What
causes gastritis?
The stomach lining is usually strong enough to withstand acidic and
spicy foods, alcohol and more. However, irritation may be caused by excessive
alcohol use, chronic vomiting,
stress or the use of certain medications such as aspirin
or other anti-inflammatory drugs. Gastritis may also be brought on by:
·
Helicobacter pylori (H. pylori): A bacterium
that lives in the mucous
lining of the stomach. Without treatment, the infection can lead to ulcers and,
in some people, to stomach cancer.
·
Pernicious anaemia: A form of anaemia
that occurs when the stomach lacks a naturally occurring substance (intrinsic
factor) needed to properly absorb and digest vitamin B12.
·
Bile reflux: A backflow of the
contents of the duodenum up into the stomach, where bile in the intestinal
fluids may irritate the stomach lining.
·
Infections caused by bacteria and
viruses
If gastritis is left untreated, it can lead to severe loss of blood,
or in some cases it can increase the risk of developing stomach cancer.
What
are the symptoms of gastritis?
Symptoms of gastritis vary among individuals, and in many people there
are no symptoms. However, the most common symptoms include:
•
Nausea or recurrent upset stomach
• Burning or
gnawing feeling in the stomach between meals or at night
•
Hiccups
•
Vomiting blood or coffee
ground-like material
•
Black, tarry stools
How
is gastritis diagnosed?
To diagnose gastritis, your GP
will review your personal and family medical history, will perform a thorough
physical examination, and may recommend any of the following tests:
•
Upper endoscopy. An endoscope, a thin
tube containing a tiny camera, is inserted through your mouth
and down into your stomach to look at the stomach lining. Your doctor will
check for inflammation and may perform a biopsy,
a procedure in which a tiny sample of tissue is removed and then sent to a
laboratory for analysis.
•
Blood tests. Your doctor may perform
various blood tests, such as checking your red blood cell count to determine
whether you have anaemia (meaning you do not have enough red blood cells). He
or she can also screen for H. pylori infection and pernicious anaemia with
blood tests.
•
Faecal occult blood test (stool test). This test
checks for the presence of hidden blood in your stool, a possible sign of
gastritis.
What
is the treatment for gastritis?
Treatment for gastritis usually involves:
•
Taking antacids and other drugs to reduce stomach
acid, which causes further irritation to inflamed areas
•
Avoiding hot and spicy foods and cutting down on
excess alcohol
•
For gastritis caused by H. pylori infection, your
doctor will prescribe a regimen of several antibiotics plus an
acid-blocking drug (used for treating heartburn).
•
If the gastritis is caused by pernicious anaemia,
vitamin B12 will be given by injection (because it is not properly absorbed by mouth).
Once the underlying problem disappears, the gastritis usually does too.
You should talk to your doctor before stopping any medicine
or starting any gastritis treatment on your own.
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