Page 26 - Pharmaquest issue 1 2020
P. 26

What are its symptoms?                                   with an acid blocking drug (used for

    Though the symptoms of gastritis                         heartburn).

    vary among the individuals, the most                     Though gastritis can be treated

    common symptoms of gastritis are                         once we suffer from it, it is always
    abdominal pain, bloating, indigestion,                   better to opt for preventive measures

    nausea and vomiting, hiccups,                            rather than suffering first and getting

    recurrent upset stomach, loss of                         treatment later. Following measures
    appetite, burning or gnawing feeling in                  can be adopted for the prevention of

    the stomach between meals or at night,                   gastritis:

    and foul-smelling bowel movements.                       •      Limiting exposure to NSAIDs
                                                             •      Reducing the consumption of

                                                             tobacco, alcohol and caffeine
    How is it diagnosed?                                     •      Developing good eating habits


    For the diagnosis of gastritis, the                      (smaller meals, eating more slowly)
    doctor will first review the personal                    •      Regular exercise

    and family medical history, perform                      •      Maintenance of a healthy weight

    a thorough physical examination and                      •      Reducing stress (e.g., through

    may recommend upper endoscopy,                           meditation, yoga, or massage)
    blood test or fecal occult blood test

    (stool test). If it can be diagnosed                     Gastritis in Nepal

    through physical examinations, the lab                   Gastritis is a common problem of
    tests are not mandatory.
                                                             Nepali people. Various reasons are
                                                             responsible behind this but the main
    How can it be treated and prevented?                     reasons are our lifestyle and food
    Gastritis can be treated by:                             habits. Most of the Nepalese have the

    •      Taking antacids and other drugs                   habit of drinking milk tea early in the

    (such as proton pump inhibitors                          morning before eating anything. But
    (e.g., pantoprazole, omeprazole,                         when milk and tea go together, milk

    lansoprazole) or H-2 blockers (e.g.,                     increases the acidic content of tea and

    rantidine) to reduce stomach acid.                       drinking it disrupts the metabolic

    •      If the gastritis is caused by                     activity, dehydrates the body and
    pernicious anemia, Vitamin B12 shots                     could lead to bloating. Thus, habit of

    are given.                                               drinking milk tea early in the morning

    •      For gastritis caused by H. pylori                 in the long term can gradually lead to
    infection, the doctor will prescribe a                   gastritis.

    regimen of several antibiotics along
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