Gastritis Last updated: May 12, 2008

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  Gastritis  
 

 
Signs, symptoms and indicators | Conditions that suggest it | Contributing risk factors | Recommendations

 
 

Gastritis is defined as inflammation of the lining of the stomach. This inflammation occurs when H. pylori or one of several other organisms infect the stomach. This is often associated with low levels of stomach acid. When stomach acid levels are very low, or chronically neutralized by antacids, H. pylori is less likely to be the cause and the overgrowth of others becomes more likely. Other causes, some of which act through low stomach acid, include medications, alcohol, ingestion of corrosive substances and extreme physiological stress. Acute gastritis is often associated with a sudden and severe illness or trauma. The incidence is about 8 out of every 1,000 people.

Sometimes the inflammation of the stomach lining can become so serious that an ulcer develops. Gastritis can be diagnosed by biopsy and specimen examination under a microscope, where the presence of increased white blood cells is seen.

 
 

Signs, symptoms & indicators of Gastritis:
 
 
Ayurvedic Typing  Low tolerance of spicy foods
 Spicy foods are a common trigger for gastritis.

Symptoms - Bowel Movements

  (Very) frequent stools or normal stool frequency

Symptoms - Food - General

  Weak appetite

Symptoms - Gas-Int - General

  Epigastric pain
  Unexplained nausea
  Unexplained vomiting

Symptoms - Metabolic

  Having a high/having a moderate/having a slight fever
 
 

Conditions that suggest Gastritis:
 
 
Digestion  Gastric/Peptic Ulcers
 Severe inflammation of the stomach lining (gastritis) can result in ulceration.
 
 

Risk factors for Gastritis:
 
 
Supplements and Medications  Using NSAIDs
  Significant/moderate daily/mild daily aspirin use
  (Frequent/daily) aspirin use

Symptoms - Gas-Int - General

  History of unexplained nausea
 
 

Recommendations for Gastritis:
 
 
Botanical  Neem
 Neem extracts reduce the concentration of acid in the stomach and have anti-bacterial and anti-inflammatory properties that can provide relief from the effects of gastritis. Drink neem tea or ingest neem leaf powder as needed to protect the stomach and reduce discomfort.

  Robert's Formula
 See the link between Gastritis and Slippery Elm.

  Slippery Elm (Ulmus rubra)
 Slippery elm's soothing mucilage effect has been used for disorders of the gastrointestinal tract. It is part of the herbal combination called "Robert's Formula", which is widely prized by naturopathic physicians for such intestinal inflammations as gastritis, Crohn's disease, and ulcerative colitis. For digestive disorders, taking 500-1,000mg of powder tid is often recommended. It may be used in lozenge form as well.

  Bladderwrack
 Demulcent herbs, such as bladderwrack, are high in mucilage. Mucilage might be advantageous for people with gastritis because its slippery nature soothes irritated mucus membranes of the digestive tract.

  Marshmallow root (Althea officinallis)
 Marshmallow is used for mild inflammation of the gastric mucosa. [The Complete German Commission E Monographs: Therapeutic Guide to Herbal Medicines. Austin: American Botanical Council and Boston: Integrative Medicine Communications, 1998, 167]

Drug

  Antibiotics
 Antibiotics are used to treat H. pylori and should be used to treat other bacterial overgrowths in the stomach as well. Since these overgrowths are usually responsible for the inflammation, eradication allows the stomach to heal and normal acid-control mechanisms to be restored. Prescription drug therapy that eliminates H. pylori infection, such as amoxicillin (Amoxil®), clarithromycin (Biaxin®), metronidazole (Flagyl®), and tetracycline (Sumycin®), in combination with the proton pump inhibitors lansoprazole (Prevacid®) and omeprazole (Prilosec®). Bismuth subsalicylate (Pepto Bismol®) may be added as well. Other medications may be prescribed to control stomach acidity, including prescription strength histamine H2 inhibitors, such as cimetidine (Tagamet®), ranitidine (Zantac®), and famotidine (Pepcid®), as well as the proton pump inhibitors omeprazole (Prilosec®), lansoprazole (Prevacid®), pantoprazole (Protonix®), and rabeprazole (Aciphex®).

Lab Tests/Rule-Outs

  Test for Helicobacter Pylori Infection
  Hydrochloric Acid (Trial)
 Once the stomach lining has been healed by the use of other agents, a hydrochloric acid (HCl) trial is often useful since it may have been an HCl deficiency that contributed to bacterial overgrowth and subsequent inflammation in the first place. Do not take HCl until the stomach lining has fully recovered, which usually takes at least a month.

  Test for Occult Blood

Mineral

  Calcium-2AEP

Oxygen / Oxidative Therapies

  Ozone / Oxidative Therapy
 Cubans are using capsules filled with ozonated oil to treat gastroduodenal ulcers, gastritis, giardia and peptic ulcers.
 
 


KEY
Weak or unproven link
Strong or generally accepted link
May do some good
Likely to help
Highly recommended

Take a look at America over a century ago (1904):
Only 14 percent of the homes in the U.S. had a bathtub.
Only 8 percent of the homes had a telephone.
A three-minute call from Denver to New York City cost only $11.
There were only 8,000 cars in the U.S. and only 144 miles of paved roads.
The maximum speed limit in most cities was 10 mph.





GLOSSARY

Acute:  An illness or symptom of sudden onset, which generally has a short duration.

Antacid:  Neutralizes acid in the stomach, esophagus, or first part of the duodenum.

Biopsy:  Excision of tissue from a living being for diagnosis.

Gastritis:  Inflammation of the stomach lining. White blood cells move into the wall of the stomach as a response to some type of injury; this does not mean that there is an ulcer or cancer - it is simply inflammation, either acute or chronic. Symptoms depend on how acute it is and how long it has been present. In the acute phase, there may be pain in the upper abdomen, nausea and vomiting. In the chronic phase, the pain may be dull and there may be loss of appetite with a feeling of fullness after only a few bites of food. Very often, there are no symptoms at all. If the pain is severe, there may be an ulcer as well as gastritis.

Helicobacter Pylori:  H. pylori is a bacterium that is found in the stomach which, along with acid secretion, damages stomach and duodenal tissue, causing inflammation and peptic ulcers. Although most people will never have symptoms or problems related to the infection, they may include: dull, 'gnawing' pain which may occur 2-3 hours after a meal, come and go for several days or weeks, occur in the middle of the night when the stomach is empty and be relieved by eating; loss of weight; loss of appetite; bloating; burping; nausea; vomiting.

Stomach:  A hollow, muscular, J-shaped pouch located in the upper part of the abdomen to the left of the midline. The upper end (fundus) is large and dome-shaped; the area just below the fundus is called the body of the stomach. The fundus and the body are often referred to as the cardiac portion of the stomach. The lower (pyloric) portion curves downward and to the right and includes the antrum and the pylorus. The function of the stomach is to begin digestion by physically breaking down food received from the esophagus. The tissues of the stomach wall are composed of three types of muscle fibers: circular, longitudinal and oblique. These fibers create structural elasticity and contractibility, both of which are needed for digestion. The stomach mucosa contains cells which secrete hydrochloric acid and this in turn activates the other gastric enzymes pepsin and rennin. To protect itself from being destroyed by its own enzymes, the stomach’s mucous lining must constantly regenerate itself.

Ulcer:  Lesion on the skin or mucous membrane.

White Blood Cell:  (WBC): A blood cell that does not contain hemoglobin: a blood corpuscle responsible for maintaining the body's immune surveillance system against invasion by foreign substances such as viruses or bacteria. White cells become specifically programmed against foreign invaders and work to inactivate and rid the body of a foreign substance. Also known as a leukocyte.