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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Written by Jiang Guo Ming
Gastroenterology
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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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Written by Li Ying
Gastroenterology
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Can chronic gastritis eat apples?

Chronic gastritis is caused by many factors, including various medications, irritating foods, gallbladder adenomas, environmental conditions, and personal factors, among others. Therefore, while we treat the symptoms, post-treatment maintenance of the stomach is crucial. Diet plays a significant role here. It is important to avoid particularly irritating foods, including items that are too cold, too hot, too cool, too spicy, or too acidic. Raw foods and those that are difficult to digest should also be avoided. It's beneficial to eat slowly and chew thoroughly; avoid overeating or eating too hastily. Thus, it's essential to eat regularly and in proper amounts. Some fruits, like apples, can be consumed, although they should be limited in the early stages of gastritis if there is excessive stomach acid. However, intense beverages like strong tea and coffee, and spicy foods such as chili peppers, should be avoided.

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

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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Written by Ren Zheng Xin
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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.)