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 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.

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Written by Li Ying
Gastroenterology
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What should I do about acid reflux from chronic gastritis?

There are many causes of chronic gastritis. The first is chronic gastritis caused by acid reflux, followed by the consumption of irritant beverages, eating irritating foods, and some medications that cause changes to the gastric mucosa. Bile reflux can also cause irritation and inflammation of the gastric mucosa. Other factors include changes in the environment, mental stress, and various irregularities in life, all of which can lead to chronic gastritis. If a patient experiences acid reflux, it is necessary to suppress stomach acid by administering acid-suppressing medications, as well as medications that protect the gastric mucosa to prevent chronic gastritis caused by acid reflux.

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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 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 Li Ying
Gastroenterology
54sec home-news-image

The main manifestations of chronic gastritis

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.