Is chronic non-atrophic gastritis with erosion serious?

Written by Si Li Li
Gastroenterology
Updated on November 19, 2024
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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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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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What fruits should be avoided with atrophic gastritis?

The main dietary restrictions for atrophic gastritis include quitting smoking and drinking. It is important to eat less salty and overly hot foods, and to avoid spicy and irritating foods. In addition, patients should avoid coarse foods and eat more fresh vegetables and fruits rich in vitamins. They should eat regularly, have small frequent meals, chew slowly, and maintain a pleasant mood. Patients with atrophic gastritis should maintain a regular diet and have periodic gastroscopy check-ups, as there is a potential for malignancy in atrophic gastritis patients.

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Written by Si Li Li
Gastroenterology
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Can atrophic gastritis with HP positive lead to cancer?

Chronic atrophic gastritis has a certain risk of cancerous transformation. For patients with chronic atrophic gastritis, the first step in treatment is to administer anti-Helicobacter pylori therapy, which includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent, with a treatment duration of 14 days. Additionally, treatments to suppress stomach acid, protect the stomach lining, promote gastric motility, and repair the stomach mucosa are necessary. Treatment methods also involve traditional Chinese medicine (TCM) diagnoses and oral administration of Chinese herbal medicine. External TCM treatments, such as thunder-fire moxibustion and moxibustion on the Zhongwan acupoint, or the acupoints of spleen-shu and stomach-shu on the back, which strengthen the spleen and benefit qi to nourish the stomach, can also play a significant role in treating this disease.

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Written by Wu Hai Wu
Gastroenterology
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Can people with atrophic gastritis drink honey water?

Patients with atrophic gastritis can drink honey water. Patients with atrophic gastritis need to be careful with their diet by avoiding spicy, irritating foods, as well as overly sour, overly spicy, overly salty foods, and coarse foods. For patients with atrophic gastritis, it is important to eat regularly and in moderate amounts, opting for smaller, more frequent meals, and avoiding binge eating. Since honey water does not fall into the above categories of foods and is not considered spicy, patients with atrophic gastritis can drink honey water. However, it is also important to avoid drinking too much at once; drinking a moderate amount is fine.

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Written by Wu Hai Wu
Gastroenterology
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Does atrophic gastritis cause diarrhea?

Generally speaking, atrophic gastritis does not cause diarrhea in patients. The main symptoms of atrophic gastritis include dull pain in the upper abdomen, bloating, belching, or accompanied by symptoms such as weight loss and anemia. If a patient with atrophic gastritis experiences diarrhea, they should promptly visit the gastroenterology department or intestinal clinic of a standard hospital to complete routine stool examinations and tests, and if necessary, an endoscopic examination of the colon. In terms of treatment, antidiarrheal medications such as montmorillonite powder can be used, as well as treatments like Bacillus coagulans to regulate the intestinal flora. It is also advised to drink more water to avoid dehydration.