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Home :: Digestive Disorders

Gastritis - Chronic, Acute Gastritis symptom, treatment, cause


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GASTRITIS is an inflammation of the stomach mucous lining. Gastritis is an inflammation of the lining of the stomach. It is a troublesome condition which may lead to many complications including ulcers if not treated in time. Constipation aggravates the condition more than any other disorder. The inflammatory lesions may be either acute erosive gastritis or chronic atrophic gastritis. The latter type has been found to be present in half the patients suffering from severe iron deficiency anaemia.

Chronic gastritis is an inflammation of the lining of the stomach that occurs gradually and persists for a prolonged time.Commonly, the inflammation results from infection with the same bacterium that causes most stomach ulcers.Yet other factors including traumatic injury and regular use of certain pain relievers also can contribute to gastritis.Gastritis can be caused by drinking too much alcohol, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen, or infection with bacteria such as Helicobacter pylori ( H. pylori ). Common to all people with gastritis is pain or discomfort in the upper part of the belly (abdomen), sometimes called dyspepsia .In spite of the many conditions associated with gastritis, the signs and symptoms of the disease are very similar: A burning pain in your upper abdomen and occasionally, bloating, belching, nausea or vomiting.Gastritis is a common medical problem. Up to 10% of people who come to a hospital emergency department with abdominal pain have gastritis. Gastritis can occur suddenly (acute gastritis) or gradually (chronic gastritis). In most cases, gastritis does not permanently damage the stomach lining and sometimes no specific cause of the inflammation is identified.

Gastritis is inflammation of the gastric mucosa .Peptic ulcer disease (PUD) refers to a discrete mucosal defect in the portions of the gastrointestinal tract (gastric or duodenal) exposed to acid and pepsin secretion. Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. Certain diseases, such as pernicious anemia, autoimmune disorders, and chronic bile reflux, can cause gastritis as well. Gastritis can be a brief and sudden illness (acute gastritis), a longer-lasting condition (chronic gastritis), or a special condition, perhaps as part of another medical illness. Stress, ethanol, bile, and nonsteroidal anti-inflammatory drugs (NSAIDs) disrupt the gastric mucosal barrier, making it vulnerable to normal gastric secretions. Inflammation of the stomach means that white blood cells move into the wall of the stomach as a response to an injury to the stomach. While the lining of the stomach is quite strong and can withstand strong acid, drinking too much alcohol, eating spicy foods, or smoking can cause the lining to become inflamed and irritated. The stomach lining may be "eaten away," leading to sores (peptic ulcers) in the stomach or first part of the small intestine. Left untreated, these ulcers may bleed. In some cases, gastritis can lead to ulcers and an increased risk of stomach cancer. For most people, however, gastritis isn't serious and improves quickly with treatment.

Causes of Gastritis

The common Causes of Gastritis :

  • Nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen or naproxen )
  • Infection of the stomach with Helicobacter pylori bacteria
  • Drinking too much alcohol
  • Eating spicy foods
  • A form of anemia that occurs when the stomach lacks a naturally occurring substance needed to properly absorb and digest vitamin B12.
  • Medications (such as aspirin or anti-inflammatory drugs)
  • Alcohol
  • Smoking
  • Severe infection
  • Certain diseases, such as megaloblastic (pernicious) anemia, autoimmune disorders, and chronic bile reflux

Symptoms of Gastritis

Some are common Symptoms of Gastritis :

  • Abdominal pain
  • Vomiting blood or coffee-ground like material
  • Fever
  • Gastric hemorrhage
  • Weakness
  • Appetite loss
  • Vomiting
  • Nausea
  • Fatigue
  • Abdominal cramping and pain
  • Blood in vomit or stool (a sign that the stomach lining may be bleeding)

Treatment of Gastritis

Here is the list of the methods for treating Gastritis :

  • Treatment consists of removing the irritant or the infection. In the case of Helicobacter pylori infection, a doctor may prescribe antibiotics .
  • For gastritis caused by infections, your doctor will prescribe a regimen of several antibiotics plus some sort of acid blocking drug (a heartburn drug).
  • Taking antacids and other drugs to reduce stomach acid, which causes further irritation to inflamed areas
  • Over-the-counter antacids (Maalox, Mylanta, others) in liquid or tablet form are a common treatment for mild gastritis. Antacids neutralize stomach acid and can provide fast pain relief.
  • Medications known to cause gastritis should be discontinued. Gastritis caused by pernicious anemia is treated with vitamin B12 .
  • Antacids or a GI cocktail (ie, typically an antacid with an anesthetic such as viscous lidocaine and/or an antispasmodic) may be used therapeutically for symptoms.
  • Medications are often necessary to relieve symptoms, eradicate an infection such as H. pylori, and prevent or treat complications from gastritis such as an ulcer.