Diagnostic Dilemma

Recurrent gastritis

An 8-year-old boy born of non-consanguineous marriage presented with recurrent episodes of hematemesis. He had the first episode 3 years ago which was coffee-colored associated with vomiting. He was treated with antacids at that time. He had another episode of hematemesis 6 months ago and a recent one 15 days ago. All the time, he was treated with antacids. There were no dark-colored stools or jaundice. On examination, there was no organomegaly or any other abnormal physical examination findings. Investigations showed normal platelets, normal prothrombin time (PT) & partial thromboplastin time (PTT), normal liver function tests. Colour doppler of the abdomen showed normal portal vein size and USG abdomen showed no organomegaly. Oesophageogastroscopy (OGDscopy) showed erosive gastritis.

How should this child be managed?
Answer Discussion :
Mahmoud Reda
4 hours ago
mohamed mustafa
Avoid food, stop drug like ibuprofen, h pyloric ag stool
2 Days ago

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