Acute gastritis is an inflammation of the stomach lining, which may develop due to the use of certain drugs or other underlying causes that result in abdominal pain and discomfort.
Presentation
The most common symptoms of gastritis are pain or upper abdominal discomfort [9]. Some patients, especially elderly people, may present no symptoms at all until they start to suffer from bleeding [10]. The pain caused by gastritis is usually described as soreness or burning located in the upper central part of the abdomen; however, it might be felt in the left upper part of the abdomen or in the back. Abdominal discomfort may also be present in patients with gastritis. Other symptoms that may develop in patients with acute gastritis include belching, fullness, bloating, nausea and vomiting. Depending on the severity of the inflammation, the vomit may be clear, yellow or green, and may contain blood. The severity of the symptoms does not always correlate to the actual physical changes in the stomach lining. Some patients may suffer from severe symptoms even though the lining of the stomach shows only minor changes. Others may not experience any symptoms, while endoscopy shows evidence of gastritis.
Entire Body System
- Pain
The pain is usually in the upper central portion of the abdomen (the "pit" of the stomach). Gastritis pain occurs in the left upper portion of the abdomen and in the back. [web.archive.org]
Presentation Patients suffering from gastritis usually present with burning pain in the upper abdomen, which may also be felt in the back. Eating may exacerbate the pain or relieve it. Other symptoms include nausea and vomiting. [symptoma.com]
The pain is usually in the upper central portion of the abdomen (the "pit" of the stomach). Sometimes gastritis pain occurs in the left upper portion of the abdomen and in the back. The pain seems to "go right straight through." [emedicinehealth.com]
Regular use of pain relievers. Common pain relievers — such as aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve, Anaprox) — can cause both acute gastritis and chronic gastritis. [mayoclinic.com]
Each method has positive effects on pain relief and can be prescribed according to the severity of the pain experienced by the MMJ patient and the type of disease that is being treated. [sensibleseeds.com]
- Inflammation
Acute inflammation and chronic inflammation usually are distinguishable by general histopathology. [gastrointestinalatlas.com]
From Wikidata Jump to navigation Jump to search stomach disease that is an inflammation of the lining of the stomach. [wikidata.org]
- Fever
[…] mistaken for one of the infectious fevers, which mistake is only corrected by later developments. [henriettes-herb.com]
Physical examination revealed diaphoresis, tachycardia, low-grade fever, and normal blood pressure. Superficial palpation produced epigastric pain and no organomegaly. [revistagastroenterologiamexico.org]
Fibrinous acute gastritis The cause of fibrinous (diphtheria) acute gastritis is a serious infectious disease: scarlet fever, measles, sepsis, typhoid fever. [en.medicine-worlds.com]
[…] of milk color therapy for allergy of dust color therapy for bed wetting color therapy for calcium deficiency color therapy for chest congestion color therapy for jaundice color therapy for loose motion color therapy for nose running color therapy for fever [play.google.com]
- Swelling
It is manifested outwardly by redness and swelling, attended with heat and pain. [ur.glosbe.com]
Book Overview By way of definition, we have to first understand that Gastritis as a condition is the erosion, swelling/inflammation or irritation of the abdominal linings. However, this can be sudden or gradual. [thriftbooks.com]
When your stomach lining is irritated by bacteria or something you ate or drank, it may swell up (become inflamed) and cause discomfort in your stomach; this reaction is commonly known as gastritis. [umiamihealth.org]
Gastritis involves swelling or inflammation of the stomach lining. It is not a disease, but a condition caused by a variety of different factors, such as excessive alcohol consumption, stress, chronic vomiting, or certain medications. [play.google.com]
The severe type of mucosal swelling that is caused starts to waste away the gastric tissue present within the stomach. [epainassist.com]
- Chills
—In the milder forms, where there is no fever, the diagnosis is readily made by the local symptoms, but where the disease commences with a chill followed by more or less fever, and there is no previous history of gastric derangement, the disease is readily [henriettes-herb.com]
Clinical symptoms are severe abdominal pain, inability to tolerate food, fever, and chills.4,6 At present, treatment ranging from antibiotic therapy to gastric resection is controversial.3,4 A 35-year-old man had a past history of non-atrophic gastritis [revistagastroenterologiamexico.org]
Common symptoms include: – Abdominal pain – Diarrhea – Nausea and vomiting – Chills, clammy skin, or sweating – Fever – Joint stiffness or muscle pain – Poor feeding – Weight loss DIAGNOSIS The health care provider will look for signs of dehydration, [medicardphils.com]
The main symptoms of phlegmonous (purulent) gastritis are: frequent vomiting; pus in vomit; fever and chills; severe pains Markedly rapid deterioration of the patient. [en.medicine-worlds.com]
Gastrointestinal
- Vomiting
Nausea and vomiting: The vomit may be clear, green or yellow, blood-streaked, or completely bloody, depending on the severity of the stomach inflammation. [web.archive.org]
Other symptoms that may develop in patients with acute gastritis include belching, fullness, bloating, nausea and vomiting. Depending on the severity of the inflammation, the vomit may be clear, yellow or green, and may contain blood. [symptoma.com]
The following increase your risk of acute gastritis: Aspirin or NSAID use Recent heavy alcohol use Major surgery Kidney failure Liver failure Respiratory failure Symptoms Dark stools Indigestion Loss of appetite Nausea Vomiting Vomiting blood or material [ufhealth.org]
—toxic gastritis—the inflammation is intense, the pain severe, and vomiting and retching persistent. [henriettes-herb.com]
- Nausea
Gastroenteritis affects both your intestines and stomach, causing symptoms like nausea, vomiting or diarrhea. Gastritis affects your stomach only and could cause symptoms of nausea and vomiting. [marijuanadoctors.com]
Severity of Nausea at Baseline - ITT Population [ Time Frame: Day 1 - Baseline through 5 Hours Post Dose ] Severity of nausea was assessed using a 5-point Likert scale: 0=no nausea; 1=mild nausea; 2=moderate nausea; 3=severe nausea; 4=nausea as bad as [clinicaltrials.gov]
1 out of 1 found this helpful Read this next Understand your nausea symptoms with Buoy, including 10 causes and treatment options concerning your nausea. [buoyhealth.com]
Nausea and vomiting: The vomit may be clear, green or yellow, blood-streaked, or completely bloody, depending on the severity of the stomach inflammation. [web.archive.org]
- Abdominal Pain
[…] location of abdominal pain can provide information about what may be causing the pain. [en.wikipedia.org]
When symptoms develop they include burning upper abdominal pain and discomfort. Patients may also suffer from nausea and vomiting. [symptoma.com]
Symptoms Gastritis Nausea or recurrent upset stomach Abdominal bloating Abdominal pain Vomiting Indigestion Burning or gnawing feeling in the stomach between meals or at night Hiccups Loss of appetite Vomiting blood or coffee ground-like material Black [tmphysiciannetwork.org]
Up to 10% of people who come to a hospital emergency department with abdominal pain have gastritis. Next: Gastritis Causes » [web.archive.org]
It is unclear whether H. pylori infection without ulcers causes abdominal pain. [rileychildrens.org]
- Loss of Appetite
The chief symptoms are severe upper-abdominal pain, nausea, vomiting, loss of appetite, thirst, and diarrhea; the illness develops suddenly and subsides rapidly. [britannica.com]
The symptoms you experience will depend on the type of gastritis you have, for example people with chronic gastritis may have no severe symptoms but experience a slight loss of appetite or nausea. [homehealth-uk.com]
Symptoms of acute gastritis Symptoms of acute gastritis are: severe abdominal pain in the epigastric region (in the upper central region of the abdomen), nausea, vomiting, loss of appetite, diarrhea, abdominal cramps, etc. [zana.com]
In addition it has the following allied symptoms: Loss of appetite Chronic blenching and bloating Nausea and vomiting Loss of weight due to loss of appetite and nausea Headache, Weakness and dizziness Foul breath, bad taste in mouth. [home-cure.net]
Other possible symptoms include nausea and vomiting, bloating, loss of appetite and heartburn. Gastritis is believed to affect about half of people worldwide. In 2013 there were … Continue reading Gastritis & Free Siddha Energy Remedies [siddhaspirituality.com]
- Dyspepsia
It has a long history of medicinal use for the treatment of chronic dyspepsia and gastritis among other things, and it is used in the production of beer. [dictionary.cambridge.org]
Deep gastritis: Deep gastritis is more likely to be symptomatic (eg, vague dyspepsia). [web.archive.org]
—Gastric Catarrh; Acute Dyspepsia; Simple Gastritis. Definition .—An acute inflammation of the mucous surfaces of the stomach. Etiology .—The most common causes of acute gastritis are errors in diet or method of eating. [henriettes-herb.com]
Skin
- Sweating
Pallor, sweating, and rapid (or "racing") heart beat. [web.archive.org]
Pallor, sweating, and rapid (or "racing") heartbeat. [emedicinehealth.com]
Common symptoms include: – Abdominal pain – Diarrhea – Nausea and vomiting – Chills, clammy skin, or sweating – Fever – Joint stiffness or muscle pain – Poor feeding – Weight loss DIAGNOSIS The health care provider will look for signs of dehydration, [medicardphils.com]
Indigestion Paleness Sweating or perspiration Irregular bowel movements Shortness of breath Increased heart rate Internal bleeding What Causes Gastritis? Gastritis has many causes. [healthcommunities.com]
Sweating, pallor, and rapid heartbeat. Vomiting huge amounts of blood. Blood during bowel movements or dark foul-smelling bowel movement. [epainassist.com]
Neurologic
- Irritability
Background Irritation or inflammation of the gastric lining is called gastritis. Gastritis is further categorized by how long a person has irritation or inflammation to the gastric lining. [study.com]
Because of this, it is easier for irritations to occur, including the symptoms that come with acute gastritis. [gialliance.com]
Irritating drugs that cause the disease are discontinued. Gastritis Additional Information [britannica.com]
- Headache
Side effects of NSAIDs may include: Stomach pain Bleeding Stomach ulcers Liver problems Kidney problems Ear ringing Dizziness Headache Current prescribed inflammatory medications for treating acute gastritis can pose long-term use problems. [marijuanadoctors.com]
The affected person may also have headache, fever, and abdominal cramps (“stomach ache”). [sfcdcp.org]
In addition it has the following allied symptoms: Loss of appetite Chronic blenching and bloating Nausea and vomiting Loss of weight due to loss of appetite and nausea Headache, Weakness and dizziness Foul breath, bad taste in mouth. [home-cure.net]
^ "Alka Seltzer Directions of use, Sodium & Aspirin content - Alka Seltzer relief from Headaches, Migraine & Upset stomach". alkaseltzer.ie. Archived from the original on 29 April 2015. Retrieved 17 April 2017. ^ Blair, G. T.; DeFraties, J. [en.wikipedia.org]
Symptoms of Acute Gastritis The symptoms of acute gastritis can include · Nausea and vomiting · Abdominal pain or cramps or diarrhoea · Fever or headache or muscle aches · Blood or mucous present in stool or vomit· Causes of acute gastritis Gastritis [sensibleseeds.com]
- Burning Sensation
The burning sensation is felt in the throat and esophagus as well, and thirst is almost intolerable, the gratification of which increases the vomiting. [henriettes-herb.com]
Stress management techniques include: massage meditation yoga breathing exercises Share on Pinterest Gastritis may cause a burning sensation in the stomach and feeling full after eating a small amount of food. [medicalnewstoday.com]
I ate very little but nevertheless felt bloated, had a white coating on my tongue, a burning sensation at my stomach exit and felt very weak. These problems were worse in spring and autumn. [bruno-groening.org]
Additionally, inflammation in the stomach can cause some patients to feel a burning sensation in the abdomen. [plushcare.com]
- Seizure
After the end of treatment, observation of the physician is required, even in the absence of seizures - a survey 2 times a year. [en.medicine-worlds.com]
The bad news is that if meningococcal infection goes untreated, it can lead to permanent disabilities such as hearing loss, brain damage, seizures or amputation; it can even lead to death. [jbu.edu]
ORS might be safer than IV therapy because it is less likely to lead to a precipitous increase in intracellular water associated with seizures and elevated intracranial pressure ( 43 ). [cdc.gov]
Also, epilepsy health states are now better aligned with epidemiological data based on seizure frequency. [ncbi.nlm.nih.gov]
Workup
Complete history about the symptoms and risk factors of developing gastritis is important in reaching the diagnosis. Several tests can be ordered to verify the diagnosis including routine complete blood count to check for general health; fecal test to look for blood in stool [11]; and checking for the presence of Helicobacter pylori bacteria by testing saliva, blood, or breath. Upper endoscopy of the esophagus and the stomach may be conducted to examine the lining of the stomach [12]. A biopsy may be taken and examined to rule out other causes [13]. Imaging studies with X-rays may be required to exclude structural problems.
Treatment
Patients who take aspirin or other nonsteroidal anti-inflammatory drugs regularly are found to have a higher risk of developing dyspepsia and gastritis, which necessitates the discontinuation of these drugs in order to reduce the associated gastrointestinal conditions [14] [15]. Treatment of gastritis caused by Helicobacter pylori bacterial infection includes three drugs, levofloxacin, amoxicillin, and a proton pump inhibitor (PPI). In some patients this combination may not be effective as a treatment, in these cases the former two drugs are replaced with bismuth and tetracycline along with metronidazole and the PPI [14]. It is thought that Helicobacter pylroi treatment may deteriorate gastroesophageal reflux disease (GERD); however, there is no evidence of that. It is recommended to use the PPI pantoprazole in patients who also take clopidogrel, as it appears to cause only minimal interaction regarding antiplatelet activity. Patients suffering from vomiting require the administration of fluids and electrolytes. Medical treatment is usually sufficient in managing gastritis. Although, in the case of stomach gangrene (phlegmonous gastritis), surgical intervention may be required to remove the affected area of the stomach.
Prognosis
Gastritis responds well to treatment and has good prognosis; however, symptoms may flare up in some patients depending on the factors affecting the lining of the stomach [1]. Some patients may suffer from internal bleeding or severe symptoms, which requires further workup in order to rule out more serious conditions.
Etiology
The lining of the stomach may be damaged or weak, which allows irritation by digestive acids. This results in acute gastritis. The causes listed by the National Institutes of Health for the developing of this condition include bacterial infections (especially Helicobacter pylori) [2], exaggerated alcohol consumption, and medications such as corticosteriods and nonsteroidal anti-inflammatory drugs (NSAIDs) [3]. Other risk factors include extreme stress, bile reflux, cocaine use, poison ingestion, kidney failure, surgery, Crohn disease and other digestive diseases, viral infections, and autoimmune disorders resulting in the attack of the stomach lining by the immune system.
Epidemiology
There are not sufficient statistical data about gastritis. 10% to 20% of patients taking nonsteroidal anti-inflammatory drugs are reported to suffer from dyspeptic symptoms; however, the prevalence may range from 5% to 50% [4]. Up to 25% of the United State's population are reported to suffer from dyspeptic symptoms. 50% of patients who undergo upper endoscopy are diagnosed with gastritis or other non-ulcer dyspepsia [5]. Several factors may affect the development of acute gastritis due to a bacterial infection with Helicobacter pylori in developing countries. These comprise environmental factors, geography, age, socio-economic status, and strain virulence [6]. Acute gastritis due to autoimmune diseases is more prevalent among people from Scandinavian ancestry or North Europeans.
Pathophysiology
Gastric mucosal blood flow is decreased due to nonsteroidal anti-inflammatory drugs and alcohol consumption resulting in the loss of the mucosal protective barrier. Sulfhydryl compounds in gastric mucosa are depleted by alcohol consumption, whereas prostaglandin production is inhibited by NSAIDs [7]. A severe inflammatory response with increased mucosal permeability and degradation of gastric mucin is induced by Helicobacter pylori bacterial infection. The gastric epithelium is affected by its cytotoxicity [2]. Bacteria do not grow normally in the stomach because of the low gastric fluid pH. However, ingested bacteria may become more invasive in the case of damaged gastric mucosa due to ingestion of foreign bodies, ulcer, or carcinoma [8]. An autoimmune chronic inflammation may be stimulated by anti-parietal cell antibodies, resulting in lymphocytic infiltrate and leading to parietal and chief cells loss.
Prevention
Prevention of gastritis is achieved by avoiding the underlying cause, like excessive alcohol consumption, toxins ingestion, or the use of NSAIDs [16]. Gastritis due to bacterial infections can be evaded by maintaining a good hygiene, hand washing, and ensuring the food and water are clean.
Summary
Acute gastritis is an inflammatory process in the gastrointestinal system. It may affect the whole stomach or part of it and can be divided into two main categories: erosive and nonerosive gastritis [1]. The most common cause of gastritis is the use of nonsteroidal anti-inflammatory drugs, such as aspirin or ibuprofen; however, there are different etiologic factors including excessive alcohol consumption, autoimmune diseases, and bacterial infection with Helicobacter pylori. Most patients with gastritis appear to be asymptomatic [2]. When symptoms develop they include burning upper abdominal pain and discomfort. Patients may also suffer from nausea and vomiting. Laboratory studies include blood and fecal tests to check the general status of health and to look for blood in the stool. Upper gastroesophageal endoscopy and biopsy sample may be done in order to rule out other conditions. Many patients do not suffer from any symptoms and are diagnosed incidentally when they undergo endoscopy for other reasons. Other breath tests may be performed to confirm the presence of Helicobacter pylori bacteria.
Gastritis is easily managed and the treatment depends on the causing factor. In case of nonsteroidal anti-inflammatory drugs (NSAIDs), it is advised to discontinue these drugs as they irritate the stomach. Alcoholic patients are encouraged to stop drinking. Patients who are diagnosed with Helicobacter pylori infection will need drug treatment, which initially includes three drugs; a proton pump inhibitor, levofloxacin, and amoxillin. If there is no improvement, the latter two drugs are replaced with bismuth and tetracylin and metronidazole is added to the treatment. Surgical intervention is usually not necessary, except in cases of stomach gangrene. Gastritis scarcely leads to complications and patients usually respond to treatment with good prognosis; however, in rare cases, severe symptoms or bleeding may occur. Avoiding the overuse of NSAIDs and alcohol consumption will decrease the risk of developing gastritis. Maintaining a good hygiene will also help in the prevention of gastritis due to bacterial infections.
Patient Information
Acute gastritis is an inflammation of the stomach resulting in abdominal pain and discomfort, which is caused by different underlying factors.
Causes
Several causes are associated to the developing of acute gastritis including certain drugs such as aspirin, ibuprofen and other nonsteroidal anti-inflammatory drugs; excessive alcohol consumption; toxins ingestion; severe stress; direct trauma; bacterial infections (especially Helicobacter pylori bacteria); viral and fungal infection.
Presentation
Patients suffering from gastritis usually present with burning pain in the upper abdomen, which may also be felt in the back. Eating may exacerbate the pain or relieve it. Other symptoms include nausea and vomiting. Most patients have a history of nonsteroidal anti-inflammatory drug use or the exposure to toxin chemicals. Many patients do not present symptoms at all. They are usually diagnosed by accident while undergoing an endoscopy for other purposes. Elderly people have a higher likelihood of developing painless gastritis. The severity of the symptoms does not necessarily correspond to the actual changes seen in the stomach by endoscopy. While patients suffering from severe symptoms may have minor changes; others may present no symptoms at all, even though endoscopy reveals gastritis.
Diagnosis
The doctor will take a thorough history to check for risk factors. Blood and stool tests will be ordered to help in the diagnosis of the inflammation. Endoscopy and biopsy samples may be required in some patients to rule out other underlying causes. In some cases, the doctor will also order X-rays to check structural problems in the gastrointestinal system.
Management
Treatment of gastritis depends on the causing agent. In case of nonsteroidal anti-inflammatory drug use, it is encouraged to stop the drug and an antacid may be prescribed to reduce symptoms. Alcohol consumption should be avoided. Gastritis due to bacterial infection will require treatment with a combination of drugs, which appears to be effective in the eradication of the bacteria. In very rare cases, surgical intervention may be needed to remove severely affected areas of the stomach.
Outcome
Gastritis has very good outcomes with rare complications; however, some patients may suffer from severe symptoms or bleeding.
Prevention
Avoiding the risk factors and preventing the underlying causes, such as excessive alcohol consumption and the use of nonsteroidal anti-inflammatory drugs will decrease the risk of developing gastritis. Washing hands regularly, making sure that food and drinks are clean, and keeping a good hygiene will prevent bacterial infections.
References
- Chey WD, Wong BC. Practice Parameters Committee of the American College of Gastroenterology. American College of Gastroenterology guideline on the management of Helicobacter pylori infection. Am J Gastroenterol. 2007; 102: 1808-1825.
- Glickman JN, Antonioli DA. Gastritis. Gastrointest Endosc Clin N Am. 2001; 11: 717-740.
- Lanza FL. A guideline for the treatment and prevention of NSAID-induced ulcers. Members of the Ad Hoc Committee on Practice Parameters of the American College of Gastroenterology. Am J Gastroenterol. 1998; 93: 2037-2046.
- Larkai EN, Smith JL, Lidsky MD, et al. Gastroduodenal mucosa and dyspeptic symptoms in arthritic patients during chronic nonsteroidal anti-inflammatory drug use. Am J Gastroenterol. 1987; 82: 1153-1158.
- El-Serag HB, Talley NJ. Systemic review: the prevalence and clinical course of functional dyspepsia. Aliment Pharmacol Ther. 2004; 19:643-654.
- Hunt RH, Xiao SD, Megraud F, et al. World Gastroenterology Organization. Helicobacter pylori in developing countries. World Gastroenterology Organisation Global Guideline. J Gastrointestin Liver Dis. 2011; 20: 299-304.
- MacMath TL. Alcohol and gastrointestinal bleeding. Emerg Med Clin North Am. 1990; 8: 859-872.
- Turner MA, Beachley MC, Stanley D. Phlegmonous gastritis. AJR Am J Roentgenol. 1979; 133: 527-528.
- Talley NJ, Vakil N. Practice Parameters Committee of the American College of Gastroenterology: guidelines for the management of dyspepsia. Am J Gastroenterol. 2005; 100: 2324-2337.
- Talley NJ. American Gastroenterological Association. American Gastroenterological Association medical position statement: evaluation of dyspepsia. Gastroenterology. 2005; 129: 1753-1755.
- Cutler AF, Havstad S, Ma CK, et al. Accuracy of invasive and noninvasive tests to diagnose Helicobacter pylori infection. Gastroenterology. 1995; 109: 136-141.
- Hirota WK, Zuckerman MJ, Adler DG, et al. ASGE guideline: the role of endoscopy in the surveillance of premalignant conditions of the upper GI tract. Gastrointest Endosc. 2006; 63: 570-580.
- Kim N, Kim JJ, Choe YH, et al. Diagnosis and treatment guidelines for Helicobacter pylori infection in Korea [in Korean]. Korean J Gastroenterol. 2009; 54: 269-278.
- Drepper MD, Spahr L, Frossard JL. Clopidogrel and proton pump inhibitors--where do we stand in 2012?. World J Gastroenterol. May 14, 2012; 18(18): 2161-71.
- Laine L, Curtis SP, Cryer B, et al. Risk factors for NSAID-associated upper GI clinical events in a long-term prospective study of 34 701 arthritis patients. Aliment Pharmacol Ther. November 2010; 32(10): 1240-8.
- Lanza FL, Chan FK, Quigley EM, et al. Guidelines for prevention of NSAID-related ulcer complications. Am J Gastroenterol. 2009; 104: 728-738.