Gastritis Nodules: Causes, Risks, and Recovery Time

Q: Gastritis Nodules: Causes, Risks, and Recovery Time

Hello： 1. <br>Didn't your doctor explain how this happened? 2. <br>It is recommended to follow up, as it is not possible to determine the future based on the current situation; it may improve or it may progress to cancer. <br>Changhua Hospital cares about your health. <br>Dr. <br

Gastric inflammatory nodules

Hello, doctor.
I had a liver transplant 18 years ago.
After the surgery, I experienced intermittent stomach pain, so I got into the habit of having an endoscopy every six months.
Each time at National Taiwan University Hospital, they either said I had mild gastritis or slight gastric erosion.
Three years ago, I switched to Taipei Medical University for my check-ups because it was closer to home.
They diagnosed me with mild gastroesophageal reflux disease (GERD).
In March 2018, I decided to return to National Taiwan University for a check-up, and they reported inflammation in my stomach but no GERD.
However, on December 19, 2018, at Taipei Medical University, they again diagnosed me with GERD.
I wasn't prescribed any medication for my stomach because I had been feeling tightness around my collarbone and throat.
I scheduled another endoscopy for May 6, and this time, my attending physician requested that I have the procedure in the afternoon, which was my first afternoon endoscopy in 18 years.
The doctor still reported mild GERD and noted gastric inflammation with small nodules.
The doctor mentioned that a biopsy would be necessary.
When I reviewed the report today, the doctor only said there were no bacteria and advised me to continue taking medication for GERD, stating that the small nodules would resolve on their own.
I asked the doctor how the nodules developed, and he explained that they can result from smoking, drinking alcohol, or eating hard foods without chewing properly, leading to inflammation that can resolve and then reoccur, resulting in nodules.
I do not smoke or drink alcohol, and I eat slowly.
I would like to ask the doctor the following questions: 1.
How do gastric inflammation and small nodules develop? 2.
Is there a possibility of cancer development in the future? 3.
Will the small nodules really resolve on their own? 4.
How long does it typically take for the nodules to heal? 5.
I tend to be a nervous and anxious person.

Wenwen, 40~49 year old female. Ask Date: 2019/05/11

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: 1.
Didn't your doctor explain how this happened? 2.
It is recommended to follow up, as it is not possible to determine the future based on the current situation; it may improve or it may progress to cancer.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2019/05/11

More Info

Understanding gastritis nodules, particularly in the context of your medical history, requires a comprehensive approach. Gastritis nodules, or gastric nodules, can arise from various causes, and their implications can vary significantly based on individual circumstances.

1. Causes of Gastritis Nodules: Gastritis nodules can develop due to chronic inflammation of the gastric mucosa, which may be a result of factors such as Helicobacter pylori infection, chronic use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, or even stress. In your case, given your history of liver transplantation and the medications you may be on, it is crucial to consider how these factors could contribute to gastric inflammation and the formation of nodules. Your doctor mentioned that the nodules could be a result of inflammation that has occurred over time, possibly exacerbated by dietary habits or other lifestyle factors.

2. Risk of Cancer: The presence of gastric nodules does raise concerns about the potential for malignancy, especially in the context of chronic gastritis. However, not all nodules are cancerous. The risk of cancerous transformation depends on various factors, including the type of nodule, the underlying cause of the gastritis, and your overall health status. Regular monitoring through endoscopic examinations and biopsies, as you have been doing, is essential for early detection of any changes that might indicate malignancy.

3. Self-resolution of Nodules: Gastric nodules can sometimes resolve on their own, particularly if the underlying cause of the inflammation is addressed. This might involve lifestyle modifications, dietary changes, or medication adjustments. Your physician's reassurance that the nodules may resolve with appropriate treatment is a positive sign, but it is essential to follow up regularly to monitor their status.

4. Recovery Time: The time it takes for gastritis nodules to resolve can vary widely among individuals. Factors such as the severity of the inflammation, adherence to treatment, and individual healing responses play significant roles. It could take weeks to months for nodules to diminish, especially if the underlying causes are effectively managed.

5. Managing Anxiety and Stress: Given your mention of being a "nervous and worried type," it is important to address the psychological aspects of your health. Chronic stress and anxiety can exacerbate gastrointestinal symptoms and may contribute to the perception of pain or discomfort. Engaging in stress-reduction techniques such as mindfulness, yoga, or counseling could be beneficial in managing both your mental health and gastrointestinal symptoms.

In summary, gastritis nodules can arise from chronic inflammation and may have various implications for your health. While the risk of cancer exists, regular monitoring and addressing underlying causes are key to managing your condition. It is essential to maintain open communication with your healthcare provider, adhere to prescribed treatments, and consider lifestyle modifications to support your recovery. If you have further concerns or notice any changes in your symptoms, do not hesitate to reach out to your doctor for additional guidance.

Similar Q&A

Understanding Gastritis: Symptoms, Treatment, and Dietary Tips

Recently, I have been experiencing loss of appetite, nausea, and vomiting, with a decreased food intake (feeling full after eating a little), weight loss, stomach pain, and constipation. These symptoms have persisted for two months. I went to the hospital for an endoscopy, and th...

Dr. Lin Minghui reply Gastroenterology and Hepatology
The gastroscopy examination shows mild inflammation. However, it is important to identify the underlying cause of gastritis, which could be due to improper diet, infections, medications, chemicals, allergies, alcohol consumption, stress, or immune responses. Symptomatic treatment...

Understanding Recurring Gastritis: Symptoms, Causes, and Treatment Options

I developed gastritis earlier this year, around January to February, due to various reasons, and it was quite uncomfortable. I visited the doctor twice, with about a two-week interval between visits. The clinic doctor advised me to eat a lighter diet, and I felt somewhat better a...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Maintain a balanced diet, pay attention to any emotional stress or related issues, and engage in appropriate exercise. If necessary, you may consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Understanding Gastritis: Causes, Treatment, and Dietary Tips

Hello, my friend has gastritis. The doctor advised him to avoid sour, sweet, cold, spicy, oily, and irritating foods, and he needs to take medication before and after meals. Is this condition incurable? Will it recur? Will this method of taking medication affect his body? What sh...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, there are many types of gastritis. Gastritis can be classified into acute, chronic, and acute erosive gastritis, with subtypes such as superficial hemorrhagic and erosive gastritis. The causes are related to medications, alcohol, irritants, allergens, bacteria, emotional f...

Understanding Gastritis Treatment: Recovery Tips and Medication Advice

Hello: Last Wednesday, I underwent my second gastroscopy, as the first one was done in January. Recently, after taking cold medication, I experienced nausea in my stomach. The gastroscopy report indicated gastric inflammation. The doctor advised me to continue taking the PPI I ha...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, medications for colds may irritate the stomach and lead to the recurrence of gastritis or ulcers. In addition to taking medications as prescribed by your physician, it is advisable to avoid irritating foods, particularly acidic and cold items, which can further aid in impr...