Saturday, November 3, 2012

DISEASE: Gastritis





Gastritis is an inflammation of the lining of the stomach, and has many possible ‎causes. The main acute causes are excessive alcohol consumption or prolonged use of ‎ non steroidal anti-inflammatory drugs (also known as NSAIDs) such as aspirin or ibuprofen. ‎Sometimes gastritis develops after major surgery, traumatic injury, burns, or severe infections. ‎Gastritis may also occur in those who have had weight loss surgery resulting in the banding or ‎reconstruction of the digestive tract. Chronic causes are infection with bacteria, ‎primarily Helicobacter pylori, chronic bile reflux, stress and certain autoimmune disorders can ‎cause gastritis as well. The most common symptom is abdominal upset or pain. Other ‎symptoms are indigestion, abdominal bloating, nausea, and vomiting and pernicious anemia. ‎Some may have a feeling of fullness or burning in the upper abdomen.  A gastroscopy, blood ‎test, complete blood count test, or a stool test may be used to diagnose gastritis. Treatment ‎includes taking antacids or other medicines, such as proton pump inhibitors or antibiotics, and ‎avoiding hot or spicy foods. For those with pernicious anemia, B12 injections are given ‎. ‎

Gastritis is the combination of two words, gastric and itis. Here, gastrium or gastric ‎means the stomach and itis refer to the inflammation. Meaning to say, gastritis is the ‎inflammation of stomach. More specifically, gastritis is nothing but the inflammation of the ‎mucus lining of the stomach. Stomach is the first main digestive organ of the digestive track. ‎It is the first hollow organ (oesophagus is the pipe and not hollow organ as big as stomach) ‎where the food is brought. Stomach mixes certain secretions with the food and churns it. The ‎chime is then moved forward. Any irritation present in the stomach will make its lining ‎inflamed producing the condition called as gastritis. Gas and diarrhea may join gastritis ‎depending upon the cause ‎. ‎

Causes of Gastritis are regular and long term usage of aspirin or anti-inflammatory ‎drugs like ibuprofen or naproxen. Excessive alcohol consumption and smoking, ‎or Helicobacter Pylori(H.Pylori) bacteria infection in the stomach are the common causes too. ‎Aspirin can be seen as a common drug as there are more than 300 drugs found to contain ‎certain form of aspirin in it. Other less commonly causes of gastritis include consumption ‎‎(eating or drinking) of corrosive substances that will damage the stomach lining e.g. acid, ‎poison or lye. Bile reflux, pernicious anemia (or any other autoimmune disorders), prescription ‎of steroids (e.g. prednisone), potassium supplements or iron tablets, infections like ‎tuberculosis, syphilis, fungal infections, parasites and worms are some other causes too. Lye is ‎an alkaline substance and it is corrosive, mainly used in the making of soap, production of ‎biodiesel and other household uses. Bile reflux refers to bile backflow from bile tract into the ‎stomach. After medical procedure like endoscopy, gastrectomy (removal of part of the ‎stomach), radiation therapy or treatment for cancer (musositis), patients who had chronic ‎vomiting, critically ill or injured after an accident, or having stress may develop gastritis. Too ‎much stress will result in excess gastric acid secreted in our stomach and damage the ‎protective layer of the stomach in long term. Endoscopy is a medical surgery that involves ‎scoping the stomach with a physical small-lighted tube to check for serious medical ‎conditions like stomach ulcers, polyps or in worse case, stomach cancer. In rare cases, ‎swallowing of foreign objects like pins or paper clips may result in gastritis too ‎.‎

Many people with gastritis experience no symptoms at all. However, upper ‎central abdominal pain is the most common symptom is the pain may be dull, vague, burning, ‎aching, gnawing, sore, or sharp. Pain is usually located in the upper central portion of ‎the abdomen, but it may occur anywhere from the upper left portion of the abdomen around ‎to the back. Besides that, it causes Nausea, Vomiting (if present, may be clear, green or ‎yellow, blood-streaked, or completely bloody, depending on the severity of the ‎stomach inflammation), Belching (if present, usually does not relieve the pain much), ‎Bloating, feeling full only after a few bites of food, loss of appetite, unexplained weight loss.‎

Treatment usually involves taking drugs to reduce stomach acid and thereby help ‎relieve symptoms and promote healing (Stomach acid irritates the inflamed tissue in the ‎stomach). Antacids or other medications, such as Tagamet (to decrease or neutralize gastric ‎acid in the stomach) or proton pump inhibitors such as Prilosec, will usually eliminate the ‎symptoms and promote healing. Medications known to cause gastritis should be discontinued. ‎Gastritis caused by pernicious anemia is treated with vitamin B12. Avoidance of certain ‎foods, beverages, or medicines may also be recommended. Following a diet recommended for ‎peptic ulcer sufferers may help. For recommended foods, and foods to avoid, you can follow ‎these foods lists. If your gastritis is caused by an infection, that problem may be treated as ‎well. For example, the doctor might prescribe antibiotics to clear up H. pylori infection. Once ‎the underlying problem disappears, the gastritis usually does too. Talk to your doctor before ‎stopping any medicine or starting any gastritis treatment on your own. For instance, if the ‎gastritis is acute and likely caused by too much alcohol or NSAID use, the stoppage of these ‎substances may eliminate the condition. If gastritis is chronic or is caused by the H. pylori ‎bacteria, you may be given antibiotics, medications (prescription or over-the-counter) to block ‎or reduce acid production, or antacids that neutralize stomach acid. In some cases, probiotics ‎are recommended to help suppress the H. pylori infection. Probiotics are helpful if taking ‎antibiotics to combat the H. pylori, because they help to replace the good bacteria being ‎destroyed by the antibiotics ‎. ‎

Medications that block acid production and promote healing.Proton pump inhibitors ‎reduce acid by blocking the action of the parts of cells that produce acid. These drugs include ‎the prescription and over-the-counter medications omeprazole (Prilosec), lansoprazole ‎‎(Prevacid), rabeprazole (Aciphex), esomeprazole (Nexium), dexlansoprazole (Dexilant) and ‎pantoprazole (Protonix). Long-term use of proton pump inhibitors, particularly at high doses, ‎may increase your risk of hip, wrist and spine fractures. Ask your doctor whether a calcium ‎supplement may reduce this risk. Medications to reduce acid production. Acid blockers — ‎also called histamine (H-2) blockers — reduce the amount of acid released into your digestive ‎tract, which relieves gastritis pain and encourages healing. Available by prescription or over-‎the-counter, acid blockers include ranitidine (Zantac), famotidine (Pepcid), cimetidine ‎‎(Tagamet) and nizatidine (Axid). Antacids that neutralize stomach acid. Your doctor may ‎include an antacid in your drug regimen. Antacids neutralize existing stomach acid and can ‎provide rapid pain relief. Side effects can include constipation or diarrhea, depending on the ‎main ingredients. Amoxicillin is the most commonly prescribed antibiotic for the treatment of ‎gastritis. H. Pylori infections respond quite well to this gastritis medicine. The patient is ‎supposed to follow this antibiotic therapy for a period of 10-12 days to completely eradicate ‎the bacterial infection. Clarithromycin is yet another antibiotic that can help to eliminate ‎bacterial infections of the stomach. This oral gastritis prescription medicine is powerful ‎enough to kill as well as stop the growth of H. Pylori. Stomach ulcers caused by H.pylori are ‎also treated with clarithromycin.‎

The first true story is, More than 1,400 years ago Allah and His messenger Prophet ‎Muhammad (S.A.W), told us that honey can heal a variety of medicinal problems. Allah says ‎in the Quran, ‎ ‎"And the lord inspired the bee, saying: Take your habitations in the mountains ‎and in the trees and in what they erect. Then, eat of all fruits and follow the ways of your ‎Lord made easy (for you)'. There comes forth from their bellies a drink of varying colour ‎wherein is healing for men. Verily in this is indeed a sign for people who think." The Prophet ‎‎(S.A.W) has also told us of the healing found within honey for a variety of medical problems, ‎including stomach ailments. One hadeeth, reported by Bukhari, states that a man came to the ‎Prophet (S.A.W), because his brother had a stomach disorder. The Prophet said "Let him ‎drink honey." The man returned a second time and again the Prophet (S.A.W), responded ‎again, "Let him drink honey." The man returned again, and said "I have done that." The ‎Prophet then responded, "Allah has said the truth, but your brother's stomach has told a lie. ‎Let him drink honey." He drank it and was cured. Tirmithi, Ibn Majah and Baihaqi also ‎reported that the Prophet (S.A.W), said "Make use of the two remedies: honey and the ‎Quran."‎

The second true story is by Connie; she expressed ‘I had surgery for stomach cancer in ‎September and 1/2 of my stomach was removed. Also, after surgery I had 3 blood clots pass ‎through my heart and also had MERSA. It was all very painful and scary; but, even though ‎my oncologist jokes that they tried to kill me 3 times, he shakes his head and can only say I ‎caught it in time while I was still healthy. I am now on Gleevic which is supposed to help ‎with stomach tumors and Warfarin for my thick blood. I have had no bad affects from either. ‎I originally went to the doctor because I was very tired and my blood tests showed that my ‎red blood cells were disappearing fast. They did the gastro tests showing an ulcer and another ‎mass. Even a scan could not identify what it was, therefore, the surgery. I can only believe ‎that God has a reason for keeping me here. Today, at 67 I am retired but still work 12 hours a ‎week at the college I am affiliated with and only once in a while feel tired. The doctor is ‎amazed because I am eating just about everything’ It shows that Connie faced Gastritis and ‎managed to cure it before the Gastritis spread in her stomach. ‎

The third is about a 75 years old lady Mrs B. P. (Patient reference No. L7924) came ‎with the complaint of burning pain in the abdomen since 18 months. She was diagnosed ‎having chronic gastritis and duodenitis with superficial ulcerations in the stomach. She had no ‎history of nausea, vomiting, bleeding from the gastrointestinal tract ‎. Her burning pain was ‎relieved to an extent by cold milk. She was on antacids which does not relieve her burning ‎pain at all. Based on her totality and taking into account her illness, Sulphuric Acid 200 was ‎prescribed to her. After about 6 months of regular treatment, patient reports of 75 to 80% ‎relief in her burning pain. She can pass stools with much ease, without the use of laxatives. ‎She has been off antacids since 2 months. She is more comfortable, her mood is more ‎cheerful, is able to do her daily activities. This case illustrates to us that even obstinate cases ‎of gastritis and duodenitis that do not respond to conventional treatment show excellent ‎response to Homoeopathic treatment.‎

Based on Islamic perspective, according to the scholars of hadith, barley is very ‎nutritious and provides energy for the body, besides this is also beneficial in pharyngitis and ‎cough. It resolves the inflammation of the stomach (Gastritis), expels the toxins from the ‎body and a good diuretic. It quenches the thirst. Barley water is a good remedy in kidney ‎problem, to quench the thirst and provide the best nutrition for indisposed and weak persons. ‎Preparation of Barley water is described by ‎ Ibn Al-Qayyim. According to him, barley with ‎five times water should be boiled, till the contents become 3/4 and the colour of the mixture ‎becomes milky. Meanwhile, according to ‎ Firdous Al-Hikmat the suspension prepared from ‎one part of barley and fifteen part of water until after boiling this volume becomes 2/3rd of its ‎basic solution, is beneficial for at least hundred diseases of the body.‎

The international scholars are by Barry Marshall which was born in Western ‎Australia in 1951 and after graduating from medical school in Perth became a junior doctor in ‎gastroenterology in the early 1980s.  He wanted an interesting research project and came into ‎contact with a colleague Robin Warren who as a pathologist had observed small curved ‎bacteria in stomach biopsies taken from patients with acute gastritis.  Neither knew the ‎significance of these findings. Then, quite by accident, one of the patients whose stomach ‎biopsy had contained the unidentified bacteria reported that following a course of antibiotics ‎for a chest infection, his indigestion had improved.  Barry Marshall promptly performed an ‎endoscopy to inspect the stomach wall and found the bacteria had disappeared. Since the ‎patients’ symptoms and the bacteria in the stomach had vanished after antibiotics, he drew ‎the obvious conclusion that the organisms might have been the cause of those symptoms. This ‎revelation sparked a flurry of excitement and activity.  Over the next 12 weeks Dr Marshall ‎performed gastroscopies on many more patients and found a high prevalence of bacterial ‎infections in those with gastritis and in every single patient with peptic ulcer ‎. ‎

Besides Marshall, John Robin Warren is one of the international scholars. He ‎received his MBBS degree from the University of Adelaide, having completed his high ‎school education at St Peter's College, Adelaide. In 1967 he was admitted into the Royal ‎College of Pathologists of Australasia and became a senior pathologist at the Royal Perth ‎Hospital where he spent the majority of his career. At the University of Western ‎Australia with his colleague Barry J. Marshall, Warren proved that the bacterium is the cause ‎of stomach ulcers. Warren helped develop a convenient diagnostic test (14C-urea breath-test) ‎for detecting H. pylori in ulcer patients. In 2005, Warren and Marshall were awarded ‎the Nobel Prize in Medicine.‎

In my perspective, Gastritis needs to have an early cure so that the infection does not ‎spread more widely in the stomach. The longer it stays the pain it gets. That is based on my ‎perspective. Besides that, people need to get a self-precaution in term of anything. It is better ‎to take precaution to avoid Gastritis. Nowadays, people are lucky because of there are ‎medicine that can cure Gastritis. Even though it is good for us people but still, people should ‎alert with this kind of disease. Gastritis literally means inflammation of the stomach. This term ‎may refer to acute gastritis or chronic gastritis, two very different disease entities. ‎

In conclusion, in patients with atrophic gastritis, the only histological evaluation of ‎Helicobacter-like organisms colonization in gastric biopsy specimens, appeared to ‎underestimate the true prevalence of current HP infection and the importance of the ‎bacterium in the pathogenesis and progression of such disease. Since HP infection is often ‎associated with an increase of proliferative index, the eradication of HP could induce a ‎musical protective effect against the other carcinogen factors, although it is extremely unlikely ‎that it can promote the regeneration of a normal gastric mucosa. Gastritis is one of the most ‎common health conditions. It occurs when the stomach lining becomes inflamed and swollen. ‎Gastritis can be brief and sudden (acute gastritis) or linger for months or years (chronic ‎gastritis). Gastritis can have multiple causes and treatment depends on the exact cause. A ‎common condition, it accounts for approximately 1.8-2.1 million visits to doctors’ offices ‎such year. Gastritis has several causes and treatment depends on figuring out what caused it ‎in the first place. Treatment depends on removing those stresses to the stomach lining, which ‎may involve lifestyle changes. A number of traditional and natural medications target its ‎symptoms and causes.‎

As we all know, that every disease is common in every people’s life. Gastritis is one of ‎them. Allah is sovereign over all His creation. He controls all that happens in the world; ‎nothing happens apart from His wish and determining. “If Allah touch thee with affliction, ‎none can remove it but He: if He touch thee with happiness, He hath power over all things.”‎ ‎ ‎Anything cannot be completed without the permission from Allah S.W.T The Almighty.‎



4 comments:

  1. This comment has been removed by the author.

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  2. That was very helpful
    I got to know about my disease
    jazakallahu khair

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  3. Nice post. Well what can I say is that these is an interesting and very informative topic on gastric lining inflammation

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