Chronic gastritis is commonly seen in adults, but in recent years, an increasing number of children have also been diagnosed with the condition in pediatric clinics. This trend is particularly noticeable among preschoolers aged 3 to 6. Among children, antral gastritis is more prevalent, while atrophic gastritis remains relatively rare.
Antral gastritis primarily affects the gastric antrum and is closely linked to *Helicobacter pylori* infection, which is often considered the main cause. Other contributing factors include overeating, consuming cold drinks, irregular eating habits, picky eating, and a diet high in fried foods. Poor dietary practices and uncontrolled eating patterns can lead to increased secretion of gastric acid and pepsin, causing swelling and erosion of the gastric lining. Excessive consumption of cold beverages can also constrict blood vessels in the stomach, thinning the mucosa and leading to chronic inflammation.
In recent years, Western medicine has focused on reducing stomach acid and eradicating *H. pylori*, which has shown some effectiveness in treating antral gastritis in children. Medications that strengthen the gastric mucosal barrier are also frequently used. However, some patients do not respond well to these treatments, and integrated approaches combining traditional Chinese and Western medicine may be necessary. Traditional Chinese medicine (TCM) has proven effective in both preventing and managing antral gastritis. Commonly used herbs include dandelion, astragalus, peony, orange peel, osmanthus, yam, cyperus, corydalis, citrus aurantium, and radix. There are also various TCM formulations available for treatment, but it's important to follow a doctor’s guidance when using them.
Dietary management plays a crucial role in the recovery of chronic gastritis in children. The general rule is to consume soft, easily digestible, and nutrient-rich foods. Children require a balanced diet to support their growth and development, including milk, steamed eggs, fish, soy products, noodles, porridge, fresh vegetables, and fruits. Foods that aid digestion, such as yams, lentils, lotus seeds, chicken gizzards, pork belly, and rice kernels, are also beneficial. On the other hand, certain foods like celery, bamboo shoots, fatty items, and fried foods should be avoided.
Here are some effective dietary remedies suitable for children:
1. Take 500 grams of white radish and 150 grams of honey. Dice the radish, boil it in water, remove it, and dry it for half a day. Then mix the honey into a pot and simmer gently. Once cooled, store in a bottle and give three tablespoons daily. This is ideal for children experiencing stomach pain, belching, and acid reflux.
2. Use 220 ml of milk, 30 grams of honey, and one quail egg. Boil the milk, beat the egg, and cook for a few minutes before adding the honey. Take this in the morning. It helps children with stomach pain, thirst, poor appetite, and constipation.
3. Brew 20 grams of sugar into 250 ml of soy milk, bring it to a boil, and drink on an empty stomach. This is suitable for children who feel cold, have stomach pain, and experience warmth in their hands and feet.
4. Combine 50 grams each of lotus seeds, glutinous rice, and rice kernels with 15 grams of brown sugar. Boil the lotus seeds first, remove the heart, then add the rest to the pot and simmer until tender. Stir in the brown sugar before eating. This remedy is good for children with upper abdominal pain, weight loss, poor appetite, and a greasy tongue.
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