Chronic superficial gastritis. The infiltration of inflammatory cells is limited to the upper part of gastric mucosa 1/3, which is relatively light. Inflammatory cells are more than 1/3 of gastric mucosa, but not more than the whole.
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2/3 of the layers are medium; Inflammatory cells infiltrated into the whole layer seriously. The manifestations of superficial gastritis under gastroscope are: mucosal congestion, edema, mottled red and white changes, mainly red, or measles-like manifestations, accompanied by gray or yellow-white secretions, and sometimes localized erosion and bleeding spots on the mucosa. Inflammatory cells were infiltrated in the lamina propria between gastric pits, mainly plasma cells and lymphocytes, and eosinophils were occasionally seen. The lamina propria is common with edema, congestion and even local bleeding. The stomach glands are normal. There is no destruction or gland reduction, and sometimes erosion can be seen, that is, intimal necrosis (the lesion does not involve mucosal muscles). Epithelial cells in the surface layer become flat and often arranged irregularly.
Chronic superficial gastritis lacks specific symptoms, and the severity of symptoms is not consistent with the degree of gastric mucosal lesions. Most patients often have asymptomatic or varying degrees of dyspepsia, such as dull pain in the upper abdomen, loss of appetite, fullness after meals, acid reflux and so on. Individual patients with mucosal erosion have obvious epigastric pain and may have bleeding.
Some patients often feel abdominal fullness and discomfort, belching, and were diagnosed as "superficial gastritis" by many hospitals and many gastroscopes. Long-term use of a variety of Chinese and western medicines has no obvious effect, but medical expenses have cost a lot. Similar patients are not uncommon. In fact, many of these patients are accompanied by neuropsychiatric symptoms, such as insomnia, anxiety, irritability, palpitations, hypochondriasis and so on. Some patients always suspect that they have stomach cancer and seek medical treatment everywhere, and repeatedly ask for gastroscopy.
Pay attention to regular and quantitative diet, avoid overeating, and avoid irritating foods, such as peppers, raw garlic, spirits, strong tea, strong coffee and hard, cold, overheated and rough foods. It is advisable to eat nutritious and digestible foods, such as milk, soybean milk, tofu, custard, yam and carrots.
Eat slowly and eat soft food such as porridge.
Patients should also ban smoking, because smoking will affect the blood supply of gastric mucosa and the repair of mucosal cells.
Chronic superficial gastritis can be cured gradually if it can be persisted for a long time.
Health care formula for chronic superficial gastritis
1, regular life, optimistic, quitting smoking and drinking, not overeating, not hungry.
2, eat less and eat more meals, avoid indigestion and irritating food, such as coffee, spicy things.
3. For those with flatulence, pantothenic acid and belching, take motilium or metoclopramide half an hour before meals.
4. People with stomachache can use painkillers or other stomach medicines with analgesic effect.
5. There are few patients with chronic atrophic gastritis accompanied by malignant gastric cancer, so it is necessary to have a gastroscopy every year.