It is basically a histological diagnosis, although it is sometimes been recognized at upper gastro-esophageal endoscopy (UGIE). Although gastritis and an ulcer share symptoms, an intense, localized pain is much more common with an ulcer, and an ulcer also carries the risk of bleeding, cancer and eventual stomach perforation. Treatment is supportive, with removal of the inciting cause and initiation of acid-suppressant therapy. Corrosive substances, cocaine abuse, psychological stress, and viral infections are some of the other factors that contribute to this condition. Both … Gastritis and an ulcer both inflame the stomach lining, but gastritis is a general inflammation, and an ulcer is a patch of eroded stomach lining. Severe disease may progress to acute gastric ulcers Treatment with proton pump inhibitors reduces severity of mucosal damage and facilitates healing Symptoms : … Acute vs Chronic Gastritis | Chronic Gastritis vs Acute Gastritis Causes, Symptoms, Diagnosis and Management Gastritis is the inflammation of the gastric mucosa. Specifically, the term "erosion," in this context means damage that is limited to the mucosa (which consists of three distinct layers: The epithelium (in the case of a healthy stomach, this is non-ciliated simple columnar epithelium), basement membrane, and lamina propria). Both of them can be life threatening in the long run. Investigative methods involved are, full blood count, upper GI endoscopy and H.pylori tests. When describing these symptoms, people tend to use gastritis and ulcers interchangeably. Gastritis is a well known and common condition where the stomach wall is inflamed. After a doctor has made a determination between gastritis and an ulcer, treatment can vary. Though the patient is unconscious, an endoscopy carries little risk and is the most reliable diagnostic tool. The management consists of H.pylori eradication therapy, and continued use of proton pump inhibitors, if the use of NSAIDs are unavoidable. Along with following a prescription, patients also should avoid alcohol and NSAIDs. Ulcers can become a much more serious condition, so certain tests are required for a correct diagnosis. An ulcer is a deeper open sore in the lining of the stomach. Erosive gastritis is gastric mucosal erosion caused by damage to mucosal defenses. Häufig ist das erste Zeichen eine Hämatemesis, Meläna oder Blut im Magenaspirat, in der Regel innerhalb von 25 Tagen nach initialer Schädigung. Both require similar investigations, and the symptomatic management of both are similar as well. Diagnosis is by endoscopy. (H&E stain) A gastric peptic ulcer is a mucosal perforation that penetrates the muscularis mucosae and lamina propria, usually produced by acid-pepsin aggression. Some forms are erosive, meaning that they wear away the stomach lining and cause shallow breaks, called erosions, and ulcers. What is the difference between Ulcer and Gastritis? Though gastritis usually improves with treatment, ulcers can increase your risk of stomach cancers. Management strategies involve, use of antacids, histamine type 2 receptor inhibitors, and proton pump inhibitors, along with controlling the unnecessary use of NSAIDs. Although gastritis and an ulcer share symptoms, an intense, localized pain is much more common with an ulcer, and an ulcer also carries the risk of bleeding, cancer and eventual stomach perforation. The symptoms like upper abdominal pain, nausea, and the complications are common to both. Ulcers tend to present more with acute complications like perforations with threats to the life, but complications of gastritis are long term, but may become threats to the life nonetheless. Leung ST, Chandan VS, Murray JA, Wu TT. Gastritis may produce bleeding, ulceration, and erosion of the lining, causing symptoms including upper abdominal pain, nausea, vomiting, bloating, heartburn, and sometimes even bleeding. Terms of Use and Privacy Policy: Legal. Diagnosis is by endoscopy. Risk factors like excessive consumption of alcohol, tobacco, NSAIDs, and infection by H.pylori affect the protective epithelial layer of the stomach, and this causes the disruption leading to the formation of ulcer, which causes pain and discomfort in the upper abdomen, feeling of fullness, and nausea along with chest pain, fatigue, vomiting of blood, and black stools, if complicated. Taking excessive doses of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen is another common cause, because these pain relievers reduce the stomach's ability to create prostaglandin, one of the stomach's lines of defense against hydrochloric acid. If left untreated, this condition can become very uncomfortable, causing problems with swallowing, ulcers, and scarring of the esophagus. What are the Most Common Causes of Chest Pain and Nausea. Patienten mit einer geringfügigen erosiven Gastritis sind häufig asymptomatisch, obwohl einige unter Dyspepsie, Übelkeit und Erbrechen leiden. (adsbygoogle = window.adsbygoogle || []).push({}); Copyright © 2010-2018 Difference Between. The third cause is a bacterial infection of the stomach lining. We’ll go over some of the most common types of … It is well known that gastric erosions and the so called erosive gastritis, cause about 20-30% of massive upper gastrointestinal haemorrhage. Gastritis Or Ulcer is a typical supplication due to the point that it is of concern when thinking about Erosive Antral Gastritis, Erosive Gastritis, and Erosive Gastritis Symptoms. Am … For most patients, antibiotics lead to a full recovery. Thus, it is specifically termed as peptic ulcer. The term ‘erosive gastritis’ refers to a condition where there is minimal inflammation of the stomach wall but instead the wall wears away. The main causative factors of gastritis are the same as for gastric ulcers; alcohol, NSAIDs, and H.pylori infection. This means the lining is red and swollen. Likewise, gastritis refers to the inflammation of stomach linings (quite closely linked with the Peptic Ulcer Disease), and ultimately, duodenitis implies the inflammation of duodenum, which lies immediately after the stomach (below). Causes for the inflammation vary depending on persons and can also include excessive alcohol … But, people are not well aware that ulcer and gastritis are two separate conditions, and the treatment and management for these conditions require separate approaches, as the diagnosis and even the complications differ. The management of gastritis is not so elaborate, and mostly symptomatic. This type of Gastritis is caused by a variety of stresses such as major trauma, multiple injuries or serious burns. Micrograph showing erosive gastric ulcer. Filed Under: Others Tagged With: abdominal pain associated with burning sensation, antacids, barium meal, causative factors of gastritis, causative factors of ulcer, full blood count, gastritis, gastritis symptoms, H.pylori eradication therapy, H.pylori tests, histamine type 2 receptor inhibitors, Investigative methods, management of gastritis, management of ulcer, NSAID, peptic ulcer, Proton Pump Inhibitors, risk factors, symptoms of gastritis, symptoms of ulcer, ulcer, ulcer symptoms, ulcers, Upper GI endoscopy. Gastric erosion occurs when the mucous membrane lining the stomach becomes inflamed. Both these conditions involve the stomach and the lining of the stomach, but not always limited to the stomach. Esophagitis Symptoms Symptoms of … What is the difference between Ulcer and Gastritis? It can be broadly classified as erosive or non-erosive. Gastritis is a general term for inflammation of the lining of the stomach. There are many differences, though. Gastritis and an ulcer both inflame the stomach lining, but gastritis is a general inflammation, and an ulcer is a patch of eroded stomach lining. Upper GI endoscopy and a barium meal help to elucidate the exact location of the ulcer. Antacids are another common treatment for mild ulcers. Prophylaxis for gastritis and ulcers may be administered in hospitalized patients, especially those on mechanical ventilation or those undergoing major surgery. Though a blood, urine or stool sample can diagnose either gastritis or an ulcer, the similarities between the conditions might require patients to undergo an endoscopy. Erosive and Non-Erosive Gastritis. Erosive gastritis is a medical condition of the stomach that occurs when the acids residing within it begin to erode and wear away the stomach lining. The causative factors and the risk factors for both these conditions are most of the time similar, with gastritis having a more psychological aspect. 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