Is nausea normal for atrophic gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 24, 2024
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Nausea is one of the common symptoms of gastrointestinal diseases, whether it is chronic superficial gastritis or atrophic gastritis. The occurrence of nausea usually indicates insufficient gastric motility. This condition is not considered normal, and targeted treatment is usually required depending on whether there is an infection with Helicobacter pylori. If there is an infection with Helicobacter pylori, it is first necessary to eradicate Helicobacter pylori. This generally involves quadruple therapy to eliminate the bacteria, accompanied by prokinetic agents, such as mosapride citrate. If there is no Helicobacter pylori infection, symptomatic treatment may suffice. For example, protecting the gastric mucosa and enhancing gastric motility, while also paying attention to daily dietary and lifestyle habits. (Note: The use of medications should be conducted under the guidance of a professional doctor.)

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Written by Huang Gang
Gastroenterology
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Is atrophic gastritis grade II serious?

Grade II atrophic gastritis is of moderate severity, not particularly severe. The appearance of atrophic gastritis indicates that the gastric mucosa has begun to atrophy, and the glands have reduced. In such a case, it is crucial to take care of oneself to avoid further severe progression of the condition. Typically, it is advisable to have a light diet, incorporating easily digestible and absorbable foods such as papaya, Chinese yam, or lentils. These types of food can regulate the spleen and stomach, aid digestion, and improve appetite. It is important to avoid spicy and stimulating foods, and to strictly abstain from smoking and drinking to prevent exacerbation of the condition. If suffering from chronic gastritis, do not use proton pump inhibitors, such as omeprazole or rabeprazole, in large amounts over a long period. These medications should be taken regularly and according to the treatment course prescribed.

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Written by Si Li Li
Gastroenterology
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Is atrophic gastritis of the gastric antrum serious?

Atrophic gastritis is a chronic gastric disease characterized by repeated damage to the gastric mucosal epithelium, leading to the atrophy of the intrinsic glands, with or without intestinal metaplasia or pseudopyloric gland metaplasia. The main cause of this disease is infection by Helicobacter pylori. Symptoms primarily include upper abdominal distension, belching, acid reflux, early satiety, nausea, etc. Some patients may experience symptoms such as weight loss, fatigue, memory loss, anxiety, and depression. The main treatment involves eradicating Helicobacter pylori, suppressing acid production, and using gastric mucosal protectants and prokinetic agents. The majority of patients have Helicobacter pylori-related gastritis, which after chronic inflammation (chronic non-atrophic gastritis) can lead to atrophic gastritis, followed by intestinal metaplasia or dysplasia, and eventually may progress to gastric cancer.

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Written by Wu Hai Wu
Gastroenterology
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Does atrophic gastritis cause diarrhea?

Generally speaking, atrophic gastritis does not cause diarrhea in patients. The main symptoms of atrophic gastritis include dull pain in the upper abdomen, bloating, belching, or accompanied by symptoms such as weight loss and anemia. If a patient with atrophic gastritis experiences diarrhea, they should promptly visit the gastroenterology department or intestinal clinic of a standard hospital to complete routine stool examinations and tests, and if necessary, an endoscopic examination of the colon. In terms of treatment, antidiarrheal medications such as montmorillonite powder can be used, as well as treatments like Bacillus coagulans to regulate the intestinal flora. It is also advised to drink more water to avoid dehydration.

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Written by Wu Hai Wu
Gastroenterology
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Can I eat eggs with atrophic gastritis and erosion?

Patients with atrophic gastritis and erosion can eat eggs, but should avoid overly stir-fried and fried eggs. People with atrophic gastritis should maintain a bland diet and eat small, frequent meals. They should avoid binge eating and drink, and keep regular and moderate eating habits. Additionally, they should avoid foods or medications that may damage or irritate the gastric mucosa, such as quitting smoking and drinking, and avoiding strong tea, coffee, chili peppers, mustard, etc. With atrophic gastritis and erosion, it is important to enhance the body's immunity, and take medications that protect the gastric mucosa. Sometimes, traditional Chinese medicine and herbal treatments can also effectively protect the gastric mucosa.

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Written by Jiang Guo Ming
Gastroenterology
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How to completely cure atrophic gastritis?

Chronic atrophic gastritis generally develops from chronic non-atrophic gastritis, and the most likely cause may be Helicobacter pylori infection. Of course, there are also other reasons, such as poor dietary habits, emotional factors, etc. In such cases, it is first necessary to check for Helicobacter pylori infection, usually using a breath test. If Helicobacter pylori infection is present, quadruple therapy is generally used for eradication treatment. Eradication of Helicobacter pylori can be very helpful for patients with atrophic gastritis, and in some cases, can partially reverse the atrophy. If there is no Helicobacter pylori infection, symptomatic treatment is generally the main approach. Additionally, conditioning through traditional Chinese medicine can also be very helpful. (Specific medication use should be carried out under the guidance of a doctor.)