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 Huang Gang
Gastroenterology
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Can chronic gastritis be contagious?

Is chronic gastritis contagious? Gastritis, especially chronic gastritis, lacks specific symptoms. Common types of chronic gastritis include chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. Diagnosis is mainly made through gastroscopy. Most patients may experience symptoms like upper abdominal pain, loss of appetite, post-meal fullness, acid reflux, and belching, which can be quite apparent, especially in patients with atrophic gastritis, who may have more pronounced symptoms, as well as anemia, weight loss, and diarrhea. Additionally, upper abdominal pain associated with mucosal erosion can be more severe. If the condition is serious, it may also involve bleeding, vomiting blood, or black stools. If there is no Helicobacter pylori infection, gastritis is not contagious and can be cured with proper treatment.

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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 Si Li Li
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 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.

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Does chronic gastritis cause pain?

Chronic gastritis is relatively common in clinical settings and is frequently seen in the gastroenterology outpatient department. Chronic gastritis can manifest in various ways and may cause stomach pain, typically presenting as upper abdominal pain, which is generally considered pain above the navel. The nature of the pain can be bloating, colic, dull pain, or burning pain, or patients may simply experience discomfort. Of course, patients may also have other symptoms such as nausea, vomiting, dry heaving, belching, and hiccupping, but generally do not exhibit alarming symptoms such as anemia, vomiting blood, bloody stools, or fever, etc. The diagnosis of chronic gastritis generally relies on gastroscopy, which can reveal congestion, edema, and erosion of the gastric mucosa under gastroscopy, and in some cases, distinct ulcers and tumors. The treatment mainly focuses on protecting the stomach and symptomatic management, generally with good results.