gastritis

DC Inst – Gastritis

DC

You were evaluated in the Emergency Department today for epigastric pain, which is most likely due to irritation of the lining of your stomach. Your symptoms improved with medication in the ED. You can take Mylanta, which is available over the counter, to help manage your symptoms. Avoid spicy or acidic foods.

Please follow up with your primary care physician within two days.

Return to the Emergency Department if you experience shortness of breath, worsening or uncontrolled abdominal or chest pain, headache, light headedness, feeling faint, nausea, vomiting, bloody vomit or stools, black tarry stools, or any other concerning symptoms.

Thank you for choosing us for your care.

Epigastric Pain – low risk

MDM

Presentation consistent with acute epigastric abdominal pain. Differential diagnosis includes ***. Abdominal exam without peritoneal signs. No evidence of acute abdomen at this time. Well appearing. Low suspicion for acute hepatobiliary disease (includng acute cholecystitis), acute pancreatitis, PUD (including perforation), acute infectious processes (pneumonia, hepatitis, pyelonephritis), atypical appendicitis, vascular catastrophe, bowel obstruction or viscus perforation. Presentation not consistent with other acute, emergent causes of abdominal pain at this time.

Plan: labs, UA, GI cocktail, RUQ US ***, serial reassessment

-Courtesy Adam Evans

Peds – Gastritis – Nontoxic

Peds

*** is a *** y/o otherwise healthy *** with midepigastric pain worsened with eating, most consistent with gastritis. Reassuring that his pain was relieved with OTC antacids. Differential includes GERD, early gastroenteritis, PUD. Low suspicion for referred cardiac etiologies given age and lack of fmhx early heart disease. Denying chest pain. No infectious symptoms (tachypnea, fever/chills, etc) to suggest bacterial infection such as PNA or biliary tree infection. No urinary symptoms to suggest UTI, no RLQ or migratory pain or fever to indicate a concern for appy. No blood/mucus in stool to suggest invasive bacterial species. Otherwise well-appearing child, tolerating adequate PO and not dehydrated.

Plan: discharge to home with return precautions, encourage PO hydration, ***recommend OTC meds such as ranitidine, tums