What should someone with chronic gastritis eat normally?

Written by Zhai Guo Dong
Gastroenterology
Updated on September 11, 2024
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For patients with chronic gastritis, we recommend avoiding irritant foods and opting for foods that cause less irritation to the stomach. Avoid overly acidic or sweet foods. It is suggested that patients keep foods like steamed buns and soda crackers, which are alkaline, on hand. Try to avoid consumption of raw, cold, hard, or hot foods, as well as tea, coffee, and substances like tobacco and alcohol, which are highly irritating to the stomach.

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What are the symptoms of chronic gastritis?

Chronic gastritis does not have specific symptoms, and the severity of the symptoms does not necessarily correspond to the severity of the disease. Common symptoms include pain in the upper middle abdomen, belching, acid reflux, nausea, vomiting, heartburn, a feeling of fullness after eating, poor appetite, and indigestion. In severe cases of atrophic gastritis, patients may experience symptoms such as anemia and weight loss. Some patients may also experience psychological symptoms such as anxiety and depression. If a patient experiences the above symptoms, it is recommended to promptly conduct a gastroscopy to confirm the diagnosis. It is also advisable to conduct a carbon-14 breath test to determine the presence of Helicobacter pylori infection, as this infection is a major cause of chronic gastritis. After confirming the diagnosis, appropriate treatment should be administered.

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Can chronic gastritis be contagious?

Is chronic gastritis contagious? Gastritis, especially chronic gastritis, lacks specific symptoms. Common types of chronic gastritis include chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. Diagnosis is mainly made through gastroscopy. Most patients may experience symptoms like upper abdominal pain, loss of appetite, post-meal fullness, acid reflux, and belching, which can be quite apparent, especially in patients with atrophic gastritis, who may have more pronounced symptoms, as well as anemia, weight loss, and diarrhea. Additionally, upper abdominal pain associated with mucosal erosion can be more severe. If the condition is serious, it may also involve bleeding, vomiting blood, or black stools. If there is no Helicobacter pylori infection, gastritis is not contagious and can be cured with proper treatment.

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What is chronic gastritis?

Gastritis is divided into acute and chronic types. Chronic gastritis is primarily caused by various reasons that lead to chronic inflammation of the gastric mucosa or atrophic changes. This condition is quite common in clinical practice. Generally, about 85% of patients undergoing gastroscopy exhibit such symptoms, and with increasing age, the incidence of atrophic diseases gradually increases. The symptoms mainly manifest as abdominal pain, predominantly in the upper abdomen, bloating, belching, and even symptoms of black stools, which, if present, indicate bleeding of the gastric mucosa.

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Does chronic gastritis require hospitalization?

Whether hospitalization is needed for chronic gastritis depends on the specific condition of the patient. If symptoms are mild, without proliferative ulcers, and clinical manifestations are not severe, symptoms can be improved through dietary adjustments and oral medications that inhibit gastric acid secretion and protect the gastric mucosa; these cases generally do not require hospitalization. However, if there is a confirmed Helicobacter pylori infection accompanied by nausea, stomach pain, and other digestive discomforts, and gastroscopic examination reveals atypical hyperplasia or intestinal metaplasia of the gastric mucosa, these situations necessitate active treatment in a hospital setting. (Medication should be used under the guidance of a doctor according to specific circumstances.)

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Symptoms of acute exacerbation of chronic gastritis

Common symptoms of acute exacerbation of chronic gastritis include abdominal pain, bloating, nausea, vomiting, etc. Among these, abdominal pain is the most common clinical presentation, manifested as upper abdominal distension, burning pain, or dull pain, generally associated with unhygienic dietary habits, and acute attacks are more common among some healthy individuals or young people. The diagnosis of chronic with acute exacerbation mainly relies on medical history and gastroscopy. Under gastroscopy, the gastric mucosa can be observed to show acute inflammatory changes, presenting as gastric congestion, edema, and even erosion formation. Regarding treatment, it mainly consists of dietary adjustments and the selection of medications. Dietary recommendations include adopting a liquid and light diet, and medications may include acid suppression and gastric mucosal protection drugs. Of course, if the patient has significant abdominal pain, a small dose of pain reliever can be used, generally over a short course of treatment. Indeed, chronic gastritis is a common disease in clinical practice, so it is essential to adjust your diet and develop good living and eating habits regularly.