The dictionary describes gastritis as 'the acute or chronic inflammation of the stomach mucosa'. The inflammation is generally diffused type, so most of the times it is not apparent in a mild chronic gastritis. But in an acute case the symptoms of gastritis are quite evident.

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

This pathological condition is usually diagnosed by gastric biopsy and also identified visually while performing endoscopy. As stated most of the times there are no gastritis symptoms initially and the patient may come to the doctor, in really an advanced stage. This is more likely in older patients.

Consistent but gradual changes in the physiologic structure of the stomach lining, mostly goes undetected in elderly people. They may come to the doctor because there is an episode of internal bleeding only. This is called painless damage, and is a chronic situation.

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

Other gastritis symptoms with which a person may arrive with are the following - Belching is one common symptom, which patients mainly complain about. It may briefly relieve the pain but it comes back instantly. Nausea or vomiting may also mark the symptoms. The vomits can be clear or green or bluish in consistency. Sometimes it may be blood tinged.

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

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