How to treat gastritis

Written by Yang Chun Guang
Gastroenterology
Updated on September 03, 2024
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Gastritis is mostly caused by Helicobacter pylori infection, or factors such as improper diet, medications, and emotional stress, which lead to gastric mucosal damage. In terms of treatment, it is best to first conduct a gastroscopy and test for Helicobacter pylori to determine the type of gastritis and whether there is an infection. Treatment should then be guided by the results. If it is not possible to conduct these tests, one can use proton pump inhibitors to suppress stomach acid, in combination with gastric mucosal protectants. If reflux gastritis is present, prokinetic drugs should also be used to inhibit reflux. (Use of medications should be under the guidance of a doctor.)

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Written by Si Li Li
Gastroenterology
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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.

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Written by Jiang Guo Ming
Gastroenterology
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What causes gastritis?

Chronic gastritis can be divided into two main categories: chronic non-atrophic gastritis, which was previously referred to as chronic superficial gastritis, and chronic atrophic gastritis. The primary cause of chronic gastritis is generally considered to be Helicobacter pylori infection, which has a very high infection rate in our country, exceeding 50%. Moreover, inappropriate diet can also cause chronic gastritis, such as stimulation from smoking and drinking, irregular eating habits, overeating, as well as excessive consumption of raw, greasy, spicy, and other irritating foods. Additionally, emotional factors are closely related to chronic gastritis.

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Written by Si Li Li
Gastroenterology
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Can people with gastritis eat peaches?

The main symptoms of chronic gastritis include upper abdominal pain, belching, acid reflux, nausea, vomiting, etc. It can be definitively diagnosed through a gastroscopy, which may reveal edema, hyperemia, and erosion of the gastric mucosa, thereby confirming the diagnosis of chronic gastritis. Once diagnosed, targeted and standardized treatment should be administered. Moreover, dietary habits must be carefully managed. Smoking and drinking alcohol should be avoided, as well as consuming spicy, fried, barbecued, and greasy foods. Fruit intake should also be controlled; for instance, only half a peach per day is advisable to avoid overconsumption. Overeating can exacerbate the burden on the gastrointestinal tract, making chronic gastritis more likely to recur. Additionally, one should not consume fruit taken directly from the refrigerator as such cold foods are strictly discouraged.

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Written by Zhu Dan Hua
Gastroenterology
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How to treat gastritis?

The treatment of gastritis, besides dietary adjustments, mainly involves drug therapy. In terms of diet, it is recommended that patients adopt a light, easily digestible diet, eat regularly, avoid overeating, and avoid consuming pickled or spicy foods and substances that harm the gastrointestinal mucosa, such as alcohol and coffee. For medication, one can choose drugs that protect the stomach or promote gastrointestinal motility. Of course, one can also choose traditional Chinese medicine formulations that protect the stomach. The treatment course is usually between two to four weeks, but regular dietary adjustments and rest are fundamental. Clinically, gastritis is quite common and generally refers to stomach disorders caused by various inflammations, with Helicobacter pylori infection being the most common cause. Therefore, for patients with gastritis, it is recommended to further screen for Helicobacter pylori. If Helicobacter pylori is found positive, in addition to protecting the stomach, treatment to eradicate Helicobacter pylori is necessary, generally involving four types of medications. The diagnosis of gastritis mainly relies on gastroscopy and pathology. Patients typically present with abdominal discomfort or weight loss, and gastroscopy shows inflammatory changes in the stomach. Therefore, it is generally recommended that patients undergo a gastroscopy. (Please take medication under the guidance of a professional physician.)

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What should I do if I have a flare-up of gastritis?

When experiencing gastritis, it is important to actively use medical treatments, such as gastroprotective agents that suppress gastric acid secretion and antibiotics. At the same time, dietary adjustments should be made. The recurrence of gastritis is directly related to irregular eating habits. It's essential to follow a light diet, consume more vegetables and fruits, and eat less spicy, greasy, and stimulating foods. Additionally, avoid stimulants like strong tea, coffee, and hard liquor. Consume more vegetables to increase dietary fiber, and eat foods that are gentle on the stomach lining and easy to digest, such as millet porridge, rice soup, vegetable soup, and steamed egg custard.