Does gastritis require infusion?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 23, 2024
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Gastritis is divided into acute gastritis and chronic gastritis. Common types of chronic gastritis include chronic superficial gastritis and chronic atrophic gastritis, which do not affect eating. Treatment plans are determined based on diagnostic results and whether there is a Helicobacter pylori infection. Treatment can be achieved through oral medication, so in these cases, infusion therapy is generally not necessary. If it is acute gastritis, accompanied by severe vomiting and inability to eat, this situation often requires infusion therapy, such as proton pump inhibitors for infection control, and supplementation of water and electrolytes to achieve therapeutic effects.

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Written by Zhu Dan Hua
Gastroenterology
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How to diagnose gastritis

Gastritis is a common disease in clinical practice, generally divided into chronic gastritis and acute gastritis. Acute gastritis is most commonly characterized by abdominal pain, nausea, and vomiting. The symptoms of chronic gastritis vary and mainly include discomfort in the abdomen, nausea and vomiting, decreased appetite, and even early satiety. For the diagnosis of chronic and acute gastritis, the preferred examination is gastroscopy. Gastroscopy includes both conventional and painless procedures, both aimed at examining the condition of the gastric mucosa. However, for some elderly patients, particularly those with underlying conditions like coronary heart disease, the risk associated with gastroscopy is higher. Therefore, if conventional or painless gastroscopy is not suitable for the patient, abdominal CT and upper GI barium meal can be chosen instead. After completing the gastroscopy, if chronic gastritis or gastric ulcers are diagnosed, it is advisable to further conduct tests to screen for Helicobacter pylori.

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Written by Wu Peng
Gastroenterology
1min 21sec home-news-image

What are the symptoms of gastritis?

Chronic gastritis often lacks specific clinical manifestations, and the correlation between the pathological histological examination results of the gastric mucosa and the clinical manifestations is also relatively poor. Some patients show changes in the mucosa indicative of gastritis during gastroscopy, and pathological histological examinations reveal inflammation, but they may have no or only mild clinical symptoms. The clinical manifestations of most chronic gastritis are merely upper gastrointestinal dyspeptic symptoms, such as a sense of fullness in the upper abdomen, irregular dull pain, belching, decreased appetite, weight loss, fatigue, and worsening upper abdominal discomfort after eating. Patients with chronic gastritis often have no obvious specific physical signs; some may have mild upper abdominal tenderness or discomfort upon palpation. Patients with gastric mucosal lesions may have positive fecal occult blood tests; however, vomiting blood or having black stool is very rare, and long-term poor appetite or minor bleeding might be accompanied by anemia. In severe cases of atrophic gastritis and pernicious anemia, significant anemia symptoms may be present.

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Written by Wu Hai Wu
Gastroenterology
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Does gastritis infect people?

Regarding whether gastritis can be contagious, it requires specific analysis of the circumstances. If the gastritis is caused by an infection of Helicobacter pylori, then it can be transmitted to others through shared meals or fecal-oral transmission. Under such circumstances, if others do not maintain clean eating habits or overeat, they are at a higher risk of developing chronic gastritis. If the occurrence of gastritis is not due to an infection from Helicobacter pylori, then it will not be contagious to others. Patients with gastritis should be cautious with their diet, avoiding spicy and irritating foods, and should not overeat. It’s important to eat regularly and in moderate amounts, and maintain a bland diet.

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Written by Ren Zheng Xin
Gastroenterology
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What to do about gastritis nausea?

For gastritis and nausea, it is appropriate to use antispasmodic, antiemetic, and stomach mucosa protective medications. If there is significant vomiting, it can cause loss of body fluids, and it is necessary to promptly replenish fluids. During treatment, attention should be paid to a light diet, mainly consisting of soft, easily digestible food. Try to avoid raw, cold, spicy, and irritating foods. Regular eating habits should be maintained, with meals scheduled and portioned timely, following the principle of eating small, frequent meals. Gastrointestinal diseases are greatly related to emotions; maintaining a good mood has a positive effect on the treatment of gastritis.

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Written by Si Li Li
Gastroenterology
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What are the symptoms of gastritis?

Common symptoms of chronic gastritis include upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, indigestion, and feelings of fullness after eating. Gastroscope examination can reveal signs like reddening, swelling, and erosion of the gastric mucosa, which can be diagnosed as chronic superficial gastritis. If there is glandular atrophy of the gastric mucosa observed, a diagnosis of chronic atrophic gastritis can be made through a biopsy. Treatment options include acid suppression and gastric protection, promoting gastric motility, and protecting the gastric mucosa. It is also recommended to perform a Carbon-14 breath test to determine the presence of Helicobacter pylori infection. If the infection is positive, eradication treatment for Helicobacter pylori is necessary. Chronic atrophic gastritis has a certain risk of turning cancerous, so it is advised to follow a diet that is light and easy to digest.