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 Wu Hai Wu
Gastroenterology
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Are atrophic gastritis and atrophic gastric erosion the same?

Atrophic gastritis and atrophic gastric erosion do not mean the same thing; atrophic gastric erosion refers to the presence of gastric mucosal erosion based on atrophic gastritis. When atrophic gastritis is accompanied by gastric erosion, it is crucial to actively check for Helicobacter pylori infection. If the Helicobacter pylori infection tests positive, the treatment involves a two-week quadruple therapy that includes bismuth to eradicate Helicobacter pylori, along with medications to protect the gastric mucosa, such as magnesium carbonate, sucralfate, etc., and also some digestive aids. (Please take medication under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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What to do about the pain from atrophic gastritis?

Atrophic gastritis is a condition where the mucous membrane of the stomach atrophies, associated with poor neural nutrition and excessive gastric acid secretion, leading to a reduction in the barrier function of the gastric mucosa. To first alleviate pain, proton pump inhibitors can be used to reduce the secretion of gastric acid, and at the same time, gastric mucosal protectants should be used. If there is an infection with Helicobacter pylori, active use of triple or quadruple therapy should be employed to eradicate Helicobacter pylori. It is important to adjust one's diet, eat regularly, and avoid overeating. Greasy and spicy foods should be consumed less, and more bland, soft, and easily digestible foods should be eaten. (Please use medication under the guidance of a doctor.)

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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 Zhu Dan Hua
Gastroenterology
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Why is a biopsy necessary for atrophic gastritis?

Atrophic gastritis is generally treated with biopsy, which is the standard for diagnosing atrophic gastritis, so biopsy is typically conducted when considering atrophic gastritis. Atrophic gastritis is increasingly common in clinical settings, especially among middle-aged and elderly patients. It begins with symptoms of chronic gastritis, such as abdominal pain, bloating, nausea, and belching, and sometimes may include changes in appetite. Patients usually undergo gastroscopy, which shows atrophy of the gastric mucosa, alterations in red and white patches, or white-like mucosa. Histopathological examination can further support the atrophic changes. In clinical settings, when considering atrophic gastritis, treatment focuses on protecting the stomach and screening for Helicobacter pylori. If Helicobacter pylori is positive, treatment targeting Helicobacter pylori is recommended. Regular gastroscopic examinations are necessary, typically every six months to a year.

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Written by Jiang Guo Ming
Gastroenterology
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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.)