Acute Gastritis: Symptoms, Causes, and Dietary Tips - Gastroenterology and Hepatology

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Acute Gastritis


Hello Dr.
Lin, this morning I vomited four times in two hours, and the last time I vomited green liquid.
Is that bile? During this period, can I drink soy milk or milk?

Mr. Chen, 20~29 year old female. Ask Date: 2011/12/10

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello: Vomiting due to gastroenteritis can occur even when the stomach is empty, potentially resulting in the expulsion of bile.
During gastroenteritis, it is advisable to focus on a bland diet and to stay hydrated.
Soy milk and milk may cause gas and diarrhea in some individuals, so it is recommended to postpone their consumption for a few days.
Wishing you good health.
Sincerely, Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health.

Reply Date: 2011/12/10

More Info


Acute gastritis is a condition characterized by inflammation of the stomach lining, which can lead to a variety of symptoms and discomfort. Understanding the symptoms, causes, and dietary recommendations is crucial for managing this condition effectively.


Symptoms of Acute Gastritis
The symptoms of acute gastritis can vary from person to person but commonly include:
1. Abdominal Pain: This is often described as a burning sensation or discomfort in the upper abdomen.

2. Nausea and Vomiting: Patients may experience nausea, which can lead to vomiting. The presence of green liquid in vomit can indicate bile, especially if the stomach is empty.

3. Loss of Appetite: Due to discomfort, individuals may not feel like eating.

4. Bloating and Gas: Many patients report feeling bloated or gassy.

5. Indigestion: This can manifest as a feeling of fullness or discomfort after eating.

6. Hiccups: Increased burping or hiccups can also occur.

7. Acid Reflux: Some individuals may experience symptoms of gastroesophageal reflux disease (GERD), such as heartburn.


Causes of Acute Gastritis
Acute gastritis can be triggered by several factors, including:
- Infection: The most common cause is infection with Helicobacter pylori (H. pylori) bacteria.

- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) and certain other medications can irritate the stomach lining.

- Alcohol Consumption: Excessive alcohol intake can lead to inflammation of the stomach lining.

- Stress: Physical stress from surgery, injury, or severe illness can also contribute.

- Dietary Factors: Spicy, acidic, or fried foods can exacerbate symptoms.


Dietary Recommendations
When managing acute gastritis, dietary modifications play a significant role in recovery. Here are some dietary tips:
1. Avoid Irritating Foods: Steer clear of spicy, acidic, or fried foods, as they can aggravate the stomach lining.

2. Eat Small, Frequent Meals: Instead of three large meals, opt for smaller, more frequent meals to reduce the burden on the stomach.

3. Stay Hydrated: Drink plenty of fluids, but avoid caffeinated, alcoholic, or carbonated beverages that can irritate the stomach.

4. Include Soothing Foods: Foods like bananas, rice, applesauce, and toast (the BRAT diet) can be gentle on the stomach.

5. Consider Dairy Alternatives: If you are unsure about consuming dairy products like milk or soy milk, it’s best to start with small amounts. Some individuals may find that dairy exacerbates their symptoms, while others may tolerate it well. If you vomit bile, it’s advisable to avoid dairy until your stomach settles.

6. Probiotics: Incorporating probiotics, either through supplements or fermented foods, can help restore gut flora and improve digestion.


Conclusion
If you are experiencing symptoms of acute gastritis, especially with vomiting bile, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan. They may recommend medications such as antacids, H2 blockers, or proton pump inhibitors to help reduce stomach acid and promote healing. Additionally, if symptoms persist or worsen, further evaluation may be necessary to rule out other gastrointestinal conditions.

In summary, acute gastritis can be managed effectively with dietary changes and medical treatment. Listening to your body and adjusting your diet accordingly can significantly improve your comfort and promote healing.

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