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

34sec

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Does chronic gastritis require surgery?

Whether chronic gastritis requires surgery also depends on the condition of the disease. If the symptoms are not particularly obvious—such as nausea, vomiting, or acid reflux—and the gastroscopic examination shows atypical symptoms, treatment through medication or dietary adjustments can be considered instead of surgery. However, if there is significant atypical hyperplasia or intestinal metaplasia found during the gastroscopy, suggesting potential malignancy, these conditions may require surgical treatment under gastroscopy.

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Written by Si Li Li

Gastroenterology

1min 37sec

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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 Ren Zheng Xin

Gastroenterology

45sec

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Can chronic gastritis be cured?

Chronic gastritis is generally difficult to cure completely. The current treatment principle is to eliminate the cause, alleviate symptoms, and prevent or reduce the recurrence of the disease. Treatment mainly focuses on protecting the gastric mucosa, suppressing gastric acid secretion, and eradicating Helicobacter pylori infections. Post-treatment care is also very important. It is advisable to eat a diet that is light, soft, and easy to digest, avoid spicy, stimulating, and greasy foods, and steer clear of strong tea, coffee, and alcoholic beverages. Engaging in appropriate outdoor exercises and managing emotions also play a positive role in the treatment of chronic gastritis.

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Written by Ren Zheng Xin

Gastroenterology

42sec

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What are the symptoms of chronic gastritis?

Chronic gastritis has many symptoms in clinical practice, but there is no specificity. Most patients present with symptoms of indigestion such as pain in the upper abdomen, nausea, and acid reflux, which are related to the severity of chronic gastritis. In cases of atrophic gastritis, there is also abdominal pain. If the gastritis is caused by Helicobacter pylori infection, there may not be specific symptoms, just a feeling of fullness in the abdomen after eating. For chronic gastritis, gastroscopy and gastrointestinal barium meal examination can be performed, and treatment can be administered according to the type of gastritis.

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Written by Ren Zheng Xin

Gastroenterology

53sec

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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.