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Doctor insights on: Tests For Atrophic Gastritis

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What the differences between erosive and atrophic gastritis?

What the differences between erosive and atrophic gastritis?

See below: Erosive gastritis indicated the presence of small, shallow ulcers in the stomach. This are commonly related to the use of nsaids (ibuprofen, aspirin, naproxen) or h.Yplori infection. Atrophic gastritis is the remnant of chronic stomach inflammation which has left the stomach glands atrophied (wasted, shriveled, weakened). This can be caused by h.Pylori or autoimmune disease. ...Read more

Dr. Andrew Seibert
831 doctors shared insights

Gastritis (Definition)

The term gastritis is used to denote inflammation associated with mucosal injury in the stomach. Gastritis is commonly a result of infectious or autoimmune diseases, although it can also result from drugs, extreme stress ...Read more


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What is the treatment of atrophic gastritis? Is it serious condition?

What is the treatment of atrophic gastritis? Is it serious condition?

Depends on cause: Can be due to long term infection with bacteria, h. Pylori which can cause ulcers, and cancer of stomach. Can be autoiimmune, also can increase risk for stomach cancer. Decreases acid prod. Either can cause vitamin B12 deficiency (can affect blood count and neurological function), iron def, risk of gut infection. If h pylori-rx with meds for about 2 wks. Both need B12 replacement lifelong. ...Read more

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How does atrophic gastritis predispose to gastric carcinoma?

How does atrophic gastritis predispose to  gastric carcinoma?

Good question: Atrophic gastritis is caused by chronic inflammation of the gastric mucosa with loss of gastric glandular cells and replacement by intestinal-type epithelium and intestinal metaplasia eventually occurs. Metaplasia precedes dysplasia which is precursor to cancer in many tumors. Overall, this is an adaption of mucosa to chronic inflammation that pushes this cell to replicate and eventually mutate. ...Read more

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Could it be atrophic gastritis?, i feel as if im not healing from gastritis symptoms ( h pylori cleared) , its been nearly 5 months since onset.

Could it be atrophic gastritis?, i feel as if im not healing from gastritis symptoms ( h pylori cleared) , its been nearly 5 months since onset.

Go back to doctor: You may need gastroscopy done. Go and see the doctor who diagnosed the h. Pylori, or if they were not a gastroenterologist , go and see one. Good luck, . ...Read more

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How do you f/u progression from chronic gastritis to antral atrophic gastritis with IM over 2.5yrs after eradication of HP infx in 37y Asian patient?

How do you f/u progression from chronic gastritis to antral atrophic gastritis with IM over 2.5yrs after eradication of HP infx in 37y Asian patient?

GI doc: Gold standard would be a Upper Endoscopy for follow up with biopsy. A GI specialist would do this , but you may not require this unless u are still having pain/bloating/reflux/chronic nonproductive cough/diarrhea/Nausea-these can be all together, or individual or combo of symptoms. ...Read more

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Which is more effective Dexilant (dexlansoprazole) or omeprazole? Which is safer? Is atrophic gastritis risk with these high with long term use?

They are equivalent.: Both of these work equally well. However, some patients respond well to one and not the other, and sometimes trial and error is the only method to determine which medication is best for a particular patient. The risk of atrophic gastritis, although small, would be essentially equal for each of the medications. I would recommend returning to your gastroenterologist to discuss this. Good luck. ...Read more

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I had an endoscopy r/o pud, biopsy came back atrophic gastritis. I am only 26. Dr just said "gastritis" and keep taking omeprazole. Is this correct?

I had an endoscopy r/o pud, biopsy came back atrophic gastritis. I am only 26. Dr just said "gastritis" and keep taking omeprazole. Is this correct?

Not so simple: If truly atrophic gastritis, it can be caused by h. Pylori bacteria, these can be hard to find on biopsy, so please ask your doctor. Also atrophic gastritis can lead to vit B12 deficiency, have you been checked for this? There may be other reasons such as acid reflux for which you require omeprazole. However, you should return and clarify these concerns with your doctor. ...Read more