Which is more serious, acute gastritis or chronic gastritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on June 29, 2025
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Acute gastritis is an acute lesion occurring in the gastric mucosa, which can cause significant abdominal pain. Mucosal rupture and bleeding can lead to gastric bleeding, and if there is a substantial amount of bleeding, it may cause vomiting blood. Chronic gastritis is a long-term, diffuse inflammation of the stomach, with the main symptoms being loss of appetite, abdominal pain, belching, and acid reflux.

Relatively speaking, the symptoms of acute gastritis are more severe. The treatment for acute gastritis primarily involves the use of medications that suppress gastric acid secretion and protect the gastric mucosa. In terms of diet, it is important to eat cautiously, avoiding spicy and greasy foods, consuming more vegetables, and eating meals regularly and in moderation.

(The use of medications should be under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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How to treat gastritis

Gastritis is probably the most common among all digestive system diseases, including chronic non-atrophic gastritis and chronic atrophic gastritis. The treatment for gastritis mainly depends on the cause and specific symptoms. First, it is necessary to determine the treatment plan based on whether there is a Helicobacter pylori infection. If there is a Helicobacter pylori infection, the general treatment is quadruple therapy, which is an antibacterial treatment. If there is no Helicobacter pylori infection, treatment usually focuses on symptomatic relief such as suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility, among others. Gastritis caused by other factors, such as inappropriate diet, emotional issues, or medications, etc., can usually be alleviated by adjusting the diet, relaxing, and discontinuing the relevant medications. (Medication use should be conducted under the guidance of a professional doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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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 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 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
Gastroenterology
55sec home-news-image

Which is more serious, acute gastritis or chronic gastritis?

Acute gastritis is an acute lesion occurring in the gastric mucosa, which can cause significant abdominal pain. Mucosal rupture and bleeding can lead to gastric bleeding, and if there is a substantial amount of bleeding, it may cause vomiting blood. Chronic gastritis is a long-term, diffuse inflammation of the stomach, with the main symptoms being loss of appetite, abdominal pain, belching, and acid reflux. Relatively speaking, the symptoms of acute gastritis are more severe. The treatment for acute gastritis primarily involves the use of medications that suppress gastric acid secretion and protect the gastric mucosa. In terms of diet, it is important to eat cautiously, avoiding spicy and greasy foods, consuming more vegetables, and eating meals regularly and in moderation. (The use of medications should be under the guidance of a doctor.)