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GASTRITIS

gastritis

Gastritis means breach in the mucosal lining and alteration in the normal stomach/ gastric mucosal barrier mechanism which is unable to neutralise the gastric acidic ph. in recent years it has become a very common problem .Gastritis includes a number of condition such as gastric ulcer, duodenal ulcer & oesophageal ulcer. Most common of all is duodenal ulcer.

Symptoms:

  1. Upper abdomen pain
  2. Heart burn
  3. Nausea, vomiting
  4. Bad breath – urea smell in breath
  5. Regurgitation
  6. flauctulence
  7. Loss of appetite
  8. In severe cases vomiting of blood & weight loss is seen

Risk factors are:

  1. Anxiety and stress
  2. Unregularised diet
  3. Excessive alcohol intake, caffeine, soft drinks
  4. Smoking
  5. Spicy food
  6. Over use of drugs like Aspirin, Brufen, steroids etc.
  7. Pylori infection
  8. Age more than 50 years
  9. Autoimmune, genetic
  10. Endocrine tumours

Investigations done are Endoscopy, Barium studies and tests to detect H.pylori infection ( urea breath test, stool Ag test).

Treatment:

  • H2 blockers/ antihistamine
  • Antacids
  • Proton pump inhibitors
  • Bismuth salt
  • Treat H Pylori infection
  • Surgery in severe cases

It is important to visit the doctor and find the cause of gastritis so that treatment can be initiated at the right time to avoid complications.Complications include Perforation of ulcer which later leads to peritonitis bleeding and Gastritis outlet obstruction.

Preventive Measures are:

  1. Stop smoking
  2. Avoid alcohol
  3. Do not overuse painkillers
  4. Avoid spicy food
  5. Make sure you don’t skip meals specially breakfast.

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