Which fruits can be eaten with chronic atrophic gastritis?

Written by Si Li Li
Gastroenterology
Updated on June 27, 2025
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Patients with chronic atrophic gastritis are not recommended to eat fruits. Most fruits are considered cold and raw food, which can easily irritate the stomach lining and worsen the lesions, thus patients with chronic atrophic gastritis are advised not to eat fruits. Additionally, patients with chronic atrophic gastritis should avoid smoking, drinking alcohol, and consuming strong tea or coffee. They should also avoid fatty, greasy, spicy, fried, stimulating, barbecued, cold, and sweet foods. A diet that is light and easy to digest is recommended, such as porridge (e.g., millet porridge, yam porridge, or barley porridge), soups (e.g., chicken soup or pork rib soup), and well-cooked noodles, as these foods are relatively easy to digest and place less burden on the gastrointestinal tract, making them suitable for patients with chronic atrophic gastritis.

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How to treat chronic non-atrophic gastritis with bile reflux?

For cases of chronic non-atrophic gastritis with bile reflux, it is first necessary to clarify whether there is a Helicobacter pylori infection, which can be determined by a breath test. Based on this, regular visits to the department of gastroenterology for diagnostics and treatment can be established. Firstly, it is important to take oral medication to protect the gastric mucosa and then to promote gastrointestinal motility. Regular follow-ups are very important. Generally, for patients with non-atrophic gastritis and bile reflux, it depends on whether the condition is high or low. For those in the high category, it is necessary to undergo a gastroscopy every six months.

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Written by Huang Gang
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Is atrophic gastritis grade II serious?

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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Written by Jiang Guo Ming
Gastroenterology
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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.)

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Written by Jiang Guo Ming
Gastroenterology
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How to prevent and treat atrophic gastritis

Chronic gastritis includes two types: chronic non-atrophic gastritis and chronic atrophic gastritis. Chronic atrophic gastritis is generally more severe than chronic non-atrophic gastritis and usually accompanies intestinal metaplasia, which some refer to as a precancerous lesion. If chronic atrophic gastritis is present, formal medical treatment is necessary. Initially, it is advisable to check for Helicobacter pylori infection. If an Helicobacter pylori infection is found, timely eradication therapy is recommended, typically using quadruple therapy, which consists of a proton pump inhibitor, two types of antibiotics, and a bismuth agent. If there is no Helicobacter pylori infection, treatment generally focuses on symptomatic relief, such as protecting the gastric mucosa and enhancing gastric motility. Additionally, traditional Chinese medicine has shown satisfactory effects in treating chronic atrophic gastritis. It is also important to maintain good dietary and living habits, prefer light and easily digestible foods, and avoid raw, greasy, spicy, and irritating foods to help maintain a positive state of mind. Regular gastroscopy check-ups are necessary. (Medication should be taken under the guidance of a doctor.)

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Written by Wu Hai Wu
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Is atrophic gastritis negative a problem?

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.