Atrophic gastritis of the stomach

If gastritis turns into a chronic pathology, it can cause the glands of the walls of the stomach, responsible for the production of enzymes, gastric juice, to die and lead to such a serious illness as atrophic gastritis. The disease requires constant attention, a strict diet, regular treatment procedures. In this article, we will describe in more detail how to restore the gastric mucosa with atrophic gastritis, about methods for identifying and treating the disease.

What is atrophic gastritis

Atrophic gastritis is inflammation, thinning of the mucous membrane of the stomach, in which there is a violation of the functioning of cells and atrophy of the excretory glands. These glands with the course of the disease are replaced by connective tissue and cannot produce gastric juice – the main element of normal digestion. One of the most dangerous consequences of the disease is stomach cancer, which develops while ignoring the symptoms of gland death.

Symptoms of atrophic gastritis

The general clinical picture of the disease atrophic gastritis is almost no different from ordinary gastritis. Atrophy of the stomach can occur without severe pain signs, external manifestations, for a long time it is practically not noticeable, especially if the patient has other diseases of the gastrointestinal tract. Diagnosis of atrophic changes is possible with the help of endoscopic studies, analysis of antibodies in the blood, x-rays. Symptoms of atrophic gastritis are:

  • aching abdominal pain, which intensifies after eating;
  • sudden weight loss, dystrophy and anemia;
  • thick white coating on the tongue;
  • bloating, diarrhea, constipation, belching, nausea, upset stomach;
  • bad breath;
  • decreased appetite, weakness, dizziness.

Causes of Atrophic Gastritis

Among the causes of atrophic gastritis can be identified concomitant diseases of the gastrointestinal tract, which cause inflammatory processes in the stomach, various infections, age-related changes in the body. The excessive development of bacteria of the stomach can lead to alcohol dependence, uncontrolled intake of strong drugs, intoxication, poisoning with gas and other toxic substances. An important factor is a hereditary predisposition, in this case an autoimmune form of the disease is isolated.

Types of Atrophic Gastritis

Atrophic gastropathy can be of several types. They differ in localization, degree of damage to the stomach, characteristic symptoms, pathogenesis, the form of changes and possible consequences for the patient. It is always better to treat the early stages of the disease, when the occurrence of a tumor can be avoided more likely. Read more about types of atrophic gastritis below.


Acute atrophic gastritis is called active, since this is a stage of exacerbation of inflammatory processes, destruction of the integumentary epithelium of the stomach. It can also be characterized by swelling of the walls, vascular congestion, leukocyte infiltration, rarely – erosion on the mucosa. Atrophic gastritis can develop under the influence of toxic factors, the symptoms are vomiting, dizziness, diarrhea, fever, and fever.


The chronic form is a separate disease that is not associated with acute remission. The disease has a negative effect on neighboring organs: liver, duodenum, pancreas, affects the nervous and endocrine systems. Chronic atrophic gastritis is characterized by prolonged internal destruction of cells without severe inflammation, develops due to a decrease in the acidity of gastric juice.


Atrophic gastritis of this form resembles ordinary gastritis in everything except pathogenesis. Dystrophy of the glands is expressed by random, uneven areas in which acidity is increased. The remaining glands of the stomach compensate for this property by a more active release of hydrochloric acid. Due to this dysfunction, focal atrophic gastritis is especially felt during meals, specifically dairy products, fatty meat, fish: they are digested very poorly, often stagnate in the stomach, provoke vomiting, nausea, and pain.


The form is characterized by standard dyspeptic symptoms of gastritis, a diagnosis can be established after histological examination of the cells. Mild atrophic gastritis is a slow development of destruction and mild inflammation. The deformation of the cells is partial, does not have a pathological character, is poorly expressed, which is the danger: destruction in the cells nevertheless occurs, and if you do not notice them on time, the likelihood of oncology is very high.


Atrophic gastritis of the superficial type is diagnosed using endoscopy, characterized by minor changes in the walls of the stomach, the absence of pronounced symptoms. At the same time, the walls of the stomach retain their normal thickness or become slightly thinner, minimal hyperfunction is observed in the glands (too many secreted enzymes). Superficial atrophic gastritis is the initial stage of a chronic disease, sometimes it becomes acute.


A sign is high rates of secretory function and partial oxidation of the body environment. Antral atrophic gastritis affects the antrum of the stomach (lower, adjacent to the duodenum 12), scars, inflammation are formed. Instrumental studies show deformation of the mucous membranes, a decrease in the activity of peristalsis. The walls of the esophagus are narrowed, there is no healthy metabolism. In addition, focal atrophy of the mucous membrane of the antrum of the stomach provokes the appearance of ulcers and significant wall compaction with progression.


Important, serious changes in the tissues during diagnosis and laboratory analysis are not observed, but you can notice the emerging foci of dystrophy, in which cells can gradually die, and other microstructural changes in the surface epithelium. Diffuse atrophic gastritis is an intermediate stage between the superficial and more severe form (acute, focal).

Atrophic gastritis treatment

It is almost impossible to achieve regeneration, that is, complete restoration of damaged glands in the treatment of atrophic gastritis, but it is quite possible to stop the processes of dying, to regulate their development and spread in the stomach. For complex therapy, drugs are used: enzymes, vitamins, anti-inflammatory, sometimes hormonal and immunomodulatory. Physiotherapeutic methods and physiotherapy exercises have a good effect on the condition of a patient diagnosed with atrophic gastritis.

Prevention of atrophic gastritis

The abundance of fatty, junk food with dyes, emulsifiers and flavor enhancers, soda, alcohol, the absence of useful trace elements in food – all this leads to disturbances in the body. The main task for the stomach to remain functional and healthy is to eat more fresh fruits, herbs, vegetables, drink freshly squeezed juices, eat cereals and nuts, and exercise. To prevent atrophic gastritis, it is important to monitor your diet every day.

In chronic gastritis, it is necessary to constantly be monitored, to do examinations at least once a year to prevent any relapses when they only begin to appear. This should not mean that for the rest of your life you will have to control yourself – just the lifestyle and nutrition you need to make more healthy, proper. To get involved in this process, you can easily and effortlessly read the appropriate literature on the topic of a healthy lifestyle, look for yourself positive points in it and believe that you can defeat atrophic gastritis.

local_offerevent_note October 29, 2019

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