Gastritis – types, symptoms, causes, diagnosis & treatment

What is Gastritis? Gastritis is a condition characterized by inflammation of the stomach lining. This inflammation can be acute, occurring suddenly and lasting for a short duration, or chronic, persisting over an extended period. Gastritis can range from mild to severe and may lead to discomfort, pain, and complications if left untreated.

Types of Gastritis:

  1. Acute Gastritis: Typically caused by irritants like alcohol, NSAIDs, or bacterial infections. It often resolves on its own once the underlying cause is addressed.
  2. Chronic Gastritis: Long-term inflammation of the stomach lining, often linked to conditions like H. pylori infection, autoimmune diseases, or prolonged use of NSAIDs.

Symptoms of Gastritis:

  • Upper abdominal pain or discomfort: Often described as a burning or gnawing sensation.
  • Nausea and vomiting: Especially after meals or when stomach irritation is severe.
  • Indigestion: Feeling bloated, gassy, or experiencing fullness even with small meals.
  • Loss of appetite: A decreased desire to eat due to stomach discomfort.
  • Blood in vomit or stool: Severe gastritis may lead to bleeding, presenting as black or tarry stools.

Causes of Gastritis:

  • Helicobacter pylori (H. pylori) infection: A common bacterial infection that can inflame the stomach lining.
  • Regular use of NSAIDs: Nonsteroidal anti-inflammatory drugs like aspirin or ibuprofen can irritate the stomach and lead to gastritis.
  • Excessive alcohol consumption: Alcohol can irritate the stomach lining and increase stomach acid production, leading to inflammation.
  • Stress: While not a direct cause, stress can exacerbate gastritis symptoms and delay healing.

Diagnosis of Gastritis:

  • Upper endoscopy: A procedure to visualize the stomach lining and identify signs of inflammation or ulceration.
  • Biopsy: Tissue samples may be collected during endoscopy to test for H. pylori infection, rule out other conditions, or assess the severity of inflammation.
  • Blood, stool, or breath tests: Used to detect H. pylori infection or assess markers of inflammation.

Treatment of Gastritis:

  • Medications: Proton pump inhibitors (PPIs) or H2-receptor antagonists to reduce stomach acid production and promote healing.
  • Antibiotics: Treatment for H. pylori infection if present.
  • Antacids: Over-the-counter medications to neutralize stomach acid and relieve symptoms.
  • Dietary modifications: Avoiding spicy, acidic, or irritating foods that may exacerbate gastritis symptoms.
  • Stress management: Incorporating relaxation techniques like deep breathing, meditation, or yoga to reduce stress levels and support healing.