Erocive gastritis with bipolar affective disorder current episode severe depression with psychotic symptoms with history of sexual violence in adolescent

Abstract

Depression is a mental health disorder characterized by feelings of sadness, unhappiness, hopelessness, and even guilt. Erosive gastritis is an erosion of the gastric mucosa caused by damage to the mucosal barrier that is superficial but does not penetrate the muscularis mucosal layer. The patient is a 17 year old girl. Experiencing sad behavior changes, lack of interest, loss of joy, and suicide attempts. In addition, the patient was vomiting blood, and was examined by a pediatric gastroenterohepatologist. The supporting examination that was carried out, namely endoscopy, showed that the patient had erosive gastritis. The patient was consulted to the psychiatry department because there was a history of psychiatric treatment due to a history of depression. The treatment provided includes psychoeducation, administration of antipsychotic drugs quetiapine and valproic acid, as well as drugs for erosive gastritis including Sucralfate and Omeprazole. Episodes of major depression with psychotic symptoms can cause erosive gastritis in adolescents. Stress affects physiological effects, via the HPA-axis pathway.