Can acute gastritis cause a fever?

Written by Ren Zheng Xin
Gastroenterology
Updated on April 23, 2025
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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 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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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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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 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.

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Written by Jiang Guo Ming
Gastroenterology
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Does acute gastritis require hospitalization?

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.)