What are the symptoms of chronic gastritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 08, 2024
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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.

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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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Does chronic gastritis require medication?

Chronic gastritis often has no clinical symptoms, but this condition still requires medication treatment. The duration of medication must be long-term and regular, primarily focusing on drugs that suppress gastric acid secretion and protect the gastric mucosa. If the inflammation is relatively significant, antibiotics can be chosen; in cases of Helicobacter pylori infection, a triple therapy, which includes two antibiotics and a gastric mucosa protective agent, can be opted for. Additionally, it is crucial to pay attention to daily life routines, eat a light diet, avoid raw, greasy, and fried foods, and rest well to gradually recover from gastritis.

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Written by Zhai Guo Dong
Gastroenterology
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Diagnosis methods for chronic gastritis

Chronic gastritis symptoms are relatively common, often including abdominal pain and bloating. Patients with abdominal pain and bloating often present these symptoms. To rule out gastrointestinal tumors, ulcers, and other diseases, we need to go through some short-term medical treatments. If the symptoms do not improve, we need to consider the possibility of gastric ulcers or gastric tumors. Of course, the fundamental diagnostic method is still through gastroscopy, to definitively diagnose chronic gastritis. If necessary, a pathological examination should be conducted for confirmation.

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Written by Zhu Dan Hua
Gastroenterology
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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 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.