ইরোসিভ গ্যাস্ট্রাইটিস হলে কি হয় এবং কত দিনের চিকিৎসায় ভালো হয় | Erosive Gastritis Treatment

ইরোসিভ গ্যাস্ট্রাইটিস হলে কি হয় এবং কত দিনের চিকিৎসায় ভালো হয় তা বলেছেন

লিভার গ্যাস্ট্রো-এন্টেরোলজি ও মেডিসিন বিশেষজ্ঞ
ডাঃ এম. সাঈদুল হক
এমবিবিএস, বিসিএস (স্বাস্থ্য), এমডি (হেপাটোলজি),
সহকারী অধ্যাপক, লিভার বিভাগ
ঢাকা মেডিকেল কলেজ;
চীফ কনসালট্যান্ট, ঢাকা গ্যাস্ট্রো-লিভার সেন্টার
চেম্বারঃ ঢাকা গ্যাস্ট্রো-লিভার সেন্টার, ২৪/১ শান টাওয়ার (৩য় তলা), চামেলিবাগ, শান্তিনগর, ঢাকা।
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Erosive gastritis is gastric mucosal erosion caused by damage to mucosal defenses. It is typically acute, manifesting with bleeding, but may be subacute or chronic with few or no symptoms. Diagnosis is by endoscopy. Treatment is supportive, with removal of the inciting cause and initiation of acid-suppressant therapy. Certain intensive care unit patients (eg, ventilator-bound, head trauma, burn, multisystem trauma) benefit from prophylaxis with acid suppressants.
(See also Overview of Acid Secretion and Overview of Gastritis.)

Common causes of erosive gastritis include

Nonsteroidal anti-inflammatory drugs (NSAIDs)
Alcohol
Stress
Less common causes include

Radiation
Viral infection (eg, cytomegalovirus)
Vascular injury
Direct trauma (eg, nasogastric tubes)
Crohn disease
Superficial erosions and punctate mucosal lesions occur. These may develop as soon as 12 hours after the initial insult. Deep erosions, ulcers, and sometimes perforation may occur in severe or untreated cases. Lesions typically occur in the body, but the antrum may also be involved.

Acute stress gastritis, a form of erosive gastritis, occurs in about 5% of critically ill patients. The incidence increases with duration of intensive care unit stay and length of time the patient is not receiving enteral feeding. Pathogenesis likely involves hypoperfusion of the gastrointestinal mucosa, resulting in impaired mucosal defenses. Patients with head injury or burns may also have increased secretion of acid.

What is gastritis?
Your stomach has a protective lining of mucus called the mucosa. This lining protects your stomach from the strong stomach acid that digests food. When something damages or weakens this protective lining, the mucosa becomes inflamed, causing gastritis. A type of bacteria called Helicobacter pylori is the most common bacterial cause of gastritis.

What’s the difference between gastritis and indigestion?
Gastritis symptoms can mimic indigestion symptoms. Indigestion is pain or discomfort in the stomach associated with difficulty in digesting food. It may be a feeling of burning between your lower ribs. You may hear indigestion referred to by its medical term, dyspepsia.

How common is gastritis?
Acute (sudden) gastritis affects about 8 out of every 1,000 people. Chronic, long-term gastritis is less common. It affects approximately 2 out of 10,000 people.

Who might get gastritis?
Your risk of developing gastritis goes up with age. Older adults have thinner stomach linings, decreased circulation and slower metabolism and mucosal repair. Older adults are also more likely to be on medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) that can cause gastritis. About two-thirds of the world's population is infected with H. pylori. Fortunately, it is less common in the United States. In the United States, H. pylori is found more often in older adults and lower socioeconomic groups.

What are the types of gastritis?
There are two main types of gastritis:

Erosive (reactive): Erosive gastritis causes both inflammation and erosion (wearing away) of the stomach lining. This condition is also known as reactive gastritis. Causes include alcohol, smoking, NSAIDs, corticosteroids, viral or bacterial infections and stress from illnesses or injuries.
Non-erosive: Inflammation of the stomach lining without erosion or compromising the stomach lining.