The dictionary defines gastritis as 'the acute or chronic inflammation of the lining of the stomach'. The inflammation is usually diffused in nature, therefore in many cases it is not apparent in a mild chronic gastritis. But in an acute case the symptoms of gastritis are quite pronounced.

There are several agents that cause gastritis but primary etiological factor is the disruption of the gastric mucosal block. 'Helicobacter pylori' is the primary causative factor of gastritis. But it is not the only factor, other less common causes are - excessive intake of alcohol, NSAIDs (non-steroidal anti inflammatory drugs), portal hypertension, autoimmune diseases, duodenal reflux, gastric schema etc.

This pathological situation is routinely diagnosed by gastric biopsy and also identified visually while performing endoscopy. As stated most of the times there are no gastritis symptoms at all and the patient may come to the doctor, in quite an advanced case. This is more likely in elderly patients.

Constant but steady changes in the physiologic structure of the stomach lining, mostly goes unnoticed in elderly people. They may arrive to the doctor because there is an episode of anal bleeding only. This is known as painless damage, and is a chronic situation.

But when the onset is acute, pain or discomfort in the upper abdominal region is the most common presenting symptom. The pain is often excruciating, stabbing or diffused - often accompanied by discomfort. The pain may be localized in the middle of the upper abdomen or it can radiate towards the back.

Some other gastritis symptoms with which a person may arrive with are the following - Belching is one common symptom, which patients generally complain about. It may briefly relieve the pain but it recurs instantly. Nausea or vomiting may also mark the symptoms. The vomit can be clear or green or bluish in color. Sometimes it may be blood tinged.

Bloating which also means distension may also be present. There is a general feeling of fullness of stomach which results in loss of appetite also. This further causes weight loss in long term. All or some of these symptoms may arrive at any time of age but are more obvious as the age advances.

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