What causes xanthogranulomas in the stomach, and how should they be managed?

Under normal circumstances, the presence of yellow plaques in the stomach refers to gastric xanthelasma. Gastric xanthelasma may be caused by factors such as unhealthy eating habits, excessive stress, Helicobacter pylori infection, chronic gastritis, or gastroesophageal reflux disease (GERD). Treatment can be carried out under medical guidance through general management and medication. Specific analysis is as follows:

1. Unhealthy Eating Habits

Excessive alcohol consumption, high-fat diets, and overconsumption of spicy foods may irritate the gastric mucosa and increase the risk of gastric xanthelasma. It is important to adjust dietary patterns in daily life by reducing intake of high-fat and spicy foods.

2. Excessive Stress

Prolonged mental stress and intense emotional fluctuations can disrupt the normal functioning of the digestive system, thereby increasing the risk of developing gastric xanthelasma. Maintaining healthy lifestyle habits and regular作息 (sleep-wake cycles) is essential.

3. Helicobacter pylori Infection

Helicobacter pylori can cause gastric mucosal inflammation and peptic ulcers, leading to the aforementioned symptoms. This condition may be accompanied by symptoms such as stomach pain and acid reflux. Treatment under medical supervision may include medications such as clarithromycin capsules, amoxicillin capsules, and colloidal bismuth pectin capsules.

4. Chronic Gastritis

Infection with Helicobacter pylori is the primary cause of chronic gastritis. Long-standing chronic gastritis may lead to persistent inflammation and damage to the gastric mucosa, further promoting the formation of gastric xanthelasma. Symptoms may include upper abdominal discomfort and indigestion. Patients should follow medical advice and take medications such as amoxicillin granules, cefaclor dispersible tablets, and rabeprazole sodium enteric-coated tablets.

5. Gastroesophageal Reflux Disease (GERD)

GERD may be related to abnormal contraction of the lower esophageal sphincter. Reflux of gastric acid and food can damage the gastric mucosa; during repeated injury and repair processes, lipid metabolism may be affected, leading to lipid deposition in the gastric mucosa and resulting in gastric xanthelasma. Symptoms may include heartburn and acid regurgitation. Under medical guidance, treatment may involve medications such as omeprazole enteric-coated capsules, lansoprazole tablets, and mosapride citrate tablets.

To prevent gastric health problems, it is important to maintain a balanced diet, avoid high-fat and spicy foods, keep emotions stable, and maintain regular作息, all of which contribute to preserving gastric health.