Gastritis (McPhee & Hammer, 2012)

Epidemiology
1. Helicobacter pylori
  1. No sexual predilection exists (Medscape, 2013)
    1. Gastritis affects all age groups (Medscape, 2013)
      1. Use of NSAIDS, smoking, and alcohol increase the risk for Gastritis
Pathophysiology
1. Inflammation of the gastric mucosa
  1. Can affect both the fundus and antrum of the stomach
    1. Erosion of the surface epithelium seen in a localized pattern
      1. Usually caused by an injury to the protective barrier of the mucosa, caused by medication or chemicals
        NSAIDs are known to inhibit the action of cyclooxygenase-1, or COX-1, which causes gastritis
Symptoms
1. Anorexia
  1. Fullness
    1. Nausea and vomiting
      1. Epigastric pain
        Bleeding
Diagnosis
1. Gastroscopic examination and biopsy
  1. Occult blood test
    1. Evaluation of gastric secretions for intrinsic factor
2. Health history
Treatments
1. Stop the use of NSAIDs, alcohol, and smoking
  1. If positive for H. pylori, treat with antibiotics
    1. Eat smaller meals
      1. Consume a soft, bland diet

Resource summary

	Created by Yvonne Lockett A over 10 years ago