Condition Info - BotMed Application

ConditionName

Gastritis

ConditionDescription

Symptoms

Epigastric abdominal pain or discomfort; Heartburn; Hematemesis;
Sometimes nausea or vomiting; B12 def - (type A); H.pylori (type B); Most common cause of GI bleeding without pain; Severe pain (medication or alcohol)

PhysicalFindings

ClinicalTests

Most accurate: esophageal-gastro duodenoscopy (EGD) with H.pylori test (most common infection cause);
Endoscopy;

RiskFactors

Alcohol; NSAIDs; H;pylori; Portal HTN; Stress (trauma; sepsis; multiorgan failure); Parishes anemia destroy parietal cells decrease intrinsic factor low B12 megaloblastic anemia

IsRedFlag

IsNPLEX

Consequence

Acute (erosive)
Chronic (nonerosive) leads to metaplasia -> dysplasia

ProgressionFromCondition

Inflammation or erosion of gastric lining:
Mild, moderate, severe;
With or without hemorrhage;

NSAIDs – most of cases of gastric bleeding from drugs;
Alcohol consumption;
Crohn’s;
Burns;
Head trauma;

For chronic environmental:
High salt diet;
Smoking;
Alcohol;
Bile reflex;

For autoimmune:
Pernicious anemia b/c of loss of parietal cells leads to low stomach acid;
Most common in young female;
May end up with B12 anemia after years;
More likely Iron def anemia;

TreatmentOptions

Stop alcohol; Stop smoking; - delayed healing;
Stop offending medications

PharmOptions

PPI, or H2 blockers, or liquid antacids;

Sucralfate: aluminum hydroxide complex, never correct answer!

WebLink

https://www.merckmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/erosive-gastritis?query=Gastritis