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Gastritis, Pediatric

Richard A. Lirio, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Macro or microscopic inflammation of mucosa of stomach 

EPIDEMIOLOGY

  • 8 out of every 1,000 people are estimated to have gastritis.

  • >2% of ICU patients have heavy bleeding secondary to...

DIAGNOSIS

HISTORY

  • Complaints of epigastric pain

  • Abdominal indigestion

  • Nausea

  • Vomiting postprandially

  • Vomiting blood or coffee ground–like material

  • Diarrhea

  • Dark or black stools (or bright red blood from rect...

TREATMENT

MEDICATION

  • Proton pump inhibitors (PPIs): drug of choice as 1st-line therapy. May be helpful for both acid-mediated and acid-exacerbated conditions. Can also use antacids or H2 blockers. Goal...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • For stress gastritis with hemorrhage, provide vigilant supportive care with close monitoring of hemodynamics, fluids, and electrolytes.

  • Monitor f...

ADDITIONAL READING

  • Aanpreung P, Atisook K. Hematemesis in infants induced by cow milk allergy. Asian Pac J Allergy Immunol.  2003;21(4):211–216. [View Abstract on OvidInsights]

  • Drumm B, Koletzko S...

CODES

ICD9

  • 535.50 Unspecified gastritis and gastroduodenitis, without mention of hemorrhage

  • 535.51 Unspecified gastritis and gastroduodenitis, with hemorrhage

  • 535.40 Other specified gastritis, without me...

FAQ

  • Q: Will a bland diet help to resolve gastritis?

  • A: Dietary changes have not been shown to affect the natural course of gastritis.

  • Q: What is H. pylori?

  • A: H. pylori is a bacterium frequently found in...

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