What OTC and Prescription Medications Treat Gastritis?
Don’t elevate your head with extra pillows. That makes reflux worse by bending you at the waist and compressing your stomach.
Some people who have gastritis have pain or discomfort in the upper part of the abdomen-the area between the chest and hips. However, many people with gastritis do not have any signs and symptoms.
Patients with laryngopharyngeal reflux present with symptoms related to the upper aerodigestive tract (Table 1) . The most common symptom reported by patients is a “lump in the throat” (globus sensation). Studies3- 5 have shown that in 23 to 60 percent of patients presenting with globus sensation, GERD is the etiologic factor. Gastroesophageal reflux is defined as the movement of gastric contents into the esophagus without vomiting.
In the initial diagnosis of Barrett’s esophagus, the endoscopist (the doctor performing endoscopy) needs to provide the pathologist with three landmarks so that a precise diagnosis of Barrett’s can be made. with the help of acid-suppressing drugs given for at least six weeks.
proton pump inhibitors (PPIs) include omeprazole (Prilosec, Zegerid), lansoprazole (Prevacid), dexlansoprazole (Dexilant), pantoprazole (Protonix), rabeprazole (AcipHex), and esomeprazole (Nexium). PPIs decrease acid production more effectively than H2 blockers. All of these medications are available by prescription. Omeprazole and lansoprazole are also available in over-the-counter strength.
Despite this, it is important to remember that an individual’s overall risk is quite low and that the vast majority of people with Barrett’s esophagus will never develop esophageal cancer. Every year, only one out of every 200 patients with Barrett’s esophagus will be diagnosed with esophageal cancer. Barrett’s esophagus is a condition affecting the lining of the esophagus, the swallowing tube that carries foods and liquids from the mouth to the stomach. The condition was first described in 1950 by Dr. Norman Barrett, a British thoracic surgeon. Since this original description, numerous advances have been made in our understanding of Barrett’s esophagus.
- Most people with acid reflux don’t develop Barrett’s esophagus.
- Although some evidence suggests that GERD is a cofactor in the development of squamous cell carcinoma of the larynx, research is needed to determine the importance of GERD in the pathogenesis.
- Disseminated histoplasmosis can involve the stomach.
- Complications result from a chronic infection rather than from an acute infection.
[Medline]. Gastritis affects all age groups. The incidence of H pylori infection increases with age. Microscopic evidence of acute gastritis can be seen in patients with Crohn disease, though clinical manifestations are rare (occurring in only about 2-7% of patients with Crohn disease). Focally enhancing gastritis is now recognized as a condition seen in both Crohn disease and ulcerative colitis.
Acid suppression should be started if the patient is not already receiving it. More serious reflux symptoms, such as bleeding from the esophagus or swallowing problems, might warrant further investigation.
NSAIDs, such as aspirin, ibuprofen, and naproxen, are the most common agents associated with acute erosive gastritis. This results from both oral and systemic administration of these agents, either in therapeutic doses or in supratherapeutic doses. Multiple biopsies were taken from gastric antrum of the patients which revealed 24 patients (48%) with chronic inflammation, 16 patients (32%) with acute inflammation, 12 patients (24%) with H. pylori, and 10 patients (20%) were normal, as shown in [Table 5].
The second case demonstrates a laryngeal complication of GERD. Further work-up may include an esophagram, manometry, endoscopy, a modified Berstein’s test or ambulatory 24-hour pH monitoring. The gold standard for making the diagnosis of laryngopharyngeal reflux is dual-probe 24-hour pH monitoring, where the probes are placed in the pharynx and esophagus.2 This procedure has increased our understanding of the pathophysiology of GERD-related otolaryngologic complications. Heartburn, the classic symptom of GERD, is common in patients with gastrointestinal symptoms but uncommon in those with head and neck manifestations. One study3 reported only a 20 to 43 percent incidence of heartburn in patients with head and neck symptoms.
Most cases of indigestion are short-lived and don’t require medical care. See your doctor if you have signs and symptoms of gastritis for a week or longer.
You may feel fatigued and dizzy and look pale if you’re anemic. Gastritis usually affects your entire stomach, but sometimes it only affects the antrum – the lower part of the stomach. Gastritis can be short-term (acute) or long-term (chronic).
The procedure is to help GERD symptoms including heartburn. Eighty percent of patients with GERD also have a hiatal hernia, and during the fundoplication procedure, the hernial sac may also be surgically fixed.