Symptoms of acute gastritis attack

Written by Jiang Guo Ming
Gastroenterology
Updated on January 13, 2025
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Acute gastritis is also a common and frequently occurring disease in gastroenterology, with a relatively sudden onset and more severe symptoms compared to other types of gastritis. The majority of causes are due to inappropriate diet, such as excessive consumption of cold, spicy food, or alcoholic beverages. Certain medications can also lead to this condition, such as non-steroidal anti-inflammatory drugs and corticosteroids. Symptoms often manifest as episodic upper abdominal bloating or colic, accompanied by acid reflux, heartburn, abdominal distension, etc. If acute gastric mucosal lesions occur, there are often signs of bleeding, such as black stools or even vomiting blood.

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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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Causes of acute gastritis

The causes of acute gastritis are varied, primarily involving external factors, internal factors, and psychological factors. For example, irregular eating habits, consuming foods that are too cold or too hot, and overly coarse foods can all irritate and damage the gastric mucosal barrier. Additionally, some medications can directly cause congestion of the gastric mucosa, and acute gastritis can be directly caused by bacterial or viral infections. The gastrointestinal tract is regulated by various hormones, and if one is overly tense, agitated, or exhibiting symptoms of neurosis, this can affect the normal levels of the mucosa through hormonal regulation, leading to mucosal damage and triggering inflammation.

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Written by Ren Zheng Xin
Gastroenterology
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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
Gastroenterology
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Can acute gastritis cause a fever?

Patients with acute gastritis may experience fever due to acute inflammation in the gastrointestinal tract. The mucosa becomes congested and inflammatory cells infiltrate, releasing pyrogens that affect the body's temperature regulation center, causing fever. It is important to treat the fever promptly. If the body temperature does not exceed 38.5°C, physical cooling methods like wiping the forehead, palms, and soles with alcohol cotton balls can be used. If the temperature is higher, antipyretic and analgesic medications should be taken. It is also important to drink more hot water since fever can cause dehydration. Medications that inhibit stomach acid secretion and protect the gastric mucosa should be used timely. Note: Medications should be used under the guidance of a doctor.

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Written by Jiang Guo Ming
Gastroenterology
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Symptoms of acute gastritis attack

Acute gastritis is also a common and frequently occurring disease in gastroenterology, with a relatively sudden onset and more severe symptoms compared to other types of gastritis. The majority of causes are due to inappropriate diet, such as excessive consumption of cold, spicy food, or alcoholic beverages. Certain medications can also lead to this condition, such as non-steroidal anti-inflammatory drugs and corticosteroids. Symptoms often manifest as episodic upper abdominal bloating or colic, accompanied by acid reflux, heartburn, abdominal distension, etc. If acute gastric mucosal lesions occur, there are often signs of bleeding, such as black stools or even vomiting blood.