How to treat gastritis?

Written by Zhu Dan Hua
Gastroenterology
Updated on April 28, 2025
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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.)

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Written by Zhu Dan Hua
Gastroenterology
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What are the symptoms of gastritis?

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 Zhu Dan Hua
Gastroenterology
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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 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 Jiang Guo Ming
Gastroenterology
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What is suitable to eat for gastritis?

Due to the fast pace of modern life, people often experience high levels of stress, which can lead to poor dietary and living habits. As a result, stomach diseases have become one of the most common ailments among modern people. In addition to following medical advice for treatment, daily dietary and living habits are particularly important. First of all, we need to develop the habit of eating regularly and quantitatively, or eating small meals frequently, avoiding being too hungry or too full, and certainly not binge eating. The principle of diet should focus on light and easy-to-digest foods, such as soft, mushy rice or noodles. It is appropriate to consume fresh fruits and vegetables, and avoid consuming too much spicy, greasy, or raw and cold foods, while maintaining a good mood.

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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.