The main manifestations of chronic gastritis

Written by Li Ying
Gastroenterology
Updated on September 05, 2024
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The main clinical symptoms of chronic gastritis include dull pain in the upper abdomen, a feeling of fullness after meals, acid reflux, or reduced appetite in patients. The severity of symptoms does not necessarily correspond to the extent of gastric mucosal lesions. Since chronic gastritis lacks specific symptoms, most individuals may experience no symptoms or various degrees of indigestion. Chronic atrophic gastritis primarily leads to symptoms like anemia, weight loss, diarrhea, among others. Additionally, patients with erosive gastritis may experience more pronounced upper abdominal pain, potentially accompanied by vomiting blood, black stools, and irregular abdominal pain. Severe cases could lead to intense colic pain.

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Written by Si Li Li
Gastroenterology
1min home-news-image

What are the symptoms of chronic gastritis?

Common symptoms of chronic gastritis include stomach pain, bloating, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, indigestion, and early satiety. These symptoms can be confirmed by a gastroscopy. If the gastroscopy shows gastric mucosal hyperemia, edema, or erosion, it can be diagnosed as chronic gastritis. It is also recommended to conduct a Carbon-14 breath test to determine if there is an infection with Helicobacter pylori, which has been confirmed as a major cause of chronic gastritis and peptic ulcer diseases. If the infection is positive, a 14-day treatment for Helicobacter pylori is required. Additionally, the treatment for chronic gastritis should include acid suppression and stomach protection, promoting gastric motility and repairing the gastric mucosa, and the treatment usually lasts about four to six weeks.

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Written by Zhu Dan Hua
Gastroenterology
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Can people with chronic gastritis eat bananas?

Patients with chronic gastritis can moderately consume bananas without any issue. Generally, it is advised that patients with chronic gastritis eat a diet that is easy to digest and clean, avoid overeating and binge eating, and avoid consuming spicy and irritating foods. In fact, chronic gastritis is quite common in clinical practice, with most patients presenting with abdominal discomfort. Of course, some patients might experience a decrease in appetite. The abdominal discomfort is primarily characterized by dull pain, bloating, or even burning pain in the upper abdomen. This may be accompanied by some nausea and vomiting, among other symptoms. For such patients, it is crucial to conduct a thorough liver function test and gastroscopy. Liver function tests are mainly to rule out abdominal discomfort caused by hepatobiliary diseases, while gastroscopy is the gold standard for diagnosing chronic gastritis, hence its increasing use in clinical practice.

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Written by Ren Zheng Xin
Gastroenterology
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Does chronic gastritis require hospitalization?

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 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 Si Li Li
Gastroenterology
1min 6sec home-news-image

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.