What are the symptoms of gastritis?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 15, 2024
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Gastritis is a common gastrointestinal disease with a variety of symptoms, including abdominal pain, bloating, nausea, vomiting, and hiccups. Sometimes, patients may feel full quickly, such as feeling bloated, abdominal pain, and burping after eating, so the symptoms are generally not specific. If treatment is necessary, an initial choice could be a gastroscopy. If no issues are found during the gastroscopy, symptomatic treatment could be provided. However, if symptoms extend beyond gastrointestinal issues like abdominal pain, bloating, nausea, and vomiting, and include anemia, fever, noticeable weight loss, and wasting, it is especially advised for elderly individuals to visit the hospital for further examinations including gastroscopy to rule out diseases such as gastric ulcers.

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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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What can you eat with gastritis?

Gastritis is generally divided into two main categories: chronic non-atrophic gastritis and chronic atrophic gastritis. It is usually diagnosed by gastroscopy, and the treatment plan is determined based on the presence or absence of Helicobacter pylori infection. Also, it is necessary to develop good eating habits. It is important to eat on a regular schedule with controlled portions or small, frequent meals, and chew slowly and thoroughly. Try to avoid binge eating or extreme hunger or fullness. For staple foods, soft rice or noodles are generally recommended, accompanied by fresh vegetables, etc. As for meat, it should be prepared in a light and easy-to-digest manner during cooking, and it is best to avoid too raw, greasy, spicy, or stimulating foods. Additionally, maintaining a good mood can also be helpful.

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Written by Yang Chun Guang
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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 Si Li Li
Gastroenterology
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What should you eat more of if you have gastritis?

Patients with gastritis should primarily consume a light and easily digestible diet. Firstly, porridge can be eaten, including millet porridge, Chinese yam porridge, coix seed porridge, and eel porridge. Secondly, soups such as chicken soup, pork rib soup, duck soup, and fish soup can be consumed. During the preparation of these soups, ingredients like Codonopsis, Astragalus, Poria, and coix seeds can be added, which are effective in strengthening the spleen, facilitating dampness removal, and nourishing the stomach, making them beneficial dietary therapy methods. Thirdly, well-cooked noodles can be eaten, as they also have a certain stomach-nourishing effect. Fourth, if consuming meat, it must be thoroughly stewed until soft before eating. This makes it less likely to burden the digestive tract and easier to digest, making it more suitable for patients with chronic gastritis.

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Written by Zhu Dan Hua
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How to treat gastritis?

The treatment of gastritis, besides dietary adjustments, mainly involves drug therapy. In terms of diet, it is recommended that patients adopt a light, easily digestible diet, eat regularly, avoid overeating, and avoid consuming pickled or spicy foods and substances that harm the gastrointestinal mucosa, such as alcohol and coffee. For medication, one can choose drugs that protect the stomach or promote gastrointestinal motility. Of course, one can also choose traditional Chinese medicine formulations that protect the stomach. The treatment course is usually between two to four weeks, but regular dietary adjustments and rest are fundamental. Clinically, gastritis is quite common and generally refers to stomach disorders caused by various inflammations, with Helicobacter pylori infection being the most common cause. Therefore, for patients with gastritis, it is recommended to further screen for Helicobacter pylori. If Helicobacter pylori is found positive, in addition to protecting the stomach, treatment to eradicate Helicobacter pylori is necessary, generally involving four types of medications. The diagnosis of gastritis mainly relies on gastroscopy and pathology. Patients typically present with abdominal discomfort or weight loss, and gastroscopy shows inflammatory changes in the stomach. Therefore, it is generally recommended that patients undergo a gastroscopy. (Please take medication under the guidance of a professional physician.)