Gastritis
Epidemiology
Chemicals (alcohol)
H. Pylori
<% in US prevalence
Drugs (ibuprofen, naproxen, aspirin, indomethacin, histamine, digitalis,
Older age
Pathophysiology
Injury of protective mucosal barrier caused by drugs, chemicals, h. pylori infection, alcohol, and metabolic disorders
Chronic inflammation
Mucosal atrophy
epithelial metaplasia
Clinical Presentation
Vomiting blood
Vomiting yellow or green bile
Black or bloody stools
Dizziness or fainting
Abdominal Pain
Fever
Diaphoresis
Shortness of breath
Diagnosis
Physical Exam
Medical History
Endoscopy
Barium Swallow Study
Upper GI series
H. Pylori testing
Treatment
Treating the underlying cause especially if H. Pylori is present
Clarithromycin 500 mg BID
Amoxicillin 1g BID
Standard dose PPI
Eat smaller meals
Bland diet
avoid alcohol
Avoid NSAIDs