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    Case Presentation: Alcoholic Gastritis

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    stancy thomas
    This document presents a case of a 43-year-old male admitted to the hospital with abdominal pain and a history of heavy alcohol use for 10 years. He was diagnosed with alcoholic gastritis based on his symptoms and history. He was treated with IV fluids, ranitidine, antacids, and omeprazole. His condition improved over 4 days and he was discharged with counseling on lifestyle changes and medication management to prevent recurrence.

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    Case Presentation: Alcoholic Gastritis

    Uploaded by

    stancy thomas
    962 views18 pages
    This document presents a case of a 43-year-old male admitted to the hospital with abdominal pain and a history of heavy alcohol use for 10 years. He was diagnosed with alcoholic gastritis based on his symptoms and history. He was treated with IV fluids, ranitidine, antacids, and omeprazole. His condition improved over 4 days and he was discharged with counseling on lifestyle changes and medication management to prevent recurrence.

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    This is case presentation of alcohol withdrawal syndrome

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    Ald

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    This document presents a case of a 43-year-old male admitted to the hospital with abdominal pain and a history of heavy alcohol use for 10 years. He was diagnosed with alcoholic gastritis based on his symptoms and history. He was treated with IV fluids, ranitidine, antacids, and omeprazole. His condition improved over 4 days and he was discharged with counseling on lifestyle changes and medication management to prevent recurrence.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    962 views18 pages

    Case Presentation: Alcoholic Gastritis

    Uploaded by

    stancy thomas
    This document presents a case of a 43-year-old male admitted to the hospital with abdominal pain and a history of heavy alcohol use for 10 years. He was diagnosed with alcoholic gastritis based on his symptoms and history. He was treated with IV fluids, ranitidine, antacids, and omeprazole. His condition improved over 4 days and he was discharged with counseling on lifestyle changes and medication management to prevent recurrence.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 18

    CASE PRESENTATION

    Alcoholic gastritis

    By:
    Sravan
    PharmD Intern
    DPP, JSSCP, Ooty
    Alcohol is one of the major triggers for gastritis, hence the
    name 'alcoholic gastritis'.

    It is exclusively caused by excessive alcohol


    consumption
    Other causes of gastritis include:
    1)Use of NSAID type drugs

    2)Helicobacter pylori infection

    3)Old age
    .
    Symptoms are the same as normal gastritis
    1)Pain or discomfort in upper abdomen

    2)Nausea and vomiting 6)Diarrhea

    3)Belching 7)Bad taste in mouth

    4)Loss of appetite

    5)A bloated feeling

    .
    TREATMENT

    1) Taking antacids and other drugs to reduce stomach acid

    2)If the gastritis is caused by pernicious anemia vitamin


    B12 shots given

    3)Administer fluids and electrolytes as required,


    Particularly if the patient is vomiting

    .
    SUBJECTIVE
    AGE: 43 SEX: M

    DOA: 25/12/1 IP NO: 8730

    WARD: Male CASE NO: 125

    Reason for admission:


    C/o abdominal pain +
     Not a K/C/O HT, DM
     Allergies: NKDA
     SH: Non-vegetarian, smoker, alcoholic since 10 years
     PMH: No H/o fever
    No H/o giddiness
    H/o vomiting
    alcoholic for past 10 years
    Suffering from vomiting and headache for past 7 days
    OBJECTIVE
    O/E
     Patient conscious, oriented.
     Afebrile
     CVS – S1 S2 +
     RS – NVBS
     Abdomen – Soft
     No pallor
    PROVISIONAL DIAGNOSIS

    Alcoholic gastritis
    LAB VALUES
    WBC-8.5×103µL Blood sugar-137 mgs%
    RBC-5.43×106µL Urea-37mgs%
    Creatinine-1.1mgs%
    HGB-18.1g/dl Cholesterol -162mgs%
    MCV-99.1fl ESR-3mm/hr
    MCH-35.2pg Alb/sugar-nIL
    MP/MF- Not found
    MCHC-35.5g/dl
    Dep- 1-2pc
    PLT-247×103µL 2-4epc}hpf
    HCT-46.8% BS/BP - Negative
    DAY 1 Rx

    DIL 1) IVF 5%DNS 1 Pint


    BP – 130/90mmHg 2) Inj. Ranitidine 50 mg i.v bd
    C/O – Abdominal pain 3) Syrup antacid 2tsp bd
    4) Cap. omeprazole 20mg1-0-0.
    DAY 2 Rx

    CVS, RS - NAD CST


    BP – 130/90mmHg
    A febrile
    DAY 3 Rx

    BP- 130/80mmHg
    PR- 78/min CST
    Patient
    comfortable
    DAY 4 Rx

    Patient gc fair
    discharged CST
    THERAPEUTIC GOALS
     Main goal for treating gastritis is to eliminate
    underlying cause(alcohol)
     Improving functionality of human digestive system
     To improve quality of life
     To prevent recurrence condition
    INTERVENTIONS
     H2 receptor blocker, Proton pump inhibitor and antacid
    gel if given together may cause achlorhydria
     As omeprazole and antacid syrup are given,
    prescribing ranitidine is not rational
    PATIENT COUNSELLING
    About the disease:
    - symptoms
    - Complications (ulcer bleeding)
    About the medication:
    - How and when to take medications
    - ADRs of the drugs
    Nutritious diet
    Avoid hot and spicy foods
    Smoking and drinking cessation
    Routine health check ups required
    To attend rehabilitation programes for alcohol
    withdrawal
    Instructed the patient to take omeprazole 30min before
    meals
    REFERENCES

     MEDLINE PLUS.COM
     WEB MD.COM
     DRUGS.COM
     ALCOHOLISM GUIDE.ORG
    THANK YOU

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