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Gastritis

more about Gastritis


Hemorrhagic gastritis, erosive gastritis



  • Gastritis means inflammation or infection of the stomach.  Gastritis commonly occurs when the stomach lining becomes raw and inflamed.  It is painful and does not improve because the stomach continually produces acid and this acid is "thrown on top of" these raw areas.
  • Most cases are mild and require no attention.
  • Over time, this condition can lead to an ulcer (i.e., a crater or hole forms in the stomach lining).
  • The medical name for this condition is hemorrhagic (bleeding) or erosive (stomach lining is damaged) gastritis.
  • Treatment depends upon the cause.

  • Usually none
  • Can have:
    1. Nausea/vomiting
    2. Loss of appetite
    3. Stomach pain
    4. Vomiting blood or "coffee grounds" (looks like coffee grounds)requires immediate attention.
    5. Swollen abdomen
  • It can last from a few hours to a few days.

  • Infection with Helicobacter pylori
  • Anti-inflammatories, e.g., ibuprofen or aspirin
  • Alcohol Abuse and/or tobacco smoke (i.e., cigarettes, pipes, cigars)
  • Portal hypertension (damaged liver)
  • Stress gastritis -- anxiety or stress from critical illness or surgery (not emotional illness)
  • Chronic erosive gastritis -- prolonged irritation of the stomach by such irritants as medications, bile, pernicious anemia, and an auto-immune disorders

  • Examination
    1. Stomach (epigastrium) may be tender
    2. Rectal exam may reveal microscopic blood
  • Laboratory:
    1. Check blood count to evaluate blood loss
    2. Testing
    3. Endoscopy -- a scope is passed down the throat into stomach to evaluate

  • General precautions:
    1. Eliminate certain spicy, fatty, or fried foods from diet of your child
    2. Offer frequent, small meals 
    3. Discontinue caffeine-containing beverages and alcohol
    4. Stop smoking
  • Anti-inflammatory induced -- discontinue anti-inflammatories.  Medications include H2 blockers such as Zantac; sulcralfate which forms a coating over the inflamed site; or proton pump inhibitors such as Prilosec.
  • Alcoholic gastritis -- discontinue alcoholic beverages; add one of the above medications.
  • Antibiotics for H. pylori -- such as penicillin G, ampicillin, tetracycline, clindamycin, ciprofloxacin, metronidazole, and erythromycin
  • Infections by helicobacter are treated with antibiotics (triple or dual therapy regimens) with or without Prilosec.
  • Portal hypertension -- a medication called propranolol is tried first and if this fails, portal shunt decompression surgery (see section on portal hypertension) is performed.
  • Stress gastritis -- continuous H2 blocker infusions and/or sulcralfate, and minimize stress
  • Chronic erosive gastritis -- no proven treatment
  • Mild cases of acute gastritis are often self-limiting and will clear up within two days
  • Common gastritis is treated the same as ulcers-- please see that section.

  • Contact your physician immediately if your child has bloody vomiting or persistent abdominal pain with fever or nausea, and does not respond to home-care measures within 24 hours, or if his/her stomach pain becomes severe.

  • Gastroesophageal reflux
  • Peptic ulcers
  • Stomach cancer
  • Gastroenteritis
  • Non-ulcer dyspepsia
  • Pancreatitis
  • Cholecystitis
  • Gallstones
  • Ruptured aortic aneurysm
  • Esophageal varices
  • Mallory-Weiss Tear




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