Is mild chronic non-atrophic gastritis serious?

Sep 12, 2024 Source: Cainiu Health
Disease description:

I've been experiencing stomach discomfort and went to the hospital for an examination, which revealed mild chronic non-atrophic gastritis. I would like to ask how serious mild chronic non-atrophic gastritis is?

Doctor's answer (1)
Dr. Shen Yonghua

Mild chronic non-atrophic gastritis is not serious.

The proportion of individuals diagnosed with mild chronic non-atrophic gastritis via gastroscopy is quite high, accounting for approximately 90%. It is primarily characterized by inflammation of the gastric mucosa without accompanying atrophy, and therefore, compared to chronic atrophic gastritis, its prognosis is generally better. Regarding symptoms, some patients may experience no obvious symptoms, while only a portion may develop discomfort or dull pain in the upper abdomen, belching, and other symptoms. However, these symptoms can often be relieved through adjustments in dietary habits, lifestyle modifications, and appropriate medication.

In terms of treatment, the goal is to eliminate causative factors such as Helicobacter pylori infection or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), and to implement measures to alleviate symptoms. In addition to pharmacological treatment, attention should also be given to dietary adjustments and improvements in lifestyle. A balanced diet, reduced intake of irritating foods, smoking cessation, alcohol moderation, and regular作息 (作息 should be translated as "作息" here due to ambiguity, but likely refers to maintaining regular daily routines) can all help improve the condition. Furthermore, regular follow-up examinations are necessary to monitor disease progression. Most patients can effectively control the condition and prevent progression to more severe diseases through appropriate treatment and management.

Although mild chronic non-atrophic gastritis is common, it is not alarming. With active treatment and lifestyle improvements, patients typically achieve good disease control.