|
GASTRITIS
What is Gastritis ?
Gastritis means inflamation of the stomach.
It means that white blood cells move
into the wall of the stomach as a response
to some type of injury. Gastritis does
not mean that there is an ulcer or cancer.
It is simply inflammation; either acute
or chronic.
What are the causes of
gastritis?
Helicobacter Pylori
This is the name of a bacteria that
has learned to live in the thick mucous
lining of the stomach. Although it doesn't
actually infect the underlying tissue,
it does result in acute and chronic
inflammation. It probably occurs early
in childhood and remains throughout
life unless antibiotics cure it. The
infection can lead to ulcers and, in
later life, even to stomach cancer in
some people.
Autoimmune Gastritis - Pernicious Anemia
The immune system makes
antibodies and other proteins that fight
off infection and keep the body healthy.
In some disorders, the body mistakenly
targets one of its own organs as a foreign
protein or infection. It makes antibodies
against it and can severely damage or
even destroy the organ. Diseases such
as lupus, hypothyroidism, rheumatoid
arthritis and the type of diabetes that
requires insulin, are examples. The
stomach lining also may be attacked
by the immune system leading to loss
of the stomach cells. This causes acute
and chronic inflammation which can result
in a condition called pernicious anemia.
The anemia occurs because the body no
longer can absorb vitamin B12 due to
a lack of a key stomach factor, destroyed
by the chronic inflammation.
Alcohol
Alcohol and certain other chemicals
can cause inflammation and injury to
the stomach. This is strictly dose related
in that a lot of alcohol is usually
needed to cause gastritis. Social or
occasional alcohol use is not damaging
to the stomach although alcohol does
stimulate the stomach to make acid.
Hypertrophic Gastritis At times, the
folds in the stomach will become enlarged
and swollen along with the inflammation.
There is not a great deal known about
why this occurs. A variation of this
type of gastritis is called Ménétrier's
disease where the gastric folds become
gigantic. With this condition, there
is often protein loss into the stomach
from these weeping folds.
Miscellaneous
There are other but rarer
types of gastritis such as eosinophilic,
phlegmonous (a severe bacterial infection)
and granulomatous gastritis.
Symptoms
The symptoms of gastritis
depend on how acute it is and how long
it has been present. In the acute phase,
there may be pain or gnawing in the
upper abdomen, nausea and vomiting.
In the chronic phase, the pain may be
dull and there may be loss of appetite
with a feeling of fullness after several
bites of food. Very often, there are
no symptoms at all. If the pain is severe,
there may be an ulcer as well as gastritis.
|