Does chronic gastritis require hospitalization?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 04, 2024
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Whether hospitalization is needed for chronic gastritis depends on the specific condition of the patient. If symptoms are mild, without proliferative ulcers, and clinical manifestations are not severe, symptoms can be improved through dietary adjustments and oral medications that inhibit gastric acid secretion and protect the gastric mucosa; these cases generally do not require hospitalization. However, if there is a confirmed Helicobacter pylori infection accompanied by nausea, stomach pain, and other digestive discomforts, and gastroscopic examination reveals atypical hyperplasia or intestinal metaplasia of the gastric mucosa, these situations necessitate active treatment in a hospital setting. (Medication should be used under the guidance of a doctor according to specific circumstances.)

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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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Is chronic gastritis easy to treat?

The treatment of chronic gastritis primarily aims to alleviate symptoms and reduce the recurrence of the disease; it is generally difficult to cure completely. The medications chosen are mainly for protecting the gastric mucosa and inhibiting gastric acid secretion. If there is an infection with Helicobacter pylori, it should be completely eradicated. Additionally, attention should be paid to dietary adjustments, consuming soft and easily digestible foods, and avoiding spicy, stimulating, and greasy foods. It is important to engage in appropriate outdoor exercise, develop good living habits, and regulate emotions, as excessive tension, irritability, and anger can exacerbate chronic gastritis.

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Written by Wu Hai Wu
Gastroenterology
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How to treat dry heaving in chronic gastritis?

Patients with chronic gastritis who experience dry retching should consider whether it is due to insufficient gastrointestinal motility or excessive secretion of gastric acid. It is recommended to avoid overly spicy and irritating foods, eat regularly and in proper amounts, and maintain a pleasant mood without being disturbed by anxiety, sadness, and anger. Eating more fresh vegetables and fruits rich in vitamins is also advisable. At the same time, try to avoid using drugs that damage the gastric mucosa, such as hormones, antirheumatics, and non-steroidal anti-inflammatory drugs, etc.

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Written by Si Li Li
Gastroenterology
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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 Si Li Li
Gastroenterology
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What are the symptoms of chronic gastritis?

Chronic gastritis does not have specific symptoms, and the severity of the symptoms does not necessarily correspond to the severity of the disease. Common symptoms include pain in the upper middle abdomen, belching, acid reflux, nausea, vomiting, heartburn, a feeling of fullness after eating, poor appetite, and indigestion. In severe cases of atrophic gastritis, patients may experience symptoms such as anemia and weight loss. Some patients may also experience psychological symptoms such as anxiety and depression. If a patient experiences the above symptoms, it is recommended to promptly conduct a gastroscopy to confirm the diagnosis. It is also advisable to conduct a carbon-14 breath test to determine the presence of Helicobacter pylori infection, as this infection is a major cause of chronic gastritis. After confirming the diagnosis, appropriate treatment should be administered.