How to care for chronic gastritis

Written by Li Ying
Gastroenterology
Updated on September 03, 2024
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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 Wu Hai Wu
Gastroenterology
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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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Written by Jiang Guo Ming
Gastroenterology
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What Chinese medicine should be taken for chronic gastritis?

Chronic gastritis, whether superficial gastritis or atrophic gastritis, can be treated with traditional Chinese medicine. The theory of Chinese medicine emphasizes syndrome differentiation and treatment, holistic treatment, and utilizes observation, smell, questioning, and pulse-taking to determine a patient's cause and mechanism of disease, followed by targeted treatment. Common treatment methods include tonifying qi and strengthening the spleen, soothing the liver and relieving depression, harmonizing the stomach and reversing counterflow, invigorating the blood and dispelling stasis, among others. The treatment varies greatly and must be tailored to the specific circumstances of the patient through face-to-face diagnosis. It is also important to develop good dietary and living habits, opting for a diet that is light, easy to digest, and avoids raw, greasy, spicy foods, and alcohol, often resulting in better therapeutic effects.

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Written by Si Li Li
Gastroenterology
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How to treat chronic gastritis

The common symptoms of chronic gastritis include upper abdominal bloating, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A gastroscopy can be performed to confirm the diagnosis; if the gastroscopic examination reveals redness, swelling, and erosion of the gastric mucosa, a diagnosis of chronic gastritis can be made. The main treatment includes acid suppression and gastric protection, promoting gastric motility, and protecting the gastric mucosa, with a treatment course of about four to six weeks. It is also recommended to conduct a carbon-14 breath test to determine if there is an infection with Helicobacter pylori. If the infection is positive, a 14-day treatment for Helicobacter pylori is necessary, using a proton pump inhibitor plus two antibiotics and a bismuth agent. Additionally, it is advised to consume easily digestible food, increase physical activity, avoid overworking and staying up late, and avoid feelings of anxiety and depression.

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Written by Ren Zheng Xin
Gastroenterology
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Does chronic gastritis cause nausea?

Chronic gastritis generally does not manifest with nausea; the main symptoms are indigestion, such as decreased appetite, acid reflux, and pain in the upper abdomen. Chronic atrophic gastritis may also present with anemia and diarrhea. More severe cases can lead to vomiting blood and black stools. The primary causes are directly related to Helicobacter pylori infection and chronic damage to the gastric mucosa. Treatment mainly involves protecting the gastric mucosa, suppressing gastric acid secretion, and eradicating Helicobacter pylori infection.

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Written by Jiang Guo Ming
Gastroenterology
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How to treat chronic gastritis?

For the treatment of chronic gastritis, it is generally considered necessary to decide the treatment plan based on whether there is a Helicobacter pylori infection. This can be determined through a C13 or C14 breath test. If the test is positive for H. pylori, it indicates a bacterial infection. The typical treatment in this case would involve a quadruple therapy that includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent. If there is no H. pylori infection, symptomatic treatment is generally sufficient, such as inhibiting stomach acid, protecting the stomach lining, increasing gastric motility, etc. Additionally, it is necessary to develop good dietary and living habits. Furthermore, emotional factors are closely related to the activity of chronic gastritis, so maintaining a positive mental attitude is beneficial for digestive system diseases.