Gastritis history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aravind Reddy Kothagadi M.B.B.S[2]
Overview
It is important to reviews a patient's history regarding medications, alcohol intake, smoking, and other risk factors that may be associated with gastritis. Symptoms of gastritis may be silent or manifest as abdominal discomfort, nausea, vomiting, and/or gastrointestinal bleeding. Individuals with gastritis experience abdominal pain and gastric disturbances. Symptoms as a result of gastritis are upper abdominal pain or discomfort, dyspepsia (indigestion), nausea, vomiting of blood or dark brown/coffee-ground like vomitus, bloating sensation in the upper abdomen, belching, heartburn, loss of appetite, melena (dark stools), gastric hemorrhage, fever, lethargy, halitosis, epigastric pain or abdominal pain, early satiety, fatigue and diarrhea.
History
- It is important to reviews a patient's history regarding medications, alcohol intake, smoking, and other risk factors that may be associated with gastritis.
- Specific areas of focus when obtaining a history from the patient include history of:[1][2][3]
- Nausea & vomiting
- Epigastric or abdominal pain
- Bloating
- Pain aggravating or relieving with food
- Gastrointestinal bleeding
- Anorexia
- Weight loss
- Pallor
- Previous laboratory findings of anemia
- A positive family history of gastrointestinal diseases or H. pylori infection
- History of medication use (e.g. NSAIDS)
- Food and drinking water hygiene
- If H. pylori infection is suspected in children, the history of the patient should include:
- Pain (location, character, duration, radiation, severity, aggravating and relieving factor)
- Diet, appetite and weight changes
- Nausea
- Vomiting
- Bloating
- A positive family history of gastrointestinal diseases (eg., Ulcers, crohn's disease) or H. pylori infection
- History of NSAIDS use
- Food and drinking water hygiene
Symptoms
- Individuals with gastritis experience abdominal pain and gastric disturbances.
- The following symptoms may result from gastritis or the underlying cause:
- Upper abdominal pain or discomfort
- Dyspepsia (indigestion)
- Nausea
- Vomiting of blood or dark brown/coffee-ground like vomitus
- Bloating sensation in the upper abdomen
- Belching
- Heartburn
- Loss of appetite
- Melena (Dark stools)
- Gastric hemorrhage
- Fever
- Lethargy
- Halitosis
- Epigastric or abdominal pain
- Early satiety
- Fatigue
- Diarrhea
References
- ↑ Kusters JG, van Vliet AH, Kuipers EJ (2006). "Pathogenesis of Helicobacter pylori infection". Clin Microbiol Rev. 19 (3): 449–90. doi:10.1128/CMR.00054-05. PMC 1539101. PMID 16847081.
- ↑ Testerman TL, Morris J (2014). "Beyond the stomach: an updated view of Helicobacter pylori pathogenesis, diagnosis, and treatment". World J Gastroenterol. 20 (36): 12781–808. doi:10.3748/wjg.v20.i36.12781. PMC 4177463. PMID 25278678.
- ↑ Garza-González E, Perez-Perez GI, Maldonado-Garza HJ, Bosques-Padilla FJ (2014). "A review of Helicobacter pylori diagnosis, treatment, and methods to detect eradication". World J Gastroenterol. 20 (6): 1438–49. doi:10.3748/wjg.v20.i6.1438. PMC 3925853. PMID 24587620.