Gastritis

Question 1

What is Gastritis?

Answer 1

Gastritis is defined as the histological presence of gastric mucosal inflammation.

Question 2

What is the prognosis of gastritis?

Answer 2

Prognosis is dependent upon underlying aetiology and type of gastritis. (Phlegmonous gastritis is bad)

Question 3

What are the risk factors of gastritis?

Answer 3

H Pyloris
NSAIDs
Toxins
Previous gastric surgery
Critically ill patients
Autoimmune disease

Question 4

What are the signs and symptoms of gastritis?

Answer 4

Dyspepsia
Absence of malignacy
Nausea, vomiting, loss of appetite
Fever
Acute abdominal pain
Altered reflexes
Glossitis
Cognitive impairment

Question 5

What is the epidemiology of gastritis?

Answer 5

In the United States, dyspeptic symptoms affect up to 25% of the population; non-ulcer dyspepsia (including gastritis) contributes to the diagnosis in about 50% of patients referred for upper endoscopy.

Question 6

What are the investigations you would do for gastritis?

Answer 6

H Pyloris breath or stool test
FBC (anaemia)
Endoscopy
B12

Question 7

What is the management of gastritis?

Answer 7

Anti-secretaory agents
H Pylori eradication therapy
H2 antagonist or PPI
Cyanocobalamin (autoimmune)