Gastritis
Gastritis
Gastritis
Gastritis
Gastritisisinflammation(irritation)ofthestomachlining.Thismaybecausedbymanyfactors includinginfection,alcohol,particularmedicationsandsomeallergicandimmuneconditions. Gastritiscanbeeitheracute(withsevereattackslastingadayortwo)orchronic(withlong-term appetitelossornausea).Inmanycases,gastritishasnosymptoms(asymptomatic). Someforms,includingchronicatrophicgastritis,havebeenassociatedwithanincreasedriskof stomachcancer.Treatmentoptionsincludeavoidingexposuretoknownirritantsandtaking medicationtoreducetheamountofgastricjuices. Symptoms Inmanycases,gastritishasnosymptoms.Commonsymptomscaninclude: Lossofappetite Painintheupperabdomenjustundertheribs Nauseaorindigestion Hiccups Vomiting Bloodinthevomit Bloodinthebowelactions,ifthestomachlininghasulcerated(thisturnsstoolsblackand iscalledmelaena) Weightloss.
The stomach Thestomachisanorganofthedigestivesystem,locatedintheabdomenjustbelowtheribs. Swallowedfoodismixedwithgastricjuicescontainingenzymesandhydrochloricacid.Theliningof thestomach,calledtheepithelium,islayeredwithmultiplefolds.Theepitheliumiscoatedwith mucus(gastricmucosa)secretedbyspecialglands.Inflammationcausedbygastritisoccursinthis lining. A range of causes Gastritiscanbecausedbymanydifferentfactors,including: Medicationssuchasaspirinandnon-steroidalanti-inflammatorydrugs(NSAIDS) InfectionwiththeHelicobacter pylori bacteria,theorganismresponsibleforthemajorityof stomachandduodenalulcers Alcohol Protractedvomiting Overproductionofgastricjuices,whichisastressresponseinsomepeople Thebackflowofbilefromthesmallintestine(duodenum) Someallergicandimmuneconditionsforexample,perniciousanaemia Exposuretoradiation.
Gastritis
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Treatment Treatmentforgastritismayinclude: Identifying the causeoncethecauseisidentified,stepscanbetakentoavoid exposure.Forexample,ifalcoholistriggeringtheinflammation,youcanabstainorreduce theamountofalcoholyoudrink.Anti-inflammatorydrugstakentohelpmanageother conditionsmayneedtobestoppedorreplacedwithanalternative. Medicationstabletsareavailabletoreducetheacidcontentinthegastricjuices.You mayneedtotakethesemedicationsforafewweeksormonths,dependingonyour situation. Dietary modificationssuchaslimitingoravoidingalcoholandcaffeine,whichcan irritatethestomachlining. No treatment oftengastritisisfoundbychanceduringanendoscopy.IfHelicobacter pyloriisnotpresent,andtherearenootherfeaturesseenonbiopsy,thereisusuallyno needtotreatthegastritis.
Helicobacter pylori infection TheHelicobacter pylori bacteriumcausesgastritisandisalsoresponsibleformostpepticulcers.A pepticulcerisaholeintheliningofthestomach,duodenumoroesophagus.Helicobacter pylori bacteriumisthoughttobeacauseofindigestionandacontributingfactorinthedevelopmentof stomachcancer. Thegermsliveintheliningofthestomachandthechemicalstheyproducecauseirritationand inflammation.Diagnosisincludesaspecialbreathtesttocheckforgaseousby-productsofthe bacteria.Treatmentincludesacombinationofdifferentantibiotics,followedbybreathteststo makesurethemedicationhasworked. Where to get help Yourdoctor NurseonCallTel.1300606024forexperthealthinformationandadvice(24hours,7 days) Gastroenterologist
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This page has been produced in consultation with, and approved by:
CanberraHospital-GastroenterologyUnit
Gastritis
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