Symptoms of gastritis

Written by Si Li Li
Gastroenterology
Updated on November 04, 2024
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Gastritis is divided into two types: acute gastritis and chronic gastritis. The main cause of acute gastritis is bacterial or viral infection, with primary symptoms including abdominal pain, nausea, vomiting, and fever. Chronic gastritis is mainly caused by the digestion of the stomach itself due to stomach acid and pepsin. Its main cause is closely related to infection by Helicobacter pylori, with primary symptoms being upper abdominal distension, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. For acute gastritis, a routine blood test is necessary to confirm the diagnosis. For chronic gastritis, a gastroscopy and a carbon-14 breath test are required to determine if there is an infection with Helicobacter pylori, which are the main examinations.

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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 Zhu Dan Hua
Gastroenterology
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How to diagnose gastritis

Gastritis is a common disease in clinical practice, generally divided into chronic gastritis and acute gastritis. Acute gastritis is most commonly characterized by abdominal pain, nausea, and vomiting. The symptoms of chronic gastritis vary and mainly include discomfort in the abdomen, nausea and vomiting, decreased appetite, and even early satiety. For the diagnosis of chronic and acute gastritis, the preferred examination is gastroscopy. Gastroscopy includes both conventional and painless procedures, both aimed at examining the condition of the gastric mucosa. However, for some elderly patients, particularly those with underlying conditions like coronary heart disease, the risk associated with gastroscopy is higher. Therefore, if conventional or painless gastroscopy is not suitable for the patient, abdominal CT and upper GI barium meal can be chosen instead. After completing the gastroscopy, if chronic gastritis or gastric ulcers are diagnosed, it is advisable to further conduct tests to screen for Helicobacter pylori.

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Written by Huang Ya Juan
Gastroenterology
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Symptoms of gastritis

Gastritis is an acute and chronic inflammation of the gastric mucosa caused by various reasons. The most common types of gastritis are acute gastritis and chronic gastritis. The common symptoms of acute gastritis include upper abdominal pain, bloating, nausea, vomiting, and loss of appetite. Severe cases may experience vomiting blood, fever, dehydration, and even shock. Symptoms of chronic gastritis are not specific; many cases are asymptomatic. Those with symptoms may experience upper abdominal pain or discomfort, loss of appetite, belching, acid reflux, and nausea. Symptoms are often related to food intake, and a significant number of patients may not show any symptoms at all. Patients with gastric erosion may experience minor or major bleeding, and chronic minor bleeding can lead to iron deficiency anemia.

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Written by Jiang Guo Ming
Gastroenterology
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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.

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Written by Yang Chun Guang
Gastroenterology
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How to treat gastritis

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.)