Tiếng Việt
According to the American Gastroenterological Association and treatment guidelines from the Vietnamese Association of Gastroenterology, the fundamental difference between these conditions lies in their underlying mechanisms:
- Gastritis occurs when the stomach lining is damaged due to excessive gastric acid, infection with Helicobacter pylori, or lifestyle factors such as excessive alcohol consumption, or the use of medications such as NSAIDs.
- Gastroesophageal reflux is related to dysfunction of the lower esophageal sphincter – the “valve” separating the stomach and the esophagus. When this valve becomes weak or opens inappropriately, stomach contents flow back into the esophagus, damaging its lining, which lacks the protective layer found in the stomach. Other contributing factors to reflux may include hiatal hernia, the acid pocket phenomenon, increased intra-abdominal pressure in pregnancy, obesity, or delayed gastric emptying.
Dr. Nguyen Thi Cam Tu – Department of Gastroenterology & Hepatology, Hanoi French Hospital, shares several points to help you distinguish between these common conditions.
- Location and radiation of symptoms: Gastritis typically causes cramping pain localized in the upper abdomen, whereas gastroesophageal reflux often causes a burning sensation that can extend upward to the throat.
- Symptoms beyond the digestive system: Persistent dry cough, morning hoarseness, or a bitter taste in the mouth may result from gastric acid reflux damaging the esophagus, or causing laryngitis, bronchial irritation, and even dental erosion.
- Effect of body position: A characteristic feature of GERD is the worsening of symptoms when lying down or bending forward soon after eating. In contrast, gastritis or peptic ulcer pain often occurs when the stomach is either very empty or overly full.
To establish an accurate diagnosis and determine the most appropriate treatment for each patient, gastroenterologists at Hanoi French Hospital conduct thorough clinical evaluations, carefully review the patient’s medical history, and perform additional diagnostic tests when necessary.
Narrow-band imaging (NBI) gastroscopy uses specific narrow wavelengths of light to detect even subtle changes in blood vessels and mucosal structures of the esophagus. This technique helps distinguish gastritis from early complications of GERD, such as Barrett’s esophagus.
To schedule a consultation with HFH gastroenterology specialists or learn more about gastroscopy services, please contact the hotline 024.35771100 or message the fanpage “Hanoi French Hospital”, or Zalo OA: zalo.me/2008009049335817955.
