Is atrophic gastritis grade II serious?

Written by Huang Gang
Gastroenterology
Updated on June 20, 2025
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Grade II atrophic gastritis is of moderate severity, not particularly severe.

The appearance of atrophic gastritis indicates that the gastric mucosa has begun to atrophy, and the glands have reduced. In such a case, it is crucial to take care of oneself to avoid further severe progression of the condition. Typically, it is advisable to have a light diet, incorporating easily digestible and absorbable foods such as papaya, Chinese yam, or lentils. These types of food can regulate the spleen and stomach, aid digestion, and improve appetite. It is important to avoid spicy and stimulating foods, and to strictly abstain from smoking and drinking to prevent exacerbation of the condition.

If suffering from chronic gastritis, do not use proton pump inhibitors, such as omeprazole or rabeprazole, in large amounts over a long period. These medications should be taken regularly and according to the treatment course prescribed.

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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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What are the symptoms before atrophic gastritis turns cancerous?

Patients with atrophic gastritis primarily exhibit symptoms such as dull pain, bloating, and burning pain in the upper abdomen, along with belching, acid reflux, weight loss, anemia, and more. If the pain from atrophic gastritis does not follow a clear pattern and is accompanied by progressive weight loss and refractory anemia, the possibility of cancerous changes in atrophic gastritis should be considered. It is advisable to promptly complete an endoscopy to confirm the diagnosis and rule out malignancy, and, if necessary, undertake a biopsy. In terms of treatment, it is first essential to test for Helicobacter pylori infection and then use medications to protect the gastric mucosa.

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The difference between superficial gastritis and atrophic gastritis.

Chronic superficial gastritis and atrophic gastritis are both types of chronic gastritis. Chronic superficial gastritis refers to the condition where there is no atrophy of the gastric glands in the gastric mucosa, while atrophic gastritis involves atrophy of the gastric glands in the gastric mucosa. Gastroscope examination can confirm the diagnosis; if gastric gland atrophy is observed under the gastroscope, a biopsy and histopathological examination can definitively diagnose atrophic gastritis. In contrast, superficial gastritis primarily shows symptoms of mucosal hyperemia, edema, or erosion under gastroscope examination. The symptoms of both conditions are similar, including upper abdominal distension, belching, acid reflux, nausea, and vomiting. As for treatment, superficial gastritis primarily involves acid suppression, gastric protection, and promoting gastric motility, while the treatment for atrophic gastritis includes targeting Helicobacter pylori, along with acid suppression and gastric protection. The prognosis for superficial gastritis is relatively good, whereas treating atrophic gastritis is more challenging and it carries a higher risk of malignancy transformation.

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Is atrophic gastritis C1 cancerous?

Atrophic gastritis C1 is not a cancerous change; it refers to closed atrophy, limited only to the pyloric antrum and not occurring in parts such as the gastric body or greater curvature. Patients with atrophic gastritis C1 should first be tested for the presence of Helicobacter pylori infection. If the Helicobacter pylori infection is positive, a standardized eradication of Helicobacter pylori should be conducted using a bismuth-containing quadruple therapy for two weeks. Additionally, patients can take Chinese patent medicines like Weifuchun and Monkey Mushroom tablets to repair and protect the gastric mucosa. Moreover, patients with atrophic gastritis C1 should regularly undergo follow-up gastroscopy. Note: Please follow medical advice regarding medication.

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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.