Does chronic gastritis require medication?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 04, 2024
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Chronic gastritis often has no clinical symptoms, but this condition still requires medication treatment. The duration of medication must be long-term and regular, primarily focusing on drugs that suppress gastric acid secretion and protect the gastric mucosa. If the inflammation is relatively significant, antibiotics can be chosen; in cases of Helicobacter pylori infection, a triple therapy, which includes two antibiotics and a gastric mucosa protective agent, can be opted for. Additionally, it is crucial to pay attention to daily life routines, eat a light diet, avoid raw, greasy, and fried foods, and rest well to gradually recover from gastritis.

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Written by Zhu Dan Hua
Gastroenterology
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Does chronic gastritis cause pain?

Chronic gastritis is relatively common in clinical settings and is frequently seen in the gastroenterology outpatient department. Chronic gastritis can manifest in various ways and may cause stomach pain, typically presenting as upper abdominal pain, which is generally considered pain above the navel. The nature of the pain can be bloating, colic, dull pain, or burning pain, or patients may simply experience discomfort. Of course, patients may also have other symptoms such as nausea, vomiting, dry heaving, belching, and hiccupping, but generally do not exhibit alarming symptoms such as anemia, vomiting blood, bloody stools, or fever, etc. The diagnosis of chronic gastritis generally relies on gastroscopy, which can reveal congestion, edema, and erosion of the gastric mucosa under gastroscopy, and in some cases, distinct ulcers and tumors. The treatment mainly focuses on protecting the stomach and symptomatic management, generally with good results.

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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.

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Written by Ren Zheng Xin
Gastroenterology
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What should be noted for chronic gastritis with erosion?

For chronic gastritis and gastric erosion, it is important to control the diet by eating fresh vegetables and foods that are easy to digest. Avoid overly spicy and cold foods. Additionally, adjust your daily routine to avoid staying up late and maintain a reasonable schedule. Also, control your emotions to prevent excessive stress and fatigue. Appropriate medical treatment should be considered, such as using medications to protect the stomach lining, reduce stomach acid secretion, and appropriately using antibiotics for treatment. Most importantly, regular check-ups are crucial. (Please take medications under the guidance of a doctor.)

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

Chronic gastritis has many symptoms in clinical practice, but there is no specificity. Most patients present with symptoms of indigestion such as pain in the upper abdomen, nausea, and acid reflux, which are related to the severity of chronic gastritis. In cases of atrophic gastritis, there is also abdominal pain. If the gastritis is caused by Helicobacter pylori infection, there may not be specific symptoms, just a feeling of fullness in the abdomen after eating. For chronic gastritis, gastroscopy and gastrointestinal barium meal examination can be performed, and treatment can be administered according to the type of gastritis.