Can chronic atrophic gastritis be cured?

Written by Li Ying
Gastroenterology
Updated on August 31, 2024
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Chronic atrophic gastritis is primarily a chronic digestive system disease caused by atypical hyperplasia. It is mainly characterized by upper abdominal dull pain, bloating, loss of appetite, weight loss, anemia, etc., and lacks specificity. It is a disease caused by multiple pathogenic factors and is a precancerous lesion. There are many causes, including Helicobacter pylori infection and dietary factors, among others. Moreover, treatment for atrophic gastritis can be targeted based on the specific condition, clinical symptoms, and auxiliary examinations.

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Written by Jiang Guo Ming
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Is non-atrophic gastritis serious?

Chronic non-atrophic gastritis, which is commonly referred to as chronic superficial gastritis, is considered one of the milder upper gastrointestinal diseases. Endoscopic examinations usually show localized mucosal congestion and edema, which are not severe. The main cause is likely due to Helicobacter pylori infection, which can be effectively treated with antibacterial therapy. Other factors, such as exposure to cold or inappropriate dietary habits, as well as smoking and alcohol consumption, can also lead to this condition. Therefore, it is essential to pay attention to one’s dietary and living habits and try to avoid spicy and greasy foods and alcoholic beverages to prevent major issues.

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Written by Huang Gang
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"Mild active phase of atrophic gastritis"

Mild active phase of atrophic gastritis refers to the period when gastritis is occurring, typically caused by improper diet. This might be due to overeating or consuming greasy, spicy, and irritating foods, leading to exacerbation of the condition. Clinical manifestations include stomach pain, nausea, vomiting, and decreased appetite, which are inevitably linked to daily life habits. Furthermore, mental stress, excessive pressure, staying up late, and overfatigue can also have an impact.

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Written by Feng Ying Shuai
Traditional Chinese Medicine
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Where to apply moxibustion for atrophic gastritis?

For some symptoms of atrophic gastritis, moxibustion can be applied, such as on the Zhongwan acupoint located on the Ren meridian, as well as the Xiawan and Liangqiu acupoints. Moxibustion can also be done on the Zusanli acupoint along the stomach meridian, as well as on Neiguan and Gongsun acupoints, which are intersections of the eight meridians and can regulate atrophic gastritis. However, there is a particular method to follow during moxibustion; generally, acupoints on the upper body are treated first, followed by those on the lower body. For instance, start with the acupoints on the abdomen such as Zhongwan, Xiawan, and Liangqiu, followed by Zusanli, and then Gongsun. During moxibustion, the amount of moxa used should increase gradually, and the duration of treatment should extend from short to longer periods, indicating that the treatment period for atrophic gastritis might be longer.

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Written by Jiang Guo Ming
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Atrophic gastritis with intestinal metaplasia what medicine to take

Chronic atrophic gastritis with intestinal metaplasia often arises from untreated chronic superficial gastritis, primarily due to Helicobacter pylori infection. Therefore, it is essential to first check for Helicobacter pylori infection. If an infection is present, quadruple therapy is generally used to eradicate the bacteria, which may improve the atrophy. If there is no Helicobacter pylori infection, treatment mainly involves protecting the gastric mucosa. While there are no specific Western medicines for this, traditional Chinese medicine and a differential diagnosis approach often yield good results. Regular follow-ups are also important. (Specific medications should be used under the guidance of a doctor.)

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Written by Jiang Guo Ming
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How to completely cure atrophic gastritis?

Chronic atrophic gastritis generally develops from chronic non-atrophic gastritis, and the most likely cause may be Helicobacter pylori infection. Of course, there are also other reasons, such as poor dietary habits, emotional factors, etc. In such cases, it is first necessary to check for Helicobacter pylori infection, usually using a breath test. If Helicobacter pylori infection is present, quadruple therapy is generally used for eradication treatment. Eradication of Helicobacter pylori can be very helpful for patients with atrophic gastritis, and in some cases, can partially reverse the atrophy. If there is no Helicobacter pylori infection, symptomatic treatment is generally the main approach. Additionally, conditioning through traditional Chinese medicine can also be very helpful. (Specific medication use should be carried out under the guidance of a doctor.)