Is atrophic gastritis grade I serious?

Written by Huang Gang
Gastroenterology
Updated on October 23, 2024
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Grade I atrophic gastritis is not serious. Atrophic gastritis refers to the atrophy and reduction of the gastric mucosa and glands, and it manifests with symptoms like stomach discomfort, bloating, stomach pain, and loss of appetite. For those with atrophic gastric cancer, it is important to control the diet, avoid overeating, and abstain from spicy, raw, greasy, and irritating foods. This type of chronic digestive system disease, if not properly managed, can frequently relapse and has the potential to become malignant. If the condition can be controlled and does not frequently recur, it generally does not have a significant impact on the body.

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Can chronic atrophic gastritis be cured?

Chronic atrophic gastritis is primarily a chronic digestive system disease caused by atypical hyperplasia. It is mainly characterized by upper abdominal dull pain, bloating, loss of appetite, weight loss, anemia, etc., and lacks specificity. It is a disease caused by multiple pathogenic factors and is a precancerous lesion. There are many causes, including Helicobacter pylori infection and dietary factors, among others. Moreover, treatment for atrophic gastritis can be targeted based on the specific condition, clinical symptoms, and auxiliary examinations.

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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.)

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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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Written by Si Li Li
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How to regulate non-atrophic gastritis

Chronic gastritis is divided into chronic atrophic gastritis and chronic non-atrophic gastritis. Chronic non-atrophic gastritis, also known as chronic superficial gastritis, mainly presents symptoms such as upper abdominal distension, belching, acid reflux, nausea, vomiting, and indigestion. Gastroscope examination revealing redness, edema, or erosion of the gastric mucosa can diagnose chronic non-atrophic gastritis. The treatment primarily involves acid suppression, stomach protection, and enhancement of gastric motility, typically requiring about four to six weeks. It is also recommended to conduct a Carbon-14 breath test to determine if there is an infection with Helicobacter pylori; if the infection is positive, a 14-day treatment against Helicobacter pylori is necessary. Additionally, dietary considerations should focus on easily digestible foods, avoiding spicy, fried, barbecued, sweet, or cold foods. Smoking and alcohol consumption should be avoided, as well as foods like milk, soy milk, glutinous rice, and sweet potatoes.

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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.