Is atrophic gastritis negative a problem?

Written by Wu Hai Wu
Gastroenterology
Updated on January 23, 2025
00:00
00:00

Atrophic gastritis negative generally means there's no major issue. A negative result for atrophic gastritis indicates that the patient is unlikely to have atrophic gastritis. In such cases, it may be considered that there is chronic superficial gastritis. If the patient has symptoms such as acid reflux, belching, heartburn, nausea, vomiting, etc., the use of proton pump inhibitors can be considered to suppress the secretion of stomach acid, and products such as aluminum magnesium carbonate and sucralfate to protect the gastric mucosa. Treatment to promote gastric motility such as Itopride or Mosapride can also be considered. Additionally, it is necessary to conduct a Carbon-13 urea breath test or Carbon-14 urea breath test to check for Helicobacter pylori infection.

Other Voices

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
44sec home-news-image

What are the symptoms before atrophic gastritis turns cancerous?

Patients with atrophic gastritis primarily exhibit symptoms such as dull pain, bloating, and burning pain in the upper abdomen, along with belching, acid reflux, weight loss, anemia, and more. If the pain from atrophic gastritis does not follow a clear pattern and is accompanied by progressive weight loss and refractory anemia, the possibility of cancerous changes in atrophic gastritis should be considered. It is advisable to promptly complete an endoscopy to confirm the diagnosis and rule out malignancy, and, if necessary, undertake a biopsy. In terms of treatment, it is first essential to test for Helicobacter pylori infection and then use medications to protect the gastric mucosa.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 8sec home-news-image

Can atrophic gastritis turn into cancer?

Chronic atrophic gastritis has a certain chance of cancerous transformation, with an annual cancer transformation rate of between 0.5% and 1%. It is a type of chronic gastritis. During gastroscopy, the atrophy of the inherent glands of the gastric mucosa can be observed. A definitive diagnosis of chronic atrophic gastritis can be made through biopsy and pathological examination. In terms of treatment, the first step is the treatment against Helicobacter pylori, which includes a proton pump inhibitor, two antibiotics, and a bismuth agent, with a treatment course of 14 days. Additionally, treatments include acid suppression, stomach protection, promoting gastric motility, and protecting the gastric mucosa. Furthermore, oral traditional Chinese medicine plays a significant role in the treatment of atrophic gastritis. Therefore, it is suggested that patients with atrophic gastritis consider integrated traditional Chinese and Western medicine treatment, which can yield good results.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 12sec home-news-image

Chronic non-atrophic gastritis

Chronic non-atrophic gastritis is also known as chronic superficial gastritis. It is a classification of chronic gastritis, which also includes chronic atrophic gastritis and special types of gastritis as other classifications. Chronic non-atrophic gastritis refers to a condition where the glands in the gastric mucosa do not show atrophy, thus it is called chronic non-atrophic gastritis. Generally, the endoscopic appearance of the gastric mucosa being hyperemic, edematous, or eroded can lead to a diagnosis of chronic non-atrophic gastritis. Treatment mainly focuses on acid suppression, protecting the stomach, promoting gastric motility, and protecting the gastric mucosa. If there is a positive Helicobacter pylori infection, eradication treatment for Helicobacter pylori is required. Patients with chronic non-atrophic gastritis should primarily consume a light and easy-to-digest diet.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
49sec home-news-image

Will atrophic gastritis and esophagitis cause significant weight loss?

Patients with atrophic gastritis and esophagitis may experience weight loss, as those with atrophic gastritis can have upper abdominal pain, distension pain, and burning pain, accompanied by a feeling of bloating and belching. Severe cases can lead to anemia and weight loss. The main cause of atrophic gastritis is infection by Helicobacter pylori. Of course, immune factors and dietary habits also play significant roles in the development of atrophic gastritis. Once atrophic gastritis is definitively diagnosed, it is crucial to actively eradicate Helicobacter pylori, as well as to quit smoking and drinking, and avoid using medications and consuming foods that may damage the gastric mucosa.

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
54sec home-news-image

What should I do if atrophic gastritis causes severe weight loss?

Patients with atrophic gastritis should be highly attentive if they experience significant weight loss and should receive standardized traditional treatments. Additionally, dietary habits also require careful attention; it is important to quit smoking and drinking alcohol, and to avoid using medications that damage the gastric mucosa, such as nonsteroidal anti-inflammatory drugs and steroids. Furthermore, eating habits should be regular, avoiding binge eating and foods that are too salty, spicy, or that are fried or deep-fried. Active treatment should also be directed against Helicobacter pylori, utilizing medications that protect the gastric mucosa, enhance its resistance to gastric acid, and improve the regenerative ability of gastric mucosal cells. Medications that inhibit bile reflux and improve gastric motility can also be employed.