Gastritis

Gastritis is inflammation of the stomach lining. Symptoms may resemble dyspepsia or reflux, so diagnosis is best based on the clinical picture, testing and endoscopy when indicated.

Common causes include Helicobacter pylori, nonsteroidal anti-inflammatory drugs, alcohol, smoking, bile reflux, severe physiological stress and autoimmune gastritis.

Symptoms

Pain or burning in the upper abdomen, nausea, early fullness, heaviness after meals and belching may occur. Symptom intensity does not always match inflammation severity.

Diet And Keto

Keto does not treat gastritis by itself. During a flare, alcohol, very spicy foods, overeating, large fatty meals and coffee on an empty stomach are often poorly tolerated; the diet may need temporary simplification.

What To Check

With recurrent symptoms, Helicobacter pylori, NSAID use, anemia signs, B12 and the need for gastroscopy should be assessed. Self-treatment with acid suppressors can hide the cause.

When It Is Urgent

Vomiting blood, black stool, progressive weight loss, trouble swallowing, persistent vomiting or severe pain require urgent medical care.

What Should Not Be Masked

If pain returns after stopping medication, or anemia and weight loss appear, it should not be blamed on “acidity” for years. Helicobacter pylori, mucosal injury, medication causes and other upper GI diseases must be considered.

Stomach acid is needed for digestion, so the goal is not to remove acid forever, but to treat the cause of inflammation and protect the lining.