Managing Gastritis: Tips for Sleep, Diet, and Emotional Well-being - Gastroenterology and Hepatology

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Gastric antritis, it comes and goes?


Hello Doctor, this is Xiao Xiong from yesterday.
I apologize for not providing complete information yesterday.
My lifestyle and eating habits are normal; I do not drink alcohol or smoke, and I have not taken any painkillers.
Regarding my emotional state, I experienced significant work-related stress in February (when my gastritis began), but I have not been working since March.
I previously had anxiety without a clear cause, but once I was diagnosed with gastritis, my anxiety diminished.
Now, if my stomach feels very uncomfortable, my mood drops, and recently I have been unable to sleep at night due to stomach discomfort, which has left me feeling fatigued and in a worse mood.

I would like to know if it is safe to take Imovane if I have stomach discomfort that prevents me from sleeping, or if you have any other recommendations or medications? Regarding my antral gastritis, can I consume Amway Soy Protein Powder? I previously read online that people with antral gastritis and excessive stomach acid should avoid high-protein intake because it could harm the stomach lining.
Is this true? If I consume 50g of protein per day, is that excessive? Due to my gastritis, I have been eating less, which has caused me to lose weight daily, and I hope to stop losing weight.
Eating more carbohydrates makes my stomach uncomfortable; do you have any good suggestions? Thank you for your thoughtful response.

Xiao Xiong, 40~49 year old female. Ask Date: 2022/04/06

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: 1.
Imovane can be taken.
2.
When protein enters the stomach, it stimulates the secretion of gastric acid.
It is not the high protein itself that harms the stomach, but rather the excess gastric acid.
There is no specific amount that constitutes an excess; if you feel uncomfortable after eating, it is considered excessive.
3.
It is recommended to exercise, stay hydrated, and maintain a balanced diet.
There is no need to eat more of anything specific.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/04/06

More Info


Managing gastritis effectively requires a comprehensive approach that encompasses dietary modifications, emotional well-being, and sleep hygiene. Given your current situation, it’s essential to address each of these aspects to alleviate your symptoms and improve your overall quality of life.


Dietary Recommendations
1. Avoid Irritants: Since you have gastritis, it's crucial to avoid foods and beverages that can irritate your stomach lining. This includes spicy foods, acidic foods (like citrus and tomatoes), caffeine, and alcohol. Instead, focus on a bland diet that includes foods like bananas, rice, applesauce, and toast (often referred to as the BRAT diet).

2. Protein Intake: Regarding your question about high-protein diets, it’s a common misconception that protein itself is harmful to those with gastritis. The concern lies more with the amount of gastric acid produced in response to food intake. Consuming moderate amounts of protein, such as 50g of high-quality protein powder, is generally acceptable unless it causes discomfort. It’s essential to listen to your body; if you experience pain or discomfort after consuming protein, you may need to adjust your intake.

3. Frequent, Smaller Meals: Instead of three large meals, consider eating smaller, more frequent meals throughout the day. This can help reduce the burden on your stomach and minimize the production of excess gastric acid.

4. Stay Hydrated: Drink plenty of water throughout the day, but avoid drinking large amounts during meals, as this can increase stomach distension and discomfort.


Emotional Well-being
1. Stress Management: Since you mentioned that your gastritis symptoms began during a period of high stress, it’s vital to incorporate stress-reducing techniques into your daily routine. Practices such as mindfulness meditation, yoga, or even simple breathing exercises can help manage anxiety and stress levels.

2. Seek Support: If your emotional well-being is significantly impacted, consider speaking with a mental health professional. They can provide strategies to cope with anxiety and depression, which may also help alleviate some of your physical symptoms.


Sleep Hygiene
1. Sleep Environment: Create a calming bedtime routine to help signal to your body that it’s time to wind down. This could include reading, gentle stretching, or listening to soothing music. Ensure your sleeping environment is comfortable, dark, and quiet.

2. Medication for Sleep: Regarding your inquiry about Imovane (zopiclone), it can be used for short-term management of insomnia. However, it’s essential to consult with your healthcare provider before starting any new medication, especially since you have ongoing gastritis symptoms. They can help determine if this medication is appropriate for you or if there are alternative treatments that may be more suitable.

3. Positioning: When sleeping, consider elevating the head of your bed slightly. This can help prevent acid reflux, which may exacerbate your gastritis symptoms and disrupt your sleep.


Monitoring Symptoms
Keep a symptom diary to track what you eat, your emotional state, and your sleep patterns. This can help identify any triggers that worsen your gastritis symptoms. If you notice persistent discomfort or if your symptoms worsen, it’s crucial to follow up with your healthcare provider for further evaluation and management.


Conclusion
Managing gastritis involves a holistic approach that includes dietary changes, emotional support, and good sleep hygiene. By making these adjustments and monitoring your symptoms closely, you can work towards alleviating your discomfort and improving your overall well-being. Always consult with your healthcare provider before making significant changes to your treatment plan or starting new medications.

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