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Home > Help Desk > Health Concern > Section G > Gastritis

Gastritis

Gastritis is a broad term for inflammation of the stomach lining, also called the gastric mucosa. This condition can be caused by many factors and, in some cases, may lead to an ulcer. For that reason, many of the same nutrients, herbs, and lifestyle changes for a peptic ulcer might also help someone with gastritis.

Bacterial infection, most notably with Helicobacter pylori, is a major cause of gastritis. H. pylori is the same bacterium responsible for most cases of peptic ulcer. When considering treatments for gastritis, many researchers now look for substances that eradicate H. pylori, including bismuth and antibiotics.

Other causes of gastritis include intake of caustic poisons, alcohol, and some medications (such as aspirin or steroids), as well as physical stress from the flu, major surgery, severe burns, or injuries. For some people, a drug allergy or food poisoning can cause gastritis. Atrophic gastritis is a form of gastritis found particularly in the elderly, where stomach cells are destroyed, potentially leading to pernicious anemia.

What are the symptoms of gastritis?
Acute gastritis is typically characterized by nonspecific abdominal pain. Since gastritis often occurs in severely ill, hospitalized people, its symptoms may be eclipsed by other, more severe symptoms. Gastritis that is caused by H. pylori eventually leads to peptic ulcers, which are characterized by a dull ache in the upper abdomen that usually occurs two to three hours after a meal; the ache is typically relieved by eating.

How is it treated?
Acute gastritis caused by trauma, stress, or severe illness usually resolves spontaneously when the stress or underlying cause is resolved. Peptic ulcers are normally treated with antibiotics to eliminate infection with H. pylori. In addition, other medications may be prescribed to control stomach acidity, including histamine H2 inhibitors, proton pump inhibitors, and antacids.

Dietary changes that may be helpful:
Salt can irritate the stomach lining. Some research suggests that eating salty foods increases the risk of developing a H. pylori infection. Researchers have speculated that increased salt intake may also increase the risk of other forms of gastritis.

Lifestyle changes that may be helpful:
Gastritis is common among alcoholics. Both heavy smoking and excessive alcohol consumption are known causes of acute gastritis. While heavy alcohol intake is clearly damaging to the stomach lining, preliminary evidence suggests that moderate alcohol consumption (generally defined as two drinks per day in women or three drinks per day in men) may actually protect against the development of gastritis by facilitating the elimination of H. pylori. When alcohol is consumed in greater than moderate amounts, it causes a wide variety of health problems.

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