GastroIntesti

nal
Tract/Food
Pathway

1
 Our
Stomach
Our Stomach
 What is Gastritis?
• Gastritis is a general term for a group of
conditions with one thing in common:
inflammation of the lining of the stomach.
• Gastritis may occur suddenly (acute gastritis),
or appear slowly over time (chronic gastritis)
 Symptoms… ..Repetition
• Burning ache or pain (indigestion) in your upper abdomen
that may become either worse or better with eating
• Nausea
• Vomiting
• A feeling of fullness
• Burping
• Loss of appetite
• Bleeding
• Weight loss
 Epidemilogy

• 40% of all adults

• 4% GP consultations
• 10% further investigations
• 10-20% NSAID users
 Endoscopy findings

• 15% Duodenal or Gastric ulcer

• 15% Oesophagitis = GORD/food reflux from
stomach to mouth
• 30% Gastritis duodenitis or hiatus hernia
• 30% Normal = functional dyspepsia
 Causes
• Bacterial infection/Helicobacter Pylori.
• Regular use of pain relievers/Painkillers . 
• Blood thinner (People with stroke or Heart Disease)
• Excessive alcohol use. 
• Stress. 
• Older age.
• Other diseases and conditions:HIV/AIDS, Crohn's
disease and parasitic infections.
Helicobacter Pylori
Painkillers and Blood Thinner
Stress
 Stress Explaination
• Psychological stress: lack of sleep, traumatic
event, daily life problems
• Organic Stress: your body is overloaded with
many internal tasks: Burn Injury, head injury,
stroke attack, surgery, maternity labor etc

Both kind of stress can contribute to Gastritis

Alcohol erossion of the protective layer
Food
 When to see a doctor
• signs and symptoms of gastritis for a week or
longer
 If you are vomiting blood, have blood in your
stools or have stools that appear black go to
ER Right away
 Lifestyle and home remedies
• Eat smaller, more-frequent meals. If you experience frequent
indigestion, eat smaller meals more often to help ease the
effects of stomach acid.
• Avoid irritating foods. Avoid foods that irritate your stomach,
especially those that are spicy, acidic, fried or fatty.
• Avoid alcohol. Alcohol can irritate the mucous lining of your
stomach.
• Consider switching pain relievers. If you use pain relievers that
increase your risk of gastritis, ask your doctor whether
acetaminophen (Tylenol, others) may be an option for you. This
medication is less likely to aggravate your stomach problem.
 Preventing H. pylori infection

it could be transmitted from person to person or

through contaminated food and water.
• Frequently washing your hands with soap and
water
• Eating foods that have been cooked
completely.
 Over the Counter Medicine
• Antacid=> contain alkaline ions that 
chemically neutralize stomach gastric acid,
reducing damage and relieving pain

Shouldn’t be taken for

more than 1 week
without Physician
consultation
Prescribed Medication=>only by physician
• Antibiotic medications to kill H. pylori. For H. pylori in your
digestive tract, your doctor may recommend a combination of
antibiotics, usually for seven to 14 days.
• Medications that block acid production and promote
healing. omeprazole (Prilosec), lansoprazole (Prevacid),
rabeprazole (Aciphex), esomeprazole (Nexium), dexlansoprazole
(Dexilant) and pantoprazole (Protonix).
• Medications to reduce acid production.  — reduce the amount
of acid released into your digestive tract, which relieves gastritis
pain and encourages healing. anitidine (Zantac), famotidine
(Pepcid), cimetidine (Tagamet HB) and nizatidine (Axid AR).
‫متشکرم‬