Chronic gastritis: symptoms and treatment

Chronic gastritis is an inflammatory disease that affects the mucous membrane of the stomach. The main cause of its progression is an incompletely treated acute form of pathology. Most often, the disease develops in patients of working age. His symptoms can manifest until very old. A characteristic feature is a wave-like current (alternation of periods of remission and exacerbation). There are no restrictions on gender.

Chronic gastritis can occur both with a decrease in acidity in the stomach, and with its increase. The defeat of the mucous membrane can occur primarily (in this case it is a question of an independent nosological unit), and again (progression is observed against the background of other pathologies in the human body).

Chronic (erosive) gastritis is accompanied by a change in the structure of the body, as well as atrophy of its mucosa. This type of gastritis affects up to eighty percent of people. The risk of progression of this pathology increases significantly as the body ages. But in some cases, which are extremely rare, chronic gastritis occurs in preschool and school-age children. Gastritis is a very dangerous pathology, which, in case of untimely or incomplete treatment, can even lead to death.


There are a huge number of factors that contribute to the development of chronic gastritis. They are divided into external and internal.

To external pathogens include:

  • Power failure. The optimal regimen is to take food at least three times a day, and preferably at the same time;
  • the presence in the diet of «harmful food»
  • consuming very cold or hot drinks on a regular basis
  • alcohol use
  • smoking;
  • taking medications, whose side effect is an adverse effect on the mucosa or an increase in the amount of bile secretion
  • frequent depression and stress.

To internal factors belong:

  1. inflammation of the mouth;
  2. diabetes;
  3. Thyroid problems
  4. metabolic disorders
  5. abnormal kidney function;
  6. Gastrointestinal diseases that are chronic;
  7. complications from other diseases
  8. vitamin deficiency;
  9. hereditary predisposition.


Chronic gastritis is divided into:

  • chronic superficial gastritis. Often found out by chance, with a routine inspection, since he does not show any signs of his presence;
  • autoimmune (refers to type A gastritis);
  • chronic antral (non-atrophic) gastritis. Diagnose in 90% of cases. This variety is of type B;
  • chemical erosive gastritis. The disease belongs to group C.

There are cases when doctors diagnose not one particular type of chronic gastritis, but several. In this case, we are talking about mixed forms:

  1. Clinical atrophic gastritis. Atrophy of mucosal cells
  2. hypertrophic gastritis. There is a thickening of the gastric membrane;
  3. polyposis gastritis (derived from atrophic type).


Symptoms of chronic gastritis may vary depending on the type of gastritis progressing in the patient. But clinicians identify a common group of symptoms that are characteristic of all species. The most common signs of gastritis are:

  • nausea and vomiting
  • pain in the upper abdomen, which is periodic in nature. Can be of varying degrees of intensity;
  • Decrease or total absence of appetite
  • burning in the throat and eructation
  • severity after eating;
  • weight loss
  • bad breath from the mouth;
  • diarrhea;
  • the language is completely covered with a white or yellow coating;
  • dizziness;
  • gas leakage
  • constipation
  • Irritability and weakness
  • heart failure;
  • fever;
  • loss of consciousness.

Chronic gastritis can be determined by the color of the stool and the composition of the vomiting fluid.


Manifestation of complications is purely individual for each patient. Rarely does the disease occur without consequences. The most common complications include:

  1. internal bleeding (most often with erosive gastritis)
  2. hypovitaminosis;
  3. Anemia
  4. pancreatitis
  5. dehydration
  6. Anorexia
  7. the appearance of a disease such as a stomach ulcer
  8. stomach cancer.


Diagnosing independently the ailment of an ordinary person will not work, as the symptoms of chronic gastritis have their similarity with a variety of other diseases. If several symptoms appear, the best solution is to consult a therapist or a gastroenterologist.

Diagnosis of chronic atrophic (usual) gastritis consists of several stages:

  • Primary diagnosis. The patient is examined, the collection of complaints. At this stage, the doctor can already prescribe a diagnosis and draw up a survey plan;
  • endoscopic examination
  • laboratory diagnostics. Clinical and biochemical blood analysis, clinical analysis of urine and feces are prescribed;
  • Ultrasound diagnosis is assigned to identify diseases that may accompany gastritis;
  • intragastric research
  • electrogastroenterography
  • EGD (swallowing the probe).


Treatment of patients with erosive (chronic) gastritis is aimed not only at eliminating the disease by medicinal methods, but also in combating the causes that provoked it. A special diet is prescribed for chronic gastritis, and sometimes it is attributed to sanatorium treatment. The diet is made depending on the level of acidity in the stomach.

Treatment of chronic gastritis of groups A, B, C necessarily includes antimicrobial therapy. The standard treatment plan is as follows:

  1. antibiotics
  2. drugs that are used in the treatment of gastrointestinal pathologies
  3. astringent and antiseptic preparations.

Therapy of other types of gastritis includes:

  • Depending on the acidity, it is worth taking medications to reduce or increase its level;
  • preparations for the protection of the gastric mucosa.

Therapy of clinical atrophic gastritis is:

  1. normalization of gastric juice secretion
  2. taking pharmaceuticals that normalize the pancreas;
  3. herbal medicine;
  4. taking medicines that improve the nutrition of tissues and enhance the healing effect.

Diet therapy

With reduced acidity, patients are prescribed a diet. Need to eat five times a day. Patients are allowed to use:

  • all kinds of soups and broths
  • boiled or parboiled lean meat
  • dairy products
  • eggs (except fried and raw);
  • porridge
  • vegetables and fruits in any form
  • add milk to tea and coffee;
  • salt intake up to 15 g / day
  • vitamins C, B1, B2, PP

A diet with an increased level of acidity implies the use of:

  1. puree soups;
  2. boiled vegetables (only in a crushed form)
  3. porridge
  4. boiled meat and fish
  5. Cream, olive and sunflower oil
  6. low-fat cottage cheese and sour cream
  7. a steam omelet or eggs boiled soft-boiled
  8. white bread or breadcrumbs
  9. fruits and berries;
  10. the salt norm per day is up to 8 grams
  11. vitamins A, B, C.

Food should be taken six times a day, thoroughly chewing.

Treatment of chronic (erosive) gastritis with folk remedies is also possible, but they can only be applied after the permission of their attending physician. Spontaneous use of such drugs can only worsen the condition.

Treatment of this disease with normal and high acidity folk remedies is carried out only in tandem with the methods of official medicine. A good effect is the following:

  • infusion of chamomile, mint, St. John’s wort and yarrow
  • mix linden, flax, licorice root and ayr, mint, fennel fruits. All pour boiling water, insist and take inside;
  • infusion of such herbs: calendula, chamomile, cucumber, motherwort, yarrow, St. John’s wort, althaea root, oak bark and licorice
  • decoction of a thousand-centner

Folk remedies for ailment with low acidity are based on the use of such herbs:

  1. wormwood
  2. Yarrow
  3. watch;
  4. cumin
  5. root of the oracle
  6. Peppermint
  7. Chamomile;
  8. St. John’s Wort.


Preventive measures for erosive gastritis:

  • respect the proper diet;
  • refusal of smoking and alcohol;
  • carefully monitor the oral cavity;
  • regularly undergo routine check-ups with your health care provider
  • minimize the use of seasonings
  • exclude the ingestion of food that has long been in the refrigerator
  • Avoid stressful situations
  • use only those medications prescribed by the doctor

  • food for chronic gastritis should contain only warm food, not too cold or hot.