What causes gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on November 25, 2024
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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 Zhu Dan Hua
Gastroenterology
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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.)

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Written by Si Li Li
Gastroenterology
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What should you eat more of if you have gastritis?

Patients with gastritis should primarily consume a light and easily digestible diet. Firstly, porridge can be eaten, including millet porridge, Chinese yam porridge, coix seed porridge, and eel porridge. Secondly, soups such as chicken soup, pork rib soup, duck soup, and fish soup can be consumed. During the preparation of these soups, ingredients like Codonopsis, Astragalus, Poria, and coix seeds can be added, which are effective in strengthening the spleen, facilitating dampness removal, and nourishing the stomach, making them beneficial dietary therapy methods. Thirdly, well-cooked noodles can be eaten, as they also have a certain stomach-nourishing effect. Fourth, if consuming meat, it must be thoroughly stewed until soft before eating. This makes it less likely to burden the digestive tract and easier to digest, making it more suitable for patients with chronic gastritis.

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Written by Ren Zheng Xin
Gastroenterology
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Which is more serious, acute gastritis or chronic gastritis?

Acute gastritis is an acute lesion occurring in the gastric mucosa, which can cause significant abdominal pain. Mucosal rupture and bleeding can lead to gastric bleeding, and if there is a substantial amount of bleeding, it may cause vomiting blood. Chronic gastritis is a long-term, diffuse inflammation of the stomach, with the main symptoms being loss of appetite, abdominal pain, belching, and acid reflux. Relatively speaking, the symptoms of acute gastritis are more severe. The treatment for acute gastritis primarily involves the use of medications that suppress gastric acid secretion and protect the gastric mucosa. In terms of diet, it is important to eat cautiously, avoiding spicy and greasy foods, consuming more vegetables, and eating meals regularly and in moderation. (The use of medications should be under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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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.

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Written by Yang Chun Guang
Gastroenterology
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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.)