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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Written by Yang Chun Guang
Gastroenterology
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What department should I go to for gastritis?

When gastritis is present, symptoms such as abdominal pain, acid reflux, belching, and bloating typically occur. Clinically, one can register under the Gastroenterology department, as the stomach is part of the digestive system. If the hospital is small and lacks a Gastroenterology department, registering under the Internal Medicine department could be considered. For gastritis diagnosis, registration should be made under Gastroenterology, and examinations such as gastroscopy and tests for Helicobacter pylori are required. Both gastroscopy and Helicobacter pylori tests require fasting for more accurate results. Moreover, treatment in Gastroenterology is more targeted.

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Written by Wu Hai Wu
Gastroenterology
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Can gastritis cause bad breath?

Gastritis can cause bad breath; the reasons may include poor digestion and reduced gastric motility in patients after developing gastritis, or possibly due to infection with Helicobacter pylori. Besides gastritis, other stomach diseases can also cause bad breath, such as peptic ulcers, malignant gastric tumors, and erosive gastritis, among others. Apart from stomach diseases, diseases related to the liver, gallbladder, and oral diseases can also cause bad breath. Therefore, when patients experience bad breath, they should visit the department of stomatology to determine if there are any oral diseases, complete imaging examinations of the liver and gallbladder, and, if necessary, also complete gastroscopic examinations.

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Written by Huang Ya Juan
Gastroenterology
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Symptoms of gastritis

Gastritis is an acute and chronic inflammation of the gastric mucosa caused by various reasons. The most common types of gastritis are acute gastritis and chronic gastritis. The common symptoms of acute gastritis include upper abdominal pain, bloating, nausea, vomiting, and loss of appetite. Severe cases may experience vomiting blood, fever, dehydration, and even shock. Symptoms of chronic gastritis are not specific; many cases are asymptomatic. Those with symptoms may experience upper abdominal pain or discomfort, loss of appetite, belching, acid reflux, and nausea. Symptoms are often related to food intake, and a significant number of patients may not show any symptoms at all. Patients with gastric erosion may experience minor or major bleeding, and chronic minor bleeding can lead to iron deficiency anemia.

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Written by Yang Chun Guang
Gastroenterology
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Does gastritis require infusion?

In clinical practice, there are many patients with chronic gastritis. If stomach pain is observed and gastritis is suspected, this condition is mostly treated with oral medication because gastritis itself is a common disease. Infusion therapy is used for those whose diets are poor and who find it difficult to eat; this impacts their ability to take medication orally, and such individuals might consider infusion therapy. However, it is still recommended to take medication orally whenever possible. Additionally, if gastritis is accompanied by mucosal erosion or severe ulcers, intravenous infusion may be considered, switching to oral medication after a few days. (Medication should be used under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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What causes gastritis?

Chronic gastritis can be divided into two main categories: chronic non-atrophic gastritis, which was previously referred to as chronic superficial gastritis, and chronic atrophic gastritis. The primary cause of chronic gastritis is generally considered to be Helicobacter pylori infection, which has a very high infection rate in our country, exceeding 50%. Moreover, inappropriate diet can also cause chronic gastritis, such as stimulation from smoking and drinking, irregular eating habits, overeating, as well as excessive consumption of raw, greasy, spicy, and other irritating foods. Additionally, emotional factors are closely related to chronic gastritis.