Gastritis - Diagnosis

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What types of exams or tests led to a diagnosis of gastritis? If you had an endoscopy, please describe the procedure.

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How is gastritis diagnosed?

Gastritis is presumptively diagnosed by the patient's symptoms and history of a previous diagnosis and treatment of gastritis, alcohol consumption, and use of NSAIDs. Definitive diagnosis 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 during endoscopy 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.

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See what others are saying

Comment from: vija73663, 55-64 Female (Caregiver) Published: January 17

The patient is my spouse, female 56 years. Gastro intestinal endoscopy revealed atrophic gastritis (B.12 level) due to decreased mucosal folds. USG (ultrasonography) of abdomen showed normal with final impression as healed granuloma in right lobe of liver. The patient is suffering from back ache with slab type of stiffness all along left upper back adjacent to the spinal cord while lying on bed during nights. She is using calcium 1000 mg every day and multivitamin for +50 females. She is active and does normal work outs of walking and cycling and Yoga. She has no hyper tension and sugar levels fasting and post lunch are normal. Recently master health checkup revealed all normal parameters with slightly increased TGL (triglycerides) and suggested no medication and only work outs.

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Comment from: jinx, 35-44 Female (Patient) Published: October 15

I had to starve for at least 12 hours prior to the endoscopy. At the Hospital that morning the procedure was explained to me, then I was given a local anesthetic while a small camera shoved down my throat, transmitted video images to a video monitor, for close examination of the intestinal lining by my Gastroenterologist. The doctor also did a biopsy of my stomach lining. I was given prescription for Tecta.

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