What to do if acute gastritis flares up?

Written by Ren Zheng Xin
Gastroenterology
Updated on April 05, 2025
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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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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.)

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Written by Ren Zheng Xin
Gastroenterology
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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.)

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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 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 Yang Chun Guang
Gastroenterology
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Does acute gastritis cause diarrhea?

If symptoms such as abdominal pain, nausea, and vomiting occur acutely, it may be considered acute gastritis. However, if abdominal pain is accompanied by diarrhea, this condition should be considered gastroenteritis. Thus, acute gastritis generally does not cause diarrhea, whereas acute gastroenteritis can cause symptoms beyond those of the stomach, including diarrhea. Therefore, the difference between acute gastroenteritis and acute gastritis lies in the intestinal issues of the digestive tract. For the treatment of acute gastritis, medications for gastritis can be used to alleviate symptoms. Both are diseases of the digestive system, and proper examination and treatment can be sought in the gastroenterology department. (Please use medication under the guidance of a professional physician, do not self-medicate)