Gastritis and abdominal pain?
Hello Dr.
Tsai, I was diagnosed with viral gastroenteritis this week.
I haven't experienced diarrhea, but I had slight nausea before visiting the doctor on Monday, although I didn't actually vomit.
After taking my medication on schedule, the stomach pain subsided, but when I felt ready to eat, I only had congee, which caused discomfort and pain in my stomach again.
After fasting for a day, I felt much better, but I was hesitant to eat congee, so I only had a few slices of white toast, and unexpectedly, I experienced stomach pain again.
I went to the emergency room and had an X-ray, which showed signs of gastritis, and I received an injection.
I would like to ask the doctor how long I should fast before I can return to a normal diet, as I still feel a strong sense of hunger during the fasting period.
What types of food can I eat that won't trigger stomach pain? Thank you.
A-Zhe, 30~39 year old female. Ask Date: 2016/03/10
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: During fasting, you can try drinking water or diluted sports drinks, or you may start with rice soup.
If you do not experience any vomiting, you can gradually increase your food intake.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2016/03/10
More Info
Managing gastritis, especially after being diagnosed with viral gastroenteritis, requires a careful approach to diet and lifestyle to promote healing and avoid exacerbating symptoms. Given your recent experience with nausea and stomach pain, it's crucial to understand how to reintroduce food into your diet safely.
Dietary Recommendations for Gastritis
1. Start with Clear Liquids: After a period of fasting, it’s advisable to begin with clear liquids such as broth, herbal teas, or electrolyte solutions. This helps to rehydrate your body and provides some nutrients without overwhelming your stomach.
2. Gradual Reintroduction of Foods: Once you feel ready to eat, start with bland, easy-to-digest foods. Options include:
- Plain rice or white rice: These are gentle on the stomach and can help absorb excess acid.
- Applesauce: This is soothing and provides some natural sugars without being harsh on your digestive system.
- Bananas: They are soft, easy to digest, and can help replenish potassium.
- Plain toast or crackers: These can help settle your stomach and provide some carbohydrates.
3. Avoid Irritating Foods: Steer clear of spicy, fatty, or fried foods, as well as caffeine, alcohol, and acidic foods (like citrus fruits and tomatoes) until your symptoms have fully resolved. These can irritate the stomach lining and exacerbate gastritis.
4. Small, Frequent Meals: Instead of three large meals, aim for smaller, more frequent meals throughout the day. This can help prevent your stomach from becoming too full and reduce the likelihood of pain or discomfort.
5. Stay Hydrated: Continue to drink plenty of fluids, but avoid carbonated beverages and juices that may irritate your stomach. Water is the best choice.
6. Monitor Your Body’s Response: Pay attention to how your body reacts to different foods. If a particular food seems to trigger discomfort, it’s best to avoid it for the time being.
When to Seek Further Medical Attention
If you find that your symptoms persist despite dietary changes, or if you experience severe pain, vomiting, or any signs of dehydration (such as dizziness or decreased urination), it’s important to consult your healthcare provider. They may recommend further evaluation or adjustments to your treatment plan.
Psychological Factors
It’s also worth noting that stress and anxiety can exacerbate gastrointestinal issues. Incorporating relaxation techniques such as deep breathing, meditation, or gentle yoga can be beneficial in managing stress levels, which may, in turn, help alleviate some of your gastric symptoms.
Conclusion
In summary, managing gastritis involves a careful approach to diet and lifestyle. Start with clear liquids, gradually reintroduce bland foods, and avoid irritants. Monitor your body’s responses and maintain hydration. If symptoms persist, don’t hesitate to seek further medical advice. Remember, healing takes time, and being gentle with your body during this process is essential.
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