What is it?

Reactive gastropathy, also known as chemical gastropathy, refers to a long-term process of a mucosal injury caused by chronic exposure to irritating substances. These substances produce a chemical reaction that erodes your stomach lining over time. Reactive gastropathy is usually caused by:
- Chronic use of medications from the non-steroidal anti-inflammatory drugs (NSAIDs) family, including ibuprofen, Advil, and naproxen.
- Bile reflux.
- Chronic alcohol use or smoking.
- H. pylori infection.

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Additional names

This group contains additional names:
- Chemical gastropathy

Signs & symptoms

Most common of reactive gastropathy are the same as any gastropathy and include:
- Abdominal pain or discomfort.
- Nausea.
- Indigestion.


The most efficient way to diagnose reactive gastropathy or any other gastropathy is by an upper endoscopy exam, best known as gastroscopy, in which a gastroenterologist examines your upper digestive system using a tube connected to a tiny camera. If a abnormal tissue is located, a biopsy may be taken for a microscopic evaluation.


Treatments for reactive gastropathy might include:
- Acid-blocking medications, such as Omeprazole, Esomeprazole, and Pantoprazole.
- Medicines that coat and protect your stomach lining, such as bismuth subsalicylate and sucralfate.
- Antibiotics to treat bacterial infections in case of an H. pylori infection.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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