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Gastritis

Introduction

Gastritis is the inflammation of the protective mucus lining of the stomach. When the stomach lining is weak, thin or damaged, digestive juices damage it causing gastritis. While acute gastritis occurs due to sudden and severe inflammation, chronic gastritis develops slowly and causes long-term inflammation that may last for years if untreated.

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Erosive gastritis

Erosive gastritis is a severe form of acute gastritis characterized by gastric mucosal erosions. It is more commonly seen in alcoholics and patients with increased stress (eg. on ventilator support, head trauma, burns or multiorgan dysfunction). It may present with blood vomiting (hematemesis). Erosive gastritis is diagnosed via endoscopy. Once the diagnosis is completed, it is treated by acid-suppressant therapy.

Acid peptic disease / Ulcer

Acid peptic disease (APD) is the result of excessive acid secretion or diminished mucosal defense. This leads to open sores in the stomach’s lining or in the duodenum, usually in the first part. It can be acute or chronic based on the severity and duration and may tend to cause internal bleeding. Antacids, H2 receptor blockers, Proton pump blockers and eradication of Helicobacter pylori bacteria are some treatment courses the doctor may advise. Nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided in patients with peptic ulcer.

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Treatment

Treatment is aimed at identifying the causes, relieving the symptoms and curing the condition. Treatment options for Erosive gastritis is as follows:

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The cause of gastritis should be identified if possible. If NSAIDs or other drugs cause gastritis, the doctors may alter these medications to mitigate your symptoms. Gastritis caused due to H. pylori should be confirmed with endoscopy and can be eradicated with medications.
The common medicines used to treat gastritis are as follows:
Proton pump inhibitors:
Medicines like omeprazole and pantoprazole are called proton pump inhibitors. They work by blocking out the production of acids in the stomach.
Antacids:
Antacids work by neutralizing the acids in the stomach. They are commonly recommended as they help in speedy recovery of gastritis pain.
H2 blockers:
Also known as Histamine blockers or acid-reducing medications, drugs such as famotidine, aid to decrease and control the amount of acid produced by your stomach.
Coating agents:
Sucralfate is called as coating agents as they coat and protect the lining of the stomach.

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