What are the symptoms of gastritis?

Written by Si Li Li
Gastroenterology
Updated on December 07, 2024
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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.

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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 Jiang Guo Ming
Gastroenterology
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How to maintain gastric health usually?

Chronic gastritis is a common upper gastrointestinal disease, and it often relapses, so regular maintenance is particularly important. It is essential to develop good dietary and living habits, such as not getting chilled and avoiding excessive fatigue, quitting smoking and drinking, and eating a diet that is as light and digestible as possible. Eating regularly and in moderation, or having small, frequent meals, thoroughly chewing your food slowly rather than gobbling it down, minimizing stimulation from greasy, raw, or spicy foods, and maintaining a good mood all help.

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Written by Jiang Guo Ming
Gastroenterology
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Does gastritis require infusion?

Gastritis is divided into acute gastritis and chronic gastritis. Common types of chronic gastritis include chronic superficial gastritis and chronic atrophic gastritis, which do not affect eating. Treatment plans are determined based on diagnostic results and whether there is a Helicobacter pylori infection. Treatment can be achieved through oral medication, so in these cases, infusion therapy is generally not necessary. If it is acute gastritis, accompanied by severe vomiting and inability to eat, this situation often requires infusion therapy, such as proton pump inhibitors for infection control, and supplementation of water and electrolytes to achieve therapeutic effects.

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Written by Yang Chun Guang
Gastroenterology
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How to treat gastritis

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.