What foods should be avoided with chronic gastritis?

Written by Si Li Li
Gastroenterology
Updated on February 27, 2025
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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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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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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.

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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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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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Can chronic gastritis be contagious?

Is chronic gastritis contagious? Gastritis, especially chronic gastritis, lacks specific symptoms. Common types of chronic gastritis include chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. Diagnosis is mainly made through gastroscopy. Most patients may experience symptoms like upper abdominal pain, loss of appetite, post-meal fullness, acid reflux, and belching, which can be quite apparent, especially in patients with atrophic gastritis, who may have more pronounced symptoms, as well as anemia, weight loss, and diarrhea. Additionally, upper abdominal pain associated with mucosal erosion can be more severe. If the condition is serious, it may also involve bleeding, vomiting blood, or black stools. If there is no Helicobacter pylori infection, gastritis is not contagious and can be cured with proper treatment.