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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What should I do about acute gastritis and abdominal pain?

The abdominal pain due to acute gastritis is considered to be caused by acute gastroenteritis. The inflammation irritates the gastrointestinal mucosa, leading to muscle spasms that cause pain. It is appropriate to use antispasmodic and analgesic medications, as well as drugs that protect the gastric mucosa and inhibit gastric acid secretion. During this period, it is important to rest more and avoid physical labor as much as possible. Also, pay attention to dietary adjustments, eat soft, easily digestible foods, and avoid spicy, greasy, and irritating foods. After recovery, it is advisable to engage in appropriate outdoor exercises to regulate physical and mental health.

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Written by Ren Zheng Xin
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What to do if acute gastritis flares up?

Active medication is required for the recurrence of acute gastritis. The current treatment principles involve the use of medications that suppress gastric acid secretion and protect the gastric mucosa. Medications that suppress gastric acid secretion mainly include proton pump inhibitors and H2 receptor antagonists. Additionally, it is important to check for Helicobacter pylori infection. If this bacterium is present, one can choose triple therapy to eradicate it or opt for traditional Chinese medicines, which are effective in regulating the spleen and stomach. For those with obvious stomach pain, antispasmodic analgesics should be used. Regular care is also particularly important, including consuming soft, easily digestible foods and avoiding spicy, stimulating, and greasy foods, especially strong tea, coffee, and alcoholic beverages. (Please use medications under the guidance of a doctor)

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Written by Jiang Guo Ming
Gastroenterology
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What foods should be avoided with acute gastritis?

Acute gastritis often presents with symptoms such as abdominal pain, acid reflux, vomiting, and heartburn. Under a gastroscope, the mucous membrane often appears clearly congested and swollen, and there may even be signs of acute inflammation, such as erosion and bleeding spots. Therefore, while coordinating with medication treatment, it is crucial to pay attention to dietary habits. In terms of diet, it should not only provide nutritional support but also minimize irritation to the stomach. For example, soft foods like rice, noodles, and porridge should be staple foods. Fresh vegetables, fish soup, and meat broth can all add nutrition. Try to avoid excessively cold, greasy, spicy foods, alcoholic beverages, and very hot or hard foods. It is advisable to eat small meals frequently.

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Written by Ren Zheng Xin
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What to drink for vomiting due to acute gastritis?

For acute gastritis with vomiting, you can drink millet porridge, rice soup, or vegetable soup. These foods have the least irritation to the gastric mucosa and will not aggravate vomiting by irritating the stomach lining. Additionally, active medical treatment should be pursued, commonly involving protectors of the gastric mucosa, drugs that suppress gastric acid secretion, and antispasmodic analgesics. In daily life, it's also important to maintain a regular diet, eating three well-timed and measured meals, and avoiding raw, cold, spicy foods, as well as avoiding strong tea, coffee, and hard liquor that may harm the gastric mucosa. Ensure meals are eaten at consistent times without overeating. Regular patterns of rest and appropriate outdoor exercise can positively impact gastrointestinal health. (Medications should be used under the guidance of a doctor based on individual circumstances.)