How to treat chronic gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on December 02, 2024
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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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Does chronic gastritis require medication?

Chronic gastritis often has no clinical symptoms, but this condition still requires medication treatment. The duration of medication must be long-term and regular, primarily focusing on drugs that suppress gastric acid secretion and protect the gastric mucosa. If the inflammation is relatively significant, antibiotics can be chosen; in cases of Helicobacter pylori infection, a triple therapy, which includes two antibiotics and a gastric mucosa protective agent, can be opted for. Additionally, it is crucial to pay attention to daily life routines, eat a light diet, avoid raw, greasy, and fried foods, and rest well to gradually recover from gastritis.

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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 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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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.

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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.)