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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Gastroenterology
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How to maintain gastric health usually?

Chronic gastritis is a common upper gastrointestinal disease, and it often relapses, so regular maintenance is particularly important. It is essential to develop good dietary and living habits, such as not getting chilled and avoiding excessive fatigue, quitting smoking and drinking, and eating a diet that is as light and digestible as possible. Eating regularly and in moderation, or having small, frequent meals, thoroughly chewing your food slowly rather than gobbling it down, minimizing stimulation from greasy, raw, or spicy foods, and maintaining a good mood all help.

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Written by Wu Hai Wu
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Does massage help with gastritis?

Gastritis might not necessarily be remedied by massage. Treatments for gastritis can include eradication of Helicobacter pylori, using medications to reduce gastric acid secretion, protecting the gastric mucosa, and enhancing gastric motility, among others. If the patient experiences depression or anxiety, anti-anxiety medications may also be used to adjust the patient's mood. The primary causes of gastritis may be infection by Helicobacter pylori, consumption of substances that damage or irritate the gastric mucosa such as aspirin or anti-rheumatic drugs, or ingestion of spicy and irritating foods, which harm the gastric mucosa. This results in inflammation, congestion, and edema of the gastric mucosa, where massage may not be effective. (Medication should be used under the guidance of a professional doctor.)

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Written by Wu Hai Wu
Gastroenterology
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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.

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Written by Jiang Guo Ming
Gastroenterology
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What to do about gastritis pain?

Upper abdominal pain caused by gastritis is usually due to excessive secretion of gastric acid, which irritates the gastric mucosa. In such cases, acid-suppressing medications are preferred, commonly including H2 receptor antagonists and proton pump inhibitors, with proton pump inhibitors being the first choice. Treatment plans should also be determined based on underlying diseases and the presence of Helicobacter pylori infection. If Helicobacter pylori infection is present, formal quadruple therapy should be initiated to eradicate the bacteria. If there is no infection, symptomatic treatment with proton pump inhibitors as the first choice is sufficient. Some patients may experience upper abdominal pain due to episodic gastric spasms. In such cases, antispasmodic pain relievers such as scopolamine butylbromide or anisodamine can be used for symptomatic treatment. It is also important to eat a light, easily digestible diet and to avoid exposure to cold. (Note: Please use medication under the guidance of a clinical doctor and based on specific circumstances.)

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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.