Antral Gastritis: Symptoms, Causes, and Treatment for Bangladeshi Patients

Dealing with ongoing stomach discomfort? 

Antral gastritis might be the cause, often leading to pain and digestive issues that affect daily life. For many Bangladeshi patients, learning about this condition is the first step toward relief and better symptom management.

But what really causes this inflammation, and how can you manage it effectively?

In this guide, we’ll clarify the key symptoms, causes, and treatment options for antral gastritis helping you take control of your health.

What is Antral Gastritis?

Antral gastritis is a form of gastritis that specifically affects the antrum, the lower part of the stomach. In this condition, the lining of the stomach’s antrum becomes inflamed, often leading to symptoms like burning pain, nausea, bloating, and a sensation of fullness.

The antrum plays a crucial role in digestion by producing mucus and gastric acids to aid in breaking down food. When inflammation occurs in this area, it can disrupt these functions, causing discomfort and potentially impacting digestion over time.

How is Antral Gastritis Different from Other Types of Gastritis?

Unlike general gastritis, which can affect the entire stomach lining, antral gastritis is localised to the stomach’s lower region. This distinction is significant because the symptoms and complications can vary depending on the area of inflammation. 

While other forms of gastritis might cause widespread stomach pain, antral gastritis often results in more localised discomfort, particularly felt in the upper abdominal area.

Causes and Risk Factors of Antral Gastritis

Antral gastritis can result from various causes, many of which involve lifestyle factors or infections that irritate the stomach’s lining. Understanding these causes and risk factors can help patients manage the condition more effectively.

Common Causes of Antral Gastritis

H. pylori Infection

Helicobacter pylori (H. pylori) is a type of bacteria that infects the stomach lining, leading to inflammation. This is one of the most common causes of antral gastritis and can lead to ulcers if untreated.

Excessive Alcohol Use

Alcohol can erode the stomach’s protective lining, increasing the risk of inflammation, particularly in the antrum.

Chronic Use of NSAIDs

Long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and aspirin can damage the stomach lining, resulting in gastritis.

Stress

Prolonged stress is known to affect digestive health, potentially increasing acid production and making the stomach lining more susceptible to inflammation.

Symptoms of Antral Gastritis

• Abdominal Pain: This is often a burning or gnawing pain, typically felt in the upper abdomen. It may become more noticeable on an empty stomach or right after eating.
• Indigestion: People with antral gastritis frequently experience indigestion or discomfort after eating, including a feeling of fullness or heaviness.
• Bloating: Inflammation in the stomach lining can lead to bloating, making the stomach feel swollen or tight.
• Nausea: A persistent feeling of nausea is common, and some may even experience vomiting, especially during acute flare-ups.
• Changes in Bowel Habits: Some individuals notice changes such as constipation or diarrhoea, as digestive disturbances impact the entire gastrointestinal system.

Diagnosis of Antral Gastritis

To accurately diagnose antral gastritis, doctors use a combination of physical exams, imaging, and laboratory tests. The following table summarises the various diagnostic methods used to identify inflammation and determine underlying causes.

Lab tests: