Can you get an IV for chronic gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on June 26, 2025
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In gastrointestinal diseases, chronic gastritis is probably the most common. Its treatment primarily depends on whether there is an infection by Helicobacter pylori. If there is a Helicobacter pylori infection, the treatment mainly involves antibacterial therapy. If there is no infection, symptomatic treatment is sufficient, such as protecting the gastric mucosa and suppressing stomach acid, etc. As for whether chronic gastritis requires intravenous fluids, if the patient does not exhibit significant vomiting symptoms and is able to eat on their own, intravenous fluids are generally not advocated, as oral medications can usually achieve the therapeutic goals. If chronic gastritis acutely flares up with significant vomiting that affects eating, intravenous fluid treatment may be appropriate.

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Gastroenterology
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What foods should be avoided with chronic gastritis?

Chronic gastritis commonly presents symptoms such as bloating, stomach pain, belching, acid reflux, nausea, vomiting, etc. These symptoms may recur periodically. A definitive diagnosis of chronic gastritis can be made through gastroscopy. Treatments include acid suppression, gastric protection, enhancement of gastric motility, and protection of the gastric mucosa. Special attention should be paid to diet in cases of chronic gastritis. What should be avoided in the diet? Firstly, smoking and drinking alcohol are prohibited, as well as drinking strong tea and coffee. Foods that are fatty, rich, or greasy should not be consumed, and neither should fried, grilled, spicy, or cold dishes. Foods such as milk, soy milk, sticky rice, and sweet potatoes can lead to excessive secretion of stomach acid and some can cause gas, resulting in symptoms of bloating. Therefore, these types of foods should also be consumed less, or even avoided. So, what should we eat? It is best to consume foods that are easy to digest, such as porridge and soups, as well as noodles that are cooked until very soft. Meat is also acceptable but should be cooked or stewed until very tender, as this will not overburden the stomach and will not adversely affect chronic gastritis.

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Written by Li Ying
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The main manifestations of chronic gastritis

The main clinical symptoms of chronic gastritis include dull pain in the upper abdomen, a feeling of fullness after meals, acid reflux, or reduced appetite in patients. The severity of symptoms does not necessarily correspond to the extent of gastric mucosal lesions. Since chronic gastritis lacks specific symptoms, most individuals may experience no symptoms or various degrees of indigestion. Chronic atrophic gastritis primarily leads to symptoms like anemia, weight loss, diarrhea, among others. Additionally, patients with erosive gastritis may experience more pronounced upper abdominal pain, potentially accompanied by vomiting blood, black stools, and irregular abdominal pain. Severe cases could lead to intense colic pain.

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Gastroenterology
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What are the symptoms of chronic gastritis?

Chronic gastritis has many symptoms in clinical practice, but there is no specificity. Most patients present with symptoms of indigestion such as pain in the upper abdomen, nausea, and acid reflux, which are related to the severity of chronic gastritis. In cases of atrophic gastritis, there is also abdominal pain. If the gastritis is caused by Helicobacter pylori infection, there may not be specific symptoms, just a feeling of fullness in the abdomen after eating. For chronic gastritis, gastroscopy and gastrointestinal barium meal examination can be performed, and treatment can be administered according to the type of gastritis.

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The likelihood of chronic gastritis turning malignant

Generally speaking, the chances of chronic gastritis turning malignant are very low. However, if chronic gastritis involves atrophy, there is still a certain risk of malignancy. Therefore, patients with atrophic gastritis should undergo regular gastroscopy and pathological biopsy. At the same time, patients with chronic gastritis should eat more fresh vegetables and fruits rich in vitamins, consume mild foods, and avoid drinking strong tea, coffee, and spirits, as well as quit smoking. Foods that are overly acidic, overly spicy, overly salty, or overly hot should also be avoided as much as possible.

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Is chronic gastritis easy to treat?

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.