Do people with chronic gastritis lose weight?

Written by Wu Hai Wu
Gastroenterology
Updated on February 05, 2025
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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.

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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 Ren Zheng Xin
Gastroenterology
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Can chronic gastritis be cured?

Chronic gastritis is generally difficult to cure completely. The current treatment principle is to eliminate the cause, alleviate symptoms, and prevent or reduce the recurrence of the disease. Treatment mainly focuses on protecting the gastric mucosa, suppressing gastric acid secretion, and eradicating Helicobacter pylori infections. Post-treatment care is also very important. It is advisable to eat a diet that is light, soft, and easy to digest, avoid spicy, stimulating, and greasy foods, and steer clear of strong tea, coffee, and alcoholic beverages. Engaging in appropriate outdoor exercises and managing emotions also play a positive role in the treatment of chronic gastritis.

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Written by Wu Peng
Gastroenterology
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What are the symptoms of chronic gastritis?

Most patients with chronic gastritis exhibit atypical clinical symptoms, often presenting as gastrointestinal dyspepsia symptoms, such as upper abdominal bloating, irregular and dull pain, belching, loss of appetite, weight loss, fatigue, and increased upper abdominal discomfort after eating. Patients with chronic gastritis often do not have significant abnormal physical signs; some may only experience mild upper abdominal tenderness or discomfort when pressed. If the gastric mucosa is eroded, occult blood may be positive, but patients presenting with vomiting blood or black stools are rare. Some patients may experience anemia due to long-term loss of appetite or minor bleeding, and severe anemia may present with symptoms related to anemia.

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Written by Zhai Guo Dong
Gastroenterology
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Diagnosis methods for chronic gastritis

Chronic gastritis symptoms are relatively common, often including abdominal pain and bloating. Patients with abdominal pain and bloating often present these symptoms. To rule out gastrointestinal tumors, ulcers, and other diseases, we need to go through some short-term medical treatments. If the symptoms do not improve, we need to consider the possibility of gastric ulcers or gastric tumors. Of course, the fundamental diagnostic method is still through gastroscopy, to definitively diagnose chronic gastritis. If necessary, a pathological examination should be conducted for confirmation.

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Written by Jiang Guo Ming
Gastroenterology
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What Chinese medicine should be taken for chronic gastritis?

Chronic gastritis, whether superficial gastritis or atrophic gastritis, can be treated with traditional Chinese medicine. The theory of Chinese medicine emphasizes syndrome differentiation and treatment, holistic treatment, and utilizes observation, smell, questioning, and pulse-taking to determine a patient's cause and mechanism of disease, followed by targeted treatment. Common treatment methods include tonifying qi and strengthening the spleen, soothing the liver and relieving depression, harmonizing the stomach and reversing counterflow, invigorating the blood and dispelling stasis, among others. The treatment varies greatly and must be tailored to the specific circumstances of the patient through face-to-face diagnosis. It is also important to develop good dietary and living habits, opting for a diet that is light, easy to digest, and avoids raw, greasy, spicy foods, and alcohol, often resulting in better therapeutic effects.