Español • My account

Gastritis

One talks about to the acute or chronic inflammatory alterations of the mucosa of the stomach caused by diverse causes. Clinically difference in acute gastritis and chronic gastritis. In the acute gastritis, the main symptom is the pain prolonged in epigastrio, accompanied often by nauseas, vomit, diarrea, fever and other symptoms. Of not being treated the acute gastritis, one becomes in chronicle. It can be caused by the abuse and irritating food ingestion during long time.

The chronic gastritis presents/displays irregular clinical symptoms, which generally, are sensation of gastric fullness, the epigástrico deaf pain, sensation of pesantes, hiporexia, nauseas, vomits, belches, acids, etc. The x-rays examination contributes to its diagnosis. This disease corresponds to the field of "gastralgia", "food abuse" and "vomits" within the Chinese Traditional Medicine.

Common causes

• Drugs (for example, antinflamatorios not esteorides, including aspirin, alcohol)
• Gastric Ulcer (peptic ulcer)
• Stress (in special in clients in units of intensive or coronary cares)
• Age outpost idiopáticos
• Upheavals rare Causes Posgastrectomía biliary Ebb tide Infection (Campylobacter)
• Very rare causes Allergy (generally specific, for example, nuts, chocolates) bacterial Infections (tuberculosis, sífilis)
• corrosive Substances (Clinistet tablets, ingestion of lye or acid)
• Disease of Crohn Eosinofilia epidérmica Gastritis of not known cause (a published series) Granulomatosis parasitic
• Diseases (for example, estrongiloidiasis, anisalciasis, esquistosomiasis)
• Seudolinfoma X-ray or exhibition to Sarcoidosis radiation
• Viral Diseases (for example, virus of herpes, citomegalovirus, virus of varicela)

Symptoms and signs

The symptoms of gastritis varie according to the cause, but frequently, an important characteristic is the persistent anorexy. It can have epigástrica fullness or easy satiety and nauseas and vomits. It is possible that there is high gastrointestinal hemorrhage, sometimes important, in individual in the erosive hemorrágica gastritis by drugs, corrosive stress or. In bacterial clients with secondary gastritis to acute infections or toxins (estafilicócica), it can have malaise, diarrea, cólicos, fever, chill and migraine, with the consequent dehydration. In the examination hypersensitivity can be epigástrica.

Data of laboratory

They can be normal or to indicate the underlying process (infectious, hemorrágico, etc.).

Special examinations

In those who acute high gastrointestinal hemorrhage appears, the early ondoscopia (in the course of 24 hours) allows to accurately identify the source of hemorrágica herosiva gastritis, ulceraciones by drugs, etc. The preendoscópico clinical diagnosis of the hemorrhage source is correct in only half of the clients. In clients with corrosive gastritis, the endoscopia allows to determine the extension of the injury. In clients with dispepcia and normal radiological studies that they do not respond to the usual treatment, the buccal endoscopia can show to the presence or absence of upheavals of the motilidad or abnormalitys of the mucosa.

Diagnosis differential

In addition to the upheavals that we indicated above, it is necessary to consider ulcer, neoplasias, esofágico colesistitis, espasmo, angina of chest, abdominal angina, pancreáticas diseases and psychological gastrointestinales upheavals peptic.