The disease is slowly progressive, often recurrent, with a good incidence in middle age and above, and tends to increase with age. There may be chronic irregular epigastric pain, bloating, belching, etc., especially when eating and drinking, some patients may have acid reflux, upper gastrointestinal bleeding, such patients gastroscopically confirmed erosive and warty gastritis in the majority. Atrophic gastritis
The symptoms are different for different types and locations. Gastric body gastritis generally has fewer digestive symptoms, but sometimes there can be significant anorexia, weight loss, tongue inflammation, and atrophy of the tongue papillae. It can be accompanied by anemia, and pernicious anemia is rare in China. Gastrointestinal symptoms are more obvious when atrophic gastritis affects the gastric sinus, especially when there is bile reflux, often manifested as persistent pain in the upper and middle abdomen, after eating, can be accompanied by bile-containing vomit and pain and burning sensation behind the sternum, sometimes there can be repeated small amount of upper gastrointestinal bleeding, and even vomiting blood, which is caused by the destruction of the gastric mucosal barrier and the occurrence of acute gastric mucosal erosion. Laboratory and other tests: 1. Gastrointestinal X-ray barium meal examination
The gastric mucosal folds can be relatively flat and reduced in atrophic gastritis when the gas-barium double imaging shows the fine structure of gastric mucosa. The X-ray sign of gastric sinus gastritis shows a blunt serrated mucosa and spasm of the gastric sinus, or persistent centripetal stenosis of the anterior pylorus and coarse disorganization of the mucosa. The characteristic changes of warty gastritis X-ray meal are nodular coarse folds in the gastric sinus, and barium spots in the center of some folds nodes. 2, gastroscopy and biopsy is the main method to diagnose chronic gastritis. Superficial gastritis is often most obvious in the gastric sinus, mostly diffuse gastric mucosal surface mucus increased, with gray or yellowish-white exudate, lesions where the mucosa is red and white or florid, like measles-like changes, sometimes with erosion. The mucosa of atrophic gastritis is mostly pale or grayish white, or red-white, with depressions in the white area; the folds are thin or flat, and the submucosal vessels can be seen as purple due to thinning of the mucosa; the lesions can be diffuse or mainly in the gastric sinus, and the mucosal surface is granular or nodular if accompanied by proliferative changes. Biopsy specimens should be tested for pathology and H. pylori. Diagnosis: Chronic gastritis symptoms are non-specific, signs are rare, and x-ray examination is generally only useful to exclude other gastric diseases, so the diagnosis depends on gastroscopy and gastric mucosal biopsy. In China about 50-80% of patients can find H. pylori in the gastric mucosa. Differential diagnosis: 1. Stomach cancer
Symptoms of chronic gastritis such as loss of appetite, epigastric discomfort, anemia, etc. A few of the X-ray signs of sinus gastritis are quite similar to those of gastric cancer, so special attention should be paid to differentiate them. In most patients, fiberoptic gastroscopy and biopsy can help differentiate them. 2, peptic ulcer both have chronic epigastric pain, but peptic ulcer is mainly regular and periodic pain in the upper abdomen, while chronic gastric pain is rarely regular and dominated by indigestion. Differentiation relies on X-ray barium meal fluoroscopy and gastroscopy. 3, chronic biliary tract diseases
Such as chronic cholecystitis, cholelithiasis often have chronic right upper abdomen, abdominal distension, belching and other indigestion symptoms, easily misdiagnosed as chronic gastritis. However, there is no abnormal finding in the gastrointestinal examination of the disease, and cholangiography and ultrasound abnormalities can finally confirm the diagnosis. 4, other such as hepatitis, hepatocellular carcinoma and pancreatic disease can also be delayed due to symptoms such as loss of appetite, indigestion, etc. Comprehensive and detailed physical examination and related tests can prevent misdiagnosis. The majority of superficial gastritis can be reversed, and a few can be turned into atrophic. Atrophic gastritis gets progressively worse with age, but mild cases can also be reversed. Therefore, for chronic gastritis? Treatment should begin early with superficial gastritis and should be adhered to for atrophic gastritis as well. 1. Eliminate the cause of the disease
The actual fact is that you will be able to get rid of all kinds of factors that may cause the disease, such as avoiding diets and drugs that have a strong stimulus to the gastric mucosa, quit smoking and avoid alcohol. The actual fact is that you will not be able to get a good deal on your own. Actively treat chronic diseases of the mouth, nose and throat. Strengthen exercise to improve physical fitness. 2.Medication：Visit the gastroenterology department of a regular hospital and carry out regular treatment under the guidance of a doctor.