Does acute gastritis require hospitalization?

Written by Jiang Guo Ming
Gastroenterology
Updated on November 06, 2024
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Acute gastritis often presents with symptoms such as acute abdominal pain, bloating, acid reflux, heartburn, nausea, and vomiting. The symptoms are typically more severe than those of chronic gastritis. Whether hospitalization is necessary depends on the specific symptoms. If the symptoms are not severe and the patient can eat, treatment can be achieved through oral medication. If there is severe vomiting or inability to eat, hospitalization for intravenous therapy may be needed. Additionally, acute gastric mucosal lesions caused by certain medications may lead to bleeding, which also requires hospital observation to prevent worsening of the condition. (Specific medications should be used under the guidance of a doctor.)

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Written by Yang Chun Guang
Gastroenterology
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How to treat acute gastritis?

Acute gastritis is generally caused by drugs or stress, resulting in acute gastric mucosal injury. For treatment, proton pump inhibitors such as esomeprazole or pantoprazole can be used to suppress stomach acid. Alternatively, H2 receptor antagonists like cimetidine or famotidine can be used, but their effects are not as good as those of proton pump inhibitors. In addition to acid-suppressing medications, drugs that protect the gastric mucosa should also be used. Moreover, if there is damage to the gastric mucosa, treatments that promote the repair of the gastric mucosa, such as the recovery solution, should be applied. Diet should also be considered, ensuring it is light and regular. The cause should be clearly identified; if it is drug-induced, the drug should be discontinued, and if it is due to emotional stress, efforts should be made to soothe the emotions. (Specific medications should be used under the guidance of a doctor)

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Written by Ren Zheng Xin
Gastroenterology
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How to treat symptoms of acute gastritis?

Acute gastritis is generally caused by consumption of unclean food or bacterial infection. The main symptoms include nausea, vomiting, and fever. The conventional treatment involves using medications that suppress gastric acid secretion, protect the gastric mucosa, and relieve spasms and pain. If there is a bacterial infection, antimicrobial drugs should be used, and for Helicobacter pylori infection, triple therapy should be applied. Regular attention should be paid to dietary habits, avoiding spicy, greasy, and irritating foods. Ensure that food is within its expiration period, and foods taken out from the refrigerator should be heated before eating. Engage in outdoor exercises to strengthen the physique and enhance the body's disease resistance. (Medication should be used under the guidance of a doctor.)

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Written by Ren Zheng Xin
Gastroenterology
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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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Written by Yang Chun Guang
Gastroenterology
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What to eat for acute gastritis

Acute gastritis refers to the acute onset of gastric mucosa damage or erosion, commonly caused by drugs or stress-induced injuries, including those caused by alcohol. For treatment, proton pump inhibitors that suppress stomach acid can be used. Aside from proton pump inhibitors, H2 receptor antagonists can also be chosen, but the therapeutic effect of H2 receptor antagonists is not as good as proton pump inhibitors. Treatment should also include gastric mucosal protectants and drugs that promote mucosal repair. Additionally, if gastrointestinal motility is poor, prokinetic agents may be added to the treatment. Moreover, during the acute phase, it is best to consume liquid foods and drink porridge.

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Written by Ren Zheng Xin
Gastroenterology
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What is acute gastritis?

Acute gastritis is caused by various reasons leading to acute inflammation of the gastric mucosa, primarily due to stress, medications, infections in the stomach, and bile reflux. The main symptoms include upper abdominal pain, accompanied by nausea and vomiting, often with enteritis causing diarrhea, bloody stool, and signs of dehydration. The treatment for acute gastritis is mainly symptomatic, with timely fluid replenishment through intravenous hydration. Additionally, bed rest is recommended, along with cessation of all gastric irritants in food or medications, and fasting if necessary. For abdominal pain, local heat application or the use of antispasmodic analgesics can be considered; generally, anti-infection treatment is not required.