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Diseases & conditions
Stomach & bowel

Gastritis

Gastritis is inflammation of the lining of the stomach. It is very common and is often caused by a germ called Helicobacter pylori (H. pylori) or by painkillers such as ibuprofen and aspirin. It is usually mild and improves with treatment, but long-lasting gastritis can lead to ulcers or bleeding.

Symptoms

  • Burning or gnawing pain in the upper stomach
  • Feeling full quickly, or bloating
  • Nausea or vomiting
  • Loss of appetite
  • Belching
  • In severe cases, black stools or vomiting blood (signs of bleeding)

When to see a doctor

Get medical help quickly if you notice any of these:

  • Vomiting blood or material that looks like coffee grounds
  • Black, tarry stools
  • Severe or sudden stomach pain
  • Losing weight without trying, or difficulty swallowing
  • Symptoms lasting more than 2 weeks despite treatment
  • New indigestion after the age of 50

In an emergency, go to the nearest hospital or clinic straight away.

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Causes

  • H. pylori infection, often caught in childhood from unclean water or food
  • Painkillers such as ibuprofen, diclofenac and aspirin
  • Smoking, naswar and alcohol
  • Severe stress or serious illness
  • Very spicy or oily food can make symptoms worse

Prevention

  • Take painkillers only when needed, with food, and for the shortest time
  • Do not smoke or use naswar
  • Eat regular, smaller meals
  • Drink clean, boiled or treated water and wash hands before eating
  • Limit very spicy and oily food and strong tea on an empty stomach

Treatment

  • Medicines that reduce stomach acid, such as omeprazole, prescribed by a doctor
  • If H. pylori is found, a combination of antibiotics and acid-reducing medicine — take every dose
  • Stopping or changing painkillers that irritate the stomach, after asking your doctor
  • Small, regular meals
  • Antacids for short-term relief
  • Do not start antibiotics or other prescription medicines without a doctor

Common questions

What is H. pylori and how is it found?

H. pylori is a common germ that lives in the stomach and can cause gastritis and ulcers. It can be found with a stool test, a breath test or a test during endoscopy. If it is found, a doctor prescribes a combination of medicines to clear it.

Can I keep taking antacids every day?

Antacids are fine for occasional relief. If you need them most days for more than 2 weeks, see a doctor to find and treat the cause.

General information onlyThis guide does not replace an examination by a doctor. Do not start or stop a medicine without a doctor's advice.