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Gastritis (Clinical Presentation (abdominal bloating, indigestion,…
Gastritis
Clinical Presentation
abdominal bloating
indigestion
nausea/vomiting
hiccups
abdominal pain
belching
heartburn
black tarry stool
hematemesis
Pathophysiology
decrease mucus production
decrease bicarbonate
reduce gastric blood flow
over stimulation parietal cells/G cells
inhibit prostaglandins
inhibits COX-1
mucosal inflammation
gastric irritant
ulcer formation
Diagnosis
fecal occult
medial history
physical exam
blood test
barium swallow
upper endoscopy
Risk Factors
autoimmune disorders
excessive alcohol
stress
NSAIDs,antiplatelet
advance age
Treatment
Antacids
H2 blocers
Proton Pump Inhibitors
antibiotics
Epidemiology
Helicobacter most common cause
men increase risk complications
<1% incidence US
affects men/women equally
Lifestyle changes
avoid alcohol & caffeine
eat small meals
exercise
avoid spicy food
avoid fried food