What are the symptoms of chronic gastritis?

Written by Si Li Li
Gastroenterology
Updated on November 28, 2024
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Chronic gastritis does not have specific symptoms, and the severity of the symptoms does not necessarily correspond to the severity of the disease. Common symptoms include pain in the upper middle abdomen, belching, acid reflux, nausea, vomiting, heartburn, a feeling of fullness after eating, poor appetite, and indigestion. In severe cases of atrophic gastritis, patients may experience symptoms such as anemia and weight loss. Some patients may also experience psychological symptoms such as anxiety and depression. If a patient experiences the above symptoms, it is recommended to promptly conduct a gastroscopy to confirm the diagnosis. It is also advisable to conduct a carbon-14 breath test to determine the presence of Helicobacter pylori infection, as this infection is a major cause of chronic gastritis. After confirming the diagnosis, appropriate treatment should be administered.

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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 Ren Zheng Xin
Gastroenterology
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What are the symptoms of chronic gastritis?

Chronic gastritis is a relatively common clinical disease in gastroenterology, mainly including chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. The clinical manifestations are diverse and there are no specific signs or symptoms. Most patients with Helicobacter pylori infection do not show obvious symptoms, while a minority of patients may experience nausea, vomiting, and postprandial fullness in the upper abdomen, among other symptoms of indigestion. Most cases of chronic gastritis are discovered during physical examinations or endoscopic examinations. The main principles of treatment for chronic gastritis are dietary adjustments and oral medication. It is important to maintain regular eating habits, avoid spicy and irritating foods, and pay attention to one's daily life and routines.

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Written by Zhang Peng
General Surgery
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What is chronic gastritis?

Gastritis is divided into acute and chronic types. Chronic gastritis is primarily caused by various reasons that lead to chronic inflammation of the gastric mucosa or atrophic changes. This condition is quite common in clinical practice. Generally, about 85% of patients undergoing gastroscopy exhibit such symptoms, and with increasing age, the incidence of atrophic diseases gradually increases. The symptoms mainly manifest as abdominal pain, predominantly in the upper abdomen, bloating, belching, and even symptoms of black stools, which, if present, indicate bleeding of the gastric mucosa.

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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 Ren Zheng Xin
Gastroenterology
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Is chronic gastritis easy to treat?

The treatment of chronic gastritis primarily aims to alleviate symptoms and reduce the recurrence of the disease; it is generally difficult to cure completely. The medications chosen are mainly for protecting the gastric mucosa and inhibiting gastric acid secretion. If there is an infection with Helicobacter pylori, it should be completely eradicated. Additionally, attention should be paid to dietary adjustments, consuming soft and easily digestible foods, and avoiding spicy, stimulating, and greasy foods. It is important to engage in appropriate outdoor exercise, develop good living habits, and regulate emotions, as excessive tension, irritability, and anger can exacerbate chronic gastritis.