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Gastritis (Risk Factors (Excessive alcohol intake, Smoking, Advanced age,…
Gastritis
Risk Factors
Excessive alcohol intake
Smoking
Advanced age
NSAID use
Diet
Auto-immune
Clinical Presentation
Hearburn
Worsens when lying flat
Increases after eating
Nausea/Vomitting
Hematemesis
Fullness
Abdominal Pain
Gnawing
Burning
Possibly asymptomatic
Treatment
Antacids
Avoidance
Alcohol
Irritating foods
Smoking
Proton Pump Inhibitors
H2 Blockers
Antibiotics
H. pylori
Pathophysiology
H. pylori
Erode stomach lining
increase stomach acid production
NSAIDs
inhibit COX1
Reduce PGs
Damage mucosal lining
exposure to stomach acid
inflammation
ulcer formation
Pyloric Valve
Diagnosis
Endoscopy
Upper GI
H. pylori testing
Breath test
Stool Antigen
Blood
Assessment
Barium swallow x-ray
Epidemiology
H. pylori
increases with age
men more than women
Black & Hispanic increased risk
Apprx half of the world population