What tests are done for chronic gastritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on January 03, 2025
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Chronic gastroenteritis is a chronic inflammation that occurs in the mucous membrane of the gastrointestinal tract. The basic pathological change is the infiltration of a large number of neutrophils or lymphocytes in the mucosa. Examinations mainly include endoscopy and routine stool tests. Gastroscope and colonoscopy can be used to assess the extent of mucosal lesions in the gastrointestinal tract, and routine stool tests can determine the presence of occult blood positivity. If there is blood in the stool, a routine blood test can also be conducted to check for chronic blood loss anemia. Based on the results of these examinations, the severity of the lesions can be understood, and appropriate medications can be actively chosen for symptomatic treatment.

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Written by Zhu Dan Hua
Gastroenterology
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How long does acute gastroenteritis take to heal?

The natural course of acute gastroenteritis is about one to two weeks, so it is recommended that patients undergo regular treatment. Acute gastroenteritis is commonly seen in clinical practice, with patients generally presenting with abdominal pain, nausea, vomiting, and abnormal stools. The main manifestation of stool abnormalities is an increase in the frequency of bowel movements, appearing as diarrhea, with the stools being watery. Additionally, patients may experience some fever and chills. Given the symptoms of acute gastroenteritis and its short duration, it is generally considered to be caused by viral or bacterial infections. Therefore, treatment can involve the use of anti-infective medications in small doses, especially when the patient has a fever. Other medications can include acid suppressants, mucosal protectants, antidiarrheals, and those affecting the intestinal flora, so the treatment generally has a good effect. Patients need not worry too much, and we adhere to a 1-2 week treatment period. (Medication should be taken under the guidance of a doctor.)

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Written by Li Ying
Gastroenterology
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How to alleviate acute gastroenteritis

For acute gastroenteritis, the first step is to provide general treatment, which is to have the patient rest in bed as much as possible. For mild cases, oral rehydration solutions can be used to replenish lost fluids. If the patient has persistent vomiting or noticeable dehydration, they need to replenish with glucose-salt water or other relevant electrolytes. Patients should try to eat a light diet, consisting of semi-liquid foods, to prevent dehydration. Secondly, symptomatic treatment should be administered if necessary, including injections of antiemetic and antispasmodic medications, as well as antidiarrheal drugs. Thirdly, antimicrobial treatment, which is mainly targeted at infectious diarrhea, should involve the appropriate use of targeted antibiotics, but it is important to prevent their misuse.

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Written by Ren Zheng Xin
Gastroenterology
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How to reduce fever in acute gastroenteritis

Acute gastroenteritis generally manifests as fever, abdominal pain, and diarrhea. If the fever does not exceed 38.5°C, antipyretic medications can be used, along with physical cooling methods such as wiping the patient's forehead, palms, and soles with a warm towel to facilitate heat dissipation through evaporation. If the fever exceeds 38.5°C, muscular injection of antipyretic drugs should be chosen, along with combined infusion therapy to prevent signs of physical collapse caused by high temperatures. At the same time, active use of antibiotics and antidiarrheal medications is advised. During treatment, a regular diet should be maintained, adopting the principle of eating small and frequent meals. Rest is important, and excessive fatigue should be avoided. (The use of medications should be under the guidance of a doctor.)

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Written by Zhai Guo Dong
Gastroenterology
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Do you have a fever with gastroenteritis?

Gastroenteritis mainly presents symptoms of abdominal pain and diarrhea, with an increased frequency of bowel movements, ten times or even more than ten times, accompanied by nausea, vomiting, and decreased appetite. There may be irregular fevers, such as low-grade fever, and severe cases can develop high fever. Subsequently, the symptoms of the patient become more severe, manifesting restlessness and lethargy, even confusion or coma. Therefore, we must pay special attention and not take it lightly.

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Written by Ren Zheng Xin
Gastroenterology
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Does acute gastroenteritis cause stomach pain?

Acute gastroenteritis, due to inflammation of the gastrointestinal tract, can cause gastric colic. Clinically, it may manifest as upper abdominal pain, nausea, vomiting, and diarrhea. It often occurs in the summer and is directly related to improper diet. It can cause not only stomach pain but also electrolyte imbalance, intestinal perforation, and sepsis. Active use of medications should be undertaken for treatment, with attention to prevent dehydration. During the treatment period, eat a light diet, avoid spicy food, rest well, and keep the abdominal area warm.