The causes of acute gastritis

Written by Jiang Guo Ming
Gastroenterology
Updated on September 03, 2024
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Acute gastritis is one of the common upper gastrointestinal diseases. The condition tends to be severe and more serious than typical gastritis, usually presenting with symptoms such as sudden onset, abdominal pain, bloating, nausea, acid reflux, and vomiting. The primary causes may include exposure to cold or food irritants, such as raw, spicy foods, or alcohol. Additionally, other factors can also lead to acute gastritis or acute gastric mucosal lesions, such as the use of non-steroidal anti-inflammatory drugs like aspirin, or corticosteroid medications such as dexamethasone or prednisone. (Specific medication use should be under the guidance of a doctor.)

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Symptoms of acute gastritis

The symptoms of acute gastritis mainly include stomach pain, nausea, vomiting, reduced appetite, and neuropsychiatric symptoms. These symptoms can significantly impact normal life and work. Therefore, active treatment is necessary, mainly using medications that inhibit gastric acid secretion to protect the gastric mucosa, as well as medications that promote gastrointestinal motility. If there is an infection with Helicobacter pylori, it is essential to eradicate this bacterium. Additionally, dietary adjustments should be made, such as consuming soft, easily digestible foods and avoiding spicy, stimulating, and greasy foods. Engaging in outdoor activities and maintaining physical and mental health are also important. (Please use medications under the guidance of a doctor.)

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Is acute gastritis dangerous?

Acute gastritis comes in many forms, and acute erosive hemorrhagic gastritis is relatively dangerous as it can lead to gastric mucosal bleeding and perforation, resulting in the risk of hemorrhagic shock. Therefore, active treatment of acute gastritis is needed. It is recommended to visit the gastroenterology department of a hospital to undergo a gastroscopy to understand the basic pathological changes of the gastritis. Additionally, some medications can be used for treatment, such as those that inhibit gastric acid secretion, protect the gastric mucosa, and sensitive antibiotics. Pay attention to dietary adjustments, consume lighter foods more often, and reduce the intake of spicy foods. (Please use medication under the guidance of a doctor.)

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How to recuperate after acute gastritis?

The management of acute gastritis primarily involves diet and regulation of personal emotions. Diet-wise, it's important to eat light foods and avoid spicy and greasy foods. Incorporate more fresh vegetables and fruits to increase dietary fiber. Additionally, adjusting personal emotions is crucial as there is a direct relationship between gastritis and emotional fluctuations. Therefore, maintaining physical and mental health, engaging in outdoor activities, and minimizing emotional ups and downs, while avoiding excessive anxiety, all play a positive role in the treatment and care of acute gastritis.

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What IV fluids should be administered for acute gastritis?

The choice of medication for intravenous therapy in acute gastritis focuses on suppressing gastric acid secretion, protecting the gastric mucosa, and the rational use of antibiotics. It is also important to replenish fluids and electrolytes to maintain sodium-water balance. During treatment, attention should be paid to regular eating habits, consuming more vegetables and fruits to add dietary fiber. Additionally, the main diet should consist of soft, easy-to-digest foods, such as millet porridge, rice soup, or vegetable soup; it is advisable to avoid raw, cold, spicy foods and to stay away from strong tea, coffee, and hard liquor to prevent damage to the gastric mucosa. Regular, timely meals should be adhered to, along with developing a regular routine of living habits. After recovery, appropriate outdoor exercises should be conducted to strengthen the physique and maintaining a positive mindset plays an active role in preventing gastrointestinal diseases.

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Written by Ren Zheng Xin
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Causes of acute gastritis

There are mainly three causes for the onset of acute gastritis: First, excessive fatigue, due to lack of rest and physical overexertion, can lead to a decline in immune function and the protective function of the gastric mucosal barrier, resulting in the occurrence of gastritis. Second is irregular eating habits, such as frequent binge eating, consuming spicy foods, and a preference for alcohol, strong tea, or coffee, all of which can significantly irritate and damage the gastric mucosa. Third is emotional fluctuations, such as being irritable, depressed, or anxious, which can directly affect the gastrointestinal tract through neurohumoral regulation and cause acute gastritis.