Erosive antral gastritis: symptoms and treatment

Erosive antral gastritis is an inflammatory process that leads to pathological changes in the antral region of the stomach, which is closest to the duodenum. With timely treatment, it does not cause complications. Otherwise, it can lead to serious complications, including stomach ulcer and internal bleeding. The latter often leads to death. Restrictions, as to age and sex does not, but children are diagnosed very rarely.


The etiology of this disease is fairly well understood. The formation of erosions occurs as a result of the pathological effect of gastric juice on the mucous membrane. If this process is not stopped, ulcers may develop which are dangerous for their perforation.

Gastritis of the antral part of the stomach can develop if there are such predisposing factors:

  • Helicobacter pylori bacterium is the most common etiologic factor, up to 85% of cases of erosive antral gastritis
  • malnutrition — abuse of fat, spicy and fried
  • alcoholism, smoking;
  • an infectious or inflammatory disease in the gastrointestinal tract
  • gastroenteritis;
  • poisoning with toxic substances
  • previous stomach surgery
  • long-term use of medications that disrupt the integrity of the gastric mucosa

According to statistics, most often the development of this disease is caused by the bacterium Helicobacter pylori and malnutrition.


In the nature of the disease, only two forms are distinguished: acute and chronic . The best predictions are given in the acute form of the disease, as it can be treated conservatively and rarely causes complications.


Acute erosive gastritis of the antrum is somewhat different in the clinical picture by the intensity of manifestations of symptoms. So, with an acute ailment of this type, the following symptoms are observed:

  1. burning, a feeling of discomfort in the epigastric region
  2. nausea;
  3. burp;
  4. stomach pain both before and after food intake
  5. vomiting with an admixture of blood
  6. unstable chair
  7. bloating.

The chronic form of the disease has a less pronounced clinical picture, so the patient does not seek medical help in a timely manner. In this case, the symptoms are as follows:

  • dull pains in the upper part of the stomach, which in some cases are periodic in nature
  • unstable chair
  • increased sweating at night
  • general weakness, for no apparent reason;
  • taste distortions — the patient may refuse food that he prefers earlier.

The chronic form of the disease is dangerous because the patient can develop bleeding. Symptoms, in this case, are as follows:

  1. faint;
  2. elevated body temperature;
  3. pale skin.

Such a person’s condition requires immediate hospitalization. If the necessary medical measures are not taken, then there is no exception to the lethal outcome.


If an erosive process is suspected in the antral region of the stomach, instrumental and laboratory diagnostic methods are required. Previously, the gastroenterologist conducts a physical examination of the patient with an explanation of the general anamnesis.

The diagnostic program includes the following:

  • general and biochemical blood test
  • stool examination
  • Ultrasound of the abdominal cavity;
  • Endoscopy
  • Ultrasound of the gastrointestinal tract.

Based on the results of the study, the doctor makes the final diagnosis and prescribes the correct treatment.


It should be noted that erosive antral gastritis can be treated with conservative methods with correct and timely initiation of therapy. Necessarily, the attending physician prescribes a diet based on the patient’s condition and history.

Medication therapy includes the use of such medications:

  1. antispasmodics
  2. Enzymes;
  3. means that accelerate the regeneration of the mucosa;
  4. stimulants for gastric secretion
  5. Vitamin Complexes.

The duration of taking drugs, their dosage and the regimen is prescribed only by the attending physician, based on the form of the ailment, the patient’s clinical indicators and his anamnesis. Treatment with folk remedies is possible only if it is recommended by the doctor and used together with the main therapy.

Diet for this type of ailment implies the following:

  • the exclusion of foods and beverages that irritate the gastric mucosa
  • food should be in a frayed form, consumed only in a warm form;
  • coffee and the like are excluded
  • Low-fat meat, fish is recommended.

If you treat the disease exactly with the prescription of a doctor and follow a diet, it is possible not only to avoid serious complications, but also to avoid the re-development of the disease.


In order to prevent the development of erosive antral gastritis, such recommendations of physicians-gastroenterologists should be applied in practice:

  1. a properly formulated diet and diet;
  2. full treatment of all inflammatory and infectious ailments of the digestive tract.

In addition, we should not lose sight of the fact that you regularly have to undergo a medical examination.