Symptoms of acute exacerbation of chronic gastritis

Written by Zhu Dan Hua
Gastroenterology
Updated on November 17, 2024
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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
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What should be noted for chronic gastritis with erosion?

For chronic gastritis and gastric erosion, it is important to control the diet by eating fresh vegetables and foods that are easy to digest. Avoid overly spicy and cold foods. Additionally, adjust your daily routine to avoid staying up late and maintain a reasonable schedule. Also, control your emotions to prevent excessive stress and fatigue. Appropriate medical treatment should be considered, such as using medications to protect the stomach lining, reduce stomach acid secretion, and appropriately using antibiotics for treatment. Most importantly, regular check-ups are crucial. (Please take medications under the guidance of a doctor.)

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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 Ren Zheng Xin
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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 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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Do people with chronic gastritis lose weight?

If patients with chronic gastritis often experience emotional anxiety and tension, leading to insomnia, irritability, reduced food intake, and indigestion, this may result in weight loss. Patients with chronic gastritis should not binge eat; they should eat regularly, maintain a diverse diet, and consume plenty of vitamin-rich fresh vegetables and fruits. They should avoid spicy and irritating foods, such as strong tea, coffee, and hard liquor. It is also important to quit smoking and avoid medications that damage the gastric mucosa.