What should I do about acid reflux from chronic gastritis?

Written by Li Ying

Gastroenterology

Updated on September 24, 2024

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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 Si Li Li

Gastroenterology

1min

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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

1min 5sec

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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 Zhu Dan Hua

Gastroenterology

1min 25sec

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Symptoms of acute exacerbation of chronic gastritis

Common symptoms of acute exacerbation of chronic gastritis include abdominal pain, bloating, nausea, vomiting, etc. Among these, abdominal pain is the most common clinical presentation, manifested as upper abdominal distension, burning pain, or dull pain, generally associated with unhygienic dietary habits, and acute attacks are more common among some healthy individuals or young people. The diagnosis of chronic with acute exacerbation mainly relies on medical history and gastroscopy. Under gastroscopy, the gastric mucosa can be observed to show acute inflammatory changes, presenting as gastric congestion, edema, and even erosion formation. Regarding treatment, it mainly consists of dietary adjustments and the selection of medications. Dietary recommendations include adopting a liquid and light diet, and medications may include acid suppression and gastric mucosal protection drugs. Of course, if the patient has significant abdominal pain, a small dose of pain reliever can be used, generally over a short course of treatment. Indeed, chronic gastritis is a common disease in clinical practice, so it is essential to adjust your diet and develop good living and eating habits regularly.

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Written by Ren Zheng Xin

Gastroenterology

34sec

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Does chronic gastritis require surgery?

Whether chronic gastritis requires surgery also depends on the condition of the disease. If the symptoms are not particularly obvious—such as nausea, vomiting, or acid reflux—and the gastroscopic examination shows atypical symptoms, treatment through medication or dietary adjustments can be considered instead of surgery. However, if there is significant atypical hyperplasia or intestinal metaplasia found during the gastroscopy, suggesting potential malignancy, these conditions may require surgical treatment under gastroscopy.

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Written by Wu Peng

Gastroenterology

54sec

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What are the symptoms of chronic gastritis?

Most patients with chronic gastritis exhibit atypical clinical symptoms, often presenting as gastrointestinal dyspepsia symptoms, such as upper abdominal bloating, irregular and dull pain, belching, loss of appetite, weight loss, fatigue, and increased upper abdominal discomfort after eating. Patients with chronic gastritis often do not have significant abnormal physical signs; some may only experience mild upper abdominal tenderness or discomfort when pressed. If the gastric mucosa is eroded, occult blood may be positive, but patients presenting with vomiting blood or black stools are rare. Some patients may experience anemia due to long-term loss of appetite or minor bleeding, and severe anemia may present with symptoms related to anemia.