Disease |
GASTRITIS |
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Quotation |
"Here rest the bones of susan lowder Who burst while drinking seidility powder Although she has gone to her heavenly rest She should have waited till it effervesced" |
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Definition |
Inflammation of the stomach in histological terms, and divided in to Acute or Chronic |
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Prognosis |
Would depend upon the cause. It is excellent in H.Pylori induced gastritis treated adequately. In initially-seropositive cases, undetectable antibody levels for H.Pylori at the end of a year after therapy, would signify a cure. |
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General Measures |
Parenteral fluids and electrolyter, if vomiting prevent oral intake. Blood transfusion for acute gastritis with haemetemesis ant blood loss. |
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Advice to Patient |
Avoidance of alcohol, smoking coffee and drugs known to have caused gastritis earlier, like aspirin of NSAID’s. |
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Follow Up |
To repeat gastroscopy after 6 weeks for those severe gastritis, and those whose symptoms persist despite therapy. It is important to rule out gastric malignancy. Surbeilance gastroscopy advised in patients with atrophic gastritis (increased risk of cancer) |
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Inadequate Response |
Consider H. Pylori eradication. |
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Prevention |
Avoidance of drugs know to cause acute gastritis in patients with history or active peptic ulcer, and history of drug induced gastritis. |
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Reference From |
www.gicare.com/pated/ecdgs46.htm |