Gastritis and Duodenitis: Recovery and Dietary Guidance - Gastroenterology and Hepatology

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Gastritis and duodenitis?


Hello Doctor: I am currently a high school freshman.
In early April, I experienced a loss of appetite, feeling full after eating just a little, and nausea after meals, along with stomach pain, which led to weight loss.
At the end of April, I underwent an endoscopy, and the doctor mentioned that a certain bacteria was negative (I didn't catch the name as the doctor spoke too quickly), and that I had inflammation in my stomach and duodenum, similar to an ulcer.
I am currently taking Moshu Gastric Protective Tablets and Weili Zhan Gastric Tablets, and my condition has been gradually improving.
I would like to ask the doctor the following questions:
1.
How long does it take for the inflammation in the stomach and duodenum to heal? I am unclear about the current state of my gastrointestinal tract and what constitutes complete recovery.
Could you provide an estimated timeline?
2.
Due to the inflammation in my stomach and duodenum, I am currently afraid to eat snacks or certain foods, as well as drinks such as potato chips, chocolate, other cookies, lunch boxes, braised dishes, cakes, spicy foods, hot pot, and bubble tea.
I really want to eat these foods, but I am worried about experiencing the aforementioned symptoms again.
Currently, I am only eating yogurt, soda crackers, milk biscuits, and fruits as snacks, and drinking water, milk, and black tea.
I am unsure if my gastrointestinal tract can handle these foods.
Could you advise me on when or under what conditions I can safely consume the foods I mentioned?
3.
How can I prevent the recurrence of inflammation in the stomach and duodenum? I would appreciate guidance on dietary and lifestyle aspects.
These issues have been troubling me for some time.
Thank you for your response, Doctor!

Liu, 10~19 year old female. Ask Date: 2022/05/14

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: 1.
You should be negative for Helicobacter pylori.
2.
In general, inflammation of the stomach and duodenum can heal quickly as long as the damaging factors are reduced.
3.
Several of the foods you want to eat are considered problematic; my advice is to limit their intake.
If you really want to try them, you can do so, but do not overindulge or consume them frequently.
4.
Avoid foods that cause you discomfort, and try not to let emotional stress overwhelm you.
Changhua Hospital cares about your health.
Dr.
Cai Anshun.

Reply Date: 2022/05/14

More Info


Understanding gastritis and duodenitis, particularly in the context of recovery and dietary guidance, is crucial for managing symptoms and promoting healing. Based on your situation, it appears you are experiencing symptoms consistent with gastritis and duodenitis, which can be quite uncomfortable and may significantly impact your quality of life.


Recovery Timeline
1. When Will I Recover?
Recovery from gastritis and duodenitis can vary significantly from person to person. Generally, if you are adhering to your treatment plan, including medications like mucosal protective agents and proton pump inhibitors (PPIs), you may start to feel better within a few weeks. However, complete healing of the gastric and duodenal mucosa can take several weeks to months, depending on the severity of the inflammation and any underlying causes. Regular follow-ups with your healthcare provider are essential to monitor your progress and adjust treatment as necessary.


Dietary Guidance
2. What Can I Eat?
It’s understandable to be cautious about your diet, especially when recovering from gastritis and duodenitis. Initially, it’s wise to stick to bland, non-irritating foods. Foods that are typically well-tolerated include:
- Low-fat dairy products (like yogurt)
- Soft, bland foods (such as rice, bananas, applesauce, and toast)
- Lean proteins (like chicken or fish)
- Cooked vegetables (avoid raw vegetables initially)
- Hydration: Water, herbal teas, and clear broths are good choices.

As you start to feel better, you can gradually reintroduce other foods. However, it’s advisable to avoid spicy foods, acidic foods (like citrus), caffeine, and high-fat or fried foods until you are confident that your stomach can handle them. Pay attention to your body’s signals; if certain foods cause discomfort, it’s best to avoid them for the time being.


Prevention of Recurrence
3. How Can I Prevent Recurrence?
To minimize the risk of future episodes of gastritis and duodenitis, consider the following lifestyle and dietary modifications:
- Avoid irritants: Limit or eliminate alcohol, caffeine, and smoking, as these can exacerbate symptoms.

- Eat smaller, more frequent meals: This can help reduce the burden on your digestive system and prevent excessive stomach acid production.

- Manage stress: Stress can significantly impact your digestive health. Techniques such as mindfulness, yoga, and regular physical activity can be beneficial.

- Stay hydrated: Drinking plenty of water can help dilute stomach acid and promote digestion.

- Follow your doctor’s advice: Continue taking prescribed medications as directed, and don’t hesitate to reach out to your healthcare provider if symptoms persist or worsen.


Conclusion
In summary, recovery from gastritis and duodenitis is a gradual process that requires patience and adherence to dietary guidelines. By focusing on a bland diet initially and gradually reintroducing foods while monitoring your body’s responses, you can help facilitate healing. Additionally, implementing lifestyle changes can significantly reduce the risk of recurrence. Always consult with your healthcare provider for personalized advice and follow-up care tailored to your specific situation. Your health is paramount, and taking these steps can lead you toward a more comfortable and healthier future.

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