What are the symptoms of chronic gastritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 04, 2024
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The symptoms of chronic gastritis are mainly digestion-related, such as nausea, vomiting, acid reflux, abdominal bloating, and stomach pain. Belching is a more prominent symptom, with food easily refluxing back up to the throat. Many patients with chronic gastritis have atypical symptoms, and Helicobacter pylori infection is often discovered during examinations. Patients with this type of infection need treatment for Helicobacter pylori, which clinically often involves a triple therapy consisting of two antibiotics plus a proton pump inhibitor or a mucosal protective agent. It is also necessary to adjust the diet appropriately. (Medication should be used under the guidance of a doctor, based on the specific situation.)

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How to treat dry heaving in chronic gastritis?

Patients with chronic gastritis who experience dry retching should consider whether it is due to insufficient gastrointestinal motility or excessive secretion of gastric acid. It is recommended to avoid overly spicy and irritating foods, eat regularly and in proper amounts, and maintain a pleasant mood without being disturbed by anxiety, sadness, and anger. Eating more fresh vegetables and fruits rich in vitamins is also advisable. At the same time, try to avoid using drugs that damage the gastric mucosa, such as hormones, antirheumatics, and non-steroidal anti-inflammatory drugs, etc.

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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.

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Written by Ren Zheng Xin
Gastroenterology
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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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Written by Li Ying
Gastroenterology
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What should I do about acid reflux from chronic gastritis?

There are many causes of chronic gastritis. The first is chronic gastritis caused by acid reflux, followed by the consumption of irritant beverages, eating irritating foods, and some medications that cause changes to the gastric mucosa. Bile reflux can also cause irritation and inflammation of the gastric mucosa. Other factors include changes in the environment, mental stress, and various irregularities in life, all of which can lead to chronic gastritis. If a patient experiences acid reflux, it is necessary to suppress stomach acid by administering acid-suppressing medications, as well as medications that protect the gastric mucosa to prevent chronic gastritis caused by acid reflux.

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Written by Ren Zheng Xin
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What are the symptoms of chronic gastritis?

Chronic gastritis is a relatively common clinical disease in gastroenterology, mainly including chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. The clinical manifestations are diverse and there are no specific signs or symptoms. Most patients with Helicobacter pylori infection do not show obvious symptoms, while a minority of patients may experience nausea, vomiting, and postprandial fullness in the upper abdomen, among other symptoms of indigestion. Most cases of chronic gastritis are discovered during physical examinations or endoscopic examinations. The main principles of treatment for chronic gastritis are dietary adjustments and oral medication. It is important to maintain regular eating habits, avoid spicy and irritating foods, and pay attention to one's daily life and routines.