The likelihood of chronic gastritis turning malignant

Written by Wu Hai Wu
Gastroenterology
Updated on March 23, 2025
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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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Written by Ren Zheng Xin
Gastroenterology
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What should be noted for chronic gastritis with erosion?

For chronic gastritis and gastric erosion, it is important to control the diet by eating fresh vegetables and foods that are easy to digest. Avoid overly spicy and cold foods. Additionally, adjust your daily routine to avoid staying up late and maintain a reasonable schedule. Also, control your emotions to prevent excessive stress and fatigue. Appropriate medical treatment should be considered, such as using medications to protect the stomach lining, reduce stomach acid secretion, and appropriately using antibiotics for treatment. Most importantly, regular check-ups are crucial. (Please take medications under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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How many days does chronic gastritis need for IV therapy?

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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Written by Zhai Guo Dong
Gastroenterology
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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
Gastroenterology
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How to treat chronic gastritis with erosions?

The treatment of chronic gastritis with erosion includes oral medication and dietary regulation. Medications work to inhibit gastric acid secretion, protect the gastric mucosa, and enhance gastrointestinal motility, primarily focusing on acid-suppressing and anti-acid medications. Dietarily, it's important to eat smaller, frequent meals and avoid overly spicy or cold foods. Opt for nutritionally rich and easily digestible foods. Avoid smoking and drinking alcohol, and steer clear of strong tea and coffee. Rest well and balance work with relaxation. After treatment, timely follow-up examinations at the hospital are crucial. If there is an infection with Helicobacter pylori, eradication of the bacteria is recommended.

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Written by Zhang Peng
General Surgery
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What is chronic gastritis?

Gastritis is divided into acute and chronic types. Chronic gastritis is primarily caused by various reasons that lead to chronic inflammation of the gastric mucosa or atrophic changes. This condition is quite common in clinical practice. Generally, about 85% of patients undergoing gastroscopy exhibit such symptoms, and with increasing age, the incidence of atrophic diseases gradually increases. The symptoms mainly manifest as abdominal pain, predominantly in the upper abdomen, bloating, belching, and even symptoms of black stools, which, if present, indicate bleeding of the gastric mucosa.