Acute Erosive Gastritis

Acute erosive gastritis is acute gastric mucosal erosions (superficial breaks) due to NSAIDs, alcohol, stress, or critical illness, presenting with epigastric pain, nausea, and possible upper GI bleeding. Treatment: PPI/H2 blocker; mucosal protectants; stop NSAIDs/alcohol; treat critical illness/stress; endoscopic hemostasis if active bleeding; fluid/blood resuscitation if needed; bland diet; hydration; enteral feeding in ICU prophylaxis; follow-up endoscopy if bleeding/persistent.

Common Symptoms

Epigastric pain; nausea; possible bleeding; by NSAIDs/alcohol/stress/critical illness

Causes and Pathogenesis

Irritant/ischemia causes acute superficial gastric mucosal erosions.

Treatment

PPI/H2; mucosal protectants; stop irritants; endoscopic hemostasis; resuscitation

Preventive Measures

Avoid NSAIDs/alcohol; PPI prophylaxis in ICU; treat stress.

Department to Visit

It is recommended to visit the Gastroenterology/ICU/Emergency department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.