How to treat gastritis

Written by Yang Chun Guang
Gastroenterology
Updated on September 03, 2024
00:00
00:00

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.)

Other Voices

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
43sec home-news-image

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.

doctor image
home-news-image
Written by Zhu Dan Hua
Gastroenterology
1min 19sec home-news-image

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.

doctor image
home-news-image
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.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 14sec home-news-image

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.

doctor image
home-news-image
Written by Ren Zheng Xin
Gastroenterology
50sec home-news-image

Can people with gastritis drink tea?

During the acute phase of gastritis, it is advisable to avoid drinking tea, as tea can stimulate the secretion of gastric acid, cause gastric spasms, and lead to symptoms such as pain below the xiphoid process and acid reflux. Therefore, during the acute phase of gastritis, it is important to pay attention to a light diet, avoid strong tea, coffee, strong alcohol, and other stimulating foods. Opt for soft, easily digestible foods during meals, actively choose medications that regulate the spleen and stomach, manage emotions carefully, and engage in some activity after meals to help promote gastrointestinal motility. Consuming soft fruits, like bananas, can be very beneficial in promoting the healing of the gastrointestinal mucosa.