Gastritis

  • Medical Author:
    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

  • Medical Editor: Bhupinder S. Anand, MBBS, MD, DPHIL (OXON)
    Bhupinder S. Anand, MBBS, MD, DPHIL (OXON)

    Bhupinder S. Anand, MBBS, MD, DPHIL (OXON)

    Dr. Anand received MBBS degree from Medical College Amritsar, University of Punjab. He completed his Internal Medicine residency at the Postgraduate Institute of medical Education and Research, Chandigarh, India. He was trained in the field of Gastroenterology and obtained the DPhil degree. Dr. Anand is board-certified in Internal Medicine and Gastroenterology.

What are the symptoms of gastritis?

Surprisingly in many people, gastritis often produces no symptoms and is diagnosed only when samples of the stomach mucosa are examined for other suspected diseases. However, when gastritis symptoms occur, the most common symptoms include the following:

These last four symptoms come and go over time especially with chronic gastritis. Indigestion (dyspepsia) is another term that encompasses this cluster of symptoms.

How is gastritis diagnosed?

Gastritis is diagnosed based on the patient's symptoms and history of a previous diagnosis and treatment of gastritis, alcohol consumption, and use of NSAIDs. Definitive diagnosis of gastritis is made by identifying the underlying cause of the gastric mucosal inflammation and/or by tissue (gastric) biopsy. For example, the major infective cause of gastritis is Helicobacter pylori (H. pylori). This bacterium can be detected by breath, blood, stool, immunological and biopsy tests. Although the bacterium can be cultured from the patient, this is seldom attempted. Other pathogens can be identified using culture, stool and immunological tests.

Biopsy of the stomach mucosa, done duringendoscopy examinations, is often used in patients to identify the causes of chronic gastritis and may allow visualization of mucosal erosions and other stomach mucosal changes. Abdominal X-rays or barium studies (upper or lower) may demonstrate the presence of thickened mucosa and folds that are signs of inflammation in the stomach.

Your doctor can help determine which tests should be done, including ancillary tests that may help identify other causes of the non-specific symptoms commonly found with gastritis.

Reviewed on 10/30/2015
References
REFERENCES:

Marcus, A., MD. "Chronic Gastritis." Medscape. Dec 19,2014
<http://emedicine.medscape.com/article/176156-overview>

NutritionMD. "Gastritis and Peptic Ulcer Disease: Nutritional Considerations."
<http://www.nutritionmd.org/consumers/gastrointestinal/gastritis_nutrition.html>

Oregon State University, Linus Puling Pauling Institute, Micronutrient Information Center. "Flavonoids."
<http://lpi.oregonstate.edu/mic/dietary-factors/phytochemicals/flavonoids#introduction>

University of Maryland Medical Center. Gastritis. Aug 15, 2013
<https://umm.edu/health/medical/altmed/condition/gastritis>

Univeristy of Michigan; Integrative Medicine. "Healing Foods Pyramid™"
>http://www.med.umich.edu/umim/food-pyramid/legs.html>

Wehbi, M. MD. "Acute Gastritis." Medscape. Sep 18,2014
<http://emedicine.medscape.com/article/175909-overview>

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