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Gastritis

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  • Blood tests
  • Breath tests " � These tests measure substances in your breath after you drink a special liquid.
  • Tests on a small sample of your bowel movement
  • A barium swallow " � Your doctor will give you a drink called "barium. " � Then he or she will take an X-ray as the barium moves through your stomach.
  • Blood tests to check for anemia

  • How is gastritis treated? " � Treatment depends on what's causing your gastritis. � �
    For example, if NSAIDs are causing your gastritis, your doctor will recommend that you not take those medicines. If alcohol is causing your gastritis, he or she will recommend that you stop drinking alcohol. � �
    Doctors can use medicines to treat gastritis caused by an H. pylori infection. Most people take 3 or more medicines for 2 weeks. The treatment includes antibiotics plus medicine that helps the stomach make less acid. � �
    Doctors can use medicines that reduce or block stomach acid to treat other causes of gastritis (table 1). The main types of medicines that reduce or block stomach acid are: � �
    • Antacids
    • Surface agents
    • Histamine blockers
    • Proton pump inhibitors

    If your doctor recommends acid-reducing treatment, he or she will tell you which medicine to use. � �
    What happens after treatment? " � Sometimes, people who are treated for an H. pylori infection need follow-up tests to make sure the infection is gone. Follow-up tests include breath tests, lab tests on a sample of bowel movement, or endoscopy. � �
    All topics are updated as new evidence becomes available and our peer review process is complete. � �
    This topic retrieved from UpToDate on: Nov 04, 2014. � �
    Topic 16944 Version 2.0 � �
    Release: 22.8 - C22.208 � �
    � � 2014 UpToDate, Inc. All rights reserved. � �


    figure 1

    Upper digestive tract

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    Upper digestive tract

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    figure 2

    Upper endoscopy

    During an upper endoscopy, you lie down and the doctor puts a thin tube with a camera and light on the end (called an endoscope) into your mouth and down into your esophagus, stomach, and duodenum (the first part of your small intestine). The camera sends video pictures from inside your body to a television screen. That way, your doctor can see the inside of your esophagus, stomach, and duodenum.

    Graphic 75392 Version 3.0

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    Upper endoscopy

    During an upper endoscopy, you lie down and the doctor puts a thin tube with a camera and light on the end (called an endoscope) into your mouth and down into your esophagus, stomach, and duodenum (the first part of your small intestine). The camera sends video pictures from inside your body to a television screen. That way, your doctor can see the inside of your esophagus, stomach, and duodenum.

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    � �
    table 1Medicines used to reduce stomach acidView Largetable 1Medicines used to reduce stomach acid

    Medicine type

    Medicine name examples

    Antacids

    Calcium carbonate (sample brand name: Tums)

    Aluminum hydroxide, magnesium hydroxide, and simethicone (sample brand name: Maalox)*

    Surface agents

    Sucralfate (brand name: Carafate)

    Histamine blockers

    Ranitidine (brand name: Zantac)

    Famotidine (brand name: Pepcid)

    Cimetidine (brand name: Tagamet)

    Proton pump inhibitors

    Omeprazole (brand name: Prilosec)

    Esomeprazole (brand name: Nexium)

    Pantoprazole (brand name: Protonix)

    Lansoprazole (brand name: Prevacid)

    Dexlansoprazole (brand name: Dexilant)

    Rabeprazole (brand name: AcipHex)

    Graphic 78918 Version 8.0


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    This information is not specific medical advice and does not replace information you receive from your health care provider. This is only a brief summary of general information. It does NOT include all information about conditions, illnesses, injuries, tests, procedures, treatments, therapies, discharge instructions or life-style choices that may apply to you. You must talk with your health care provider for complete information about your health and treatment options. This information should not be used to decide whether or not to accept your health care providers advice, instructions or recommendations. Only your health care provider has the knowledge and training to provide advice that is right for you.The use of UpToDate content is governed by the UpToDate Terms of Use. � �2014 UpToDate, Inc. All rights reserved. � �

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