Gastritis

• 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

• 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

• K29.00 Acute gastritis without bleeding

• 6B: Impaired aerobic capacity/endurance associated with deconditioning1

Description

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

Essentials of Diagnosis

• 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

General Considerations

• 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

Demographics

• 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

Signs and Symptoms

• 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)

Functional Implications

• 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 ...