What to do about the pain from atrophic gastritis?

Written by Ren Zheng Xin
Gastroenterology
Updated on September 17, 2024
00:00
00:00

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.)

Other Voices

doctor image
home-news-image
Written by Wu Hai Wu
Gastroenterology
49sec home-news-image

Does chronic atrophic gastritis require lifelong medication?

If the patient has lifelong atrophic gastritis, they may need to follow a doctor's advice and take medications that increase mucosal nutrition for life, such as sucralfate, live gastric ketone, prostaglandin E1, etc. The main causes of atrophic gastritis are Helicobacter pylori infection, as well as other factors such as autoimmune mechanisms, genetic factors, and decreased gastric mucosal barrier function. The main symptoms of atrophic gastritis include obscure pain in the upper abdomen, distension, burning pain, along with accompanying symptoms like weight loss and anemia. Treatment for atrophic gastritis involves eradicating Helicobacter pylori and using medications that protect the gastric mucosa.

doctor image
home-news-image
Written by Jiang Guo Ming
Gastroenterology
46sec home-news-image

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.

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
1min 9sec home-news-image

Is atrophic gastritis easy to treat?

Atrophic gastritis is a type of chronic gastritis characterized by the atrophy of gastric mucosal glands. It carries a certain risk of becoming cancerous. The main symptoms include upper abdominal pain, postprandial fullness, heartburn, indigestion, belching, and acid reflux. Gastroscope examination reveals atrophy of the gastric glands, and a biopsy is needed for a pathological examination to confirm the diagnosis of chronic atrophic gastritis. In terms of treatment, the first step is to eradicate Helicobacter pylori, which includes a regimen of one proton pump inhibitor, two antibiotics, and one bismuth agent, lasting for 14 days. This is followed by acid suppression and mucosal repair treatments. Additionally, the treatment with traditional Chinese medicine plays a significant role in managing atrophic gastritis. This condition is challenging to treat, has poor outcomes, is prone to relapse, and carries a risk of cancer transformation.

doctor image
home-news-image
Written by Jiang Guo Ming
Gastroenterology
57sec home-news-image

Is nausea normal for atrophic gastritis?

Nausea is one of the common symptoms of gastrointestinal diseases, whether it is chronic superficial gastritis or atrophic gastritis. The occurrence of nausea usually indicates insufficient gastric motility. This condition is not considered normal, and targeted treatment is usually required depending on whether there is an infection with Helicobacter pylori. If there is an infection with Helicobacter pylori, it is first necessary to eradicate Helicobacter pylori. This generally involves quadruple therapy to eliminate the bacteria, accompanied by prokinetic agents, such as mosapride citrate. If there is no Helicobacter pylori infection, symptomatic treatment may suffice. For example, protecting the gastric mucosa and enhancing gastric motility, while also paying attention to daily dietary and lifestyle habits. (Note: The use of medications should be conducted under the guidance of a professional doctor.)

doctor image
home-news-image
Written by Si Li Li
Gastroenterology
58sec home-news-image

What should be done with chronic non-atrophic gastritis with erosion?

Chronic non-atrophic gastritis with erosion requires a biopsy of the eroded area during a gastroscopy for a pathological examination to determine the nature of the erosion, whether it is inflammatory, intestinal metaplasia, or atypical hyperplasia, etc. If the erosion is inflammatory, oral medication is needed for treatment, such as treatment against Helicobacter pylori, as well as acid suppression, stomach protection, promotion of gastric motility, and protection of the gastric mucosa. If intestinal metaplasia or moderate to severe atypical hyperplasia is present, endoscopic mucosal resection is recommended. This is because moderate to severe intestinal metaplasia or atypical hyperplasia has a certain rate of malignancy, and endoscopic mucosal resection is necessary for thorough treatment, as oral medication alone cannot completely cure this lesion.