How to treat acute gastritis?

Written by Yang Chun Guang
Gastroenterology
Updated on September 12, 2024
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Acute gastritis is generally caused by drugs or stress, resulting in acute gastric mucosal injury. For treatment, proton pump inhibitors such as esomeprazole or pantoprazole can be used to suppress stomach acid. Alternatively, H2 receptor antagonists like cimetidine or famotidine can be used, but their effects are not as good as those of proton pump inhibitors. In addition to acid-suppressing medications, drugs that protect the gastric mucosa should also be used. Moreover, if there is damage to the gastric mucosa, treatments that promote the repair of the gastric mucosa, such as the recovery solution, should be applied. Diet should also be considered, ensuring it is light and regular. The cause should be clearly identified; if it is drug-induced, the drug should be discontinued, and if it is due to emotional stress, efforts should be made to soothe the emotions. (Specific medications should be used under the guidance of a doctor)

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Written by Ren Zheng Xin
Gastroenterology
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Symptoms of acute gastritis

The symptoms of acute gastritis mainly include stomach pain, nausea, vomiting, reduced appetite, and neuropsychiatric symptoms. These symptoms can significantly impact normal life and work. Therefore, active treatment is necessary, mainly using medications that inhibit gastric acid secretion to protect the gastric mucosa, as well as medications that promote gastrointestinal motility. If there is an infection with Helicobacter pylori, it is essential to eradicate this bacterium. Additionally, dietary adjustments should be made, such as consuming soft, easily digestible foods and avoiding spicy, stimulating, and greasy foods. Engaging in outdoor activities and maintaining physical and mental health are also important. (Please use medications under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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What to drink for vomiting due to acute gastritis?

For acute gastritis with vomiting, you can drink millet porridge, rice soup, or vegetable soup. These foods have the least irritation to the gastric mucosa and will not aggravate vomiting by irritating the stomach lining. Additionally, active medical treatment should be pursued, commonly involving protectors of the gastric mucosa, drugs that suppress gastric acid secretion, and antispasmodic analgesics. In daily life, it's also important to maintain a regular diet, eating three well-timed and measured meals, and avoiding raw, cold, spicy foods, as well as avoiding strong tea, coffee, and hard liquor that may harm the gastric mucosa. Ensure meals are eaten at consistent times without overeating. Regular patterns of rest and appropriate outdoor exercise can positively impact gastrointestinal health. (Medications should be used under the guidance of a doctor based on individual circumstances.)

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Written by Yang Chun Guang
Gastroenterology
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Does acute gastritis cause diarrhea?

If symptoms such as abdominal pain, nausea, and vomiting occur acutely, it may be considered acute gastritis. However, if abdominal pain is accompanied by diarrhea, this condition should be considered gastroenteritis. Thus, acute gastritis generally does not cause diarrhea, whereas acute gastroenteritis can cause symptoms beyond those of the stomach, including diarrhea. Therefore, the difference between acute gastroenteritis and acute gastritis lies in the intestinal issues of the digestive tract. For the treatment of acute gastritis, medications for gastritis can be used to alleviate symptoms. Both are diseases of the digestive system, and proper examination and treatment can be sought in the gastroenterology department. (Please use medication under the guidance of a professional physician, do not self-medicate)

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Written by Ren Zheng Xin
Gastroenterology
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What is acute gastritis?

Acute gastritis is caused by various reasons leading to acute inflammation of the gastric mucosa, primarily due to stress, medications, infections in the stomach, and bile reflux. The main symptoms include upper abdominal pain, accompanied by nausea and vomiting, often with enteritis causing diarrhea, bloody stool, and signs of dehydration. The treatment for acute gastritis is mainly symptomatic, with timely fluid replenishment through intravenous hydration. Additionally, bed rest is recommended, along with cessation of all gastric irritants in food or medications, and fasting if necessary. For abdominal pain, local heat application or the use of antispasmodic analgesics can be considered; generally, anti-infection treatment is not required.

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Written by Ren Zheng Xin
Gastroenterology
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Characteristics of vomiting in acute gastritis

Acute gastritis is characterized by severe nausea and vomiting, usually of stomach contents, and sometimes includes bile. It is also accompanied by significant abdominal pain. In such cases, it is imperative to administer antispasmodic analgesics and antiemetic medications promptly, as well as antibiotics sensitive to the gastrointestinal tract. If the vomiting is severe, it may lead to dehydration, necessitating timely rehydration or intravenous fluid therapy. It is important to maintain dietary hygiene, consume soft, easily digestible foods, and reduce the intake of raw, cold, and spicy foods. Meat should be thoroughly cooked before consumption. Engaging in moderate outdoor physical activities after meals can enhance gastrointestinal motility. (Please use medications under the guidance of a doctor.)