In this discussion, I want to focus specifically on basic gastric issues like gastritis, which can manifest as a burning sensation or irritation in the stomach. There are several potential causes for these symptoms, such as consuming foods that are overly spicy, rich, or simply don’t agree with you. Additionally, viral or bacterial infections, such as those caused by H. pylori, as well as medications like non-steroidal anti-inflammatories (e.g., Advil, Aleve), alcohol consumption, or acidic foods like tomato sauces, are common triggers.
After a thorough evaluation, we may advise patients to adopt a bland diet for a few days, steering clear of spicy foods, rich meals, and excessive fiber or roughage like salads, to see if their symptoms improve. If food poisoning or exposure to food toxins is suspected, medications like Pepto-Bismol may be helpful, as bismuth can assist in binding toxins. Over-the-counter remedies such as antacids (e.g., Tums, Gaviscon) can provide symptomatic relief. For those seeking to reduce stomach acid, short-acting medications like Pepcid and Zantac can also be effective options.Â
Patients experiencing chronic or persistent gastritis symptoms should consult with their primary care physician for further evaluation. Long-term symptoms may indicate conditions like GERD, peptic ulcers, or other gastrointestinal issues. In such cases, doctors often prescribe longer-acting medications known as proton pump inhibitors, such as Protonix, Nexium, and Prilosec. These medications work by inhibiting the stomach’s acid-producing cells, offering more sustained relief over time. Â
For patients who do not respond well to these treatments, a referral to a gastroenterologist may be necessary. They may recommend an endoscopic examination to inspect the stomach lining more closely.Â
~ Dr. Edward Espinosa