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 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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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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Gastroenterology
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What are the symptoms of gastritis?

Chronic gastritis often lacks specific clinical manifestations, and the correlation between the pathological histological examination results of the gastric mucosa and the clinical manifestations is also relatively poor. Some patients show changes in the mucosa indicative of gastritis during gastroscopy, and pathological histological examinations reveal inflammation, but they may have no or only mild clinical symptoms. The clinical manifestations of most chronic gastritis are merely upper gastrointestinal dyspeptic symptoms, such as a sense of fullness in the upper abdomen, irregular dull pain, belching, decreased appetite, weight loss, fatigue, and worsening upper abdominal discomfort after eating. Patients with chronic gastritis often have no obvious specific physical signs; some may have mild upper abdominal tenderness or discomfort upon palpation. Patients with gastric mucosal lesions may have positive fecal occult blood tests; however, vomiting blood or having black stool is very rare, and long-term poor appetite or minor bleeding might be accompanied by anemia. In severe cases of atrophic gastritis and pernicious anemia, significant anemia symptoms may be present.

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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.)

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Written by Ren Zheng Xin
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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.