Clinical management of Gastritis in Uganda
Uganda Clinical Guidelines 2023 · all from source →
General Adult
Diagnosis
Clinical Features
May be asymptomatic or have anorexia, nausea, epigastric pain, and heartburn. Caused by H. pylori, aspirin/NSAIDS, alcohol, smoking, strong spices, excessive coffee.
Investigations
Gastroscopy. Stool for occult blood. Barium meal for chronic gastritis.
Treatment
General Management
Modify diet: Avoid precipitating causes (spices, tobacco, alcohol, carbonated drinks), increase milk intake. Encourage regular, small, and frequent meals. Acetylsalicylic acid and other NSAIDs are contraindicated.
Pharmacological Treatment
Magnesium trisilicate compound 2 tablets every 8 hours as required. If no response: Omeprazole 20 mg in the evening for 4 weeks.
If vomiting
Metoclopramide 10 mg IM repeated when necessary up to 3 times daily. OR Chlorpromazine 25 mg deep IM or oral (if tolerated) repeated prn every 4 hours.
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