IDIOPATHIC CHRONIC EROSIVE GASTRITIS

IDIOPATHIC CHRONIC EROSIVE GASTRITIS

Idiopathic chronic erosive gastritis is distinguished by many inflammatory lesions in the stomach mucous lining. It could be a one-time occurrence or a long-term problem.

It also has no identified cause. It could be caused by excessive alcohol use, infection, or long-term use of non-steroidal anti-inflammatory drugs, like ibuprofen. 

Furthermore, anger or stress has the tendency to aggravate symptoms. Some cases of idiopathic chronic erosive gastritis have been linked to Crohn’s disease, whereas others have no obvious cause.

SYMPTOMS

Idiopathic chronic erosive gastritis is a stomach inflammation marked by numerous lesions in the mucous lining, which produces ulcer-like indications. A heavy feeling and burning in the bottom of the stomach, vomiting, nausea, weakness, and loss of appetite are all possible symptoms.

In serious instances, there may be stomach bleeding, which can lead to anemia. Some patients with this problem, particularly those who take aspirin on a regular basis, may not display any symptoms until the disease has progressed.

When you have symptoms of idiopathic chronic erosive gastritis for a week or more, see your doctor. And if you have stomach pain after using prescription or OTC medications, primarily aspirin or other painkillers, tell your doctor.

DIAGNOSIS

To diagnose this, your doctor will ask you about your symptoms, lifestyle, medical history, and do a physical exam. 

Afterward, he/she may use a gastroscope to visually examine the inside of your stomach and to give a correct diagnosis. 

TREATMENT

The treatment for this depends on your conditions and symptoms. Usually, the two most common treatments are:

  • H2 blocker or proton pump inhibitor. These are acid blockers or suppression.
  • Endoscopic hemostasis. This therapy is an effective and safe procedure to manage high-risk symptoms of hemorrhage. 

Meanwhile, in serious cases of idiopathic chronic erosive gastritis, bleeding is controlled by blood transfusions. Aside from those, IV fluids may be required. 

Endoscopic hemostasis should be tried first, with surgery as an alternative. Due to the extreme multiple collateral arteries supplying the abdomen, angiography is used to control serious gastric bleeding. If the patient is not yet on acid suppression, it should be started.

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