The causes of acute gastritis

Written by Jiang Guo Ming
Gastroenterology
Updated on September 03, 2024
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Acute gastritis is one of the common upper gastrointestinal diseases. The condition tends to be severe and more serious than typical gastritis, usually presenting with symptoms such as sudden onset, abdominal pain, bloating, nausea, acid reflux, and vomiting. The primary causes may include exposure to cold or food irritants, such as raw, spicy foods, or alcohol. Additionally, other factors can also lead to acute gastritis or acute gastric mucosal lesions, such as the use of non-steroidal anti-inflammatory drugs like aspirin, or corticosteroid medications such as dexamethasone or prednisone. (Specific medication use should be under the guidance of a doctor.)

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How to recuperate after acute gastritis?

The management of acute gastritis primarily involves diet and regulation of personal emotions. Diet-wise, it's important to eat light foods and avoid spicy and greasy foods. Incorporate more fresh vegetables and fruits to increase dietary fiber. Additionally, adjusting personal emotions is crucial as there is a direct relationship between gastritis and emotional fluctuations. Therefore, maintaining physical and mental health, engaging in outdoor activities, and minimizing emotional ups and downs, while avoiding excessive anxiety, all play a positive role in the treatment and care of acute gastritis.

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Written by Ren Zheng Xin
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What IV fluids should be administered for acute gastritis?

The choice of medication for intravenous therapy in acute gastritis focuses on suppressing gastric acid secretion, protecting the gastric mucosa, and the rational use of antibiotics. It is also important to replenish fluids and electrolytes to maintain sodium-water balance. During treatment, attention should be paid to regular eating habits, consuming more vegetables and fruits to add dietary fiber. Additionally, the main diet should consist of soft, easy-to-digest foods, such as millet porridge, rice soup, or vegetable soup; it is advisable to avoid raw, cold, spicy foods and to stay away from strong tea, coffee, and hard liquor to prevent damage to the gastric mucosa. Regular, timely meals should be adhered to, along with developing a regular routine of living habits. After recovery, appropriate outdoor exercises should be conducted to strengthen the physique and maintaining a positive mindset plays an active role in preventing gastrointestinal diseases.

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Written by Jiang Guo Ming
Gastroenterology
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Does acute gastritis require hospitalization?

Acute gastritis often presents with symptoms such as acute abdominal pain, bloating, acid reflux, heartburn, nausea, and vomiting. The symptoms are typically more severe than those of chronic gastritis. Whether hospitalization is necessary depends on the specific symptoms. If the symptoms are not severe and the patient can eat, treatment can be achieved through oral medication. If there is severe vomiting or inability to eat, hospitalization for intravenous therapy may be needed. Additionally, acute gastric mucosal lesions caused by certain medications may lead to bleeding, which also requires hospital observation to prevent worsening of the condition. (Specific medications should be used under the guidance of a doctor.)

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Written by Yang Chun Guang
Gastroenterology
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What to eat for acute gastritis

Acute gastritis refers to the acute onset of gastric mucosa damage or erosion, commonly caused by drugs or stress-induced injuries, including those caused by alcohol. For treatment, proton pump inhibitors that suppress stomach acid can be used. Aside from proton pump inhibitors, H2 receptor antagonists can also be chosen, but the therapeutic effect of H2 receptor antagonists is not as good as proton pump inhibitors. Treatment should also include gastric mucosal protectants and drugs that promote mucosal repair. Additionally, if gastrointestinal motility is poor, prokinetic agents may be added to the treatment. Moreover, during the acute phase, it is best to consume liquid foods and drink porridge.

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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.)