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50-year-old man has been suffering from substernal pain for the last 5 months, particularly on waking up in the morning. He lost his job a year ago and was suffering from depression. He consumes about 12–16 cans of beer every day. He has lost his appetite too and says that eating aggravates pain. Is this acute or chronic gastritis? What factors may lead to the development of gastritis? What investigation should be performed? How can the patient be treated?

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nevaehlgamble06

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1)This is chronic gastritis

2)alcohol, stress, depression, h pylori, smoking, obesity, poor diet

3)He needs an upper endoscopy with H pylori testing

4)if H pylori positive, he will need antibiotics. A PPI should suffice though if it's simply gastritis.

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