Non-Atrophic Gastritis with Erosion: Understanding the Condition

Non-atrophic gastritis with erosion is a common gastrointestinal condition characterized by chronic inflammation of the stomach lining, accompanied by superficial tissue damage that does not extend beyond the mucosal layer. It is also known as chronic superficial gastritis and can be caused by various internal and external factors.

The symptoms of this condition are often non-specific, making it difficult to diagnose without proper medical evaluation. Patients may experience discomfort or pain in the upper abdomen, bloating, burning sensations, or indigestion. These symptoms tend to occur irregularly and are often linked to delayed gastric emptying or food retention. Other common signs include loss of appetite, belching, acid reflux, and nausea. Notably, some individuals may not exhibit any noticeable symptoms at all.

There are several key contributing factors to the development of this condition:

Physical irritation – Consumption of alcohol, strong tea, coffee, or foods that are too hot, cold, or coarse in texture can cause repeated physical trauma to the gastric mucosa.

Chemical injury – Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) can suppress prostaglandin production, weakening the protective barrier of the stomach lining. Nicotine from smoking can reduce blood flow to the gastric mucosa, while bile reflux can further damage the stomach lining.

Helicobacter pylori infection – This gram-negative microaerophilic bacterium is one of the primary causes of chronic superficial gastritis. Prolonged H. pylori infection leads to persistent inflammation of the gastric mucosa, increasing the risk of erosive changes.

Pyschological stress – Chronic stress, anxiety, or depression can disrupt the balance between the sympathetic and parasympathetic nervous systems, leading to reduced blood flow to the stomach lining and impaired mucosal protection.

Diagnosis typically involves endoscopic examination and histopathological analysis. During endoscopy, the affected mucosa may appear rough, uneven, and inflamed with redness, swelling, scattered red spots, or small bleeding areas. The gastric folds might also appear thickened or edematous.

In conclusion, non-atrophic gastritis with erosion is a prevalent condition that should not be ignored. If you experience persistent digestive discomfort or related symptoms, it is essential to seek medical attention promptly. Early diagnosis through endoscopic and laboratory testing allows for targeted treatment based on the underlying cause, preventing potential complications and promoting faster recovery.