Is nausea normal for atrophic gastritis?

Written by Jiang Guo Ming
Gastroenterology
Updated on September 24, 2024
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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.)

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Written by Jiang Guo Ming
Gastroenterology
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Can people with atrophic gastritis eat eggs?

Chronic atrophic gastritis is one of the common gastrointestinal diseases and is more severe than chronic superficial gastritis. If allowed to progress, it could lead to intestinal metaplasia, or even dysplasia, which are precancerous lesions. The treatment plan should first be determined based on whether there is a Helicobacter pylori infection, following standard treatment protocols. Additionally, it is important to pay attention to daily dietary and lifestyle habits, maintain a positive mindset, and abstain from smoking and alcohol. It’s also crucial to avoid overly raw, fatty, or spicy foods. Eggs, a common food rich in nutrients, can be consumed, but it is best to avoid fried methods to lessen the burden on the stomach.

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Written by Si Li Li
Gastroenterology
1min 16sec home-news-image

Chronic non-atrophic gastritis with bile reflux treatment

Chronic non-atrophic gastritis with bile reflux is mainly characterized by symptoms such as upper abdominal distension, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A diagnosis can be made if bile reflux into the stomach or bile patches on the stomach wall are observed during gastroscopy. A Carbon-14 breath test is also necessary to determine the presence of Helicobacter pylori infection. If the infection test is positive, a 14-day anti-Helicobacter pylori treatment is required. Additionally, treatment for chronic non-atrophic gastritis with bile reflux should include acid suppression, gastric protection, and promotion of gastric motility to protect the gastric mucosa, with a treatment duration of about four to six weeks. Bile reflux-associated chronic gastritis is primarily caused by poor gastric motility, thus increasing physical exercise is recommended as it can enhance gastric motility and improve the condition.

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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 Wu Hai Wu
Gastroenterology
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What is the cause of recurrent atrophic gastritis?

Recurrent atrophic gastritis is likely caused by Helicobacter pylori infection. When atrophic gastritis recurs, a Carbon-13 urea breath test or Carbon-14 urea breath test should be conducted to detect whether there is an infection of Helicobacter pylori. If the test is positive, a two-week quadruple therapy containing a bismuth agent should be used to eradicate Helicobacter pylori. Consider using a proton pump inhibitor, such as omeprazole or lansoprazole, combined with two of the antibiotics amoxicillin, clarithromycin, metronidazole, and furazolidone, as well as bismuth citrate, to form the quadruple therapy. (Please use medication under the guidance of a doctor.)

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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.