What to do about chronic gastritis vomiting?

Written by Jiang Guo Ming
Gastroenterology
Updated on May 14, 2025
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If vomiting occurs with chronic gastritis, it is first necessary to rule out whether it is related to other diseases. Common issues such as gallbladder problems, pancreatic issues, or intestinal diseases, etc., can be excluded through related examinations. If vomiting is confirmed to be caused by chronic gastritis, treatment usually starts from two aspects: one is drug therapy. Drugs commonly used include those that suppress stomach acid, increase gastric motility, or medications for symptomatic treatment of vomiting. Attention should also be paid to dietary structure, with a principle of light and easily digestible foods. For example, rice porridge, soft noodles, along with a small amount of fresh vegetables, and avoiding raw, spicy, and greasy foods.

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Written by Ren Zheng Xin
Gastroenterology
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How to manage chronic gastritis normally?

The regulation of chronic gastritis mainly involves adherence to dietary routines, appropriate outdoor exercises, and regular daily living patterns. In terms of diet, it is advisable to eat smaller, more frequent meals and avoid spicy and irritating foods, focusing primarily on nutritious food. Engaging in appropriate outdoor exercises can help regulate both physical and mental health. Since there is a direct relationship between stomach diseases and emotions, maintaining a good mood and avoiding irritability and tension are also very important for the regulation of chronic gastritis. Finally, it is crucial to maintain a regular daily routine, go to bed early and rise early, rest on time, avoid staying up late excessively, and prevent overwork, as these aspects are very important in the regulation of chronic gastritis.

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Written by Ren Zheng Xin
Gastroenterology
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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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Written by Li Ying
Gastroenterology
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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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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 Wu Hai Wu
Gastroenterology
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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.