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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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
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 Jiang Guo Ming
Gastroenterology
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How long does acute gastritis require hospitalization?

Acute gastritis usually has a sudden onset and relatively severe symptoms. It can include upper abdominal pain, acid reflux, heartburn, nausea, vomiting, and even an inability to eat. This condition is most often caused by poor diet, such as excessive drinking, spicy and irritating foods, etc., and can also be induced by medication, such as non-steroidal drugs or hormonal drugs. The duration of hospital treatment depends on the specific situation. If the patient's general condition is acceptable and they can eat, recovery typically takes about three to five days. Therefore, the duration is not usually very long. However, in some cases, such as drug-induced acute gastric mucosal lesions, which are relatively severe and can involve bleeding, treatment with medications usually requires at least a week or more.

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Written by Ren Zheng Xin
Gastroenterology
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How long does acute gastritis take to recover?

Acute gastritis generally recovers slowly over about a week with active treatment. During the treatment period, attention should be paid to the treatment of the cause and symptomatic treatment. Mainly, the patient should rest in bed and stop all food or medicine that irritates the stomach. Additionally, medications that relieve spasms and pain, protect the gastric mucosa, and suppress gastric acid secretion should be used. Acute gastritis often occurs with enteritis; if vomiting and diarrhea are frequent, oral rehydration should be administered promptly, and more severe cases may require intravenous fluids. During treatment, dietary adjustments should be considered, including eating soft, easily digestible foods. If vomiting is frequent, the patient should refrain from eating and drink more water, consuming more vegetables to supplement dietary fiber.

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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.