


Can gastritis cause bad breath?
Gastritis can cause bad breath; the reasons may include poor digestion and reduced gastric motility in patients after developing gastritis, or possibly due to infection with Helicobacter pylori. Besides gastritis, other stomach diseases can also cause bad breath, such as peptic ulcers, malignant gastric tumors, and erosive gastritis, among others. Apart from stomach diseases, diseases related to the liver, gallbladder, and oral diseases can also cause bad breath. Therefore, when patients experience bad breath, they should visit the department of stomatology to determine if there are any oral diseases, complete imaging examinations of the liver and gallbladder, and, if necessary, also complete gastroscopic examinations.


Is hot compress good for gastritis?
Gastritis is a common disease in clinical practice and is most frequently seen in gastroenterology departments. Patients often experience symptoms such as abdominal pain, bloating, nausea, and belching. While local heat application can alleviate some symptoms, it does not address the underlying issue. Gastritis is generally considered to be inflammation of the stomach caused by various factors and can be categorized into acute and chronic types. From a treatment perspective, medications that reduce acid and protect the stomach are commonly used. Local heat may relieve stomach pain, bloating, and even pain caused by gastric spasms, but it is not beneficial for controlling stomach inflammation. Therefore, patients are advised to pursue active pharmacological treatment, including medications that protect the stomach. If Helicobacter pylori infection is detected during gastritis examination, treatment targeting Helicobacter pylori is recommended. (Specific medication use should be conducted under the guidance of a doctor.)


What can you eat with gastritis?
Gastritis is generally divided into two main categories: chronic non-atrophic gastritis and chronic atrophic gastritis. It is usually diagnosed by gastroscopy, and the treatment plan is determined based on the presence or absence of Helicobacter pylori infection. Also, it is necessary to develop good eating habits. It is important to eat on a regular schedule with controlled portions or small, frequent meals, and chew slowly and thoroughly. Try to avoid binge eating or extreme hunger or fullness. For staple foods, soft rice or noodles are generally recommended, accompanied by fresh vegetables, etc. As for meat, it should be prepared in a light and easy-to-digest manner during cooking, and it is best to avoid too raw, greasy, spicy, or stimulating foods. Additionally, maintaining a good mood can also be helpful.


Symptoms of acute gastritis attack
Acute gastritis is also a common and frequently occurring disease in gastroenterology, with a relatively sudden onset and more severe symptoms compared to other types of gastritis. The majority of causes are due to inappropriate diet, such as excessive consumption of cold, spicy food, or alcoholic beverages. Certain medications can also lead to this condition, such as non-steroidal anti-inflammatory drugs and corticosteroids. Symptoms often manifest as episodic upper abdominal bloating or colic, accompanied by acid reflux, heartburn, abdominal distension, etc. If acute gastric mucosal lesions occur, there are often signs of bleeding, such as black stools or even vomiting blood.


Does gastritis require infusion?
In clinical practice, there are many patients with chronic gastritis. If stomach pain is observed and gastritis is suspected, this condition is mostly treated with oral medication because gastritis itself is a common disease. Infusion therapy is used for those whose diets are poor and who find it difficult to eat; this impacts their ability to take medication orally, and such individuals might consider infusion therapy. However, it is still recommended to take medication orally whenever possible. Additionally, if gastritis is accompanied by mucosal erosion or severe ulcers, intravenous infusion may be considered, switching to oral medication after a few days. (Medication should be used under the guidance of a doctor.)


Does gastritis infect people?
Regarding whether gastritis can be contagious, it requires specific analysis of the circumstances. If the gastritis is caused by an infection of Helicobacter pylori, then it can be transmitted to others through shared meals or fecal-oral transmission. Under such circumstances, if others do not maintain clean eating habits or overeat, they are at a higher risk of developing chronic gastritis. If the occurrence of gastritis is not due to an infection from Helicobacter pylori, then it will not be contagious to others. Patients with gastritis should be cautious with their diet, avoiding spicy and irritating foods, and should not overeat. It’s important to eat regularly and in moderate amounts, and maintain a bland diet.


Characteristics of vomiting in acute gastritis
Acute gastritis is characterized by severe nausea and vomiting, usually of stomach contents, and sometimes includes bile. It is also accompanied by significant abdominal pain. In such cases, it is imperative to administer antispasmodic analgesics and antiemetic medications promptly, as well as antibiotics sensitive to the gastrointestinal tract. If the vomiting is severe, it may lead to dehydration, necessitating timely rehydration or intravenous fluid therapy. It is important to maintain dietary hygiene, consume soft, easily digestible foods, and reduce the intake of raw, cold, and spicy foods. Meat should be thoroughly cooked before consumption. Engaging in moderate outdoor physical activities after meals can enhance gastrointestinal motility. (Please use medications under the guidance of a doctor.)


What are the symptoms of gastritis?
Common symptoms of chronic gastritis include upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, indigestion, and feelings of fullness after eating. Gastroscope examination can reveal signs like reddening, swelling, and erosion of the gastric mucosa, which can be diagnosed as chronic superficial gastritis. If there is glandular atrophy of the gastric mucosa observed, a diagnosis of chronic atrophic gastritis can be made through a biopsy. Treatment options include acid suppression and gastric protection, promoting gastric motility, and protecting the gastric mucosa. It is also recommended to perform a Carbon-14 breath test to determine the presence of Helicobacter pylori infection. If the infection is positive, eradication treatment for Helicobacter pylori is necessary. Chronic atrophic gastritis has a certain risk of turning cancerous, so it is advised to follow a diet that is light and easy to digest.