Gastritis

21 March 2025

f you are experiencing persistent stomach pain, nausea, or digestive discomfort, our team of gastroenterology experts is here to help.

What is Gastritis?

Gastritis is the inflammation of the stomach lining, which can cause pain, discomfort, and digestive issues. It can be acute (sudden onset) or chronic (long-term), and if left untreated, it may lead to complications such as stomach ulcers or an increased risk of gastric cancer.

Potential Causes

Several factors can contribute to stomach lining inflammation, including:

Helicobacter pylori (H. pylori) infection – A bacterial infection that damages the stomach lining.
Excessive alcohol consumption – Irritates and weakens the stomach’s protective barrier.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) – Long-term use of painkillers like ibuprofen or aspirin.
Chronic stress – Increases stomach acid production, leading to irritation.
Autoimmune disorders – The immune system mistakenly attacks the stomach lining.
Bile reflux – A condition where bile flows into the stomach from the small intestine.
Spicy & acidic foods – Can worsen existing inflammation in some individuals.

Signs & Symptoms of Gastritis

The symptoms of Gastritis can vary but often include:

Burning stomach pain – Often worse on an empty stomach.
Nausea & vomiting – Sometimes with blood in severe cases.
Bloating & indigestion – Feeling overly full after eating small meals.
Loss of appetite – A result of persistent stomach discomfort.
Dark, tar-like stools – A sign of internal bleeding.
Unexplained weight loss – Due to ongoing digestive issues.

Diagnosis

At Royal Buckinghamshire Hospital, we use advanced diagnostic techniques to determine the cause of your symptoms:

Gastroscopy (Endoscopy) – A thin, flexible camera examines the stomach lining for inflammation or ulcers.
H. pylori Test – A breath, blood, stool, or biopsy test to detect bacterial infection.
Stool Test – To check for signs of infection or gastrointestinal bleeding.
Blood Tests – Assess for anaemia and signs of chronic gastritis.
Barium Swallow X-ray – Helps detect abnormalities in the stomach lining.

Treatment Options

Lifestyle & Dietary Adjustments

Avoid irritants – Reduce alcohol, caffeine, and acidic foods.
Eat smaller meals – Helps reduce stomach acid exposure.
Manage stress – Relaxation techniques like meditation and yoga can be beneficial.
Stop smoking – Smoking weakens the stomach lining and increases acid production.

Medications for Gastritis

Antacids – Provide immediate relief by neutralising stomach acid.
Proton Pump Inhibitors (PPIs) – Reduce acid production (e.g., omeprazole, lansoprazole).
H2-Receptor Blockers – Help lower stomach acid levels (e.g., ranitidine, famotidine).
Antibiotic Therapy – If H. pylori is present, a course of antibiotics will be prescribed.
Cytoprotective Agents – Medications like sucralfate help protect the stomach lining.

Surgical Treatment (Rare Cases)

In severe cases, surgery may be required if there is severe ulceration, bleeding, or complications from chronic gastritis.

Monitoring and Follow-Up Care

After treatment, regular follow-ups ensure long-term management and symptom control:

Endoscopic Monitoring – For patients with chronic or atrophic gastritis.
Repeat H. pylori Testing – Ensures successful eradication after antibiotic treatment.
Ongoing Dietary Advice – To prevent recurrence and promote digestive health.
Medication Review – Adjustments if symptoms persist.

Arranging To Visit A Private GP

To discuss any worrying symptoms that might be an indication of Gastritis diagnosis, then you can make an appointment with one of our private GPs. Appointments are available to everyone and can often be booked for the same day. There is no need to be registered with our Buckinghamshire hospital, or live locally.

If you have insurance which covers a GP visit, we can in most cases invoice the insurer directly. Where you are paying directly, the cost for a 30 minute consultation is £100.

Any additional costs will always be discussed. They could apply if you are referred for an MRI scan, or to a consultant, or for other agreed decisions to support your health.

Our Resident Private GP

Dr Chamali is welcoming and highly experienced. He offers his patients sound diagnosis and treatment, along with individual care focused on their future health.