Chronic Superficial Gastritis with Erosion: Understanding the Symptoms

Chronic superficial gastritis, also known as non-atrophic gastritis, is a type of chronic gastric inflammation that affects the surface layer of the stomach lining. When this condition is accompanied by erosion, it means there is a shallow, necrotic defect in the mucosa, but it does not extend beyond the muscularis mucosae.

One of the challenges in diagnosing this condition is that its symptoms are often non-specific. Some individuals may not experience any noticeable symptoms at all. However, for those who do, the most common complaint is upper abdominal pain. This pain tends to be diffuse and unrelated to eating patterns. Patients often describe it as a burning, dull, or bloated sensation in the upper abdomen.

Symptoms can worsen after consuming cold, hard, or spicy foods, as well as other irritants like alcohol or nonsteroidal anti-inflammatory drugs (NSAIDs). In some cases, symptom exacerbation may even correlate with changes in weather.

Other common manifestations include:
- A feeling of fullness or bloating, often due to delayed gastric emptying or indigestion
- Loss of appetite
- Acid reflux
- Nausea and vomiting
- Weakness or fatigue
- Alternating constipation and diarrhea

In acute flare-ups, gastric mucosal erosion and bleeding may occur, leading to more alarming signs such as vomiting blood or passing dark, coffee-ground-like stools.

It's important to note that while many people with chronic superficial gastritis with erosion may not feel severely ill, persistent or recurring symptoms should not be ignored. If you experience any of these signs regularly, it's crucial to seek medical evaluation for an accurate diagnosis and appropriate management. Early treatment under professional guidance can help prevent complications and improve long-term outcomes.