Stress-Induced Gastritis Differential Diagnoses

Updated: Apr 14, 2020
  • Author: Rohan C Clarke, MD; Chief Editor: BS Anand, MD  more...
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DDx

Diagnostic Considerations

Important considerations

Hemodynamic stabilization of the patient should be prioritized before any diagnostic evaluation for stress gastritis. [2]

Timely prophylaxis with H2 blockers can lead to a significant reduction in the development of stress-induced gastritis and, hence, the avoidance of upper gastrointestinal hemorrhage.

Consider the possibility of blood product transfusions, which are dependent on the severity of a hemorrhage. [1, 2] This may expose the patient to the unnecessary risk of blood-borne infections, and the possible resultant hypotension could worsen any vascular compromise that is present, leading to cerebrovascular accidents, myocardial infarction, and renal failure. This could potentially leave the physician liable for lawsuits, if the patient does not receive prophylaxis earlier or in a timely manner.

The geriatric population may be more susceptible to the loss of blood, leading to a worsening of any underlying chronic vascular disease.

Other conditions to consider

The following conditions should also be considered in the differential diagnosis of stress-induced gastritis:

  • Nonsteroidal anti-inflammatory drug (NSAID)–induced gastritis

  • Alcoholic gastropathy

  • Uremic gastropathy