Is gastritis serious?

Written by Si Li Li
Gastroenterology
Updated on March 12, 2025
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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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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
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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 Ren Zheng Xin
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Can gastritis be cured?

Gastritis can be cured, primarily through medication, such as protecting the gastric mucosa, inhibiting gastric acid secretion, and appropriately using antibiotics. If there is a Helicobacter pylori infection, specific treatment for Helicobacter pylori must be conducted. After the treatment of gastritis, it is crucial to pay attention to dietary adjustments. Irregular eating habits can lead to the recurrence of gastritis. Therefore, it is advisable to maintain a light diet, consume more vegetables and fruits, eat less spicy and irritating food, avoid strong tea, coffee, and hard liquor which can damage the gastric mucosa, and keep a relaxed mood, which also positively affects the treatment of stomach diseases.

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What are the symptoms of gastritis?

Gastritis is a common gastrointestinal disease with a variety of symptoms, including abdominal pain, bloating, nausea, vomiting, and hiccups. Sometimes, patients may feel full quickly, such as feeling bloated, abdominal pain, and burping after eating, so the symptoms are generally not specific. If treatment is necessary, an initial choice could be a gastroscopy. If no issues are found during the gastroscopy, symptomatic treatment could be provided. However, if symptoms extend beyond gastrointestinal issues like abdominal pain, bloating, nausea, and vomiting, and include anemia, fever, noticeable weight loss, and wasting, it is especially advised for elderly individuals to visit the hospital for further examinations including gastroscopy to rule out diseases such as gastric ulcers.

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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.