Gastritis is the inflammation of the stomach lining, which can be acute (sudden) or chronic (long-term). It is commonly caused by H. pylori infection, irritants such as NSAIDs and alcohol, or autoimmune and reflux-related issues.

What Is Gastritis

Gastritis occurs when the protective stomach lining becomes inflamed or damaged.

It can be:

  • Acute gastritis – quick onset, often due to infection, alcohol, or medications.
  • Chronic gastritis – long-term inflammation, usually caused by H. pylori, autoimmune issues, or persistent irritants.

Complications of untreated gastritis can include ulcers, bleeding, and in rare long-standing cases, increased risk of stomach cancer.

Causes of Gastritis

Gastritis develops when the stomach lining is irritated, infected, or weakened. Understanding the causes of gastritis helps choose the right treatment and prevent recurrence.

Infections Causing Gastritis (H. pylori and others)

  • Helicobacter pylori (H. pylori) – the most common cause of chronic gastritis worldwide
  • Viral or fungal infections in people with low immunity (less common)

Irritants: Alcohol, Smoking, and Spicy Foods

  • Excessive alcohol consumption
  • Smoking or tobacco use
  • Spicy, oily, and very acidic foods
  • Coffee or strong tea on an empty stomach

Medicines That Trigger Gastritis (NSAIDs, Steroids)

  • NSAIDs (ibuprofen, diclofenac, aspirin)
  • Corticosteroids
  • Potassium supplements
  • Certain antibiotics or other drugs that irritate the stomach

Medical Conditions Linked to Gastritis

  • Autoimmune gastritis
  • Bile reflux
  • Pernicious anemia and vitamin B12 deficiency
  • Severe stress from illness, injury, or surgery
  • Crohn’s disease and other inflammatory conditions

Lifestyle Factors and Stress

  • Irregular meals or long gaps between meals
  • Eating too fast or overeating
  • Late-night heavy meals
  • Chronic stress and anxiety affecting digestion

Symptoms of Gastritis and Warning Signs

Gastritis symptoms range from mild discomfort to severe, ulcer-like pain. Some people with chronic gastritis may have few or no symptoms.

Common Symptoms of Gastritis

  • Upper abdominal pain or burning (“acidity”)
  • Bloating and heaviness
  • Nausea or vomiting
  • Early fullness after eating small amounts
  • Loss of appetite
  • Sour burps and bad breath

Severe Symptoms That Need Immediate Medical Care

  • Blood in vomit (coffee-ground appearance)
  • Black, tarry stools (suggesting bleeding)
  • Sharp, severe stomach pain
  • Persistent vomiting
  • Unexplained weight loss or fatigue

Seek urgent medical care if you notice blood in vomit or stools, severe ongoing pain, or repeated vomiting.

Diagnosis of Gastritis

Diagnosis involves assessing symptoms and performing tests to check the stomach lining and detect H. pylori infection or complications.

Clinical Evaluation and History

  • Discussion of symptoms and meal patterns
  • Review of medications (especially painkillers)
  • Alcohol and smoking history

Endoscopy and H. pylori Tests

  • Upper GI endoscopy – gold standard to view inflammation and take biopsies
  • H. pylori tests:
  • Urea breath test
  • Stool antigen test
  • Biopsy during endoscopy
  • Blood test for antibodies (less reliable for active infection)

Blood and Stool Tests

  • CBC for anemia
  • Stool test for hidden bleeding
  • Vitamin B12 levels (in autoimmune gastritis)

Treatment of Gastritis

Treatment aims to remove the cause, reduce stomach acid, and heal the stomach lining while preventing complications.

Acid-Reducing Medicines (Antacids, H2 Blockers, PPIs)

  • Antacids for quick relief
  • H2 blockers (famotidine) to reduce acid production
  • Proton pump inhibitors (PPIs) like omeprazole, pantoprazole, rabeprazole—most effective for healing the lining and essential for H. pylori treatment

Antibiotics for H. pylori Infection

Used only when H. pylori is confirmed. Typical combinations include:

  • Amoxicillin
  • Clarithromycin
  • Metronidazole or tinidazole

Along with a PPI (triple or quadruple therapy)

Cytoprotective Medicines and Stopping Irritants

  • Sucralfate to coat and protect the stomach lining
  • Avoiding NSAIDs and replacing them with safer alternatives
  • Stopping smoking and reducing alcohol

Surecare Homeopathic Doctors’ View in Treating Gastritis

Homeopathic practitioners view gastritis as a blend of physical, immune, and emotional imbalance. Treatments are individualized based on:

  • Type of pain
  • Aggravating foods
  • Time of symptoms
  • Emotional state
  • Associated complaints (bloating, acidity, gas)

Goals of Homeopathy Treatment for Gastritis

  • Improve digestion and reduce stomach lining irritation
  • Address stress-related triggers
  • Reduce frequency of flare-ups
  • Enhance long-term digestive balance
  • Complement (not replace) standard medical treatment

Prevention of Gastritis (Diet & Lifestyle)

  • Eat smaller, frequent meals
  • Avoid long gaps between meals
  • Limit NSAIDs unless medically required
  • Reduce alcohol and quit smoking
  • Manage stress with yoga, meditation, or breathing exercises
  • Maintain healthy sleep habits

Diet for Gastritis: Foods to Eat and Avoid

Diet has a major role in reducing flare-ups and protecting the stomach lining.

Foods to Eat

  • Light foods: khichdi, dal, rice, oats, porridge
  • Boiled/steamed vegetables
  • Bananas, apples, papaya
  • Non-citrus fruits
  • Curd, buttermilk, coconut water
  • Ginger or chamomile tea (if tolerated)
  • Vegetable or chicken soups
  • Almonds, honey with warm water

Foods to Avoid

  • Spicy, fried, or heavily oily foods
  • Pickles, vinegar, and excess salt
  • Tomatoes, garlic, onion (if sensitive)
  • Citrus fruits during flare-ups
  • Coffee, strong tea, carbonated drinks
  • Chocolate and processed foods
  • Smoking and alcohol

Helpful Drinks

  • Warm water
  • Jeera (cumin) water or fennel (saunf) water
  • Aloe vera juice (use in moderation and with guidance)
  • Cabbage juice—traditional remedy, may support ulcer healing, but should not replace medical treatment

Conclusion

This gastritis complete overview provides everything patients need to understand gastritis—its causes, symptoms, diagnosis, treatment options, prevention tips, and diet guidelines. Homeopathy treatment for gastritis may offer complementary support remains essential for safe and effective management of acute and chronic gastritis.

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