Is Grade 3 Gastritis Serious?

Gastritis is classified into different grades based on the severity of inflammation observed in gastric mucosal tissue, typically obtained through endoscopy. Grade 3 gastritis refers to a higher level of neutrophil infiltration seen under the microscope, indicating more intense inflammation. However, a Grade 3 diagnosis does not necessarily mean the condition is life-threatening or untreatable.

In most cases, patients with gastritis—regardless of grade—can achieve significant improvement with appropriate treatment. It's important to understand that managing gastritis involves a comprehensive approach. While medication plays a role, lifestyle and dietary adjustments are equally crucial for long-term healing.

Medical treatment may include acid-suppressing medications such as proton pump inhibitors (PPIs) like pantoprazole, rabeprazole, esomeprazole, and omeprazole. In some cases, H2 receptor antagonists such as ranitidine or famotidine may also be prescribed to reduce stomach acid production. Additionally, doctors may recommend mucosal protective agents like sucralfate, hydrotalcite, or aluminum-magnesium suspensions to shield the stomach lining from further irritation.

If Helicobacter pylori (H. pylori) infection is detected, a targeted eradication therapy involving antibiotics and acid reducers will be necessary.

Equally important is the "70% lifestyle" component of treatment. Patients should manage stress effectively, avoid exposure to cold temperatures that could affect digestion, and eliminate harmful habits such as smoking and alcohol consumption. It's also advisable to limit intake of overly sweet or acidic foods that can aggravate the stomach lining.

With proper medical care and consistent lifestyle changes, many individuals with Grade 3 gastritis can experience relief and prevent further complications. Always consult with a gastroenterologist for personalized guidance and monitoring.