Upper Endoscopy Show Inflammation
My husband had been
I’ll some time! Blood work
Done stool urine samples clear! He had upper endoscopy done yesterday which showed inflammation
Of stomach! The consultants are now going to check for gall stones, Crohn’s disease and celiac! His symptoms are constant I mean everyday nausea without sickness! Slight jaundice, stabbing stomach pain mainly to the right lower! Loose bowels, weight loss! No blood in stools! Anyone help at all please
0 likes, 11 replies
5 years ago
Was this ever resolved my husband has exactly the same and has been this way for 2 and a half years.
He doesn’t have jaundice but he has nausea, goes from constipated to lose bowels, 5 stone weight loss and a pain to the right of his belly button.
It started after travelling to India, he has been treated for the parasite Giardia
Doctors can’t help him any more and they are saying IBS but we disagree he has no triggers it’s with him 24 hrs a day.
From our own research we possibly think a Candida over growth he has had so many bacteria we think his gut has been wiped of all good bacterias and just left him with the bad.
It’s driving us both mad we have looked into some really crazy theories as to what it could be
What Are The Signs Of Gastritis
The most common clinical signs associated with gastritis are sudden vomiting and decreased appetite . Other clinical signs may include dehydration, lethargy or depression, increased thirst, blood in the vomit or feces, and abdominal pain. Acute gastritis is typically self-limiting and of short duration. The cause is normally not discovered because the clinical signs usually resolve before diagnostic testing is performed.
Differentiating Ibd From Ibd Mimickers Based On Endoscopy
The diagnosis of IBD relies on a combination of symptoms, laboratory analysis, imaging, endoscopy, and histology. However, the endoscopic inflammation in IBD can be non-specific and due to causes other than IBD. In addition to differentiating between CD and UC and staging the extent of disease, other causes of bowel inflammation should be ruled out. This is particularly important as the treatment for IBD may lead to worsening of other conditions, particularly infection.
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What Are The Causes Of Gastric Mucosal Inflammation
A distinction is made between acute and chronic inflammation of the stomach. The acute inflammation of the stomach starts suddenly and the symptoms are very clear. Causes of acute inflammation of the stomach can be, for example:
- Food poisoning from eating food that is spoiled by bacteria or fungi.
- Taking medication, e.g. some pain relievers such as aspirin, ibuprofen or diclofenac, iron substitution and also drugs from cancer therapy
- Alcohol consumption – however, it varies individually how much alcohol is tolerated before symptoms are triggered.
- Infections with bacteria or viruses. An infection with the Helicobacter pylori bacterium is common.
- Stress or mental illness such as depression.
Chronic gastric mucosal infections can also arise from untreated acute gastric mucosal infections. There are three different types of chronic gastric inflammation:
- Type A: Autoimmune gastritis. In this form, the body’s immune system destroys the acid-producing cells in the stomach.
- Type B: Chronic gastric mucosal inflammation caused by bacteria, in 98% of cases by Helicobacter pylori.
- Type C: Chemically induced chronic gastritis through medication , alcohol, nicotine.
Relationship Between Abnormal Upper Gastrointestinal Endoscopic Results And Hp Infection
Relationship between chronic gastritis and Hp infection
Among the 2923 patients who underwent medical examinations, a total of 976 were tested for Hp infection. There were 306 cases of chronic gastritis and 48 cases of non-chronic gastritis in the Hp-positive group, with detection rates of 34.19 and 59.26%, respectively . Positive Hp infection was only present in 34% of patients with chronic gastritis .
Table 4 Relationship between abnormal upper gastrointestinal endoscopic results and Helicobacter pylori infection
Relationship between the extent of gastric mucosal inflammation and Hp infection in chronic gastritis
The results of 346 gastric mucosal biopsies as follows: there were 26 cases of mild inflammation and 165 cases of moderate or severe inflammation in the Hp-positive group, with detection rates of 13.61 and 86.39%, respectively. There were 135 cases of mild inflammation and 20 cases of moderate or severe inflammation in the Hp-negative group . There were significant differences between these two groups . The inflammation of gastric mucosa in chronic gastritis was more severe in the Hp-positive group than in the Hp-negative group.
Relationship between peptic ulcer and Hp infection
A total of 976 patients underwent Hp examination. There were 176 Hp-positive and 117 Hp-negative cases with peptic ulcers, with detection rates of 49.72 and 18.81%, respectively . More patients infected with Hp also had peptic ulcers .
Relationship between polyps and Hp infection
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How Is Gastritis Diagnosed
Your healthcare provider will ask about your symptoms and history and perform a physical exam. Your provider may also order one or more of these tests:
- Breath test: During an H. pylori breath test, you swallow a capsule or liquid containing urea, a harmless radioactive material. You then exhale into a balloon-like bag. H. pylori bacteria change urea into carbon dioxide. If you have the bacteria, the breath test will show an increase in carbon dioxide.
- Blood test: A blood test checks for antibodies titers that fight H. pylori bacteria.
- Stool test: This test checks for H. pylori bacteria in your stool .
- Upper endoscopy: Your doctor uses an endoscope to see your stomach. The doctor inserts the scope through your esophagus, which connects your mouth to your stomach. An upper endoscopy procedure allows your provider to examine the stomach lining. You may also have a tissue sample taken from your stomach lining to test for infection.
- Upper gastrointestinal exam: During an upper GI exam, you swallow a chalky substance called barium. The liquid coats your stomach lining, providing more detailed X-ray images.
Then Its Time To Restore The Good Bacteria In The Gut To Rebuild The Stomach Lining
Once your stomach lining is starting to heal you can increase your pre and probiotics. Its so important to grow those colonies of probiotics to ward off any bugs or bad bacteria, to allow your stomach lining to heal. Over the next few months you will need to eat lots of prebiotic and probiotic foods. I would also recommend that you read our article on eating for good gut health for the path forward, once your stomach lining is healed.
More information such as this can be found in our nutrition guides which can be downloaded below
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How Is Gastric Mucosal Inflammation Treated
The most important thing for the treatment of inflammation of the stomach is finding the cause and then eliminating the cause:
- Acute inflammation of the stomach caused by food poisoning will go away on its own after a few days.
- Medications that could have caused the symptoms should, if possible, be discontinued or replaced with medication that is more gentle on the stomach.
- If there is a bacterial infection, targeted antibiotic therapy with tablets must always be initiated.
- In the event of stress or mental illness, relaxation procedures and psychological or psychiatric treatment can help.
General measures that also provide relief include the following:
- Refrain from alcohol, nicotine and coffee
- Eat easily digestible, gastric food
- Chew food well and take your time eating
- Consume multiple smaller meals throughout the day instead of three large ones
How Is Gastric Intestinal Metaplasia Categorized
Your healthcare provider may categorize gastric intestinal metaplasia based on the extent it’s in your stomach:
- Focal means IM is limited to a small, localized area in your stomach.
- Extensive means IM is found in more than one area of your stomach. Extensive IM is more likely to progress toward cancer.
Your healthcare provider may also categorize gastric intestinal metaplasia based on the degree of cellular transformation:
- Complete IM, also called Type I means the new cells in your stomach most closely resemble the cells of the small intestine. This is considered the first stage of intestinal metaplasia.
- Incomplete or Type II IM means the new cells more closely resemble the cells of your large intestine . This is considered an advanced stage of IM and is more likely to progress to dysplasia.
- Some scientists also define a Type III based on a slightly different configuration of cells. Type III would also fall under the category of incomplete IM.
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Prevention Of Erosive Gastritis
Prophylaxis with acid-suppressive drugs can reduce the incidence of acute stress gastritis. However, it mainly benefits certain high-risk intensive care unit patients, including those with severe burns, central nervous system trauma, coagulopathy, sepsis, shock, multiple trauma, mechanical ventilation for > 48 hours, chronic liver disease, acute kidney injury, hepatic or renal failure, multiorgan dysfunction, and history of peptic ulcer or gastrointestinal bleeding. A 2020 guideline for gastrointestinal bleeding prophylaxis for critically ill patients recommends that in most critically ill patients the benefit of acid suppression must be weighed against the risk of pneumonia. The guideline includes a calculator to help assess the risk of gastrointestinal bleeding. There is a possible increased risk of nosocomial pneumonia in critically ill patients receiving acid suppression. A recent meta-analysis concluded that proton pump inhibitors and histamine-2 receptor antagonists may increase the risk of pneumonia . The guideline further recommends using a PPI rather than a histamine-2 receptor antagonist and recommends against using sucralfate.
Early enteral feeding also can decrease the incidence of bleeding.
Acid suppression is not recommended for patients simply taking nonsteroidal anti-inflammatory drugs unless they have previously had an ulcer.
Symptoms Of Stomach Inflammation
In some cases, an individual can have gastritis without experiencing any symptoms. Those who do show symptoms often mistake gastritis for heartburn, as some of the most common signs include stomach pain, indigestion, nausea and vomiting, and loss of appetite.
But you may experience other symptoms as well, such as: 2
- Bloating and belching
- Black, tarry stool
If you find yourself vomiting blood regardless of the cause be sure to seek medical attention right away, as the underlying cause may be serious.
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What Are The Treatments For Gastritis
If you have indigestion and stomach pain, you can try treating this yourself with changes to your diet and lifestyle as follows:
- Eating smaller and more frequent meals.
- Avoiding irritating foods, such as spicy, acidic , fried or fatty foods.
- Not drinking any alcohol.
- Reducing stress. See the separate leaflet called Stress Management.
If you think the cause of your gastritis is repeated use of non-steroidal anti-inflammatory drugs , try switching to a different painkiller that isnât in the NSAID class, such as paracetamol. You may want to talk with your GP about this.
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What Causes An Inflamed Stomach
Dr. Saffouri says, “Depending on how one defines inflammation , it can be caused by infections such as Helicobacter pylori, medications including aspiring, ibuprofen, or naproxen, or autoimmune conditions. I want to clarify that this does not mean one should automatically stop taking a medication such as aspirin since this has clear health benefits in the right context.” Dr. Pitman adds, “The two most common causes of stomach inflammation are infection with H. Pylori, a bacteria that can live inside the stomach, and medications like aspirin or ibuprofen . Other less common causes include smoking, excessive alcohol use, and high salt intake. Autoimmune conditions, other types of medications, and certain other infections can also cause stomach inflammation.”
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Internal Signs And Symptoms
Chronic gastritis can lead to the appearance of other health problems inside the stomach.
In some cases, irritation in the stomach lining is associated with the growth of gastric polyps, small masses of tissue inside the stomach. They appear most frequently in type B chronic gastritis. The types of polyps associated with chronic gastritis can indicate a higher risk of stomach cancer.
Many gastric polyps are completely benign and will heal with treatment. If your doctor discovers polyps, they may choose to biopsy and test a tissue sample just to be safe. There are many different kinds of polyps, and the majority are usually inconsequential.
Sores called peptic ulcers can also appear in cases of chronic gastritis. Peptic ulcers are common, and larger ones in the stomach may cause abdominal pain. Thankfully, the medications used to treat chronic gastritis also give peptic ulcers a chance to heal.
Your risk for chronic gastritis increases if your lifestyle and dietary habits activate changes in the stomach lining. It may be useful to avoid:
Long-term consumption of alcohol can also lead to chronic gastritis.
A stressful lifestyle or a traumatic experience can also decrease your stomachs ability to protect itself. In addition, your risk increases if you have an autoimmune disease or certain illnesses such as Crohns disease.
Get medical help right away if any of the following occur:
How Is Gastritis Treated
Treatment for gastritis varies depending on the cause. Certain medications kill bacteria, while others alleviate indigestion-type symptoms. Your healthcare provider might recommend:
- Antibiotics:Antibiotics can treat the bacterial infection. You may need to take more than one type of antibiotic for couple of weeks.
- Antacids:Calcium carbonate medications reduce stomach acid exposure. They can help relieve inflammation. Antacids, such as Tums® and Rolaids®, also treat heartburn.
- Histamine blockers: Cimetidine , ranitidine and similar medications decrease the production of stomach acid.
- Proton pump inhibitors: These medications, such as omeprazole and esomeprazole , reduce the amount of acid your stomach produces. Proton pump inhibitors also treat stomach ulcers and gastroesophageal reflux disease .
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Gastric Tissue Biopsy And Culture
What is a gastric tissue biopsy and culture?
A gastric tissue biopsy and culture are laboratory tests that examine stomach tissue. These tests are typically carried out to determine the cause of a stomach ulcer or other troublesome stomach symptoms.
Gastric tissue biopsy is the term used for the examination of tissue removed from your stomach. For a gastric tissue culture, the tissue is placed in a special dish to see if bacteria or other organisms grow.
Tissue samples from your stomach are obtained during an endoscopic exam. In this procedure, a long, flexible tube with a small camera is inserted down your throat and esophagus and into your stomach and upper small intestine .
With the endoscope, your doctor can view your stomach for irregularities and remove tissue samples for biopsy and culture. The samples are then analyzed for the presence of infections or cancerous cells and signs of inflammation.
If Your Gastritis Is Caused By An Anti
If possible, you should stop the anti-inflammatory medicine. This allows the gastritis to heal. You will also normally be prescribed an acid-suppressing medicine for several weeks. This stops the stomach from making acid and allows the gastritis to heal. However, in many cases the anti-inflammatory medicine is needed to ease symptoms of joint inflammation or other painful conditions, or aspirin is needed to protect against blood clots. In these situations, one option is to take an acid-suppressing medicine each day indefinitely. This reduces the amount of acid made by the stomach and greatly reduces the chance of gastritis forming again.
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Inflammation Of The Stomach Lining Symptoms Duration & Treatment
Inflammation of the lining of the stomach is a common, inflammatory, non-contagious disease of the lining of the stomach, which can be acute or chronic. There are different treatment options depending on the cause.
Inflammation of the gastric mucosa is common it is estimated that more than half of people over 50 in developed countries suffer from chronic gastritis. The most common cause is the Helicobacter pylori bacterium.
At a glance:
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Seven Steps To Optimal Digestive Health
Fixing your digestion may take some time, but it can be done. And it is absolutely essential if you want to achieve vibrant health. So work on your inner tube of life using the steps above and watch as your symptoms disappear.
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How To Prepare For A Gastric Tissue Biopsy
Always follow the doctorâs instructions about what to do before the biopsy. Typically they will ask that a person avoids eating and drinking for 12 hours before the test.
They may also recommend that a person stops taking certain medications, such as blood thinners, before the procedure. However, never stop taking a prescribed medication without first discussing it with a doctor.