What are the symptoms of atrophic gastritis?

Written by Si Li Li

Gastroenterology

Updated on November 02, 2024

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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

Gastroenterology

48sec

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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 Si Li Li

Gastroenterology

1min 7sec

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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

48sec

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Can I eat eggs with atrophic gastritis and erosion?

Patients with atrophic gastritis and erosion can eat eggs, but should avoid overly stir-fried and fried eggs. People with atrophic gastritis should maintain a bland diet and eat small, frequent meals. They should avoid binge eating and drink, and keep regular and moderate eating habits. Additionally, they should avoid foods or medications that may damage or irritate the gastric mucosa, such as quitting smoking and drinking, and avoiding strong tea, coffee, chili peppers, mustard, etc. With atrophic gastritis and erosion, it is important to enhance the body's immunity, and take medications that protect the gastric mucosa. Sometimes, traditional Chinese medicine and herbal treatments can also effectively protect the gastric mucosa.

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Written by Jiang Guo Ming

Gastroenterology

1min 6sec

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What medicine should be taken for atrophic gastritis with erosion?

Chronic atrophic gastritis with erosion requires drug treatment based on the specific symptoms of the patient and whether there is a Helicobacter pylori infection. The infection rate of Helicobacter pylori is very high, often exceeding 50%, so it is also necessary to check for Helicobacter pylori infection in cases of chronic atrophic gastritis. If there is a Helicobacter pylori infection, antibacterial treatment is needed, typically employing a quadruple therapy. If there is no Helicobacter pylori infection, symptomatic treatment is generally used. Common treatments include protecting the gastric mucosa, suppressing gastric acid, and enhancing gastric motility, among others. Additionally, it is important to pay attention to daily diet and lifestyle habits, focusing on light and easy-to-digest foods, and avoiding raw, greasy, spicy, and irritating foods; quitting smoking and drinking can also be helpful. (Specific medication usage should be conducted under the guidance of a doctor.)

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Written by Si Li Li

Gastroenterology

57sec

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Non-atrophic gastritis with focal erosion treatment

Non-atrophic gastritis with erosive lesions, primarily diagnosed through gastroscopic examination that revealed erosive and other changes in the gastric mucosa. If erosion is detected, doctors generally perform a biopsy under gastroscopy to ascertain the nature of the erosion. If the erosion is inflammatory, it can be treated with oral medications, including acid-suppressing and stomach-protective drugs, promoting gastric motility, and protecting the gastric mucosa. If the erosion involves intestinal metaplasia or atypical hyperplasia, it requires endoscopic APC treatment or endoscopic submucosal dissection (ESD) to eliminate the erosive areas, thereby addressing the erosion fundamentally. Additionally, attention should be paid to a light and easily digestible diet.