Acute Gastritis Clinical Presentation

Updated: Jul 12, 2020
  • Author: Sarah El-Nakeep, MD; Chief Editor: BS Anand, MD  more...
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Presentation

History and Physical Examination

History

Patients with acute gastritis may experience gnawing or burning epigastric distress, occasionally accompanied by nausea and/or vomiting. The pain may improve or worsen with eating.

Obtain the following information, if available:

  • Presence of a previous mucosal injury (eg, gastritis, peptic ulcer disease, endoscopic injury caused by polypectomy, injury caused by any surgery)

  • History of eating raw fish

  • Exposure to potentially noxious drugs or chemical agents. This includes corticosteroids or other prescription medications that can cause gastritis.

  • Routine use of aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs), especially at high doses

Physical examination

The physical examination findings are often normal, with occasional mild epigastric tenderness. The examination tends to exhibit more abnormalities as the patient develops complications in relation to gastritis.