How to treat chronic gastritis with erosions?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 21, 2024
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The treatment of chronic gastritis with erosion includes oral medication and dietary regulation. Medications work to inhibit gastric acid secretion, protect the gastric mucosa, and enhance gastrointestinal motility, primarily focusing on acid-suppressing and anti-acid medications. Dietarily, it's important to eat smaller, frequent meals and avoid overly spicy or cold foods. Opt for nutritionally rich and easily digestible foods. Avoid smoking and drinking alcohol, and steer clear of strong tea and coffee. Rest well and balance work with relaxation. After treatment, timely follow-up examinations at the hospital are crucial. If there is an infection with Helicobacter pylori, eradication of the bacteria is recommended.

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Written by Ren Zheng Xin
Gastroenterology
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What are the symptoms of chronic gastritis?

The symptoms of chronic gastritis are mainly digestion-related, such as nausea, vomiting, acid reflux, abdominal bloating, and stomach pain. Belching is a more prominent symptom, with food easily refluxing back up to the throat. Many patients with chronic gastritis have atypical symptoms, and Helicobacter pylori infection is often discovered during examinations. Patients with this type of infection need treatment for Helicobacter pylori, which clinically often involves a triple therapy consisting of two antibiotics plus a proton pump inhibitor or a mucosal protective agent. It is also necessary to adjust the diet appropriately. (Medication should be used under the guidance of a doctor, based on the specific situation.)

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Written by Ren Zheng Xin
Gastroenterology
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Is chronic gastritis contagious?

Chronic gastritis is not a contagious disease, so it is not infectious. Chronic gastritis is a disease caused by various pathological factors leading to mucosal damage, and it is directly related to Helicobacter pylori infection. The treatment mainly aims to eradicate Helicobacter pylori, alleviate symptoms, suppress gastric acid secretion, protect the gastric mucosa, and reduce the recurrence of the disease. Additionally, during treatment, attention should be paid to dietary adjustments, eating soft and easily digestible foods, and avoiding spicy and irritating foods. Appropriate outdoor exercise and maintaining a pleasant mood have a positive effect on the treatment of chronic gastritis.

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Written by Si Li Li
Gastroenterology
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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 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 Wu Hai Wu
Gastroenterology
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Can chronic gastritis exercise?

Patients with chronic gastritis can exercise, but they should not engage in excessive physical activity. The main considerations for patients with chronic gastritis are dietary and medicinal precautions. In terms of diet, it is advisable to eat plenty of fresh vegetables and fruits rich in vitamins and to avoid foods that irritate the stomach, such as strong tea, coffee, and hard liquor. Regarding medication, it is important to avoid drugs that can damage the stomach lining, such as nonsteroidal anti-inflammatory drugs, antirheumatic drugs, and steroids. Additionally, patients with chronic gastritis should quit smoking. (Medication should be administered under the guidance of a professional doctor.)