How to treat gastritis

Written by Yang Chun Guang
Gastroenterology
Updated on September 03, 2024
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Gastritis is mostly caused by Helicobacter pylori infection, or factors such as improper diet, medications, and emotional stress, which lead to gastric mucosal damage. In terms of treatment, it is best to first conduct a gastroscopy and test for Helicobacter pylori to determine the type of gastritis and whether there is an infection. Treatment should then be guided by the results. If it is not possible to conduct these tests, one can use proton pump inhibitors to suppress stomach acid, in combination with gastric mucosal protectants. If reflux gastritis is present, prokinetic drugs should also be used to inhibit reflux. (Use of medications should be under the guidance of a doctor.)

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What are the symptoms of gastritis?

Chronic gastritis, under gastroscopy, can usually be divided into two main categories: chronic non-atrophic gastritis, also known as superficial gastritis, and chronic atrophic gastritis. The primary cause is related to Helicobacter pylori infection, although there are other related factors, such as exposure to cold, poor dietary habits, medication factors, and more. As for the symptoms of gastritis, there is individual variation. It can manifest as either excessive gastric acid or poor gastric motility. Excessive gastric acid can present as upper abdominal pain, heartburn, and acid reflux burn, among others. Poor gastric motility may lead to symptoms such as nausea, vomiting, bloating in the upper abdomen, and poor appetite.

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How is gastritis with bleeding treated?

Gastritis that leads to bloody stools generally manifests as black stools. Treatment primarily involves dietary adjustments and oral medication. It is suggested that patients consume easy-to-digest, light foods. Medications can include acid-reducing and gastric-protective drugs, as well as hemostatics. The treatment duration is usually four to six weeks. Generally, through dietary modifications and medication, very positive effects can be achieved, so patients need not worry excessively. However, for patients experiencing bloody stools, it is necessary to confirm gastric disorders. Routine examinations should include complete blood count, stool analysis, and especially gastroscopy, which is the most crucial diagnostic tool. This can assess the condition of the gastric mucosa and determine if there are any accompanying inflammations, erosions, tumors, or ulcers. Gastroscopy is widely used in clinical practice and generally has a high safety profile, so patients should not be overly reluctant to undergo it. (Please take any medications under the guidance of a physician.)

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Written by Jiang Guo Ming
Gastroenterology
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How to relieve gastritis pain

Gastric pain typically refers to pain in the upper abdomen, and the first step is to confirm whether the pain is indeed caused by gastritis. If an endoscopy confirms gastritis and liver or gallbladder issues are ruled out, there are primarily two causes of gastritis pain: One is the excessive secretion of stomach acid, which irritates the gastric mucosa leading to upper abdominal pain, and can be accompanied by acid reflux, heartburn, and a burning sensation. In such cases, proton pump inhibitors, such as omeprazole, are generally the first choice and can help relieve the pain. Another situation, such as chronic gastritis, combined with exposure to cold or improper diet, can lead to gastric spasms. This often manifests as episodic upper abdominal pain or even colicky pain. Antispasmodic analgesics, such as scopolamine butylbromide, can be appropriately used in these cases, while also ensuring to stay warm and consume a light, easily digestible diet. (Medication should be used under the guidance of a doctor.)

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Written by Ren Zheng Xin
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What should I do if I have a flare-up of gastritis?

When experiencing gastritis, it is important to actively use medical treatments, such as gastroprotective agents that suppress gastric acid secretion and antibiotics. At the same time, dietary adjustments should be made. The recurrence of gastritis is directly related to irregular eating habits. It's essential to follow a light diet, consume more vegetables and fruits, and eat less spicy, greasy, and stimulating foods. Additionally, avoid stimulants like strong tea, coffee, and hard liquor. Consume more vegetables to increase dietary fiber, and eat foods that are gentle on the stomach lining and easy to digest, such as millet porridge, rice soup, vegetable soup, and steamed egg custard.

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Written by Jiang Guo Ming
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How to alleviate gastritis pain?

The pain of chronic gastritis may be a problem with the gastritis itself, like irritation caused by excessive stomach acid. It can manifest as upper abdominal pain, acid reflux, heartburn, etc. This condition can be treated with acid-suppressing and mucosal-protecting medications. Proton pump inhibitors are generally the first choice, such as omeprazole, rabeprazole, lansoprazole, etc., which usually achieve the therapeutic goal. Additionally, if the acute stomach pain is caused by exposure to cold or inappropriate diet, this is usually accompanied by gastric spasms, showing as intermittent abdominal pain, even colic. In such cases, antispasmodic pain relievers, such as scopolamine butylbromide, can be appropriately used. At the same time, it is important to avoid cold exposures, and maintain a light, easy-to-digest diet. (Please use medications under professional medical guidance.)