Can chronic atrophic gastritis heal on its own?

Jun 05, 2025 Source: Cainiu Health

Dr. Shen Yonghua

Introduction

In general, chronic atrophic gastritis cannot resolve on its own and requires timely treatment. If experiencing discomfort, it is recommended to seek medical attention promptly and undergo treatment under the guidance of a physician. Chronic atrophic gastritis is a chronic digestive system disease characterized by the atrophy and reduction in number of the gastric mucosal epithelium and glands, as well as thinning of the gastric mucosa. Its etiology is complex.

Generally, chronic atrophic gastritis cannot resolve on its own and requires timely treatment. If experiencing any discomfort, it is recommended to seek medical attention promptly and undergo treatment under the guidance of a physician. Detailed analysis is as follows:

Chronic atrophic gastritis is a chronic digestive system disease characterized by the atrophy and reduction in number of gastric mucosal epithelium and glands, along with thinning of the gastric mucosa. Its causes are complex and may be related to factors such as Helicobacter pylori infection, long-term unhealthy dietary habits, and autoimmune disorders. Chronic atrophic gastritis typically does not resolve spontaneously, mainly because this condition is usually associated with long-term inflammatory damage to the gastric mucosa, leading to glandular atrophy and thinning. Without effective treatment, chronic atrophic gastritis may continue to progress and even carry a risk of developing into gastric cancer. Patients may follow medical advice to use medications such as omeprazole enteric-coated tablets, lansoprazole tablets, and pantoprazole enteric-coated tablets for treatment.

In daily life, patients should quit smoking and avoid alcohol consumption, and avoid using medications that may damage the gastric mucosa. Additionally, maintaining regular eating habits and avoiding excessively hot, salty, or spicy and irritating foods is recommended.

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