"Mild active phase of atrophic gastritis"

Written by Huang Gang
Gastroenterology
Updated on June 04, 2025
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Mild active phase of atrophic gastritis refers to the period when gastritis is occurring, typically caused by improper diet. This might be due to overeating or consuming greasy, spicy, and irritating foods, leading to exacerbation of the condition. Clinical manifestations include stomach pain, nausea, vomiting, and decreased appetite, which are inevitably linked to daily life habits. Furthermore, mental stress, excessive pressure, staying up late, and overfatigue can also have an impact.

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Written by Si Li Li
Gastroenterology
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Is atrophic gastritis of the gastric antrum serious?

Atrophic gastritis is a chronic gastric disease characterized by repeated damage to the gastric mucosal epithelium, leading to the atrophy of the intrinsic glands, with or without intestinal metaplasia or pseudopyloric gland metaplasia. The main cause of this disease is infection by Helicobacter pylori. Symptoms primarily include upper abdominal distension, belching, acid reflux, early satiety, nausea, etc. Some patients may experience symptoms such as weight loss, fatigue, memory loss, anxiety, and depression. The main treatment involves eradicating Helicobacter pylori, suppressing acid production, and using gastric mucosal protectants and prokinetic agents. The majority of patients have Helicobacter pylori-related gastritis, which after chronic inflammation (chronic non-atrophic gastritis) can lead to atrophic gastritis, followed by intestinal metaplasia or dysplasia, and eventually may progress to gastric cancer.

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Written by Si Li Li
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What are the symptoms of atrophic gastritis?

The main symptoms of atrophic gastritis include upper abdominal pain, belching, acid reflux, poor appetite, nausea, vomiting, indigestion, etc., which are not specific compared to the symptoms of chronic superficial gastritis. Therefore, it is not possible to determine whether it is atrophic gastritis or superficial gastritis based solely on symptoms; a gastroscopy is necessary for a definitive diagnosis. If the gastroscopy reveals thinning of the gastric mucosa and atrophy of the gastric glands, atrophic gastritis can be confirmed. Additionally, if atrophic gastritis is suspected, a biopsy and pathological examination are also needed for a clear diagnosis. Regarding treatment, atrophic gastritis requires therapies such as anti-Helicobacter pylori treatment, acid suppression, promoting gastric motility, and protecting the gastric mucosa. Furthermore, it is recommended to combine traditional Chinese medicine differentiation-based treatment for better effects when used alongside Western medicine.

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Written by Wu Hai Wu
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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.

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Is chronic non-atrophic gastritis with erosion serious?

Common symptoms of chronic non-atrophic gastritis with erosion include upper abdominal bloating, belching, acid reflux, nausea, vomiting, poor appetite, indigestion, heartburn, etc. A gastroscopy can reveal symptoms like hyperemia, edema, and erosion on the gastric mucosa to diagnose chronic non-atrophic gastritis with erosion. It is also recommended to perform a Carbon-14 breath test to determine if there is an infection of Helicobacter pylori. If the infection is positive, a 14-day treatment for Helicobacter pylori is required, using a regimen of a proton pump inhibitor, two antibiotics, and a bismuth agent, with the course lasting 14 days. Additionally, treatment for chronic non-atrophic gastritis with erosion should include acid suppression, gastric protection, promoting gastric motility, and protecting the gastric mucosa, which typically requires about six weeks. With the above treatments, the disease can be cured.

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Can atrophic gastritis drink honey?

Honey is very common in daily life, tastes good, and contains rich nutritional components. It has the effects of promoting saliva secretion, quenching thirst, and relieving constipation, which makes it widely loved. For chronic atrophic gastritis, in addition to conventional drug treatments, such as antibacterial Western medicine and treatments that protect the gastric mucosa, traditional Chinese medicine can also provide symptomatic treatment. In terms of diet, it is essential to eat light, easily digestible foods, and avoid raw, greasy, spicy, and irritating foods, as well as stimulants like tobacco and alcohol, while also maintaining regular and measured eating habits. Honey does not have a significant conflict with atrophic gastritis and can be consumed. (Specific medications should be used under the guidance of a doctor.)