What are the symptoms of chronic gastritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 23, 2024
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Chronic gastritis has many symptoms in clinical practice, but there is no specificity. Most patients present with symptoms of indigestion such as pain in the upper abdomen, nausea, and acid reflux, which are related to the severity of chronic gastritis. In cases of atrophic gastritis, there is also abdominal pain. If the gastritis is caused by Helicobacter pylori infection, there may not be specific symptoms, just a feeling of fullness in the abdomen after eating. For chronic gastritis, gastroscopy and gastrointestinal barium meal examination can be performed, and treatment can be administered according to the type of gastritis.

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What should someone with chronic gastritis eat normally?

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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Written by Ren Zheng Xin
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Is chronic gastritis easy to treat?

The treatment of chronic gastritis primarily aims to alleviate symptoms and reduce the recurrence of the disease; it is generally difficult to cure completely. The medications chosen are mainly for protecting the gastric mucosa and inhibiting gastric acid secretion. If there is an infection with Helicobacter pylori, it should be completely eradicated. Additionally, attention should be paid to dietary adjustments, consuming soft and easily digestible foods, and avoiding spicy, stimulating, and greasy foods. It is important to engage in appropriate outdoor exercise, develop good living habits, and regulate emotions, as excessive tension, irritability, and anger can exacerbate chronic gastritis.

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Written by Wu Hai Wu
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Do people with chronic gastritis lose weight?

If patients with chronic gastritis often experience emotional anxiety and tension, leading to insomnia, irritability, reduced food intake, and indigestion, this may result in weight loss. Patients with chronic gastritis should not binge eat; they should eat regularly, maintain a diverse diet, and consume plenty of vitamin-rich fresh vegetables and fruits. They should avoid spicy and irritating foods, such as strong tea, coffee, and hard liquor. It is also important to quit smoking and avoid medications that damage the gastric mucosa.

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Written by Jiang Guo Ming
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What Chinese medicine should be taken for chronic gastritis?

Chronic gastritis, whether superficial gastritis or atrophic gastritis, can be treated with traditional Chinese medicine. The theory of Chinese medicine emphasizes syndrome differentiation and treatment, holistic treatment, and utilizes observation, smell, questioning, and pulse-taking to determine a patient's cause and mechanism of disease, followed by targeted treatment. Common treatment methods include tonifying qi and strengthening the spleen, soothing the liver and relieving depression, harmonizing the stomach and reversing counterflow, invigorating the blood and dispelling stasis, among others. The treatment varies greatly and must be tailored to the specific circumstances of the patient through face-to-face diagnosis. It is also important to develop good dietary and living habits, opting for a diet that is light, easy to digest, and avoids raw, greasy, spicy foods, and alcohol, often resulting in better therapeutic effects.

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Symptoms of Chronic Gastritis

Chronic gastritis manifests differently across various types, and the severity of symptoms may not always correlate with the extent of the lesion. There are roughly four types: 1. The first can cause upper abdominal pain or discomfort. Most patients with gastritis experience a sense of discomfort in the upper abdomen, with irregular pain that is not significantly related to diet; some may experience pain that spreads throughout the upper abdomen, causing a burning sensation, hidden pain, or bloating. 2. Post-meal fullness can also lead to abdominal distension due to the retention of food and poor digestion in the stomach. 3. Other symptoms include acid reflux and nausea. 4. Severe atrophic gastritis can cause weight loss in patients, including symptoms like diarrhea.