Gastritis

Background

  • Inflammation of the stomach lining
  • May occur acutely or chronically
  • May lead to peptic ulcer disease
  • Causes
    • H. pylori
    • NSAIDs
    • ETOH
    • Critical Illness (Cushing ulcer)
      • Increased ICP, stimulation of vagal nuclei, increased secretion of gastric acid

Clinical Features

  • Gnawing or burning epigastric pain
  • Nausea/vomiting
  • Early satiety, bloating
  • Heartburn

Differential Diagnosis

Epigastric Pain

Evaluation

Management

Disposition

  • Normally outpatient management, unless complication (see below)

Red Flags

Any of the following suggest need for endoscopy referral:

See Also

  • PUD

References

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