Gastritis: Causes, Treatment, and Dietary Tips - Gastroenterology and Hepatology

Gastritis

Hello, my friend has gastritis.
The doctor advised him to avoid sour, sweet, cold, spicy, oily, and irritating foods, and he needs to take medication before and after meals.
Is this condition incurable? Will it recur? Will this method of taking medication affect his body? What should he pay attention to? Thank you.

Xin, 10~19 year old female. Ask Date: 2008/01/10

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, there are many types of gastritis.
Gastritis can be classified into acute, chronic, and acute erosive gastritis, with subtypes such as superficial hemorrhagic and erosive gastritis.
The causes are related to medications, alcohol, irritants, allergens, bacteria, emotional factors, and underlying medical conditions.
It is recommended to avoid irritating foods to reduce the burden on the gastrointestinal tract.
For acute gastritis, identifying the cause and paying attention to diet and medication can lead to improvement; however, it is important to note that taking medication does not guarantee the absence of stomach pain, and dietary habits should still be monitored.
Some medications are more effective when taken before meals, as they are not interfered with by food.
Others should be taken after meals.
It is essential to refer to the medication instructions or consult a physician or pharmacist.
Wishing you good health.
Sincerely, Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.

Reply Date: 2008/01/10

More Info

Gastritis, or inflammation of the stomach lining, can be a challenging condition to manage, but understanding its causes, treatment options, and dietary recommendations can significantly improve your friend's quality of life.

Causes of Gastritis
Gastritis can be caused by various factors, including:
1. Infection: The most common cause is an infection with Helicobacter pylori (H. pylori), a type of bacteria that can lead to chronic inflammation.

2. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and aspirin, can irritate the stomach lining.

3. Alcohol Consumption: Excessive alcohol intake can erode the stomach lining.

4. Stress: Physical stress from surgery, injury, or severe illness can trigger gastritis.

5. Autoimmune Disorders: In some cases, the body’s immune system attacks the stomach lining.

Treatment Options
The treatment for gastritis typically involves:
1. Medications: Your friend’s doctor may prescribe proton pump inhibitors (PPIs) like omeprazole or H2 blockers to reduce stomach acid. Antacids can also help neutralize stomach acid and provide relief.

2. Antibiotics: If H. pylori is present, antibiotics may be prescribed to eradicate the infection.

3. Avoiding Irritants: It's crucial to avoid NSAIDs, alcohol, and smoking, as these can exacerbate symptoms.

Dietary Recommendations
Diet plays a significant role in managing gastritis. Here are some dietary tips:
1. Avoid Trigger Foods: As your friend’s doctor advised, it’s essential to avoid acidic, spicy, fried, and fatty foods. This includes citrus fruits, tomatoes, chocolate, coffee, and alcohol.

2. Eat Soft Foods: Soft, bland foods can be easier on the stomach. Options include oatmeal, bananas, rice, and applesauce.

3. Frequent, Small Meals: Eating smaller meals more frequently can help reduce stomach acid production and prevent irritation.

4. Stay Hydrated: Drinking plenty of water is important, but it’s best to avoid carbonated beverages and caffeine.

5. Probiotics: Incorporating probiotics, such as yogurt or supplements, may help restore the balance of good bacteria in the gut.

Long-term Management and Recurrence
Gastritis can be a chronic condition, and while it may not be "curable" in the traditional sense, it can often be managed effectively with lifestyle changes and medication. Recurrence is possible, especially if the underlying causes are not addressed. Regular follow-ups with a healthcare provider are essential to monitor the condition and adjust treatment as necessary.

Potential Side Effects of Medication
While medications are crucial for managing gastritis, they can have side effects. Long-term use of PPIs, for example, may lead to nutrient deficiencies (such as magnesium and vitamin B12), increased risk of bone fractures, and gastrointestinal infections. It’s important for your friend to discuss any concerns with their healthcare provider, who can provide guidance on the safest and most effective treatment plan.

Conclusion
In summary, gastritis is a manageable condition with the right approach. Your friend should adhere to their doctor’s advice regarding medication and dietary restrictions. By making informed choices and maintaining regular medical consultations, they can effectively manage their symptoms and improve their overall well-being. Encouraging them to keep a food diary may also help identify specific triggers and track their symptoms over time.

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