Is chronic gastritis easy to treat?

Written by Zhu Dan Hua
Gastroenterology
Updated on April 13, 2025
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Chronic gastritis is relatively common in clinical settings and generally responds well to standardized treatment, so there is no need for excessive worry. As the name implies, chronic gastritis is caused by various factors that lead to inflammatory changes in the stomach, which may manifest as congestion and edema of the gastric mucosa, erosion, and even the formation of multiple superficial ulcers. Common symptoms of chronic gastritis include abdominal pain, bloating, nausea, and belching, usually with a long history. The abdominal pain typically occurs in the upper abdomen and is related to food intake, which may improve after eating. Nausea and vomiting generally involve gastric contents, sometimes including blood. Patients undergo gastroscopy and biopsy to further confirm chronic gastritis, and tests for Helicobacter pylori are commonly performed. If the treatment involves Helicobacter pylori and results are positive, treatment to protect the stomach and eradicate Helicobacter pylori is recommended.

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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 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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What are the symptoms of chronic gastritis?

Chronic gastritis is a relatively common clinical disease in gastroenterology, mainly including chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. The clinical manifestations are diverse and there are no specific signs or symptoms. Most patients with Helicobacter pylori infection do not show obvious symptoms, while a minority of patients may experience nausea, vomiting, and postprandial fullness in the upper abdomen, among other symptoms of indigestion. Most cases of chronic gastritis are discovered during physical examinations or endoscopic examinations. The main principles of treatment for chronic gastritis are dietary adjustments and oral medication. It is important to maintain regular eating habits, avoid spicy and irritating foods, and pay attention to one's daily life and routines.

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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 Zhang Peng
General Surgery
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What is chronic gastritis?

Gastritis is divided into acute and chronic types. Chronic gastritis is primarily caused by various reasons that lead to chronic inflammation of the gastric mucosa or atrophic changes. This condition is quite common in clinical practice. Generally, about 85% of patients undergoing gastroscopy exhibit such symptoms, and with increasing age, the incidence of atrophic diseases gradually increases. The symptoms mainly manifest as abdominal pain, predominantly in the upper abdomen, bloating, belching, and even symptoms of black stools, which, if present, indicate bleeding of the gastric mucosa.