What are the symptoms of chronic gastritis?

Written by Si Li Li
Gastroenterology
Updated on December 29, 2024
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Common symptoms of chronic gastritis include stomach pain, bloating, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, indigestion, and early satiety. These symptoms can be confirmed by a gastroscopy. If the gastroscopy shows gastric mucosal hyperemia, edema, or erosion, it can be diagnosed as chronic gastritis. It is also recommended to conduct a Carbon-14 breath test to determine if there is an infection with Helicobacter pylori, which has been confirmed as a major cause of chronic gastritis and peptic ulcer diseases. If the infection is positive, a 14-day treatment for Helicobacter pylori is required. Additionally, the treatment for chronic gastritis should include acid suppression and stomach protection, promoting gastric motility and repairing the gastric mucosa, and the treatment usually lasts about four to six weeks.

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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 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 Ren Zheng Xin
Gastroenterology
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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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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 Zhu Dan Hua
Gastroenterology
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Does chronic gastritis cause pain?

Chronic gastritis is relatively common in clinical settings and is frequently seen in the gastroenterology outpatient department. Chronic gastritis can manifest in various ways and may cause stomach pain, typically presenting as upper abdominal pain, which is generally considered pain above the navel. The nature of the pain can be bloating, colic, dull pain, or burning pain, or patients may simply experience discomfort. Of course, patients may also have other symptoms such as nausea, vomiting, dry heaving, belching, and hiccupping, but generally do not exhibit alarming symptoms such as anemia, vomiting blood, bloody stools, or fever, etc. The diagnosis of chronic gastritis generally relies on gastroscopy, which can reveal congestion, edema, and erosion of the gastric mucosa under gastroscopy, and in some cases, distinct ulcers and tumors. The treatment mainly focuses on protecting the stomach and symptomatic management, generally with good results.