Medical history (history of illness) represents an important component in the diagnosis of gastritis (gastritis). Family history Are there frequent gastrointestinal diseases in your family? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). Do you have frequent abdominal pain? … Gastric Mucosa Inflammation: Medical History
Cardiovascular System (I00-I99). Myocardial infarction (heart attack). Infectious and parasitic diseases (A00-B99). Gastrointestinal infections, unspecified. Liver, gallbladder, and bile ducts-pancreas (pancreas) (K70-K77; K80-K87). Cholecystitis (gallbladder inflammation). Biliary colic Pancreatitis (inflammation of the pancreas) Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Appendicitis (appendicitis). Small bowel obstruction – narrowing of the small bowel due to inflammation, … Gastric Mucosa Inflammation: Or something else? Differential Diagnosis
Acute gastritis Local effects such as drugs, alcohol, nicotine, irregular eating, bacterial toxins, infection by Helicobacter pylori, and stress resulting from trauma, burns, shock, and surgery often trigger inflammatory changes in the gastric mucosa by damaging the mucosal barrier Nutritional recommendations in acute gastritis As part of nutritional therapy, alcohol, nicotine, and drugs that damage … Gastric Mucosa Inflammation: Nutritional Therapy
Therapeutic targets Acute gastritis: the goal is to normalize the gastric mucosa and protect it from further damaging influences. Chronic gastritis: prevention of secondary damage such as ulcers (ulcers) or gastric carcinoma or a MALT lymphoma. Therapy recommendations Acute gastritis: Antacids (short-term use only). Proton pump inhibitors (PPI) [first-line therapy]. Helicobacter pylori eradication (germ elimination; … Gastric Mucosa Inflammation: Drug Therapy
Obligatory medical device diagnostics. To make the diagnosis of gastritis, a gastroscopy (endoscopic examination of the stomach) is performed. As part of the examination, a biopsy (tissue sample collection) from the stomach takes place. The sample obtained in this way is examined microscopically to detect the gastritis. At the same time, any pre-existing gastric ulcer … Gastric Mucosa Inflammation: Diagnostic Tests
Gastritis may be associated with the risk of deficiency of the following vital nutrients (micronutrients): Vitamin B1 Chronic atrophic gastritis may additionally be associated with the risk of deficiency of the following vital nutrients (micronutrients): Vitamin B12 Gastritis due to infection with Helicobacter pylori can be treated in support of antibiotic therapy with: Probiotics The … Gastric Mucosa Inflammation: Micronutrient Therapy
To prevent gastritis (gastric mucositis), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Irregular meal intake Consumption of stimulants Alcohol Coffee (high consumption) Smoking Stress
The following symptoms and complaints may indicate acute gastritis (gastritis): Cramping abdominal discomfort (abdominal pain)* . Stomach pain Belching* Feeling of fullness* Anorexia (loss of appetite) Nausea (nausea)* Nausea, possibly vomiting * Dyspeptic complaints; often as epigastric (“referring to the upper abdomen (epigastrium)”) fasting painMost patients with chronic gastritis have no complaints. Occasionally, there is … Gastric Mucosa Inflammation: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Acute gastritis The term acute gastritis describes a histologically (fine-tissue) confirmed inflammation of the gastric mucosa. Hyperemia (excessive blood supply to the tissue), edema (swelling or water retention), and, depending on the type of gastritis, infiltration of granulocytes (white blood cells) occur. It is known that subsequent factors can attack or … Gastric Mucosa Inflammation: Causes
General measures Nicotine restriction (refraining from tobacco use). Alcohol restriction (abstaining from alcohol) – wine and beer (non-distilled alcoholic beverages) increase acidity (acidity) of gastric juice. * Abstention from caffeine consumption – In the majority of patients, the intake of caffeinated beverages leads to an increase in symptoms. Review of permanent medication due topossible effect … Gastric Mucosa Inflammation: Therapy
Acute gastritis (gastritis) may result in the following secondary diseases or complications: Blood, blood-forming organs – Immune system (D50-D90). Iron deficiency anemia (anemia due to iron deficiency). Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Ulcus ventriculi (gastric ulcer) and consequently come to a gastric perforation or a life-threatening gastric bleeding, which is manifested … Gastric Mucosa Inflammation: Secondary Diseases
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Abdomen (abdomen) Shape of the abdomen? Skin color? Skin texture? Efflorescences (skin changes)? Pulsations? Bowel movements? Visible vessels? Scars? … Gastric Mucosa Inflammation: Examination