Gastritis caused by emotional disorders is mostly acute erosive hemorrhagic gastritis, which is different from bile reflux gastritis mainly in terms of etiology, symptoms, and treatment principles. 1. Causes: Acute erosive hemorrhagic gastritis is caused by severe psychological stress, such as mental trauma, excessive tension and other factors, but also seen in severe trauma, after major surgery and other cases. Bile reflux gastritis is mostly caused by abnormal pyloric structure/function and biliary diseases such as cholecystitis and cholelithiasis, and psychosocial factors may have a certain influence. 2. Symptoms: Acute erosive hemorrhagic gastritis is characterized by vomiting of blood, black stools, loss of peristalsis, and progressive elevation of abdominal pressure, and may be complicated by anemia and hemorrhagic shock. Bile reflux gastritis, on the other hand, takes dyspepsia as a typical symptom, manifesting as acid reflux, nausea, vomiting, abdominal distension, loss of appetite, etc., usually without obvious complications, and a few patients may experience gastrointestinal bleeding. 3. Treatment principle: the treatment of acute erosive hemorrhagic gastritis is based on correcting the cause of the disease, such as psychological guidance, postoperative recovery, etc. Symptomatic treatment of acid-suppressing drugs, antacids, and gastric mucosal protectants (such as omeprazole, magnesium aluminum carbonate, bismuth potassium citrate, etc.), and repeated large amounts of bleeding is considered to be treated with surgery. Bile reflux gastritis is mostly treated with symptomatic medications as mentioned above, and surgical treatments such as biliary bypass are feasible for those who are not effective in conservative treatments. However, it should be noted that the clinical manifestations of various types of gastritis are similar, so the specific diagnosis and treatment should be carried out under the guidance of a professional doctor, do not blindly judge, self-medication, so as not to cause adverse consequences.