By ULY CLINIC
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Gastritis
Introduction
Gastritis is an inflammatory mucosal response to injury from variety of agents and mechanisms including infections, drugs, alcohol, acute stress, radiation, allergy, acid and bile, ischemia or direct trauma. The inflammation may involve the entire stomach (pangastritis) or a region of the stomach (antral gastritis) while the severity of inflammation may be erosive or non erosive.
Diagnostic Criteria
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Nausea, vomiting, loss of appetite, belching, and bloating
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Acute abdominal pain or abdominal discomfort
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Fever, chills, and hiccups also may be present PLUS
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Endoscopic evidence of gastric mucosal inflammation OR
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Histologic evidence of chronic active inflammation of biopsy specimen.
Non-Pharmacological Treatment
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Reduce the use of drugs known to cause gastritis (eg, NSAIDs, alcohol)
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Stop smoking
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Reduce fatty, spicy and deep fried foods
Pharmacological Treatment:
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Triple therapy for H. pylori eradication if confirmed present.
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Administer fluids and electrolytes as required, particularly if the patient is vomiting.
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Omeprazole or Pantoprazole and Metoclopramide (for cases presenting with intractable vomiting) in order to relieve symptoms.
Referral:
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Refer to next level service with adequate expertise and facilities for complicated case with alarm features (anemia, vomiting blood and weight loss).
Updated on, 2.11.2020
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References
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1. STG