The likelihood of chronic gastritis turning malignant

Written by Wu Hai Wu
Gastroenterology
Updated on March 23, 2025
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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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Written by Jiang Guo Ming
Gastroenterology
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How many days does chronic gastritis need for IV therapy?

The treatment of chronic gastritis generally depends on whether there is a Helicobacter pylori infection. If there is an infection, the usual approach is a quadruple therapy to eradicate the bacteria, which includes a proton pump inhibitor, two types of antibiotics, and a bismuth compound, lasting for a 10 to 14-day treatment course. If there is no Helicobacter pylori infection, the treatment primarily focuses on symptomatic relief, such as suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility, depending on the specific conditions of the patient. As for the duration of intravenous therapy for chronic gastritis, if the patient does not exhibit significant vomiting, intravenous therapy is generally not necessary, as oral medication is sufficient to achieve therapeutic goals. If the patient has severe vomiting and cannot eat, intravenous therapy might be needed. This would focus mainly on suppressing stomach acid and maintaining fluid and electrolyte balance, typically requiring two to three days, and prolonged intravenous therapy is not necessary. (Please follow the doctor's prescription for medication.)

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Written by Zhai Guo Dong
Gastroenterology
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What should someone with chronic gastritis eat normally?

For patients with chronic gastritis, we recommend avoiding irritant foods and opting for foods that cause less irritation to the stomach. Avoid overly acidic or sweet foods. It is suggested that patients keep foods like steamed buns and soda crackers, which are alkaline, on hand. Try to avoid consumption of raw, cold, hard, or hot foods, as well as tea, coffee, and substances like tobacco and alcohol, which are highly irritating to the stomach.

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Written by Wu Hai Wu
Gastroenterology
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Can chronic gastritis exercise?

Patients with chronic gastritis can exercise, but they should not engage in excessive physical activity. The main considerations for patients with chronic gastritis are dietary and medicinal precautions. In terms of diet, it is advisable to eat plenty of fresh vegetables and fruits rich in vitamins and to avoid foods that irritate the stomach, such as strong tea, coffee, and hard liquor. Regarding medication, it is important to avoid drugs that can damage the stomach lining, such as nonsteroidal anti-inflammatory drugs, antirheumatic drugs, and steroids. Additionally, patients with chronic gastritis should quit smoking. (Medication should be administered under the guidance of a professional doctor.)

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Written by Wu Hai Wu
Gastroenterology
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How to treat dry heaving in chronic gastritis?

Patients with chronic gastritis who experience dry retching should consider whether it is due to insufficient gastrointestinal motility or excessive secretion of gastric acid. It is recommended to avoid overly spicy and irritating foods, eat regularly and in proper amounts, and maintain a pleasant mood without being disturbed by anxiety, sadness, and anger. Eating more fresh vegetables and fruits rich in vitamins is also advisable. At the same time, try to avoid using drugs that damage the gastric mucosa, such as hormones, antirheumatics, and non-steroidal anti-inflammatory drugs, etc.

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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.