What should I do if my stomach can’t eat cold food?

I dare not eat cold food because my stomach will feel uncomfortable after eating it. It’s okay in winter, but it’s torture not being able to eat cold food in hot weather. The reason why I can’t eat cold food is mostly because of gastritis. I should pay more attention to my diet in daily life and adjust it slowly. Although cold food makes me feel very comfortable after eating, it is very bad for my body, so I should try to eat less cold food.

Acute gastritis

1. General treatment: Rest in bed as much as possible and take glucose-electrolyte solution orally to replenish fluid loss. If vomiting persists or dehydration is obvious, intravenous supplementation of 5%-10% glucose saline and other relevant electrolytes is required. Encourage a light liquid or semi-liquid diet to prevent dehydration or treat mild dehydration.

2. Symptomatic treatment: Antiemetics can be injected if necessary: ​​for example, intramuscular injection of chlorpromazine 25-100 mg/day. Antispasmodics: such as Belladonna 8n 11 times, 3 times a day. Antidiarrheal drugs: such as Smecta, 1 bag each time, 2-3 times a day.

3. Antimicrobial treatment: The therapeutic effect of antibiotics on this disease is controversial. For infectious diarrhea, targeted antibiotics can be appropriately selected, such as berberine 0.3g orally, 3 times a day or gentamicin 80,000U orally, 3 times a day. However, the abuse of antibiotics should be prevented.

Chronic gastritis

There is no specific treatment yet, and it is generally recommended that asymptomatic people do not need treatment. If you have symptoms, you can refer to the following methods for treatment:

1. Avoid factors that cause acute gastritis: such as quitting smoking and drinking, and avoiding taking foods and drugs that are irritating to the stomach, such as NSAIDs.

2. Diet therapy: The principles are similar to those for ulcer disease, with frequent small meals, mainly soft food, and avoidance of raw, cold and irritating foods. More importantly, a set of recipes suitable for the patient should be summarized based on the patient's eating habits and years of experience.

3. Drug treatment: Hp-related gastritis requires treatment to eradicate Hp. There is no specific treatment for other chronic gastritis, and most of them cannot reverse gastritis, so the treatment is mainly symptomatic.

Traditional Chinese Medicine Treatment of Gastritis

1. Liver-stomach disharmony type: Use methods to soothe the liver, regulate qi, harmonize the stomach and relieve depression. You can choose Chaihu Shugan San combined with Chenxiang Jiangqi San with modifications. In the formula, bupleurum, peony root, chuanxiong, and cyperus rotundus can soothe the liver and relieve depression, while tangerine peel, atractylodes shell, and liquorice can regulate qi and harmonize the stomach, together achieving the effect of regulating qi and relieving pain. In the latter part of the prescription, agarwood and cyperus rotundus can reduce qi, Amomum villosum and licorice can harmonize the stomach, and Toosendan fruit and Corydalis can soothe the liver and relieve pain.

2. Weak spleen and stomach type: use warming and spleen-strengthening methods. You can choose Xiangsha Liujunzi Decoction combined with Huangqi Jianzhong Decoction with modifications. The codonopsis pilosula, poria cocos, atractylodes macrocephala, and roasted licorice in the front part of the Sijunzi Decoction strengthen the spleen; tangerine peel, costus root, and amomum villosum harmonize the stomach and reduce reflux. In the latter part of the prescription, Astragalus membranaceus replenishes Qi and nourishes the middle; White Peony Root, Cassia Twig, Roasted Licorice, Ginger, Jujube, and Maltose make up Xiao Jianzhong Decoction. It warms the middle and dispels cold, relieves acute pain and is suitable for those with weak spleen and stomach, as well as symptoms such as cold in the middle burner, cold limbs, vomiting of clear water, preference for warmth and pressure, and slow eating.

3. Insufficient stomach yin type: nourish yin and benefit the stomach. The prescription is Yi Guan Jian combined with Shaoyao and Gancao Tang with modifications. In the front part, Adenophora Root and Ophiopogon japonicus nourish the stomach yin; Radix Rehmanniae and Lycium barbarum nourish the liver and stomach; Angelica sinensis nourishes the liver and promotes blood circulation and has the property of circulation; Toosendan fruit soothes the liver and regulates qi, and when combined with Angelica sinensis, it nourishes the intestines and has the function of dredging bowels. The white peony root and raw licorice in the back part sweeten and sour the yin, nourish the gastric juice, relieve urgency and harmonize the circulation, and have an antispasmodic effect.

4. Stomach collateral blood stasis type: It is advisable to promote blood circulation, remove blood stasis and relieve pain. For those who are more solid or hot, Shixiao Powder combined with Danshen Drink plus rhubarb and raw licorice can be used. If the condition is blood stasis due to blood deficiency, the prescription to be selected is Tiaoyinglianganyin with Bletilla striata and Panax notoginseng. If the body is weak and cold, and the spleen cannot regulate blood, Huangtu Decoction can be used with modifications. Shixiao Powder contains Aconiti Lateralis Preparata and Raw Puhuang which can promote blood circulation, dissipate blood stasis and relieve pain. Danshen Drink contains Danshen, Sandalwood and Amomum villosum, which can regulate Qi and blood, soothe stomach and relieve pain. Adding rhubarb and raw licorice can relieve heat and stop bleeding. In Tiaoying Liangan Drink, angelica, Chuanxiong, white peony root, and donkey-hide gelatin nourish blood and stop bleeding; wolfberry, schisandra, jujube seed, and poria soften the liver and nourish the liver; tangerine peel, costus root, and ginger harmonize the stomach, regulate qi and disperse blood stasis, while calcined sea clam shell softens and disperses nodules, reduces acidity and relieves pain. Add Panax notoginseng and Bletilla striata to remove blood stasis, stop bleeding and protect the membrane. Loess Soup contains stove loess, Atractylodes macrocephala, roasted Aconite root, and roasted Licorice root to warm the yang and strengthen the spleen; donkey-hide gelatin and dried Rehmannia root to nourish yin; and Scutellaria baicalensis is bitter and cold to serve as a counter-acting ingredient. You can add Panax notoginseng, calcite and Bletilla striata powder to remove blood stasis, astringe and stop bleeding.

5. Liver-stomach damp-heat type: symptoms include noisy feeling, acid reflux, burning pain in the stomach, nausea and vomiting, bad breath, thirst, bitter taste in the mouth, irritability, yellow and greasy tongue coating, and a stringy, slippery and rapid pulse. It is suitable for clearing liver heat, harmonizing the stomach, suppressing acid and relieving pain. The prescription of Wen Dan Tang combined with Zuo Jin Wan is added. The bamboo shavings and immature bitter orange in the front formula clear away heat and resolve phlegm; among them, Erchen Decoction (tangerine peel, pinellia, poria, raw licorice) soothes the stomach and resolves phlegm. The coptis chinensis and evodia rutaecarpa in Zuojin Pills can relieve liver heat. White screw shells, calcined corrugated paper, etc. can be added to suppress acid and relieve pain.