CASE PRESENTATION

Alcoholic gastritis

By:
Sravan
PharmD Intern
DPP, JSSCP, Ooty
Alcohol is one of the major triggers for gastritis, hence the
name 'alcoholic gastritis'.

It is exclusively caused by excessive alcohol

consumption
Other causes of gastritis include:
1)Use of NSAID type drugs

2)Helicobacter pylori infection

3)Old age
.
Symptoms are the same as normal gastritis
1)Pain or discomfort in upper abdomen

2)Nausea and vomiting 6)Diarrhea

3)Belching 7)Bad taste in mouth

4)Loss of appetite

5)A bloated feeling

.
 TREATMENT

1) Taking antacids and other drugs to reduce stomach acid

2)If the gastritis is caused by pernicious anemia vitamin

B12 shots given

3)Administer fluids and electrolytes as required,

Particularly if the patient is vomiting

.
 SUBJECTIVE
AGE: 43 SEX: M

DOA: 25/12/1 IP NO: 8730

WARD: Male CASE NO: 125

Reason for admission:

C/o abdominal pain +
 Not a K/C/O HT, DM
 Allergies: NKDA
 SH: Non-vegetarian, smoker, alcoholic since 10 years
 PMH: No H/o fever
No H/o giddiness
H/o vomiting
alcoholic for past 10 years
Suffering from vomiting and headache for past 7 days
OBJECTIVE
O/E
 Patient conscious, oriented.
 Afebrile
 CVS – S1 S2 +
 RS – NVBS
 Abdomen – Soft
 No pallor
PROVISIONAL DIAGNOSIS

Alcoholic gastritis
LAB VALUES
WBC-8.5×103µL Blood sugar-137 mgs%
RBC-5.43×106µL Urea-37mgs%
Creatinine-1.1mgs%
HGB-18.1g/dl Cholesterol -162mgs%
MCV-99.1fl ESR-3mm/hr
MCH-35.2pg Alb/sugar-nIL
MP/MF- Not found
MCHC-35.5g/dl
Dep- 1-2pc
PLT-247×103µL 2-4epc}hpf
HCT-46.8% BS/BP - Negative
DAY 1 Rx

DIL 1) IVF 5%DNS 1 Pint

BP – 130/90mmHg 2) Inj. Ranitidine 50 mg i.v bd
C/O – Abdominal pain 3) Syrup antacid 2tsp bd
4) Cap. omeprazole 20mg1-0-0.
DAY 2 Rx

CVS, RS - NAD CST

BP – 130/90mmHg
A febrile
DAY 3 Rx

BP- 130/80mmHg
PR- 78/min CST
Patient
comfortable
DAY 4 Rx

Patient gc fair
discharged CST
 THERAPEUTIC GOALS
 Main goal for treating gastritis is to eliminate
underlying cause(alcohol)
 Improving functionality of human digestive system
 To improve quality of life
 To prevent recurrence condition
 INTERVENTIONS
 H2 receptor blocker, Proton pump inhibitor and antacid
gel if given together may cause achlorhydria
 As omeprazole and antacid syrup are given,
prescribing ranitidine is not rational
PATIENT COUNSELLING
About the disease:
- symptoms
- Complications (ulcer bleeding)
About the medication:
- How and when to take medications
- ADRs of the drugs
Nutritious diet
Avoid hot and spicy foods
Smoking and drinking cessation
Routine health check ups required
To attend rehabilitation programes for alcohol
withdrawal
Instructed the patient to take omeprazole 30min before
meals
REFERENCES

 MEDLINE PLUS.COM
 WEB MD.COM
 DRUGS.COM
 ALCOHOLISM GUIDE.ORG
THANK YOU