An erosive gastritis is a disease associated with the defeat or inflammation of the upper outer layers of the mucous membranes of the stomach. Erosive gastritis symptoms are expressed not only in the appearance of pain syndromes in the stomach and / or burning sensation in the esophagus, but the risk of a violation of virtually all basic functions, including the secretion, gastro-intestinal tract.
- reasons
- Symptoms
- Types
- Consequences
- diagnosis and analysis
- Treatment
- Diet
- have
- children during pregnancy
- Treatment folk remedies
- Prevention
characterized by malaise development of sores on the mucosal surface, cell regeneration disorder, atrophy of epithelial tissues and the replacement of normalfunctioning glands of internal secretion by fibrous scars. As a result of a breach of the integrity of the epithelial mucosa in the late stages of the disease, bleeding may occur, and the patient's condition is related to a precancerous one. Even after complete healing of the lesions, the disease can appear again. Reasons
emergence and progression of erosive gastritis caused by exposure to the gastric mucosa many factors:
- high content in the flora of the gastro-intestinal tract pathogenic bacteria( e.g., Helicobacter, Staphylococcus and others.) And fungi( Candida and so forth.);
- chronic eating disorder, addiction to fast food;
- smoking and alcohol abuse;
- long-term use of drugs that irritate and damage the walls of the stomach mucosa;
- mucous membrane damage by chemical, radioactive or other toxic substances;
- infection with parasitic infestations( eg lamblia, schistosomes, etc.);
- permanent nervous overstrain and chronic stress.
- In addition, the causes of gastritis may be the internal endogenous factors( disorders of the liver, kidneys, severe burns, loss of a large amount of blood, inherited genetic predisposition, autoimmune, endocrine, metabolic dysfunction, chronic infections, and so on.).
symptoms Clinical symptoms of erosive gastritis:
- pain in the upper stomach, burning or discomfort in the esophagus, heartburn( amplified on an empty stomach);
- belching, nausea and sometimes vomiting, flatulence, an unpleasant taste in the mouth( often acidic), gravity, pressure and feeling of fullness in the stomach during meals or immediately thereafter;
- stool black or the presence of a tarry inclusions( this is due to the blood getting into the digestive system, where it is oxidized by exposure to acidic environments and acquires a dark brown shade);
- exacerbation of symptoms in the period of spring and autumn;
- occurrence of painful sensations after reception of acute or acidic products. The aggravation of erosive gastritis is manifested by a sharp intense shivering pain in the upper abdomen, swelling and soreness of the intestine, nausea, food insecurity, persistent heartburn, and acidic or metallic taste in the mouth.
- Common symptoms and symptoms include irritability, general weakness, impaired cardiac function, sweating, fatigue, drowsiness and / or loss of interest in life, especially after eating, unstable stools( when constipation is periodically replaced by bouts of diarrhea, and vice versa),development of pre-ulcer state.
Species
Inflammation of the mucous membranes can occur in acute or chronic form. Acute forms are divided into: erosive gastritis, hemorrhagic and focal erosive. The latter species is characterized by a local location of foci of lesions of the mucosa and by its characteristics does not differ from other forms of erosive gastritis.
Hemorrhagic gastritis occurs against a background of a chronic or neglected disease, and also when an infection is attached. It is expressed in permanent bleeding and is the most serious form of the disease. Treatment of hemorrhagic gastritis requires serious medical intervention with competent selection of medicines under the supervision of an experienced specialist.
Chronic gastritis most often occurs on the background of autoimmune pathologies, anemia, infectious and bacterial lesions, adverse alkaline( pH) or acid balance of the stomach and other causes. It is manifested by common and local signs during the period of exacerbation. During the remission, there is practically no concern for the patient.
Erosive gastritis of the antral part of the stomach( lower part, bottom) is most often caused by damage to the normal flora by Helicobacteria, which multiply, form colonies, destroy the mucous membrane and lead to the formation of bleeding sores.
to table of contents ^Consequences of
The tightening with the treatment of erosive gastritis is fraught with not only a deterioration in the state of the patient's health, but also the transition of the disease to a more severe form. It can be:
- hemorrhagic gastritis, when ulcerative lesions of the mucosa begin to bleed and a large amount of blood constantly gets inside the stomach;
- is a perforated ulcer, when the walls of the stomach and / or duodenum are gradually destroyed and form a through hole, through which the contents of the gastrointestinal tract go out, leading to the development of peritonitis.
Quite often gastritis is accompanied by duodenal and intestinal pathologies: bulbitis( bulb inflammation), duodenitis( inflammation of the duodenal mucosa), gastroenteritis( inflammation of the small intestine), gastroenterocolitis( inflammation of the large intestine).Reflux esophagitis occurs against a background of chronic gastritis and is characterized by regular spontaneous casting of gastric and / or duodenal contents into the lumen of the esophageal canal, which negatively affects its condition. Cancer damage is the last stage of gastritis, when the body cells begin to decompose themselves.
to table of contents ^Diagnosis and analysis of
The diagnosis begins with a patient examination, anamnesis and an endoscopic examination of the stomach wall. At the same time, samples of a biopsy specimen, tests for the content of helikobacteria, research of changes in the mucous membranes( erosion, their nature, etc.) are taken.
Repeated examination and clarification of the content of Helicobacteria can be carried out using a gas analyzer and respiratory tests. Laboratory blood and urine fetuses( for general clinical and biochemical analysis), feces for blood and Helicobacter pylori are necessarily performed.
Ultrasound diagnostics allows to identify concomitant diseases of the gastrointestinal tract( liver, gall bladder, pancreas, etc.).The intake of gastric juice shows the state of secretion and the level of acid-base balance.
to table of contents ^Treatment of
The management of acute gastritis can occur in both inpatient and outpatient settings. For these purposes, intramuscular or intravenous injection of pain medications, remedies relaxing the smooth muscles of the gastrointestinal tract, purifying and supporting the functions of the liver are administered once.
Antisecretory drugs( regulating the production of hydrochloric acid in the stomach), M-cholinolytics( antiulcer substances), antacids, antifungal and antibacterial agents for the destruction of fungi and helicobacteria enveloping medicines are used to treat chronic forms of gastritis. As supportive measures, vitamin complexes can be prescribed. For example, vitamin U( methylmethionine sulfonium chloride) reduces the secretion of gastric juice, has an analgesic effect, vitamin B5( pantothenic acid) promotes regeneration of the mucous membranes, normalizes the intestinal peristalsis.
Commonly used medicines for gastritis:
- Omega( Omeprozol) - regulates the secretion of hydrochloric acid.
- De-Nol is an antimicrobial, regenerating and astringent.
- Almagel, Fosfalugel - a local analgesic and choleretic substance, neutralizes the content of hydrochloric acid in the gastric juice to the optimum concentration.
- Actovegin, Solcoseryl - activate metabolic and anabolic processes in the body, regenerate tissues, increase blood circulation.
- Methyluracil - heals wounds, relieves inflammation.
- Amoxicillin is a semisynthetic antibiotic for the destruction of bacteria.
- Ornistat is a complex preparation with antifungal, antibacterial, antisecretory and antiprotozoal action.
- Selection of drugs, their dosage and timing of admission are determined only by the doctor, based on the characteristics of the disease, its location, shape, clinical manifestations. In particularly acute situations, the patient may be offered immediate electrocoagulation( burning) of erosion.
Diet
In case of exacerbation of erosive gastritis, patients need a sparing diet. It should be rich in proteins and vitamins, fresh, stewed and boiled fruits and vegetables, cereals. Food must necessarily be warm, sufficiently crushed and liquid( mashed soups, cream soups, semi-liquid and enveloping porridges such as oatmeal, jelly).The daily norm of food is divided into 5-6 receptions in small portions. Between receptions should take at least 2 hours.
Strictly contraindicated: chocolate, coffee, strong tea, alcoholic and carbonated drinks, spicy seasonings, canned food and concentrates for fast cooking, fatty, fried and smoked products. It is not recommended to eat food provoking fermentation: milk and sour milk products, grapes, plums, black and white bread, flour and butter products, a large amount of sugar.
Poorly affect the stomach in the acute period of the seeds, nuts( can scratch the mucous membrane), kefir. Low-fat fresh sour-milk products are allowed only during remission and in small portions. Have a good astringent effect of persimmons, pumpkin baked or in the form of porridge, baked apples, bananas.
to table of contents ^In children
Most often, erosive gastritis develops in children of primary school age. This is due to irregular and incorrect nutrition, nervous and physical overstrain, abuse of harmful food( crackers, chips, carbonated drinks, etc.).
Treatment of the disease is carried out with the same drugs as in adults, but with appropriate dosage. It is recommended to follow a strict diet, diet, daily routine, age and physical and emotional loads, rest.
to the table of contents ^Pregnancy
No forms of gastritis are contraindications to the conception of a child. In the first trimester, an exacerbation of the chronic condition and an increase in toxicosis are possible. Treatment of the disease in full is not done, so as not to harm the development of the fetus. It is recommended to adhere to the diet and take the prescribed medications prescribed by your doctor.
to the table of contents ^Treatment with folk remedies
A freshly squeezed juice from the leaves of cabbage, potatoes or beet is considered to be an effective and effective way of treating gastritis. It takes juice for 1/3 or 1/2 cup for half an hour before meals 3 times a day.
Flax seeds( 2 teaspoons) are poured with 200 milliliters of boiling water, insist 2-3 hours. It is used for 1/3 cup for half an hour before meals 3 times a day.
To remove the pain and inflammation of the mucous, digestive herbs will help to improve digestion: chamomile, calendula, oak cortex, St. John's wort, yarrow, chicory, birch leaves, aloe leaves, hips, etc. Honey also has similar qualities.
Propolis tincture is considered a miracle cure not only for gastritis, but also for many other diseases of the body. It is taken, starting with 1-2 drops before eating. Dosage is adjusted to 50 drops, then go in the reverse order( gradually reducing the dosage).
to contents ^Prevention
The development of erosive gastritis can be prevented or prevented by simple rules:
- to comply with the diet( 5-6 times a day in small portions);
- does not overeat;
- food should be full, useful, varied and necessarily warmed up;
- thoroughly chew food;
- use only fresh products, refuse from sharp sauces, ketchups, mayonnaise;
- get rid of bad habits, especially from alcohol abuse.