The dictionary describes gastritis as 'the acute or chronic inflammation of the lining of the stomach'. The inflammation is usually diffused kind, so most of the times it is asymptomatic in a mild chronic gastritis. But in an acute condition the symptoms of gastritis are quite prominent.

There are a number of agents that cause gastritis but primary etiological factor is the breach in the gastric mucosal barrier. 'Helicobacter pylori' is the main causative agent of gastritis. But it is not the only factor, other minor factors are - too much intake of alcohol, NSAIDs (non-steroidal anti inflammatory drugs), portal hypertension, autoimmune diseases, duodenal reflux, gastric schema and so on.

This pathological condition is usually diagnosed by gastric biopsy and also recognized visually while performing endoscopy. As mentioned most of the times there are no gastritis symptoms initially and the patient may consult the doctor, in quite an advanced case. This is more likely in aged patients.

Consistent but gradual changes in the physical structure of the stomach lining, frequently goes undetected in elderly people. They may arrive to the doctor because there is a bout of internal bleeding only. This is called painless damage, and is a chronic condition.

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

Other gastritis symptoms with which a patient may arrive with are the following - Belching is one usual symptom, which patients mostly complain about. It may temporarily relieve the pain but it recurs instantly. Nausea or vomiting may also indicate the symptoms. The vomits can be clear or green or bluish in consistency. Sometimes it may be blood stained.

Bloating which also means distension may also occur. There is a general feeling of heaviness of stomach which leads to loss of appetite also. This further causes weight loss in long term. All or some of these symptoms may occur at any time of age but are more visible as the age advances.

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