Dr. Mohammad Nadim (Homeopathy) needs a second opinion on this medical case.
Gastritis/Dyspepsia Definition: Inflammation of mucous lining membrane of stomach is called Acute Gastritis. It’s a common form of gastrointestinal distress. Description:Gastritis occurs when mucous lining membrane of stomach start deteriorate leading to grow the bad bacteria under influence of gastric acid. Then lining membrane gets irritated and inflamed. In our gut us called “second brain” also because it has neural cells too like brain. Causation: 1)H.PYLORI INFECTION- H.Pylori infection is the most common cause of Gastritis. These H.Pylori bacteria grow in our stomach and survive there by attaching with mucous lining of stomach through their hair like appendages called flagella. Once they attached with stomach wall they begin to release an enzyme which converts to ammonia and imbalances the stomach acid. This enzyme makes your stomach a more favourable environment for the bad bacteria so they can permanently stay in your stomach. Imbalance the stomach acid can actually increase gastric distress. Stomach acids help us to digest food properly, retain nutrients, and break down food so we can efficiently get rid of waste. Lower stomach acid can lead to foods being only partially digested. Partially digested food can lead to bloating, constipation, and the inability to get rid of waste which promotes bad bacteria. This ultimately leads to an irritated, inflamed stomach and an intestinal tract. This can create a depressed immune system making it nearly impossible to heal gastritis. 2)DRUG RESISTANT BACTERIA Over use of antibiotics may get rise of bad bacterias in stomach and these bad bacterias cause gastric distress for gastritis. NSAID also affect the stomach frequently to get gastritis. 2)Excessive consumption of alcohol. 3)Old age . Old age people have high chance of getting gastritis in acute or chronic form because in old age mucous lining of stomach wall becomes thiner and thinner and ultimately mucous wall barrier fails to protect stomach leading inflammation of mucosa. 4) Infection: may develop in people who have had a prolonged illness or an impaired immune system, such as those who have AIDS or cancer or those who take immunosuppressant drugs. 5)Gastrectomy: Postgastrectomy gastritis occurs in people who have had part of their stomach surgically removed (a procedure called partial gastrectomy). The inflammation usually occurs where tissue has been sewn back together. Postgastrectomy gastritis is thought to result when surgery impairs blood flow to the stomach lining or exposes the stomach lining to an excessive amount of bile (the greenish yellow digestive fluid produced by the liver). Types: Acute Gastritis can be divided into two categories 1) Erosive 2) Non-Erosive 1)Erosive Gastritis is more severe than non-erosive gastritis. This form involves both inflammation and wearing away (erosion) of the stomach lining. Erosive gastritis typically develops suddenly (called acute erosive gastritis) but may develop slowly (called chronic erosive gastritis), usually in people who are otherwise healthy. Erosive gastritis is commonly caused by alcohol, stress resulting from severe illness, and irritants such as drugs, especially aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs). Non-erosive gastritis is characterised by changes in the stomach lining that range from wasting away (atrophy) of the stomach lining to transformation of stomach tissue into another type of intestinal tissue (metaplasia). Often, several types of white blood cells accumulate in the stomach and cause varying degrees of inflammation. The white blood cells may cause inflammation in the entire stomach or only in certain parts. Non-erosive gastritis is usually caused by H.pylori infection. Clinical Features: Symptoms:- 1) Loss of appetite 2) Indigestion 3) Black stool 4) Nausea and vomiting with bloody vomitus look like used used coffee grounds. 5) Gnawing burning pain and fullness feeling in upper part of abdomen or upper left portion of abdomen either worse or better after eating. Complications of gastritis Complications of gastritis include *Bleeding *Ulcers *Narrowing of the passage out of the stomach Acute stress gastritis may lead to bleeding within a few days after an illness or injury, whereas bleeding tends to develop more slowly in the case of chronic erosive gastritis or radiation gastritis. If bleeding is mild and slow, people may have no symptoms or may notice only black stool (melena), caused by the black colour of digested blood. If bleeding is more rapid, people may vomit blood or pass blood in their stool. Persistent bleeding can lead to symptoms of anaemia, including fatigue, weakness, and light-headedness. Gastritis can lead to stomach ulcers (gastric ulcers), which may cause the symptoms to get worse. If an ulcer goes through (perforates) the stomach wall, stomach contents may spill into the abdominal cavity, resulting in inflammation and usually infection of the lining of the abdominal cavity (peritonitis) and sudden worsening of pain. Some complications of gastritis are slow to develop. The scarring and narrowing of the stomach outlet that can result from gastritis, especially from radiation gastritis and eosinophilic gastritis, can cause severe nausea and frequent vomiting. In Ménétrier disease, fluid retention and swelling of the tissues (edema) may occur because of loss of protein from the inflamed stomach lining. Postgastrectomy gastritis and atrophic gastritis may cause symptoms of anaemia, such as fatigue and weakness, because of decreased production of intrinsic factor (a protein that binds vitamin B12, allowing the B12 to be absorbed and used in the production of red blood cells). In a small percentage of people with atrophic gastritis, the stomach tissue transforms into another type of digestive tract tissue (metaplasia). In an even smaller percentage of people, metaplasia leads to stomach cancer. Diet & Management: For get ride of gastritis following things should be done so gastritis can be avoided naturally forever. 1)Eat smaller meals. Four to five small meals are better than a few big ones. This puts less stress on your stomach and digestive system as a whole. 2)Don’t eat on-the-go or under stress. This aggravates the natural, healthy digestive process and leaves partially digested food to rot in your stomach. 3) Avoid spicy foods. Spicy foods can irritate your stomach lining if it has been damaged. 4)Avoid acid-forming foods and drinks like citrus, alcohol, and caffeine. These foods and drinks can irritate an inflamed stomach lining. Alkaline-encouraging foods like most fruits and vegetables, beans, legumes, nuts, and sprouts can aid in healing your stomach and promote better microflora in your gut. 5)Drink ginger or Tulsi tea when you are not eating a meal. Ginger has antibiotic and antiseptic properties, and Tulsi has been used for upset stomach for millennia 6) Vegetable broth can help restore your stomach and intestinal lining as it is full of antibiotics and healthy enzymes that promote gut health. 7) Incorporate aloe and aloe vera juice. They are like a balm to the intestinal tract and can help ease upset stomach. *Health Is Wealth*
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