Although your doctor is likely to suspect gastritis after talking to you about your medical history and performing an exam, you may also have one or more of the following tests to pinpoint the exact cause. Your doctor may recommend tests to determine whether you have the bacterium H. pylori.
For the breath test, you drink a small glass of clear, tasteless liquid that contains radioactive carbon. H. Pylori bacteria break down the test liquid in your stomach.
If you're infected with H. pylori, your breath sample will contain the radioactive carbon. Using a scope to examine your upper digestive system (endoscopy).
During endoscopy, your doctor passes a flexible tube equipped with a lens (endoscope) down your throat and into your esophagus, stomach and small intestine. If a suspicious area is found, your doctor may remove small tissue samples (biopsy) for laboratory examination.
A biopsy can also identify the presence of H. pylori in your stomach lining. Sometimes called a barium swallow or upper gastrointestinal series, this series of X -rays creates images of your esophagus, stomach and small intestine to look for abnormalities.
To make the ulcer more visible, you may swallow a white, metallic liquid (containing barium) that coats your digestive tract. During an endoscopy your doctor gently inserts a long, flexible tube, or endoscope, into your mouth, down your throat and into your esophagus.
Your doctor can use this device to view your esophagus, stomach and the beginning of your small intestine. The images are viewed on a video monitor in the exam room.
If your doctor sees anything unusual, such as polyps or cancer, he or she passes special surgical tools through the endoscope to remove tissue or collect a sample to examine it more closely. Acute gastritis caused by non-steroidal anti-inflammatory drugs or alcohol may be relieved by stopping use of those substances.
For H. pylori in your digestive tract, your doctor may recommend a combination of antibiotics, such as azithromycin (Brain) and amoxicillin (Mobil, Augmenting, others) or metronidazole (Flagyl), to kill the bacterium. Medications that block acid production and promote healing.
These drugs include the prescription and over-the-counter medications' omeprazole (Prilosec), lansoprazole (Prevail), omeprazole (Cipher), omeprazole (Medium), lansoprazole (Defiant) and pantoprazole (Proton ix). Long-term use of proton pump inhibitors, particularly at high doses, may increase your risk of hip, wrist and spine fractures.
Antacids neutralize existing stomach acid and can provide rapid pain relief. Side effects can include constipation or diarrhea, depending on the main ingredients.
Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this disease. If you experience frequent indigestion, eat smaller meals more often to help ease the effects of stomach acid.
Avoid foods that irritate your stomach, especially those that are spicy, acidic, fried or fatty. If you use pain relievers that increase your risk of gastritis, ask your doctor whether acetaminophen (Tylenol, others) may be an option for you.
Start by making an appointment with your family doctor or a general practitioner. If your doctor suspects gastritis, you may be referred to a specialist in digestive disorders (gastroenterologist).
Write down symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Write down key personnel information, including major stresses or recent life changes.
Make a list of all medications, vitamins or supplements you're taking. Preparing a list of questions will help you make the most of your time with your doctor.
How often do you take pain relievers, such as aspirin, ibuprofen or naproxen? Before your appointment, avoid drinking alcohol and eating foods that seem to irritate your stomach, such as those that are spicy, acidic, fried or fatty.
But talk to your doctor before stopping any prescription medications you're taking. National Institute of Diabetes and Digestive and Kidney Diseases.
Acute and chronic gastritis due to Helicobacter pylori. American College of Gastroenterology guideline on the management of Helicobacter pylori infection.
Norderstedt H, et al. Helicobacter pylori-negative gastritis : Prevalence and risk factors. FDA drug safety communication: Possible increased risk of fractures of the hip, wrist and spine with the use of proton pump inhibitors.
Infections caused by bacteria and viruses Major surgery Traumatic injury or burns When your immune system attacks your body’s healthy cells by mistake.
When bile, a fluid that helps with digestion, backs up into your stomach and food pipe (esophagus). A form of anemia that happens when your stomach is not able to digest vitamin B12.
Your healthcare provider will give you a physical exam and ask about your past health. Upper GI (gastrointestinal) series or barium swallow.
He or she can also take a small tissue sample (biopsy) if needed. This test checks to see if you have stomach bacteria that can cause gastritis.
You may have a test where your breath is collected and analyzed for a stomach bacterium. In most cases you will be given antacids and other medicines to reduce your stomach acid.
This will help ease your symptoms and heal your stomach lining. If your gastritis is caused by an illness or infection, you should also treat that health problem.
In most cases you will take more than 1 antibiotics and a proton pump inhibitor (medicine that reduces the amount of acid in your stomach). Do not have any foods, drinks, or medicines that cause symptoms or irritate your stomach.
Peptic ulcer disease, painful sores in your upper digestive tract Gastric polyps, small masses of cells that form on the inside lining of your stomach tumors, both cancerous and non-cancerous This can happen if your gastritis is caused by the H. pylori bacteria or by an autoimmune disorder.
Atrophic gastritis destroys the stomach lining cells that make your digestive juices. Not eating or drinking things that can irritate your stomach lining.
Gastritis is a redness and swelling (inflammation) of the stomach lining. It can be caused by drinking too much alcohol, eating spicy foods, or smoking.
In most cases you will be given antacids and other medicines to reduce your stomach acid. Avoid foods or drinks that irritate your stomach lining.
At the visit, write down the names of new medicines, treatments, or tests, and any new instructions your provider gives you. If you have a follow-up appointment, write down the date, time, and purpose for that visit.