Will the tongue coating turn yellow in chronic gastritis?

Chronic gastritis is a stomach inflammation problem caused by the infection of the patient's gastric mucosa by bacteria. Generally speaking, after patients suffer from chronic gastritis, they will generally show other symptoms in their bodies. If chronic gastritis is not treated in time, it may lead to more serious stomach consequences. Some patients have yellow tongue coating. Could this be a symptom caused by chronic gastritis?

1. Tongue coating of chronic gastritis

There is a science to sticking out your tongue. You should do it naturally, with the tongue relaxed, the tongue surface flat, the tip of the tongue slightly downward, and your mouth open as wide as possible (but don't use too much force) to fully expose the tongue. If you stick out your tongue too hard, or if the tongue is tense or curled up, it will affect the circulation of Qi and blood in the tongue and cause changes in tongue color or changes in the dryness and moisture of the tongue.

There is a sequence for looking at the tongue. Generally, look at the tip of the tongue first, then the middle and sides of the tongue, and finally the root of the tongue. At the same time, look at the color of the tongue body (tongue quality) and the thickness and color of the tongue coating.

Observe two key points: Tongue diagnosis mainly observes changes in the tongue body and tongue coating. Tongue body - what color is it? Is it fat or thin? Is it lush or dry? Is it flexible and free to move? Tongue coating - is it thick or thin, moist or dry? Is it white, yellow or brown?

Characteristics of normal tongue image Normal tongue image can be summarized in six words: "pale pink tongue with thin white coating". Specifically, the tongue is bright pale pink, moist, of moderate size, soft and flexible, and has an even, thin, white and moist coating.

Generally speaking, if the tongue coating changes from thin to thick, the disease is progressing, and if it changes from thick to thin, the disease is regressing. Common tongue images in patients with gastric disease are:

Thin white fur: the disease is just beginning, the disease is mild, and the stomach qi is not damaged;

The tongue coating changes from thin to thick, the color changes from white to yellowish, the edges and tip of the tongue change from light red to red, and there are tooth marks on the edges of the tongue - the condition is getting worse, indicating indigestion, gastrointestinal stagnation, food stagnation, etc.

The tongue coating changes from white to yellow, and the tip of the tongue turns red - there is a fever.

The tongue coating changes from yellow to brown, or from brown to black, and is dry and less moist, and the tip of the tongue turns dark red - excessive heat, often accompanied by dry and hard stools;

The tongue coating is thick and greasy, and there is a layer of white mucus on the surface of the tongue - phlegm dampness;

Thick and greasy yellow tongue coating, red edges and tip of tongue - phlegm heat;

The tip of the tongue is reddish, or even purple -- phlegm and blood stasis;

The tongue is red without coating, and the tongue surface is as smooth as a mirror - it indicates stomach yin deficiency; the tongue coating is bare and the tongue is pale - it indicates both qi and yin deficiency.

2. Chronic gastritis can be divided into several types

(1) Upper abdominal pain: 85%. Most of the pains are dull, more than half of which are related to diet, and are more comfortable when the stomach is empty. Discomfort after meals. Symptoms are often caused or aggravated by eating cold, hard, spicy or other irritating foods, and some are related to cold weather.

(2) Fullness: This condition occurs in about 50% of patients. The patient feels fullness in the upper abdomen when eating a small amount of food or even on an empty stomach.

(3) Heating: 50%. The patient's stomach gas increases and is discharged through the esophagus, which can temporarily relieve upper abdominal fullness.

(4) Others: acid reflux, heartburn, nausea, vomiting, loss of appetite, fatigue, etc.

Some patients found that when they underwent gastroscopy in different hospitals, the diagnosis of chronic gastritis was often inconsistent. One diagnosis was superficial gastritis, another was erosive gastritis, while another hospital might diagnose it as reflux gastritis. After visiting several hospitals, patients often cannot figure out what kind of gastritis they have.

To understand this issue, we must start with the classification of gastritis. Because the clinical manifestations, endoscopic findings and gastric mucosal biopsy results of chronic gastritis are sometimes inconsistent, there is no unified and relatively reasonable classification standard for chronic gastritis so far. Some are classified by cause, such as drug-induced gastritis, alcoholic gastritis, and reflux gastritis; some are classified by lesion morphology, such as erosive gastritis and verrucous gastritis; some are classified by lesion location, such as antral gastritis and gastric body gastritis; some are classified by gastric secretory function, such as high-acid gastritis and low-acid gastritis; some are classified according to pathology, such as superficial gastritis and atrophic gastritis, etc. Currently, chronic gastritis referred to clinically includes two types: chronic superficial gastritis and chronic atrophic gastritis.