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Gastritis (Management (Antacids (Mylanta), H2 -receptor antagonist…
Gastritis
Management
Antacids (Mylanta)
H2 -receptor antagonist (pepcid/zantac)
proton pump inhibitors (protonix)
Antibiotics for infection
soft, bland diet
avoid alcohol and NSAID's
avoid smoking
Diagnosis
Endoscopy (Upper GI)
medical history
physical exam
Upper GI series
stool test
blood test (check for H.pylori)
urea breath test (test for H. pylori)
Epidemiology
less than 1% incidence in the U.S.
chronic gastritis seen in older population
Main causes are NSAID's, H. pylori and could be autiimmune
Pathophysiology
Acute
Damage to the mucosal lining by NSAID's or H. pylori infection
NSAID's inihibit prostaglandin synthesis thus decreasing mucus secretions
Chronic
Type A immune (fundal)
Type B nonimmune (antral)
Type C chemical injury (reflux of bile and pancreatic secretions into stomach)
Clinical Manifestations
Acute
abdominal discomfort or pain
nausea
epigastric tenderness
vomitting
gastric bleeding (bloody stool)
Chronic
fullness
anorexia
nausea, vomitting
epigastric pain
Compiled by L.Lindo-Murray