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DIAGNOSIS
- medical history & physical examination
- blood works including H pylori test
- GI series and tomography scans
- endoscopy
- Barium swallow studies
- stool exam
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TREATMENT
- individualized symptom management
- treat the underlying cause
- antacids and H2 blockers
- antibiotics
- proton pump inhibitors
- surgery if necessary
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EPIDEMIOLOGY
- higher prevalence on individuals that drink alcohol and use NSAIDs
- prevalence rates of 6.3 per 100,000 population
- the morbidity and mortality is dependent on the etiology of the gastritis
- the incidence of H pylori infection increases with age
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CLINICAL PRESENTATION
- upper abdominal pain or discomforts
- epigastric pain
- stomach fullness
- nausea and vomiting
- anorexia
- rectal bleeding
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PATHOPHYSIOLOGY
-
inflammation of the gastric mucosa
- infection/H pylori
- bile salts reflux
- stress, autoimmune
-
injury to the protective lining of the stomach
- ASA & NSAIDs use
- alcohol drinking & cocaine use