1. Symptoms The most common symptoms of chronic gastritis are epigastric pain and fullness. Contrary to ulcer disease, it is more comfortable on an empty stomach and uncomfortable after meals, which may be due to relaxation dysfunction. Although I eat less, I feel too full. Patients often complain that the symptoms of "weak stomach" or "soft stomach" are often caused or aggravated by cold food, hard food, spicy food or other irritating food. Antacids and spasmolytics are not easy to relieve these symptoms. Most patients complain of loss of appetite.
In addition, bleeding is also one of the symptoms of chronic gastritis, especially accompanied by erosion. It can be repeated small bleeding or massive bleeding. Emergency gastroscopy showed that acute and chronic gastritis accounted for 20% ~ 40% of the causes of upper gastrointestinal bleeding. Bleeding is mostly black stool, which usually stops bleeding automatically after 3 ~ 4 days, and can recur after several months or years. The pathological changes of gastritis are not consistent with the symptoms. 42% patients with dyspeptic symptoms were diagnosed as gastritis by biopsy; On the contrary, 29% of healthy girls in nursing school have chronic gastritis confirmed by biopsy and have no stomach symptoms. The data of our hospital have a similar phenomenon. Blind aspiration biopsy was performed in 548 patients with gastric symptoms. Results 58.6% had inflammatory changes, and 4 1. 1% was normal. There may be two reasons for the inconsistency between symptoms and biopsy: ① blind biopsy failed to get lesions, and the positive rate of biopsy under fibergastroscope has reached 80% ~ 90%; ② Symptoms are not from the stomach, but may be caused by diseases of the hepatobiliary system. In addition, asymptomatic "healthy people" with positive biopsy should still be diagnosed as gastritis. Because many diseases can be asymptomatic or mild, such as ulcers, liver cirrhosis, liver cancer and lung cancer. They were found after physical examination. Therefore, it is not surprising that some gastritis patients are asymptomatic.
According to clinical research, there is no obvious relationship between Hp infection and the severity of clinical symptoms.
2. Signs Most patients have yellow and white thick greasy tongue coating. Patients with simple ulcer have no tongue coating or thin white coating, which is the difference between two kinds of stomach diseases. There may be tenderness in the upper abdomen. Some patients are emaciated and anaemic. Other than that, there are no special signs.
Gastrointestinal experts remind: stomach attacks are unbearable, and three to five minutes of discomfort may ruin the happiness of the second half of life. Drink the ancient prescription stomach tea in time to recuperate, avoid the pain caused by repeated attacks of stomach diseases, cultivate a healthy stomach, and improve work efficiency and quality of life.