What should someone with chronic gastritis eat normally?

Written by Zhai Guo Dong
Gastroenterology
Updated on September 11, 2024
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For patients with chronic gastritis, we recommend avoiding irritant foods and opting for foods that cause less irritation to the stomach. Avoid overly acidic or sweet foods. It is suggested that patients keep foods like steamed buns and soda crackers, which are alkaline, on hand. Try to avoid consumption of raw, cold, hard, or hot foods, as well as tea, coffee, and substances like tobacco and alcohol, which are highly irritating to the stomach.

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Written by Ren Zheng Xin
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Is chronic gastritis contagious?

Chronic gastritis is not a contagious disease, so it is not infectious. Chronic gastritis is a disease caused by various pathological factors leading to mucosal damage, and it is directly related to Helicobacter pylori infection. The treatment mainly aims to eradicate Helicobacter pylori, alleviate symptoms, suppress gastric acid secretion, protect the gastric mucosa, and reduce the recurrence of the disease. Additionally, during treatment, attention should be paid to dietary adjustments, eating soft and easily digestible foods, and avoiding spicy and irritating foods. Appropriate outdoor exercise and maintaining a pleasant mood have a positive effect on the treatment of chronic gastritis.

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Written by Si Li Li
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What foods should be avoided with chronic gastritis?

Chronic gastritis commonly presents symptoms such as bloating, stomach pain, belching, acid reflux, nausea, vomiting, etc. These symptoms may recur periodically. A definitive diagnosis of chronic gastritis can be made through gastroscopy. Treatments include acid suppression, gastric protection, enhancement of gastric motility, and protection of the gastric mucosa. Special attention should be paid to diet in cases of chronic gastritis. What should be avoided in the diet? Firstly, smoking and drinking alcohol are prohibited, as well as drinking strong tea and coffee. Foods that are fatty, rich, or greasy should not be consumed, and neither should fried, grilled, spicy, or cold dishes. Foods such as milk, soy milk, sticky rice, and sweet potatoes can lead to excessive secretion of stomach acid and some can cause gas, resulting in symptoms of bloating. Therefore, these types of foods should also be consumed less, or even avoided. So, what should we eat? It is best to consume foods that are easy to digest, such as porridge and soups, as well as noodles that are cooked until very soft. Meat is also acceptable but should be cooked or stewed until very tender, as this will not overburden the stomach and will not adversely affect chronic gastritis.

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Written by Zhu Dan Hua
Gastroenterology
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Symptoms of acute exacerbation of chronic gastritis

Common symptoms of acute exacerbation of chronic gastritis include abdominal pain, bloating, nausea, vomiting, etc. Among these, abdominal pain is the most common clinical presentation, manifested as upper abdominal distension, burning pain, or dull pain, generally associated with unhygienic dietary habits, and acute attacks are more common among some healthy individuals or young people. The diagnosis of chronic with acute exacerbation mainly relies on medical history and gastroscopy. Under gastroscopy, the gastric mucosa can be observed to show acute inflammatory changes, presenting as gastric congestion, edema, and even erosion formation. Regarding treatment, it mainly consists of dietary adjustments and the selection of medications. Dietary recommendations include adopting a liquid and light diet, and medications may include acid suppression and gastric mucosal protection drugs. Of course, if the patient has significant abdominal pain, a small dose of pain reliever can be used, generally over a short course of treatment. Indeed, chronic gastritis is a common disease in clinical practice, so it is essential to adjust your diet and develop good living and eating habits regularly.

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Written by Wu Hai Wu
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What should I do if chronic gastritis flares up?

If chronic gastritis flares up, patients need not be overly anxious. Standard treatment can quickly cure chronic gastritis. Following an acute flare-up of chronic gastritis, the first step involves using medications such as magnesium carbonate, aluminum sucrose sulfate, and aluminum-magnesium suspension to protect the gastric mucosa. Then, use H2 receptor antagonists or proton pump inhibitors to suppress stomach acid secretion and increase the pH level inside the stomach. Sometimes, traditional Chinese medicine is also quite effective in treating chronic gastritis, such as Qi Stagnation Stomach Pain Granules, Wen-Wei Shu, Yang Wei Shu Capsules, and Xiang Sha Yang Wei Pills. (Please use medication under the guidance of a doctor.)

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Is chronic gastritis easy to treat?

Chronic gastritis is relatively common in clinical settings and generally responds well to standardized treatment, so there is no need for excessive worry. As the name implies, chronic gastritis is caused by various factors that lead to inflammatory changes in the stomach, which may manifest as congestion and edema of the gastric mucosa, erosion, and even the formation of multiple superficial ulcers. Common symptoms of chronic gastritis include abdominal pain, bloating, nausea, and belching, usually with a long history. The abdominal pain typically occurs in the upper abdomen and is related to food intake, which may improve after eating. Nausea and vomiting generally involve gastric contents, sometimes including blood. Patients undergo gastroscopy and biopsy to further confirm chronic gastritis, and tests for Helicobacter pylori are commonly performed. If the treatment involves Helicobacter pylori and results are positive, treatment to protect the stomach and eradicate Helicobacter pylori is recommended.