Question

A 50-year-old man has been suffering from substernal pain for the last 5 months, particularly on waking up in the morning. He lost his job a year ago and was suffering from depression. He consumes about 12–16 cans of beer every day. He has lost his appetite too and says that eating aggravates pain. Is this acute or chronic gastritis? What factors may lead to the development of gastritis? What investigation should be performed? How can the patient be treated?

Answer 1

1. It is case of chronic gastritis because the person is constantly consuming  excess of alcohol on the regular basis continuously.

2. The kay factors leading to the development of gastritis: regular alcohol consumption, H pylori infections, stress, smoking and poor dietary uptake.

3. There is need of the upper endoscopy for the H pylori testing

4. And in this case if H pylori infection is positive, There is recommended regimen for the antibiotics supported by the proton pump inhibitor medications like pantoprazole.