Gastritis

12 min read

Gastritis is a condition that affects the lining of the stomach. It is caused by a variety of factors, including bacterial infection, certain medications, and stress. Gastritis can be acute, meaning it is a short-term condition, or chronic, meaning it is a long-term condition.

Causes of Gastritis

Gastritis can be caused by a variety of factors, including:

  • Bacterial infection, such as H. pylori
  • Certain medications, such as aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Stress
  • Alcohol consumption
  • Smoking
  • Radiation therapy

Risk Factors for Gastritis

Certain factors can increase your risk of developing gastritis, including:

  • Age: Gastritis is more common in older adults.
  • Gender: Gastritis is more common in women than in men.
  • Family history: If you have a family history of gastritis, you may be at an increased risk.
  • Certain medical conditions: Certain medical conditions, such as Crohn’s disease and HIV, can increase your risk of developing gastritis.

Complications of Gastritis

Gastritis can lead to a number of complications, including:

  • Ulcers: Gastritis can lead to the formation of ulcers in the stomach lining.
  • Bleeding: Gastritis can cause bleeding in the stomach, which can be life-threatening.
  • Scarring: Gastritis can cause scarring of the stomach lining, which can lead to a narrowing of the stomach.

Diagnosis of Gastritis

Gastritis is typically diagnosed through a physical exam and a series of tests, including:

  • Blood tests: Blood tests can be used to check for anemia, which can be a sign of gastritis.
  • Stool tests: Stool tests can be used to check for the presence of H. pylori, which can cause gastritis.
  • Endoscopy: An endoscopy is a procedure in which a thin, flexible tube is inserted into the stomach to check for signs of gastritis.
  • Imaging tests: Imaging tests, such as X-rays and CT scans, can be used to check for signs of gastritis.

Symptoms

Common Symptoms of Gastritis

  • Abdominal pain or discomfort
  • Nausea and vomiting
  • Loss of appetite
  • Bloating
  • Indigestion
  • Hiccups
  • Belching
  • Burning sensation in the stomach

Less Common Symptoms of Gastritis

  • Blood in the stool
  • Black, tarry stools
  • Weight loss
  • Fatigue
  • Fever
  • Vomiting blood

When to See a Doctor

If you experience any of the symptoms of gastritis, it is important to seek medical attention. Your doctor can help determine the cause of your symptoms and provide the appropriate treatment. In some cases, gastritis can lead to more serious complications, such as bleeding or ulcers, so it is important to get it treated as soon as possible.

Take the Gastritis Assessment

Causes

Bacterial Infection

One of the most common causes of gastritis is a bacterial infection. The bacteria Helicobacter pylori is the most common cause of gastritis. This bacteria can be spread through contaminated food or water, or through contact with an infected person. It can also be spread through saliva, vomit, or stool.

Certain Medications

Certain medications can also cause gastritis. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can irritate the lining of the stomach and cause gastritis. Other medications such as aspirin, corticosteroids, and anticoagulants can also cause gastritis.

Autoimmune Disorders

Autoimmune disorders such as Crohn's disease, ulcerative colitis, and celiac disease can also cause gastritis. In these cases, the body's immune system mistakenly attacks the cells of the stomach lining, causing inflammation and irritation.

Conclusion

Gastritis can be caused by a variety of factors, including bacterial infection, certain medications, and autoimmune disorders. If you are experiencing symptoms of gastritis, it is important to speak to your doctor to determine the cause and receive the appropriate treatment.

Getting a Diagnosis

Diagnostic Tests

The first step in diagnosing gastritis is a physical exam. During the exam, the doctor will ask questions about the patient's medical history and symptoms. The doctor may also perform a physical examination to look for signs of inflammation or tenderness in the abdomen.

The next step in diagnosing gastritis is to perform tests to confirm the diagnosis. These tests may include blood tests, stool tests, and imaging tests such as an upper endoscopy or a CT scan. Blood tests can help to identify any underlying infections or conditions that may be causing the gastritis. Stool tests can help to identify any bacteria or parasites that may be causing the inflammation. Imaging tests can help to identify any structural abnormalities in the stomach or intestines that may be causing the gastritis.

Treatment

Once the diagnosis of gastritis has been confirmed, the doctor will recommend a treatment plan. Treatment for gastritis may include medications to reduce inflammation, antibiotics to treat any underlying infections, and lifestyle changes to reduce stress and improve diet. In some cases, surgery may be necessary to remove any structural abnormalities that may be causing the gastritis.

It is important to follow the doctor's instructions and to take all medications as prescribed. It is also important to make lifestyle changes to reduce stress and improve diet. With proper treatment, most cases of gastritis can be successfully managed.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about any symptoms you are experiencing, such as abdominal pain, nausea, vomiting, bloating, loss of appetite, and heartburn. It is also important to mention any changes in your bowel habits, such as constipation or diarrhea.

Medical History

Your doctor will need to know your medical history, including any medications you are taking, any allergies you have, and any other medical conditions you have. This information will help your doctor determine the cause of your gastritis and the best treatment plan.

Diet and Lifestyle

Your doctor may ask about your diet and lifestyle habits, such as whether you smoke, drink alcohol, or eat a lot of spicy foods. These factors can contribute to gastritis, so it is important to discuss them with your doctor.

Family History

Your doctor may also ask about your family history of gastritis or other digestive conditions. This information can help your doctor determine if you are at risk for developing gastritis.

Treatment Options

Your doctor will discuss treatment options with you, such as medications, lifestyle changes, or surgery. Be sure to ask any questions you have about the treatment options and how they may affect your lifestyle.

Follow-up Appointments

Your doctor may recommend follow-up appointments to monitor your progress. Be sure to ask your doctor how often you should come in for follow-up appointments and what tests may be necessary.

Treatment

Medications

Medications are the most common treatment for gastritis. Antacids, such as Tums or Rolaids, can help neutralize stomach acid and provide relief from symptoms. Proton pump inhibitors (PPIs) such as Prilosec or Nexium can reduce the amount of acid produced by the stomach and help heal the stomach lining. H2 blockers, such as Zantac or Pepcid, can also reduce the amount of acid produced by the stomach. In some cases, antibiotics may be prescribed to treat an infection that is causing the gastritis.

Dietary Changes

Making dietary changes can also help reduce the symptoms of gastritis. Eating smaller, more frequent meals can help reduce the amount of acid produced by the stomach. Avoiding foods that are spicy, acidic, or high in fat can also help reduce symptoms. Drinking plenty of fluids, especially water, can help keep the stomach lining hydrated and reduce irritation.

Lifestyle Changes

Making lifestyle changes can also help reduce the symptoms of gastritis. Avoiding alcohol and smoking can help reduce irritation to the stomach lining. Stress can also worsen symptoms, so it is important to find ways to manage stress, such as yoga, meditation, or exercise. Getting plenty of rest and avoiding strenuous activities can also help reduce symptoms.

Surgery

In some cases, surgery may be necessary to treat gastritis. Surgery may be recommended if medications and lifestyle changes are not effective in relieving symptoms. Surgery may involve removing part of the stomach or repairing a tear in the stomach lining.

Drugs & Medications

Antacids

Antacids are medications that help neutralize stomach acid and provide relief from the burning sensation associated with gastritis. They are available over-the-counter and come in liquid, tablet, and chewable forms. Common antacids include calcium carbonate, magnesium hydroxide, and aluminum hydroxide.

H2 Blockers

H2 blockers, also known as histamine-2 receptor antagonists, are medications that reduce the amount of acid produced by the stomach. They are available over-the-counter and by prescription. Common H2 blockers include cimetidine, famotidine, and ranitidine.

Proton Pump Inhibitors

Proton pump inhibitors (PPIs) are medications that reduce the amount of acid produced by the stomach. They are available by prescription and are usually taken once or twice a day. Common PPIs include omeprazole, lansoprazole, and pantoprazole.

Misoprostol

Misoprostol is a medication that helps protect the stomach lining from the damaging effects of stomach acid. It is available by prescription and is usually taken once or twice a day. Common side effects of misoprostol include nausea, vomiting, and diarrhea.

Antibiotics

Antibiotics are medications that help fight bacterial infections. They are available by prescription and are usually taken for several weeks. Common antibiotics used to treat gastritis include amoxicillin, clarithromycin, and metronidazole.

Conclusion

Gastritis is a condition that affects the lining of the stomach, causing inflammation and irritation. Treatment for gastritis typically involves lifestyle changes and medications to reduce inflammation and pain. Common medications used to treat gastritis include antacids, H2 blockers, proton pump inhibitors, misoprostol, and antibiotics.

Diet

What to Eat

When it comes to managing gastritis, there are certain foods that can help reduce inflammation and ease symptoms. These include:

  • Fruits and vegetables: Fruits and vegetables are high in antioxidants, which can help reduce inflammation. Aim to eat a variety of colors, including dark leafy greens, red and orange vegetables, and brightly colored fruits.
  • Whole grains: Whole grains are high in fiber, which can help reduce inflammation. Choose whole grain breads, pastas, and cereals.
  • Lean proteins: Lean proteins, such as fish, chicken, and beans, are high in omega-3 fatty acids, which can help reduce inflammation. Aim to eat at least two servings of lean protein per day.
  • Healthy fats: Healthy fats, such as olive oil, avocados, and nuts, can help reduce inflammation. Aim to include a small amount of healthy fats in your diet each day.

What to Avoid

Certain foods can make gastritis symptoms worse. These include:

  • Alcohol: Alcohol can irritate the stomach lining and make symptoms worse. Avoid alcohol if you have gastritis.
  • Caffeine: Caffeine can also irritate the stomach lining and make symptoms worse. Avoid coffee, tea, and other caffeinated beverages.
  • Spicy foods: Spicy foods can irritate the stomach lining and make symptoms worse. Avoid spicy foods if you have gastritis.
  • Processed foods: Processed foods are high in sodium and preservatives, which can irritate the stomach lining and make symptoms worse. Avoid processed foods if you have gastritis.

Conclusion

Eating a healthy diet is an important part of managing gastritis. Certain foods can help reduce inflammation and ease symptoms, while others can make them worse. Aim to eat a variety of fruits and vegetables, whole grains, lean proteins, and healthy fats. Avoid alcohol, caffeine, spicy foods, and processed foods. Talk to your doctor or dietitian if you have questions about your diet.

Lifestyle

Eat Smaller Meals

Eating smaller meals more frequently can help reduce the amount of acid in the stomach and reduce the risk of flare-ups. Eating smaller meals also helps to reduce the amount of time the stomach is exposed to acid, which can help reduce irritation and inflammation.

Avoid Trigger Foods

Certain foods can trigger gastritis flare-ups, including spicy foods, fried foods, and acidic foods. Avoiding these foods can help reduce the risk of flare-ups and reduce symptoms. It is also important to avoid alcohol and smoking, as these can also irritate the stomach lining.

Manage Stress

Stress can be a major trigger for gastritis flare-ups. Finding ways to manage stress, such as yoga, meditation, or other relaxation techniques, can help reduce the risk of flare-ups. It is also important to get enough sleep and exercise regularly to help reduce stress levels.

Take Medication as Prescribed

If you are prescribed medication for gastritis, it is important to take it as prescribed. This can help reduce symptoms and prevent flare-ups. It is also important to talk to your doctor if you experience any side effects from the medication.

See Your Doctor Regularly

Seeing your doctor regularly can help monitor your condition and ensure that any changes in your symptoms are addressed. Your doctor can also provide advice on lifestyle changes that can help reduce symptoms and prevent flare-ups.