Chronic gastritis
I used to have a binge eating habit that lasted for several years.
Recently, I've noticed that my tongue is particularly dry, with a thick white coating, bad breath, and sometimes a sour taste in my mouth.
I believe this might be related to stomach heat, so I've been avoiding cold foods and trying to eat my meals on time, aiming for about 60% fullness.
Although my condition has slightly improved and my mouth isn't as dry, I've started experiencing symptoms of anemia and a sour taste in my mouth.
Since I'm studying in France, I don't have access to traditional Chinese medicine, only acupuncture, so I'm unsure whether I should consult a Western doctor or what foods I should consider eating.
I can find some common Chinese medicinal herbs at Asian stores, but I'm worried about the possibility of developing stomach cancer.
Please help, doctor!
Chen XX, 10~19 year old female. Ask Date: 2020/03/15
Dr. Kang Zhongxi reply Traditional Chinese Medicine
Based on the symptoms you presented, it appears to be a gastrointestinal issue; however, a definitive diagnosis requires further examination.
I recommend trying the following methods:
1.
Avoid overeating; chew your food thoroughly and eat until you are about 70% full.
Maintain regular meal times with smaller, more frequent meals.
Ensure a balanced, nutritious, and light diet.
Avoid eating two hours before bedtime to allow for proper digestion and eliminate the habit of late-night snacking.
2.
Maintain a regular daily routine, avoid staying up late, and ensure adequate sleep.
3.
Abstain from alcohol, quit smoking, and avoid betel nut.
4.
Limit the intake of high-fat and spicy foods, as well as foods that are difficult to digest, such as glutinous rice.
5.
Engage in regular physical activity to maintain a healthy weight.
6.
Cultivate an optimistic attitude, keep a positive mood, reduce work-related stress, and find appropriate ways to express your emotions.
7.
Schedule regular upper gastrointestinal endoscopy examinations.
If you experience persistent stomach discomfort or weight loss, seek medical attention promptly.
This is for your reference.
Thank you!
Kang Chong-Hsi, Department of Traditional Chinese Medicine, Miaoli Hospital, Ministry of Health and Welfare.
Reply Date: 2020/03/15
More Info
Managing chronic gastritis, especially for students studying abroad, can be challenging due to dietary habits, stress, and limited access to familiar healthcare options. Your symptoms, including dry mouth, white-coated tongue, halitosis (bad breath), and occasional sour taste, suggest an imbalance in your digestive health, possibly exacerbated by your previous binge-eating habits. Here’s a comprehensive approach to managing your condition through dietary tips and treatment options.
Dietary Recommendations
1. Balanced Meals: Aim for a balanced diet that includes a variety of nutrients. Focus on whole foods such as fruits, vegetables, whole grains, lean proteins, and healthy fats. This can help improve your overall digestive health.
2. Avoid Irritants: Since you suspect "stomach heat," it’s wise to avoid spicy, fried, and overly fatty foods, as well as caffeine and alcohol, which can irritate the stomach lining. Instead, opt for soothing foods like oatmeal, bananas, and yogurt, which can help coat the stomach and reduce irritation.
3. Hydration: Staying hydrated is crucial. Drink plenty of water throughout the day, but avoid drinking large amounts of water during meals, as this can dilute stomach acids and impair digestion.
4. Smaller, Frequent Meals: Eating smaller meals more frequently can help manage symptoms of gastritis. This approach reduces the burden on your stomach and can help prevent excessive acid production.
5. Probiotics: Incorporate probiotic-rich foods like yogurt, kefir, or fermented vegetables into your diet. Probiotics can help restore the balance of good bacteria in your gut, which is beneficial for digestion.
6. Limit Sugar and Processed Foods: High sugar intake and processed foods can lead to inflammation and exacerbate gastritis symptoms. Try to limit these in your diet.
7. Monitor Food Sensitivities: Keep a food diary to track what you eat and how it affects your symptoms. This can help identify any specific foods that may trigger your gastritis.
Treatment Options
1. Consult a Healthcare Professional: Since you are experiencing symptoms of anemia (e.g., sour mouth), it’s crucial to consult a healthcare provider. They can perform necessary tests to rule out any serious conditions, including gastric cancer, especially given your history of gastritis.
2. Western Medicine: If you have access to Western medical care, consider seeing a gastroenterologist. They may recommend medications such as proton pump inhibitors (PPIs) to reduce stomach acid production or antibiotics if an H. pylori infection is suspected.
3. Traditional Chinese Medicine (TCM): While you may not have access to TCM practitioners, you can still explore herbal remedies available in Asian grocery stores. Ingredients like ginger, licorice root, and chamomile can be soothing for the stomach. However, consult with a knowledgeable herbalist or do thorough research before trying new herbs.
4. Stress Management: Since stress can exacerbate gastritis, consider incorporating stress-reducing activities into your routine, such as yoga, meditation, or regular exercise. These practices can help improve your overall well-being and digestive health.
5. Regular Check-ups: Given your concerns about potential progression to more serious conditions, regular check-ups with a healthcare provider are essential. They can monitor your symptoms and make necessary adjustments to your treatment plan.
Conclusion
Managing chronic gastritis requires a multifaceted approach that includes dietary modifications, stress management, and regular medical consultations. While it’s understandable to be concerned about the potential for serious conditions like gastric cancer, early intervention and lifestyle changes can significantly improve your symptoms and overall health. Be proactive in seeking medical advice, especially given your symptoms of anemia, and continue to monitor your dietary habits for better digestive health.
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