What are the symptoms of chronic gastritis?

Written by Wu Peng
Gastroenterology
Updated on September 02, 2024
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Most patients with chronic gastritis exhibit atypical clinical symptoms, often presenting as gastrointestinal dyspepsia symptoms, such as upper abdominal bloating, irregular and dull pain, belching, loss of appetite, weight loss, fatigue, and increased upper abdominal discomfort after eating. Patients with chronic gastritis often do not have significant abnormal physical signs; some may only experience mild upper abdominal tenderness or discomfort when pressed. If the gastric mucosa is eroded, occult blood may be positive, but patients presenting with vomiting blood or black stools are rare. Some patients may experience anemia due to long-term loss of appetite or minor bleeding, and severe anemia may present with symptoms related to anemia.

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Written by Ren Zheng Xin
Gastroenterology
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Can chronic gastritis be cured?

Chronic gastritis is generally difficult to cure completely. The current treatment principle is to eliminate the cause, alleviate symptoms, and prevent or reduce the recurrence of the disease. Treatment mainly focuses on protecting the gastric mucosa, suppressing gastric acid secretion, and eradicating Helicobacter pylori infections. Post-treatment care is also very important. It is advisable to eat a diet that is light, soft, and easy to digest, avoid spicy, stimulating, and greasy foods, and steer clear of strong tea, coffee, and alcoholic beverages. Engaging in appropriate outdoor exercises and managing emotions also play a positive role in the treatment of chronic gastritis.

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Written by Li Ying
Gastroenterology
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Symptoms of Chronic Gastritis

Chronic gastritis manifests differently across various types, and the severity of symptoms may not always correlate with the extent of the lesion. There are roughly four types: 1. The first can cause upper abdominal pain or discomfort. Most patients with gastritis experience a sense of discomfort in the upper abdomen, with irregular pain that is not significantly related to diet; some may experience pain that spreads throughout the upper abdomen, causing a burning sensation, hidden pain, or bloating. 2. Post-meal fullness can also lead to abdominal distension due to the retention of food and poor digestion in the stomach. 3. Other symptoms include acid reflux and nausea. 4. Severe atrophic gastritis can cause weight loss in patients, including symptoms like diarrhea.

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Written by Li Ying
Gastroenterology
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How to care for chronic gastritis

Chronic gastritis generally requires treatment, which involves identifying and eliminating the causative factors, avoiding gastrointestinal irritants including diet and medications. The most important measures are quitting smoking and alcohol. It is also essential to maintain hygiene to prevent binge eating. Medication may be used, choosing the appropriate drugs based on symptoms to alleviate them. However, it is crucial to use caution with medications that may damage the stomach lining. Maintaining a cheerful spirit, avoiding excessive stress, fatigue, and gastrointestinal disturbances caused by excessive tension, such as bile reflux, is important. Actively treat infections of the oral and pharyngeal region. It is vital to avoid overly acidic, spicy, and irritating foods, as well as cold and indigestible foods. Pay attention to care, keeping a regular and quantified diet that includes foods conducive to digestion and reduces stomach irritation.

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Written by Jiang Guo Ming
Gastroenterology
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How many days does chronic gastritis need for IV therapy?

The treatment of chronic gastritis generally depends on whether there is a Helicobacter pylori infection. If there is an infection, the usual approach is a quadruple therapy to eradicate the bacteria, which includes a proton pump inhibitor, two types of antibiotics, and a bismuth compound, lasting for a 10 to 14-day treatment course. If there is no Helicobacter pylori infection, the treatment primarily focuses on symptomatic relief, such as suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility, depending on the specific conditions of the patient. As for the duration of intravenous therapy for chronic gastritis, if the patient does not exhibit significant vomiting, intravenous therapy is generally not necessary, as oral medication is sufficient to achieve therapeutic goals. If the patient has severe vomiting and cannot eat, intravenous therapy might be needed. This would focus mainly on suppressing stomach acid and maintaining fluid and electrolyte balance, typically requiring two to three days, and prolonged intravenous therapy is not necessary. (Please follow the doctor's prescription for medication.)

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Written by Ren Zheng Xin
Gastroenterology
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What are the symptoms of chronic gastritis?

Chronic gastritis is a relatively common clinical disease in gastroenterology, mainly including chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. The clinical manifestations are diverse and there are no specific signs or symptoms. Most patients with Helicobacter pylori infection do not show obvious symptoms, while a minority of patients may experience nausea, vomiting, and postprandial fullness in the upper abdomen, among other symptoms of indigestion. Most cases of chronic gastritis are discovered during physical examinations or endoscopic examinations. The main principles of treatment for chronic gastritis are dietary adjustments and oral medication. It is important to maintain regular eating habits, avoid spicy and irritating foods, and pay attention to one's daily life and routines.