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  • 535 Gastritis and duodenitis
  • 535.0 Acute gastritis
  • 535.00 Acute gastritis, without mention of hemorrhage
  • 535.01 Acute gastritis, with hemorrhage
  • 535.1 Atrophic gastritis
  • 535.10 Atrophic gastritis, without mention of hemorrhage
  • 535.11 Atrophic gastritis, with hemorrhage
  • 535.3 Alcoholic gastritis
  • 535.30 Alcoholic gastritis, without mention of hemorrhage
  • 535.31 Alcoholic gastritis, with hemorrhage
  • 535.4 Other specified gastritis
  • 535.40 Other specified gastritis, without mention of hemorrhage
  • 535.41 Other specified gastritis, with hemorrhage
  • 535.5 Unspecified gastritis and gastroduodenitis
  • 535.50 Unspecified gastritis and gastroduodenitis, without mention of hemorrhage
  • 535.51 Unspecified gastritis and gastroduodenitis, with hemorrhage
  • 535.6 Duodenitis
  • 535.60 Duodenitis, without mention of hemorrhage
  • 535.61 Duodenitis, with hemorrhage
  • 535.7 Eosinophilic gastritis
  • 535.70 Eosinophilic gastritis, without mention of hemorrhage
  • 535.71 Eosinophilic gastritis, with hemorrhage

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  • 315.4 Developmental coordination disorder
  • 718.45 Contracture of joint, pelvic region and thigh
  • 719.70 Difficulty in walking involving joint site unspecified
  • 728.2 Muscular wasting and disuse atrophy, not elsewhere classified
  • 728.89 Other disorders of muscle, ligament, and fascia
  • 729.9 Other and unspecified disorders of soft tissue
  • 780.7 Malaise and fatigue
  • 781.2 Abnormality of gait
  • 782.3 Edema
  • 786.0 Dyspnea and respiratory abnormalities
  • 786.05 Shortness of breath

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  • K29.00 Acute gastritis without bleeding

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Description

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  • Inflammation of stomach lining
  • May be transient or chronic
  • Stomach or upper-abdominal pain
  • Dark stool

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Essentials of Diagnosis

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  • Heartburn that responds to antacids
  • Positive findings on biopsy or endoscopy and upper GI series
  • Chronic gastritis is an increased number of lymphocytes and plasma cells in the gastric mucosa

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General Considerations

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  • Diagnosis for more occult problems may take time and require intensive diagnostic testing
  • May cause stomach cancer
  • May indicate more serious problem, such as an autoimmune disease
  • May result in secondary problems indicating need for PT intervention: aerobic capacity and muscle endurance impairment, sarcopenia, weakness, musculoskeletal problems, neuromuscular problems, weight loss

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Demographics

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  • Can occur in anyone throughout lifespan
  • Approximately one-third of U.S. population is infected with H. pylori
  • Incidence increases with age
  • In U.S., overall age-related incidence is 20% in people younger than 30 years, 50% in people older than 60 years
  • Equally common in males and females

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Signs and Symptoms

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  • Indigestion
  • Heartburn
  • Hiccups
  • Pain in abdomen or stomach
  • Black stool
  • Blood in stool
  • Loss of appetite
  • Nausea
  • Vomiting: blood or coffee ground-type substance
  • Belching
  • Feeling of fullness
  • Halitosis
  • Tachycardia (if GI bleeding)
  • Pallor (if GI bleeding)

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Functional Implications

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  • Severe symptoms such as immediacy of need to urinate or defecate may cause inability to leave home
  • Inability to afford testing and medications, noncompliance with medication regimen
  • Fatigue
  • Drowsiness
  • Nausea
  • Vomiting
  • Severe stomach pain with or without eating
  • Heart disease
  • Weight loss from inability to tolerate food; inability to exercise or move well
  • Sarcopenia resulting in weakness, muscle-mass loss, inability to ambulate or perform ...

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