What are the symptoms of atrophic gastritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 27, 2024
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Atrophic gastritis, also known as body-type gastritis, is mainly caused by Helicobacter pylori infection leading to atrophy of the gastric mucosa. Under microscopy, twisted blood vessels and alternating red and white mucosa can be seen. The main symptoms include nausea, vomiting, and decreased appetite. A reduction in parietal cells can lead to decreased secretion of intrinsic factor, thereby causing anemia with red blood cells. If atrophic gastritis is accompanied by ulcers, it can cause severe abdominal pain and bloody stools. It is important to adjust the diet, eat more soft and easily digestible foods, and consume fewer raw, cold, and spicy foods.

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Written by Si Li Li
Gastroenterology
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What should be done with chronic non-atrophic gastritis with erosion?

Chronic non-atrophic gastritis with erosion requires a biopsy of the eroded area during a gastroscopy for a pathological examination to determine the nature of the erosion, whether it is inflammatory, intestinal metaplasia, or atypical hyperplasia, etc. If the erosion is inflammatory, oral medication is needed for treatment, such as treatment against Helicobacter pylori, as well as acid suppression, stomach protection, promotion of gastric motility, and protection of the gastric mucosa. If intestinal metaplasia or moderate to severe atypical hyperplasia is present, endoscopic mucosal resection is recommended. This is because moderate to severe intestinal metaplasia or atypical hyperplasia has a certain rate of malignancy, and endoscopic mucosal resection is necessary for thorough treatment, as oral medication alone cannot completely cure this lesion.

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Written by Li Ying
Gastroenterology
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Can chronic atrophic gastritis be cured?

Chronic atrophic gastritis is primarily a chronic digestive system disease caused by atypical hyperplasia. It is mainly characterized by upper abdominal dull pain, bloating, loss of appetite, weight loss, anemia, etc., and lacks specificity. It is a disease caused by multiple pathogenic factors and is a precancerous lesion. There are many causes, including Helicobacter pylori infection and dietary factors, among others. Moreover, treatment for atrophic gastritis can be targeted based on the specific condition, clinical symptoms, and auxiliary examinations.

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Written by Jiang Guo Ming
Gastroenterology
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Can atrophic gastritis drink honey?

Honey is very common in daily life, tastes good, and contains rich nutritional components. It has the effects of promoting saliva secretion, quenching thirst, and relieving constipation, which makes it widely loved. For chronic atrophic gastritis, in addition to conventional drug treatments, such as antibacterial Western medicine and treatments that protect the gastric mucosa, traditional Chinese medicine can also provide symptomatic treatment. In terms of diet, it is essential to eat light, easily digestible foods, and avoid raw, greasy, spicy, and irritating foods, as well as stimulants like tobacco and alcohol, while also maintaining regular and measured eating habits. Honey does not have a significant conflict with atrophic gastritis and can be consumed. (Specific medications should be used under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
45sec home-news-image

What are the symptoms of atrophic gastritis?

Atrophic gastritis, also known as body-type gastritis, is mainly caused by Helicobacter pylori infection leading to atrophy of the gastric mucosa. Under microscopy, twisted blood vessels and alternating red and white mucosa can be seen. The main symptoms include nausea, vomiting, and decreased appetite. A reduction in parietal cells can lead to decreased secretion of intrinsic factor, thereby causing anemia with red blood cells. If atrophic gastritis is accompanied by ulcers, it can cause severe abdominal pain and bloody stools. It is important to adjust the diet, eat more soft and easily digestible foods, and consume fewer raw, cold, and spicy foods.

doctor image
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Written by Jiang Guo Ming
Gastroenterology
1min 28sec home-news-image

Is atrophic gastritis serious?

Chronic atrophic gastritis, compared to chronic non-atrophic gastritis, is relatively more severe. It is usually due to the atrophy of the gastric mucosal glands that this condition occurs. Under gastroscopy, the gastric mucosa can be seen to become pale, and the submucosal blood vessels are easily exposed. Sometimes, the gastric mucosal cells are replaced by intestinal epithelial cells, which is what we refer to as intestinal metaplasia. Some believe that this condition is a precancerous lesion, so it must be given sufficient attention. Firstly, it is necessary to check for Helicobacter pylori infection; if present, comprehensive antibiotic treatment is required. Some believe that if Helicobacter pylori is completely eradicated, partial reversal of gastric mucosal atrophy can happen, and in some cases, it may even return to normal, making the eradication of Helicobacter pylori particularly important. If there is no Helicobacter pylori infection, symptomatic treatment is advocated, such as protecting the gastric mucosa, etc. Additionally, traditional Chinese medicine has relatively better effects in treating atrophic gastritis compared to Western medicine, and further diagnosis and treatment in a traditional Chinese medicine department can be considered. (Note: The use of medications should be under the guidance of a professional doctor.)