Acidity in stomach
Introduction
Now let's start today's article which is on gastritis i.e. inflammation of the stomach commonly called acidity And this leads to various symptoms in the patient like burning in the stomach, pain, gas problem, abdominal distension In this video, we will discuss what causes gastritis.
What are the symptoms of gastritis/acidity? And about the investigation by which it is confirmed and the complications identified, and we will talk about its medical management and treatment of acidity i.e. about medicines by which acidity can be cured In Gastritis.
Symptoms
There is inflammation of the lining of the stomach This
inflammation can develop suddenly leading to acute gastritis And sometimes this
inflammation develops gradually, leading to Chronic Gastritis And if we talk
about the symptoms then the patient develops burning and pain in the upper
abdomen abdominal heaviness, gas problems, belching, fullness of abdomen
Besides patients may develop nausea and sometimes they vomit And sometimes in
complicated cases, when the bleeding starts from the stomach the patient develops
black stools, blood in stools, and vomitus .
Blood in stools and vomitus is an emergency condition, it’s a
grave situation for which the patient needs to urgently consult a good
Gastroenterologist.
when the patient needs to consult a doctor?
Next, we will discuss, when the patient needs to consult a
doctor? Although in the majority of cases the symptoms of acidity get relieved
without medicines in 1-2 days But if the symptoms are present for more than 1
week, or patient has developed black stools, blood in stool and vomitus Then
the patient needs to consult a good Gastroenterologist Besides, if the day to
day activities of the patient is getting affected or the condition has worsened
due to gastritis, then also patient needs to consult a doctor.
Causes
Next, we will talk about the causes of Gastritis? So many
times it has been found that gastritis has developed due to bad dietary habits
and bad lifestyle And in it important causes are, intake of spicy food, junk
food, fried food, alcohol, smoking mental stress, lack of nighttime sleep. All
these factors increase acid production in the stomach which attacks the lining
of the stomach leading to gastritis, acidity, inflammation of the stomach There
are also other important causes and important among these is, stomach infection
by Helicobacter Pylori i.e. H. Pylori bacteria H. Pylori infection is a very
important cause of acidity Besides pain killers from NSAIDS class, which
include Diclofenac, Ibuprofen, Aspirin named medicines Intake of these
medicines also leads to the development of Gastritis Besides, trauma, severe
infection, burn also lead to Gastritis And sometimes the body cells, themselves
attack the lining of the stomach leading to the inflammation of the stomach
This is called Autoimmune Gastritis And autoimmune gastritis is found to be
associated with Vitamin B 12 deficiency Type 1 Diabetes Mellitus and also with
other autoimmune diseases. These were some causes of Gastritis.
Investigation
Next, we will talk about the investigations used to confirm
Gastritis and to identify its complications So, to confirm gastritis a very
commonly used and a very good investigation is Upper Gastrointestinal Endoscopy
also called UGI endoscopy But before doing Upper GI Endoscopy the patients need
to be kept on fasting for 4 hours, they should not eat for 4 hours Then a
flexible tube with a camera on top is inserted through the mouth and passed
through the food pipe, stomach till the small intestine And the recording of
the camera the Doctor watches on a screen and in this way, the diagnosis of
Gastritis is confirmed in the patient and other diseases of the food pipe,
stomach, and intestine are diagnosed And sometimes Upper GI Endoscopy is also
used to take Biopsy of the stomach Besides to confirm the infection of
Helicobacter Pylori, H. Pylori the Doctors may advise Biopsy, blood test, stool
test, and Breath test Besides Doctors may also advise Complete blood count,
liver function test, and stool occult blood test.
Treatment
we will talk about the treatment of Gastritis So First, we
will talk about medicines which reduce acid production in the patients And
First class of Drugs in it is Proton Pump Inhibitors also called PPIs this
class includes Omeprazole, Pantoprazole and Rabeprazole named medicines And to
get the maximum benefit of these drugs the patient should take these drugs 30
minutes before food intake Initially, PPIs are started once a day, in the
morning But if the patient does not get relief by once a day dose then the drug
is given twice a day in the patient And also in the evening, this drug should
be taken 30 minutes before food.
The second class of drug is H2 blockers H2 blockers include
Famotidine, Nizatidine named medicines These drugs also reduce acid production
and promote healing of the stomach lining Third, are the antibiotics against
Helicobacter Pylori bacteria And these include Amoxicillin, Clarithromycin and
Metronidazole named antibiotics These antibiotics are given in combination with
Proton Pump Inhibitors And the patient should remember to complete the full
course of these antibiotics as advised by the Doctor, to get the maximum effect
Doctors may also advise antacids to get quick relief these antacids neutralize
the acidity of the stomach which gives instant relief to the patient And
Antacids contain combinations of Aluminium and Magnesium salts And besides
these medicines, patient need to make dietary and lifestyle changes.
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