Gastritis is an inflammation of the stomach lining. Gastritis can be defined as: Acute—comes on suddenly and lasts for a short timeChronic—either long lasting or recurrent
Gastritis can be erosive. Erosive gastritis can wear away the lining of the stomach. It may also cause ulcers and bleeding.
Causes of acute gastritis include:
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as
Severe stress from
, burns, or injury
Causes of chronic gastritis include:
Bacterial infection, such as
Viral infectionFungal infectionNSAID useAlcohol useReflux of bile into the stomach
Autoimmune diseases such as
, a cause of autoimmune gastritis
Radiation treatmentSwallowing caustic substances
Factors that increase your chance of acute gastritis include: NSAID useAlcohol useHead injurySurgeryRespiratory failureKidney failureLiver failure
Factors that increase your chance of getting chronic gastritis include: H. pylori
NSAID useAlcohol use
Symptoms may include: Abdominal burning and painIndigestionAcid reflux, when stomach acid comes up the esophagusBurpingBloatingLoss of appetiteFeeling fullNausea and vomiting
If the gastritis is causing bleeding, you may notice: Bloody or black vomitBloody or dark black, tarry stools
The doctor will ask about your symptoms and medical history. A physical exam will be done.
Tests may include: Upper GI series
—a series of x-rays of the upper digestive system taken after drinking a barium solution
—a thin, lighted tube inserted down the throat and into the stomach to examine the inside of the stomach
Blood, breath, or stool tests—to check for infection with the bacteria
Upper GI Endoscopy
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Talk with your doctor about the best treatment plan for you. Options may include:
Medications for gastritis help relieve symptoms and help heal the stomach lining. Medications are available over-the-counter or by prescription. Your doctor may recommend: AntacidsH-2
blockersProton pump inhibitorsAntibiotics if an infection is present or possible
Treatment may also include stopping or changing NSAIDs or other medications that may be causing the irritation.
If you are diagnosed with gastritis, follow your doctor's
To reduce your chance of getting gastritis from NSAIDs: Use other drugs when possible for managing pain.Take the lowest possible dose.Don't take drugs longer than needed.Don't drink alcohol while taking the drugs.
To reduce your chance of getting
Wash your hands after using the bathroom and before eating or preparing food.Drink water from a safe source.
If you smoke,
Acute gastritis. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated March 18, 2013. Accessed May 1, 2013.
Chronic gastritis. EBSCO DynaMed website. Available at:
http://www.ebscohost.com/dynamed. Updated June 6, 2012. Accessed May 1, 2013.
Gastritis. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at:
http://digestive.niddk.nih.gov/ddiseases/pubs/gastritis. Updated April 23, 2012. Accessed May 1, 2013.
Last reviewed March 2014 by Daus Mahnke, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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