Managing Gastritis: Symptoms, Diet, and Healing Time for Teens - Gastroenterology and Hepatology

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What should I do for gastritis?


Hello, doctor.
I apologize for bothering you.
I am currently in the third year of junior high and preparing for the entrance exam.
Last Monday (February 1st), I had a normal lunch, but suddenly I couldn't eat dinner.
By the evening of February 3rd, after dinner, I started feeling discomfort in my stomach.
Since then, I have visited the clinic several times, and the doctors have all said it is just gastritis, advising me to eat small, frequent meals and maintain a light diet.
They also prescribed medication, but I still felt uncomfortable for a while after taking the medicine.
I feel like there has been some improvement, but I ended up searching online and found symptoms of peptic ulcers and stomach cancer, which made me feel like I might have those conditions.
I'm not sure if I do, and I have been quite anxious and worried about my health.
My current symptoms are:
1.
Discomfort in my stomach after meals, and I still feel uncomfortable for a while after taking the prescribed medication (though there is some improvement).
2.
Sometimes I feel discomfort, which is a dull sensation, and occasionally I experience pain, but it’s not severe enough to prevent me from doing my tasks.
3.
I feel full after eating only a small amount.
4.
Sometimes I can't burp even when I want to.
5.
I have a reduced appetite, and my food intake has noticeably decreased compared to before.
6.
I have lost 3.3 kg in weight (not sure if that’s too much), from 64.8 kg to 61.5 kg.
7.
My bowel movements are sometimes normal and sometimes I have diarrhea (the color is normal).
8.
When I push on my abdomen, it feels uncomfortable, which I believe is related to my stomach.
9.
Occasionally, pressing on my upper abdomen causes pain, but I rarely feel nauseous.
There is no blood in my stool, no black stools, and I do not experience palpitations, anemia, dizziness, or fatigue.
The discomfort in my stomach improves when I lie down.
I would like to ask the doctor:
1.
How long does it usually take for gastritis to heal? (I am 15 years old)
2.
What fruits can I eat?
3.
Are there any foods that are good for the stomach that I can consume?
4.
Is it possible that this is caused by stress?
Thank you, doctor! (^ω^)

Jinwei, 10~19 year old female. Ask Date: 2021/02/11

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: (1) Removing the causes of gastritis and taking medication will quickly alleviate symptoms.
(2) Avoid overly acidic or hard fruits.
(3) Maintain a balanced diet and avoid tea, coffee, spicy foods, fried foods, and high-fat, high-protein foods.
(4) It is likely caused by excessive stress.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/02/11

More Info


Managing gastritis, especially in teenagers, can be a challenging experience, particularly when symptoms such as stomach discomfort, nausea, and loss of appetite arise. Your concerns about gastritis and the potential for more serious conditions like ulcers or cancer are understandable, especially given the stress of preparing for exams. Let's address your questions and provide some guidance on managing your symptoms and improving your diet.


1. Healing Time for Gastritis
The healing time for gastritis can vary significantly depending on the severity of the inflammation and the underlying causes. Generally, with appropriate treatment, including medication and dietary changes, many individuals start to feel better within a few weeks. However, complete healing may take longer, especially if lifestyle factors such as stress, diet, or medication adherence are not adequately managed. Since you are 15 years old, your body may respond well to treatment, but it’s essential to follow your doctor's advice closely.


2. Recommended Fruits
When dealing with gastritis, it’s crucial to choose fruits that are gentle on the stomach. Here are some options:
- Bananas: They are soft, easy to digest, and can help coat the stomach lining.

- Applesauce: This is easier on the stomach than raw apples and provides fiber.

- Peeled pears: They are also gentle and can help with digestion.

- Melons: Watermelon and cantaloupe are hydrating and generally well-tolerated.

Avoid citrus fruits like oranges and grapefruits, as their acidity can irritate the stomach lining.


3. Stomach-Friendly Foods
In addition to fruits, consider incorporating the following foods into your diet:
- Oatmeal: It’s soothing and can help absorb excess stomach acid.

- Rice and plain pasta: These are bland and easy to digest.

- Lean proteins: Skinless chicken, turkey, and fish are good options.

- Steamed vegetables: Carrots, zucchini, and spinach are gentle on the stomach.

- Yogurt: Look for low-fat, plain yogurt with probiotics, which can aid digestion.

Avoid spicy, fried, or highly processed foods, as they can exacerbate symptoms.


4. Stress and Gastritis
Yes, stress can significantly impact your digestive health and may contribute to gastritis symptoms. The body’s stress response can lead to increased stomach acid production and changes in digestion, which can worsen inflammation. It’s essential to find ways to manage stress, especially during exam preparation. Techniques such as deep breathing exercises, mindfulness, and regular physical activity can be beneficial. Additionally, ensure you are getting enough sleep and taking breaks to relax.


Additional Considerations
- Medication Adherence: Continue taking the medications prescribed by your doctor as directed. If you experience side effects, discuss them with your healthcare provider.

- Regular Check-ins: If your symptoms persist or worsen, it’s crucial to follow up with your doctor. They may recommend further evaluation or adjustments to your treatment plan.

- Hydration: Stay well-hydrated, but avoid caffeinated and carbonated beverages, as they can irritate the stomach.


Conclusion
Managing gastritis involves a combination of medication, dietary adjustments, and stress management. By focusing on gentle foods, staying hydrated, and addressing stress, you can help your body heal more effectively. Remember, it’s essential to maintain open communication with your healthcare provider about your symptoms and any concerns you may have. With time and care, you can expect to see improvement in your condition. Take care of yourself, and best of luck with your studies!

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