Is atrophic gastritis negative a problem?

Written by Wu Hai Wu
Gastroenterology
Updated on January 23, 2025
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Atrophic gastritis negative generally means there's no major issue. A negative result for atrophic gastritis indicates that the patient is unlikely to have atrophic gastritis. In such cases, it may be considered that there is chronic superficial gastritis. If the patient has symptoms such as acid reflux, belching, heartburn, nausea, vomiting, etc., the use of proton pump inhibitors can be considered to suppress the secretion of stomach acid, and products such as aluminum magnesium carbonate and sucralfate to protect the gastric mucosa. Treatment to promote gastric motility such as Itopride or Mosapride can also be considered. Additionally, it is necessary to conduct a Carbon-13 urea breath test or Carbon-14 urea breath test to check for Helicobacter pylori infection.

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Symptoms and Treatment of Atrophic Gastritis

Common symptoms of chronic atrophic gastritis include upper abdominal distension, belching, acid reflux, nausea, vomiting, postprandial fullness, heartburn, and indigestion. Gastroscopy can reveal atrophy of the gastric glands in the mucosa, and a definitive diagnosis of chronic atrophic gastritis can be made through biopsy and histopathological examination. In terms of treatment, the first step involves eradicating Helicobacter pylori, using a regimen that includes a proton pump inhibitor, two antibiotics, and a bismuth agent, over a 14-day treatment period. Additionally, treatments aimed at acid suppression, gastric motility enhancement, and gastric mucosal protection are also necessary. Traditional Chinese medicine can also be effective in treating atrophic gastritis. A combined approach utilizing both Western and Chinese medicine can yield better outcomes for the treatment of atrophic gastritis.

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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 Wu Hai Wu
Gastroenterology
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Can I eat eggs with atrophic gastritis and erosion?

Patients with atrophic gastritis and erosion can eat eggs, but should avoid overly stir-fried and fried eggs. People with atrophic gastritis should maintain a bland diet and eat small, frequent meals. They should avoid binge eating and drink, and keep regular and moderate eating habits. Additionally, they should avoid foods or medications that may damage or irritate the gastric mucosa, such as quitting smoking and drinking, and avoiding strong tea, coffee, chili peppers, mustard, etc. With atrophic gastritis and erosion, it is important to enhance the body's immunity, and take medications that protect the gastric mucosa. Sometimes, traditional Chinese medicine and herbal treatments can also effectively protect the gastric mucosa.

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Written by Wu Hai Wu
Gastroenterology
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Will atrophic gastritis and esophagitis cause significant weight loss?

Patients with atrophic gastritis and esophagitis may experience weight loss, as those with atrophic gastritis can have upper abdominal pain, distension pain, and burning pain, accompanied by a feeling of bloating and belching. Severe cases can lead to anemia and weight loss. The main cause of atrophic gastritis is infection by Helicobacter pylori. Of course, immune factors and dietary habits also play significant roles in the development of atrophic gastritis. Once atrophic gastritis is definitively diagnosed, it is crucial to actively eradicate Helicobacter pylori, as well as to quit smoking and drinking, and avoid using medications and consuming foods that may damage the gastric mucosa.

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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.