Chronic gastritis is distinguished from hepatitis by clinical symptoms, physical signs and laboratory tests. The main symptoms of chronic gastritis are epigastric discomfort and pain, mainly in the subxiphoid process or to the left. Chronic hepatitis also has epigastric discomfort, mainly in the right upper abdomen, and the patient feels anorexic and greasy, etc. Signs: In gastritis, there may be light tenderness under the subxiphoid process, without rebound pain and muscle tension, while in chronic hepatitis, there is tenderness in the right upper abdominal liver area. In order to further clarify, some laboratory tests are needed. The chronic gastritis is diagnosed by gastroscopy, under which the mucosa of chronic gastritis can be eroded and bleeding, and chronic gastritis is divided into three categories: non-atrophic gastritis, atrophic gastritis and special gastritis. Chronic hepatitis is mainly viral infection, viral hepatitis has hepatitis A, hepatitis B, hepatitis C, hepatitis E and other viral hepatitis. The main thing that we check during the test is the blood liver function, liver function test is one is ALT and AST, that is to say, serum enzymes, serum aminotransferase ALT is alanine aminotransferase, previously we called glutamate pyruvate transferase GPT; AST refers to aspartate amino acid aminotransferase, previously known as glutamate oxaloacetate aminotransferase, also known as GOT. In case of chronic hepatitis, it can be manifested as an increase in ALT mainly, but of course AST can also have an increase.