Does acute gastritis require hospitalization?

Written by Jiang Guo Ming
Gastroenterology
Updated on November 06, 2024
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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 Ren Zheng Xin
Gastroenterology
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What are the symptoms of acute gastritis?

Acute gastritis is mostly caused by unhygienic dietary habits and is more common in summer. The symptoms mainly involve gastrointestinal irritation, such as nausea, vomiting, fever, and loss of appetite. Active pharmacological treatment should be given for acute gastroenteritis. Commonly used medications include those that suppress gastric acid secretion, protect the gastric mucosa, and antibiotics. During treatment, it is advisable to eat small, frequent meals consisting primarily of soft, easily digestible foods, and to avoid cold, spicy, or irritating foods. (Please take medication under the guidance of a doctor.)

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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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What should I do about acute gastritis and abdominal pain?

The abdominal pain due to acute gastritis is considered to be caused by acute gastroenteritis. The inflammation irritates the gastrointestinal mucosa, leading to muscle spasms that cause pain. It is appropriate to use antispasmodic and analgesic medications, as well as drugs that protect the gastric mucosa and inhibit gastric acid secretion. During this period, it is important to rest more and avoid physical labor as much as possible. Also, pay attention to dietary adjustments, eat soft, easily digestible foods, and avoid spicy, greasy, and irritating foods. After recovery, it is advisable to engage in appropriate outdoor exercises to regulate physical and mental health.

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Written by Jiang Guo Ming
Gastroenterology
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What foods should be avoided with acute gastritis?

Acute gastritis often presents with symptoms such as abdominal pain, acid reflux, vomiting, and heartburn. Under a gastroscope, the mucous membrane often appears clearly congested and swollen, and there may even be signs of acute inflammation, such as erosion and bleeding spots. Therefore, while coordinating with medication treatment, it is crucial to pay attention to dietary habits. In terms of diet, it should not only provide nutritional support but also minimize irritation to the stomach. For example, soft foods like rice, noodles, and porridge should be staple foods. Fresh vegetables, fish soup, and meat broth can all add nutrition. Try to avoid excessively cold, greasy, spicy foods, alcoholic beverages, and very hot or hard foods. It is advisable to eat small meals frequently.

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Written by Ren Zheng Xin
Gastroenterology
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Causes of acute gastritis

The causes of acute gastritis are varied, primarily involving external factors, internal factors, and psychological factors. For example, irregular eating habits, consuming foods that are too cold or too hot, and overly coarse foods can all irritate and damage the gastric mucosal barrier. Additionally, some medications can directly cause congestion of the gastric mucosa, and acute gastritis can be directly caused by bacterial or viral infections. The gastrointestinal tract is regulated by various hormones, and if one is overly tense, agitated, or exhibiting symptoms of neurosis, this can affect the normal levels of the mucosa through hormonal regulation, leading to mucosal damage and triggering inflammation.