How many days does chronic gastritis need for IV therapy?

Written by Jiang Guo Ming
Gastroenterology
Updated on March 19, 2025
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The treatment of chronic gastritis generally depends on whether there is a Helicobacter pylori infection. If there is an infection, the usual approach is a quadruple therapy to eradicate the bacteria, which includes a proton pump inhibitor, two types of antibiotics, and a bismuth compound, lasting for a 10 to 14-day treatment course. If there is no Helicobacter pylori infection, the treatment primarily focuses on symptomatic relief, such as suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility, depending on the specific conditions of the patient. As for the duration of intravenous therapy for chronic gastritis, if the patient does not exhibit significant vomiting, intravenous therapy is generally not necessary, as oral medication is sufficient to achieve therapeutic goals. If the patient has severe vomiting and cannot eat, intravenous therapy might be needed. This would focus mainly on suppressing stomach acid and maintaining fluid and electrolyte balance, typically requiring two to three days, and prolonged intravenous therapy is not necessary. (Please follow the doctor's prescription for medication.)

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The likelihood of chronic gastritis turning malignant

Generally speaking, the chances of chronic gastritis turning malignant are very low. However, if chronic gastritis involves atrophy, there is still a certain risk of malignancy. Therefore, patients with atrophic gastritis should undergo regular gastroscopy and pathological biopsy. At the same time, patients with chronic gastritis should eat more fresh vegetables and fruits rich in vitamins, consume mild foods, and avoid drinking strong tea, coffee, and spirits, as well as quit smoking. Foods that are overly acidic, overly spicy, overly salty, or overly hot should also be avoided as much as possible.

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Can people with chronic gastritis eat bananas?

Patients with chronic gastritis can moderately consume bananas without any issue. Generally, it is advised that patients with chronic gastritis eat a diet that is easy to digest and clean, avoid overeating and binge eating, and avoid consuming spicy and irritating foods. In fact, chronic gastritis is quite common in clinical practice, with most patients presenting with abdominal discomfort. Of course, some patients might experience a decrease in appetite. The abdominal discomfort is primarily characterized by dull pain, bloating, or even burning pain in the upper abdomen. This may be accompanied by some nausea and vomiting, among other symptoms. For such patients, it is crucial to conduct a thorough liver function test and gastroscopy. Liver function tests are mainly to rule out abdominal discomfort caused by hepatobiliary diseases, while gastroscopy is the gold standard for diagnosing chronic gastritis, hence its increasing use in clinical practice.

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What foods should be avoided with chronic gastritis?

Chronic gastritis commonly presents symptoms such as bloating, stomach pain, belching, acid reflux, nausea, vomiting, etc. These symptoms may recur periodically. A definitive diagnosis of chronic gastritis can be made through gastroscopy. Treatments include acid suppression, gastric protection, enhancement of gastric motility, and protection of the gastric mucosa. Special attention should be paid to diet in cases of chronic gastritis. What should be avoided in the diet? Firstly, smoking and drinking alcohol are prohibited, as well as drinking strong tea and coffee. Foods that are fatty, rich, or greasy should not be consumed, and neither should fried, grilled, spicy, or cold dishes. Foods such as milk, soy milk, sticky rice, and sweet potatoes can lead to excessive secretion of stomach acid and some can cause gas, resulting in symptoms of bloating. Therefore, these types of foods should also be consumed less, or even avoided. So, what should we eat? It is best to consume foods that are easy to digest, such as porridge and soups, as well as noodles that are cooked until very soft. Meat is also acceptable but should be cooked or stewed until very tender, as this will not overburden the stomach and will not adversely affect chronic gastritis.

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Written by Zhai Guo Dong
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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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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.