Acute Gastritis Differentiation and Diagnosis

Patient's question:

My younger brother started working at a factory in a remote area when he was very young. It might be because the factory's meals were not good, and he never ate breakfast to save money all year round. Additionally, he often worked overtime, which led to stomach pain and a visit to the hospital. Yesterday, he called me and said the doctor told him he had acute gastritis.

Doctor's answer:

Hello! The differential diagnosis of acute corrosive gastritis includes a history of ingesting strong acids (sulfuric acid, hydrochloric acid, nitric acid), strong bases (sodium hydroxide, potassium hydroxide), or Lysol. After ingestion, it causes gastrointestinal burns, severe pain in the mouth, throat, behind the sternum, and upper abdomen, accompanied by pain during swallowing, difficulty swallowing, frequent nausea, and vomiting. In severe cases, it may lead to hematemesis, with bloody mucosal fragments being vomited, and can result in collapse, shock, or symptoms of esophageal or gastric perforation.

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