Smoking is not recommended for atrophic gastritis with intestinal metaplasia, while regular checkups, daily smoking cessation and a light diet are recommended. Chronic atrophic gastritis can be caused by Helicobacter pylori infection, autoimmune damage, etc. Although smoking is not a direct cause, the olefin and tar produced by the combustion of the smoking process may lead to pyloric sphincter dysfunction, causing intestinal reflux and other abnormalities, aggravating the existing inflammation, ulceration and other symptoms, so smoking is not recommended. In addition, smoking also increases the probability of malignant tumors and chronic obstructive pulmonary disease. For people with atrophic gastritis with intestinal metaplasia, it is recommended to have regular checkups to monitor the changes in the condition and to treat the primary disease in a timely manner. It is recommended to avoid spicy and other stimulating foods, smoking and alcohol consumption. In the case of atrophic gastritis with intestinal metaplasia, it is recommended to actively consult the doctor, conduct regular follow-ups, and follow the doctor’s instructions for reasonable treatment.