Professional Development-Gastritis Paper

Clara has a five-week history of epigastric pain that is worse after she eats. The pain is minimally relieved by Mylanta or burping. She has come to your office for evaluation and your initial impression is gastritis. What is your recommendation and treatment plan? What clinical guidelines support your decision and why?Professional Development-Gastritis Paper

The membranes which underlie the walls of the stomach protect it from germs and acidity.  In case of damage or irritation, the lining can be inflamed resulting to further damage and stomach ulcers, a condition that is also referred to as gastritis.  Gastritis can also occur as a result of certain bacteria and continuous use of anti-inflammatory painkillers (Varbanova, Frauenschlaeger & Malfertheiner, 2014).  There are two types of gastritis namely: chronic and acute. In acute gastritis, a patient typically experiences noticeable stomach and bowel issues which go away on their own after a few days. In chronic gastritis, the symptoms may go unnoticed and fail to be discovered until the development of stomach ulcers which causes the symptoms to be noticed.

In the client’s management plan, it will be necessary to do an upper endoscopy to view the lining of the stomach for the extent of inflammation. A complete blood count will also be performed to check for the presence or absence or anemia and Helicobacter pylori infection. In her management, the client will have to avoid inflammatory diets such as gluten, caffeine, spicy foods, alcohol and acidic foods (Szabo et al., 2013). According to the guidelines provided by the American College of Gastroenterology, should a bacterial cause be confirmed, it will be necessary to prescribe a 10-14 day course of antibiotics of metronidazole and clarithromycin to directly attack the pylori.Professional Development-Gastritis Paper

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            Proton pump inhibitors such as lansoprazole and omeprazole will also be prescribed to block the production of acids and help in healing. Alternatively, histamine blockers (H-2) such as famotidine and ranitidine   can be prescribed to decrease the production of acidity. The patient will also be educated that, in order to reduce the risk of frequent gastritis, it will be important to practice good hand-washing hygiene, eat well prepared food and to avoid specific medications, alcohol, caffeine and tobacco smoking (Szabo et al., 2013).

References

Szabo, I. L., Cseko, K., Czimmer, J., & Mozsik, G. (2013). Diagnosis of Gastritis–Review from Early Pathological Evaluation to Present Day Management. In Current Topics in Gastritis-2012. IntechOpen.

Varbanova, M., Frauenschlaeger, K., & Malfertheiner, P. (2014). Chronic gastritis–An update. Best Practice & Research Clinical Gastroenterology, 28(6), 1031-1042.Professional Development-Gastritis Paper