Chronic atrophic gastritis is what kind of condition?

Written by Wu Peng
Gastroenterology
Updated on September 14, 2024
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Chronic atrophic gastritis is a digestive system disease characterized by atrophy of the intrinsic gastric glands. It is commonly seen in middle-aged and elderly people. Clinically, it mainly manifests as loss of appetite, nausea, belching, heartburn, and continuous or intermittent bloating and dull pain in the upper abdomen. A minority of patients may experience upper gastrointestinal bleeding, weight loss, anemia, and malnutrition, with incidence rates increasing significantly with age. Chronic atrophic gastritis can be divided into autoimmune gastritis and multifocal atrophic gastritis, also referred to as Type A gastritis and Type B gastritis, respectively. Gastric mucosal biopsy is a reliable method for its diagnosis.

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Written by Si Li Li
Gastroenterology
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What are the symptoms of atrophic gastritis?

The main symptoms of atrophic gastritis include upper abdominal pain, belching, acid reflux, poor appetite, nausea, vomiting, indigestion, etc., which are not specific compared to the symptoms of chronic superficial gastritis. Therefore, it is not possible to determine whether it is atrophic gastritis or superficial gastritis based solely on symptoms; a gastroscopy is necessary for a definitive diagnosis. If the gastroscopy reveals thinning of the gastric mucosa and atrophy of the gastric glands, atrophic gastritis can be confirmed. Additionally, if atrophic gastritis is suspected, a biopsy and pathological examination are also needed for a clear diagnosis. Regarding treatment, atrophic gastritis requires therapies such as anti-Helicobacter pylori treatment, acid suppression, promoting gastric motility, and protecting the gastric mucosa. Furthermore, it is recommended to combine traditional Chinese medicine differentiation-based treatment for better effects when used alongside Western medicine.

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Written by Si Li Li
Gastroenterology
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Can atrophic gastritis eat rock candy?

Patients with atrophic gastritis should not eat rock sugar. The main symptoms of atrophic gastritis include upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A gastroscopy can reveal the atrophy of gastric mucosal glands, which can diagnose atrophic gastritis. The treatment primarily involves fighting Helicobacter pylori, suppressing acid and protecting the stomach, enhancing gastric motility, and repairing the gastric mucosa. Dietary considerations are crucial; one must quit smoking and drinking, avoid strong tea and coffee, and refrain from consuming spicy, fried, raw, cold, sweet foods, and barbecued items. Rock sugar, being a sweet food, must be strictly avoided as sweet foods can increase gastric acid secretion, leading to stomach mucosa irritation and worsening of the condition. Therefore, patients with atrophic gastritis should not consume rock sugar.

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Written by Si Li Li
Gastroenterology
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Can atrophic gastritis and gastric ulcers eat sweet potatoes?

Patients with atrophic gastritis and gastric ulcers should not eat sweet potatoes. Common symptoms for patients with atrophic gastritis and gastric ulcers include upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, poor appetite, indigestion, and heartburn. After a clear diagnosis, standardized medication treatment is required. Additionally, it is essential for these patients to quit smoking and drinking alcohol; they should not drink strong tea or coffee. Foods that are rich, greasy, spicy, fried, grilled, cold, sweet, along with milk, soy milk, glutinous rice, and sweet potatoes are also not recommended. For example, sweet potatoes are difficult to digest and can increase gastric acid secretion, which further irritates the gastric mucosa and aggravates these two diseases. Therefore, patients with atrophic gastritis and gastric ulcers should not eat sweet potatoes.

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Written by Si Li Li
Gastroenterology
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Is atrophic gastritis of the gastric antrum serious?

Atrophic gastritis is a chronic gastric disease characterized by repeated damage to the gastric mucosal epithelium, leading to the atrophy of the intrinsic glands, with or without intestinal metaplasia or pseudopyloric gland metaplasia. The main cause of this disease is infection by Helicobacter pylori. Symptoms primarily include upper abdominal distension, belching, acid reflux, early satiety, nausea, etc. Some patients may experience symptoms such as weight loss, fatigue, memory loss, anxiety, and depression. The main treatment involves eradicating Helicobacter pylori, suppressing acid production, and using gastric mucosal protectants and prokinetic agents. The majority of patients have Helicobacter pylori-related gastritis, which after chronic inflammation (chronic non-atrophic gastritis) can lead to atrophic gastritis, followed by intestinal metaplasia or dysplasia, and eventually may progress to gastric cancer.

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Written by Huang Gang
Gastroenterology
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Is atrophic gastritis grade I serious?

Grade I atrophic gastritis is not serious. Atrophic gastritis refers to the atrophy and reduction of the gastric mucosa and glands, and it manifests with symptoms like stomach discomfort, bloating, stomach pain, and loss of appetite. For those with atrophic gastric cancer, it is important to control the diet, avoid overeating, and abstain from spicy, raw, greasy, and irritating foods. This type of chronic digestive system disease, if not properly managed, can frequently relapse and has the potential to become malignant. If the condition can be controlled and does not frequently recur, it generally does not have a significant impact on the body.