How to treat gastritis with high acidity - treatment of gastritis. Symptoms of gastritis with high acidity, treatment, diet

The diagnosis of gastritis, which is established after FGDS, is not just a diagnosis, not a specific disease, but a collective one general concept, which includes a whole range of different pathological processes in the human stomach. There is a certain classification of gastritis:

• according to the nature of the process - acute and chronic
• according to the depth of damage to the mucous membrane and layers of the epithelium of the stomach
• according to stomach acidity - gastritis with low and gastritis with increased acidity.

Symptoms of gastritis also depend on its type, but the most characteristic signs for any of them are pain in the epigastric region, heaviness after eating, nausea, belching, heartburn, decreased or increased appetite, constipation or diarrhea.

Signs of gastritis with high acidity

Previously, when the term gastritis with high acidity was simply mentioned, it was more often about superficial gastritis, (), reflux - gastritis, erosive gastritis against the background of high acidity and Helicobacter pylori. But today acidity is not important diagnostic sign, and gastritis is classified according to the type of change in the mucous membrane into: atrophic, erosive and hypertrophic. Symptoms of gastritis:

• Aching pain in the epigastric region, in the left hypochondrium, sometimes cutting paroxysmal. Antral gastritis hurts in the right hypochondrium.
• Heartburn - the most characteristic symptom of gastritis with high stomach acidity.
• Belching sour- also a characteristic sign of increased acidity in the stomach, this symptom is distinctive, since when low acidity stomach (reduced secretory activity when food is poorly digested), the patient most often belches rotten (see.
• Nausea and vomiting- nausea most often occurs on an empty stomach, with long breaks in food, vomiting is characteristic of the erosive process. Vomiting occurs when a person with gastritis with high acidity has eaten too much acidic foods. In this case, it is the only option to reduce excess stomach acid.
• Bloating. With hyperacid gastritis, constipation predominates, against the background of which fermentation processes develop, causing bloating and gas formation.
• Increased or decreased appetite. Usually, with superficial gastritis after eating, the acidity decreases slightly and causes an increase in appetite, but with acute gastritis or severe damage to the stomach, pain during and after eating naturally reduces appetite.
• Night pains and hunger pains - pain often bothers patients when there is no food in the stomach, that is, on an empty stomach, at night, and after a long break in food.

At chronic gastritis with high acidity, the symptoms are not as pronounced and only with provoking factors:

• overeating
• long break from eating
• alcohol abuse
• food poisoning
• severe stress
• eating poor quality, too spicy, fatty, hot or cold food
• when smoking

may cause aggravation up to acute erosions or ulcers. Chronic gastritis is a long-term change in the mucous membrane and its exacerbation leads to acute gastritis of any severity.

Therefore, any change in the digestive process, which is expressed by nausea, pain, unstable stool, heaviness in the stomach, increased gas formation, should force a person to undergo examination by a gastroenterologist, since not only gastritis, but also more serious illnesses The gastrointestinal tract can cause similar symptoms, especially in these times of oncological tension.

Gastritis with high acidity - treatment

Today in medicine almost ten are classified various types gastritis, and each of them is divided into several stages and forms of development. This is not easy, because in order to effectively treat any disease, you must first assess the condition of the organ or system as deeply as possible, establish the correct diagnosis so that the treatment does not turn out to be erroneous or inadequate. Knowing the exact clinical picture the patient’s stomach condition, type, stage, form of gastritis, treatment will be determined by the doctor based on these detailed data for each individual patient:

• Gastritis is treated by a gastroenterologist.
• Before treatment, the doctor must carefully examine the patient’s medical history, his general state health, accompanying illnesses, including the gastrointestinal tract, to clarify possible contraindications for taking certain medications
• According to FGSD, the doctor determines the type, stage and form of gastritis, acidity gastric juice and finds out the causes of the disease.
• The effectiveness of treating gastritis with high acidity depends on the neglect inflammatory process, its type and on the discipline and responsibility of the patient himself, since with any treatment, medication, folk remedies - without following a diet and eradicating bad habits, it is impossible to cure gastritis.

Today, when selecting therapy, gastroenterologists rely not on the acidity of the stomach, but on the condition of the mucous membrane according to FGDS. In case of acute gastritis, symptomatic therapy is first prescribed, since at the beginning it is necessary to reduce pain and reduce inflammation, and this is possible by reducing the production of of hydrochloric acid, that is, with the help of medications that neutralize acidity, and of course, adherence to dietary nutrition.

Anesthesia

Severe pain syndrome is relieved with antispasmodics (), or m-cholinergic blockers (metacin, gastrocepin) or antacids with local anesthetics(Almagel A).

Antacids

These are drugs that neutralize gastric acid. Modern antacid medications use a competent combination of magnesium and aluminum compounds. With antacids, the effect does not occur immediately after use, since they are practically not absorbed into the blood. But at the same time it is extended therapeutic effect for more for a long time Moreover, these drugs have an antiseptic and adsorbing effect. Such means include:

• Phosphalugel, Gasterin - contains aluminum salt of phosphoric acid.
• Almagel, Maalox, Gastratcid, Altacid, Palmagel - containing aluminum-magnesium combinations.
• Topalkan, Gaviscon - composed of aluminum-magnesium-silicon combinations with the addition of alginate.
• Talcid, Gastal, Rutacid are combinations of aluminum, magnesium and calcium compounds.

Medicines, proton pump blockers

One of the most severe and painful forms of gastritis is hyperacid gastritis. This disease is characterized by increased secretory function of the stomach lining, which leads to increased acidity in the stomach itself. The disease is accompanied by acute inflammation of the mucous membrane. As a rule, gastritis with high acidity is more common in men.

The symptoms of this disease are very specific, it is difficult not to notice it. Caring nature came up with this so that a person would pay attention to them by starting treatment, because the long-term existence of an increased amount of hydrochloric acid in the stomach inevitably leads to damage to its cells, which is why erosions and ulcers develop.

Reasons for development

There are external and internal reasons for development. TO external reasons can be attributed:

• excessive alcohol consumption and smoking;
• abuse of food that causes irritation of the gastric mucosa (fatty, hot, spicy or too hot food);
• work in the production of chemicals or other products harmful to health;
• uncontrolled use of certain medications (non-steroidal anti-inflammatory drugs, salicylates, antibiotics).

TO internal reasons relate:

It is important to establish the cause, as this will directly influence the choice of treatment method.

Also known in medicine modern classification diseases with high acidity, where gastritis is divided into 3 subgroups - A, B and C.

• Gastritis type A: The patient’s body begins to form antibodies to the organ mucosa. This is due to genetics.
• Gastritis type B: The lesion affects the antrum of the stomach. The most common reason occurrence of Helicobacter. Another reason is reflux.
• Gastritis type C: This type includes gastritis caused by poisoning with alcohol, drugs or chemicals.

Any type of disease is dangerous for humans and can provoke the development of complications, such as erosive gastritis and peptic ulcers. Treatment in such circumstances is prescribed immediately.

Signs of gastritis with high acidity

Most types of pathology have similar symptoms:

• stomach pain in the morning and at night;
• heartburn; nausea;
• burning;
• vomiting (sometimes with blood);
• belching sour;
• bloating;
• diarrhea; constipation.

In the chronic form, the symptoms are mild. Exacerbation of gastritis with high acidity in the spring and autumn is accompanied by unpleasant manifestations if there are provoking factors.

Symptoms of type A gastritis

The disease is asymptomatic until the development of intestinal megaloblastic anemia. In some cases it is characterized by:

• dull pain;
• heaviness after eating;
• unpleasant taste in the mouth;
• nausea, belching;
• flatulence, diarrhea.

Subsequently, a burning sensation of the tongue, drowsiness, fatigue, and numbness of the limbs appear. Objectively characterized by pallor of the skin, varnished surface of the tongue, loss of vibration sensitivity, gait disturbance, etc.

Symptoms of type B gastritis

Chronic gastritis with high acidity type B is manifested by symptoms characteristic of a peptic ulcer:

• hungry and night pain in the stomach;
• nausea, vomiting;
• heartburn, sour belching;
• tendency to constipation.

The disease may be asymptomatic. Diagnosed based on clinical observations, endoscopic examination.

Gastritis type C

Reflux gastritis, chemical gastritis type C with high acidity is characterized by focal lesions of the fundamental part of the stomach with the contents of the duodenum. For small intestinal reflux (movement in reverse direction) gastritis C develops after gastric resection.

This type of gastritis with high acidity can also be caused by medication, chemical or alcohol poisoning. It is also possible to have a course without pronounced symptoms, or the following signs are observed:

• feeling of heaviness and pain immediately after eating or during sleep;
• nausea, heartburn, vomiting.

What complications are there?

A prolonged increase in the concentration of hydrochloric acid in the stomach can lead to the following complications:

• development of an ulcer – a defect in the stomach wall in the form of a non-healing wound;
• duodenitis - inflammation of the duodenum as a result of hydrochloric acid entering it;
• the transition of gastritis to a tumor disease - constant irritation of the gastric mucosa with hydrochloric acid can provoke its uncontrolled growth and the appearance of a tumor.

Diagnostics

For diagnosis, the following laboratory and instrumental methods research:

• pH-metry – determination of acidity directly in the stomach cavity;
• gastric intubation with sampling of gastric juice - a tube is inserted into the stomach through which a portion of gastric juice is taken, then the concentration of hydrochloric acid in it is determined in the laboratory;
• fibroesophagogastroduodenoscopy (FEGDS) - using a fiber optic tube with lighting and a camera, you can directly see the condition of its mucous membrane.

When the first symptoms of gastritis appear, you should consult a gastroenterologist for additional examination and adequate treatment.

How to treat gastritis with high acidity

Knowing the exact clinical picture of the patient’s stomach condition, the type, stage, form of gastritis, the treatment will be determined by the doctor based on these detailed data for each specific patient:

1. Before starting treatment, the doctor must carefully examine the patient’s medical history, his general health, concomitant diseases, including the gastrointestinal tract, in order to clarify possible contraindications for taking certain medications.
2. According to FGSD, the doctor determines the type, stage and form of gastritis, the acidity of gastric juice and finds out the causes of the disease.
3. The effectiveness of treating gastritis with high acidity depends on the severity of the inflammatory process, its type and on the discipline and responsibility of the patient himself, since with any treatment, medication, folk remedies - without following a diet and eradicating bad habits, it is impossible to cure gastritis.

Today, when selecting therapy, gastroenterologists rely not on the acidity of the stomach, but on the condition of the mucous membrane according to FGDS. In case of acute gastritis, symptomatic therapy is first prescribed, since at the beginning it is necessary to reduce pain and reduce inflammation, and this is possible by reducing the production of hydrochloric acid, that is, with the help of drugs that neutralize acidity, and of course, following a diet.

Drugs

Drug treatment slows down the spread of the inflammatory process and normalizes the activity of the glands. Doctors prescribe:

1. Antacids. Reduce the acidity level of gastric juice: Rutacid, Phosphalugel, Almagel, Maalox.
2. Antibacterial agents (according to indications): Metronidazole, Amoxicillin, Clarithromycin.
3. Blockers of hydrochloric acid production: Lanzoprazole, Omeprazole, Ranitidine.
4. In case of severe pain, injections of antispasmodics and medications that reduce gastric secretion are necessary.
5. You cannot do without Smecta, which envelops the walls of the stomach. Enzymes are needed to improve the digestion process. They contain drugs: Mezim, Creon, Digestal.

The above list of tablets for gastritis and stomach ulcers can only be used after consulting a doctor. This is important to remember because different shapes gastritis require individual approach. Otherwise, you risk making things worse with the wrong treatment.

Diet and nutrition rules

For gastritis with high acidity, the patient must follow certain dietary rules:

1. Method of preparation: boiling (preferably steamed) baking without crust.
2. The food should be warm. Hot and cold foods are prohibited.
3. Don't overeat. The portion should be small.
4. You need to eat 5-6 times a day at regular intervals.
5. It is necessary to exclude from the diet: salty, spicy, fatty foods, sour fruits, rich broths.
6. Dishes are consumed pureed or chopped. Boiled fish or lean meat can be served in pieces.

Advice: if the disease worsens, you will have to eat porridge with water and rice water. As the condition improves, the remaining dishes are gradually introduced.

You can eat:

• vegetable soups and puree soups;
• boiled or baked low-fat varieties meat and fish;
• porridge: buckwheat, semolina, oatmeal;
• milk soups;
• vermicelli, pasta;
• jelly, compotes and jelly from sweet fruits with sugar;
• non-acidic kefir and yogurt;
• steam omelettes, soft-boiled eggs;
• vegetable oils;
• herbs;
• mild cheese;
• milk;
• cream.

We exclude:

• fresh (especially sour) fruits and berries;
• sour juices;
• spicy dishes;
• meat and mushroom broths;
• legumes;
• porridge: corn, millet, barley;
• borscht;
• okroshka;
• pastry products;
• sausages;
• varieties of fish and meat with high fat content;
• canned food;
• cabbage;
• radish;
• pickled and pickled vegetables;
• fresh bread.

It is worth noting that the diet for erosive gastritis of the stomach, reflux gastritis or gastroduodenitis (as well as for other types of gastrointestinal diseases associated with high acidity) excludes the consumption of any fast food. This group of food products also includes muesli, which is often mistakenly classified as healthy eating and many favorite hot dogs, pizzas and burgers, even home-cooked.

Folk recipes

In the treatment of gastritis with high acidity, in addition to diet and medicines traditional ones are often used herbal infusions and infusions that have proven themselves to be excellent.

• Honey to reduce stomach acidity. Dissolve honey in warm water- it is known that a warm solution of honey perfectly reduces the acidity of the stomach, is quickly absorbed in the stomach and does not irritate the gastric mucosa. During the day you need to drink approximately 150 g of honey solution. Take for one and a half to two months.
• Freshly squeezed juice from raw potatoes. It has proven itself very well in the treatment of gastritis with high acidity. Fresh Juice raw potatoes. If the doctor has not given any other recommendations, then in the morning you should drink ¾ glass of freshly squeezed raw potato juice on an empty stomach. After taking the juice, you should lie down for about half an hour. You can have breakfast in an hour. The duration of treatment is ten days. The course can be repeated up to three times, taking a break of ten days between courses.
• Carrot juice. Used successfully to reduce stomach acidity carrot juice. To prepare juice, you should choose only fully ripened root vegetables rich in carotene and sugars. Freshly squeezed carrot juice should be taken half a glass an hour before meals (one dose per day). After ten days of taking it, take a ten-day break, then repeat the course.

Difficult herbal tea to reduce stomach acidity. You will need:

• Plant raw materials plantain leaves - 8 tablespoons;
• Vegetable raw materials of dried herb - 8 tablespoons;
• Plant raw materials St. John's wort herb - 8 tablespoons;
• Plant raw materials of centaury herb - 4 tablespoons;
• Plant raw materials mint leaves - 2 tablespoons;
• Plant material of knotweed herb - 4 tablespoons;
• Vegetable raw material calamus rhizome - 2 tablespoons;
• Cumin fruits - 3 tablespoons;
• Plant raw materials of yarrow herb - 1 tablespoon;
• Boiling water - 1000 g.

Mix all plant materials thoroughly. In an enamel or glass container, pour two tablespoons of the prepared mixture with boiling water and leave for 12 hours. Strain. Take half a glass after meals four times a day.

Prevention

Basic preventive measure gastritis with high acidity are measures to normalize the secretion of hydrochloric acid.

1. Refusal of hot, cold, spicy, fatty, heavy, fried foods.
2. Avoiding overeating, fasting, dry food, “on the go.”
3. Quitting alcohol and smoking.
4. Balanced diet - sufficient quantity proteins, carbohydrates, vitamins.
5. Compliance with the terms and conditions of food storage - most gastrointestinal diseases begin with the words “what will happen to them in the refrigerator.”
6. Maintain a meal plan - dinner no later than 4 hours before bedtime.
7. Compliance with food preparation technology.
8. Take medications only under the supervision of a doctor.
9. Control of your psycho-emotional state.
10. Compliance with personal hygiene and sanitation requirements - washing hands before eating, visiting the toilet, regular wet cleaning premises.
11. Timely sanitation of the oral cavity, diagnosis and treatment of diseases of other body systems.

These rules are very important; they must be followed not only during the period of peak exacerbation of the disease, but also during Everyday life. This will preserve the health of not only the stomach, but also all organs of the gastrointestinal tract.

Gastritis with high acidity is a disease of the stomach, which is characterized by an inflammatory process in the mucous membrane of this organ. The pathology sometimes has an acute course, but is still often chronic disease. It is more often diagnosed in people from the middle and older age categories.

Causes

Increased acidity is not normal for the stomach, so if it is present in the organ for a long time acidic environment, the gastric walls begin to become inflamed, and gastritis with high acidity develops.

At the same time, there are reasons that cause increased secretion mucous membrane of the secretory organ, leading to an increase in the acidity of gastric juice. And such reasons are endogenous and exogenous.

Exogenous causes– these are the causes of increased acidity due to ingestion of certain substances or products. Accordingly, endogenous causes lie in the presence of pathologies in the body that cause the secretory function of this organ to increase.

Exogenous factors include:

• eating food that is too hot or too cold;
• poor chewing of food;
• frequent consumption of spicy and fried foods;
• frequent consumption of alcoholic beverages;
• the effect of tobacco on the gastric mucosa;
• uncontrolled use of pharmaceuticals.

In addition, it is necessary to understand that dysfunction of the secretory function may be associated with dysfunctional environmental situation in the region where a person lives. Also, regular ingestion of dust particles or other harmful substances in the air where a person works - in mines, in factories, etc. can lead to illness.

If we talk about endogenous factors, then first of all we need to mention heredity. According to research, people whose close relatives suffered from this pathology are most likely to also have it, in any case, their predisposition is very high. Moreover, the provocateur of the development of the disease can be both an incorrect lifestyle and regular stress. Also to endogenous reasons refers to a lack of vitamins in the body, food allergy and violation metabolic processes. Other diseases of the gastrointestinal tract can also provoke disruption of the secretory function of the stomach with the development of gastritis with high acidity.

For respiratory diseases and of cardio-vascular system Hypoxia of cells may develop, as a result of which their secretory function is disrupted and gastritis with high acidity develops. And also, according to medical research, the simplest microorganism has an adverse effect on the mucous membrane - (the disease caused by the bacterium must be treated with special drugs). This microorganism is capable of producing catalase, which suppresses the reaction immune system human, as well as urease, which protects it from the adverse effects of gastric juice, which is why it can live and reproduce in the stomach without problems.

This microorganism affects the stomach in several directions at once:

• firstly, it activates inflammation in the organ mucosa;
• secondly, it releases toxins that aggravate the inflammatory process and poison the body;
• thirdly, it affects physiological functions stomach, leading to disruption of its functioning.

To date, researchers have established a clear relationship between Helicobacter pylori and chronic gastritis with high acidity, therefore, if this disease is suspected, doctors initially refer the person for research, trying to detect this bacterium in the body, which will help confirm the diagnosis.

Other protozoa that can affect secretory function of this body digestive systems are spirochetes, adenoviruses, gingival amoeba, coca, various fungi and even oral trichomonas.

Signs

Today it is customary to distinguish the signs of gastritis with high acidity depending on the type of pathology. There are three types of this disease:

• gastritis type A;
• type B;
• type C.

The rarest type is type A or autoimmune gastritis, in which there is a violation of the secretion of hydrochloric acid with the development of megaloblastic anemia, neurological pathologies and impaired absorption of vitamin B12. The symptoms of this disease are initial stages are not detected, so it is quite difficult to treat the disease - only with the development of megaloblastic anemia does the patient begin to complain of bad taste in the mouth, dull pain in the stomach, as well as diarrhea and flatulence. Clinically important symptom There is a burning sensation on the tongue, and its surface becomes as if varnished.

With high acidity type B, the most common type of this pathology, there will be the following:

• development of a tendency to;
• the appearance of sour belching and development;
• pain that usually occurs at night and on an empty stomach;
• nausea and vomiting.

Sometimes the disease is asymptomatic, and the diagnosis can only be made by endoscopic examination. This type of gastritis can be antral, exogenous, or caused by the microorganism described above - Helicobacter pylori.

Antral is a type of pathology that manifests itself due to the effect of bacterial agents on the mucous membrane of the organ. The exogenous type develops as a result of external adverse influences.

Chronic gastritis with high acidity, caused by Helicobacter pylori, often leads to the appearance of multiple foci of inflammation in the stomach, with the development of mucosal atrophy and pathological changes in the epithelium of the organ.

The last type of pathology is type C. This disease is often caused by medicinal, chemical or chemical agents, which result in damage to the organ mucosa. Characteristic symptoms are: heartburn, vomiting, nausea, as well as pain immediately after eating and during sleep.

Diagnosis and treatment

Basics diagnostic value for determining of this disease has, allowing you to identify areas of damage in the organ. In addition, you can find out the level of acidity by examining a biopath of the gastric mucosa.

Treatment of gastritis with high acidity consists of symptomatic therapy. The doctor, taking into account the clinical manifestations and complaints of the patient, prescribes painkillers, drugs that reduce the inflammatory process and stabilize secretory function. The most common drugs used for this purpose are antisecretory drugs (Omeprazole, rabeprazole and others) and antacids.

Nutrition for gastritis with high acidity plays an important role in treatment - it should be fractional and repeated. It is recommended to eat up to 6 times a day - the portions are small. Products that cause irritation to the organ mucosa are excluded from the diet. In particular, the diet for gastritis with high acidity should exclude fatty and fried food, spicy dishes, smoked meats and pickles. It is also important that the food you eat is not too hot or too cold.

It is best if the diet for gastritis with high acidity includes boiled vegetables, boiled fish, and lean meat. Vegetable soups are also recommended, which are very healthy and do not irritate the organ mucosa. The most optimal menu is prepared by a nutritionist.

The menu for the patient is compiled taking into account his taste preferences- so that the food is not only healthy, but also tasty. But the main thing is that it includes permitted products. In addition, you should definitely discuss the menu with your doctor so that he approves it.

If a person has gastritis with high acidity, its treatment will also consist of taking digestive enzymes to regulate digestive processes and protect the mucous membrane from adverse effects.

In addition, the treatment of gastritis with high acidity requires taking antispasmodics and sedatives, and in the case of Helicobacter pylori detection, taking antibacterial agents. It must be said that medications and diet are unable to completely cure gastritis with high acidity, but they make it possible to achieve long-term remission.

Is everything correct in the article? medical point vision?

Answer only if you have proven medical knowledge

Diseases with similar symptoms:

It is no secret that in the body of every person, when various processes, including the digestion of food, microorganisms are involved. Dysbacteriosis is a disease in which the ratio and composition of microorganisms inhabiting the intestines is disrupted. This can lead to serious problems with the functioning of the stomach and intestines.

Gastritis with high acidity or hyperacid gastritis is a common disease. Young and middle-aged people are more susceptible to this disease.

This is primarily an inflammation of the gastric mucosa with its cellular infiltration, which occurs under the influence of increased secretion of hydrochloric acid, which subsequently negatively affects such functions of the stomach as: motor, secretory, excretory.

Hydrochloric acid is produced by a certain type of cell - parietal. Their excess production is controlled and blocked by the so-called alkaline buffer system of the stomach.

Thus:

An acid-base balance is achieved, which promotes favorable digestion of food and organ functioning. If this balance shifts to the acid side, the phenomenon of hyperacid gastritis occurs. Under the influence of acidity, the wall of the stomach is damaged, followed by the formation of complications.

This pathology occurs in two forms: acute, if the disease lasts less than six months, and chronic, if the course lasts more than six months. Chronic is divided into 2 stages: remission and exacerbation.

Based on the endoscopic picture, the following forms are distinguished:

• Surface;
• Hypertrophic;
• Hemorrhagic;

Differences between gastritis with high and low acidity

The main difference between these two forms of disease is related to the acid-producing function of the stomach. In the hyperacid type (excessive production of HCL), the parietal cells responsible for acid production work to a greater extent.

In this case, the aggressive factor acting on the wall of the organ will be the gastric juice. If, however, the parietal cells lose their function to one degree or another, poorly digested coarse food will have a negative effect on the stomach. food bolus, which will entail atrophy of the mucosa.

Causes of gastritis with high acidity:

• Exposure to Helicobacter pylori. The role of the bacterium Helicobacter pylori in the formation of this disease has been scientifically proven. During clinical trials, this bacterium was found in 93% of patients with the pathology. The source is a sick person or carrier. The pathogen is found in saliva, dental plaque, and the contents of the gastrointestinal tract. Transmission occurs through the fecal-oral route. Poorly treated endoscopes can also become a source of infection.
• The development of this pathology in 15-18% of cases is due to autoimmune reactions. Self-antibodies attack parietal cells, which subsequently negatively affects their function.
• . Occurs due to insufficiency of the pyloric closing function. Bile and pancreatic juice lead to the destruction of the mucous barrier and the formation of hyperacid reflux gastritis.
• Negative effects of medications. These include: non-steroidal anti-inflammatory drugs (NSAIDs), hormonal medications, cardiac glycosides, anti-tuberculosis group.
• Failure to adhere to daily routine and proper nutrition. Fried, spicy, salty, rough, and sour foods have an unfavorable effect.
• Excessive use.
• Smoking.
• Influence production factors and environmental pollution with dust, acids, pesticides, etc.
• Presence of concomitant chronic pathologies: obesity, diabetes mellitus, frequent infections, heart and kidney failure.
• Prolonged stress.

Symptoms and treatment of gastritis with high stomach acidity

Speaking about this pathology, it is customary in the clinic to distinguish several main syndromes.

1. Pain syndrome. The pain is usually localized in the epigastric region, in upper sections belly. They are moderate in nature and have a direct connection with food intake. Most often, patients report so-called “hunger” pain.

They occur on an empty stomach, when the stomach is empty of food. The occurrence of pain is associated with irritation of the pyloroduodenal zone by acidic gastric contents, as a result of which the spastic contraction of the muscles of the organ increases. Sometimes the pain can radiate to the lower parts of the abdomen.

2. Gastrointestinal dyspepsia syndrome. It includes such features as:

• Decreased appetite;
• Nausea before or after eating;
• One-time vomiting after eating, if the diet is not followed;
• Belching, most often odorless;
• Stool instability: alternating constipation and diarrhea;
• Rumbling in the stomach, flatulence;
• Persistent painful heartburn;
• White coating on the tongue.

3. Asthenovegetative syndrome. Shows general weakness fatigue, apathy, decreased performance. Hypovitaminosis may occur, especially vitamin B12. Then brittle nails, hair loss, and dry skin occur.

How to identify gastritis with increased secretion

After analyzing the patient’s complaints and examining him, the attending physician prescribes to verify and confirm the diagnosis.

An endoscopist with hyperacid gastritis observes pronounced hyperemia of the mucous membrane, its swelling, infiltrative processes, and hemorrhages.

These changes can be focal or diffuse. If necessary, a control biopsy is prescribed to morphological research cellular composition.

To distinguish gastritis with increased secretion from gastritis with decreased secretion mandatory method is a study of gastric secretion. One of the substances is injected into the patient's body: gastrin, pentagastrin or histamine.

These substances stimulate the production of gastric juice. If it excess quantity– we are talking about the hyperacid form, if insufficient – ​​about the hypoacid form.

An alternative method is intragastric pH measurement. Normally, the pH in the organ is 1.6-2.0. A pH of less than 1.6 indicates increased acidity, a pH of more than 2.5 indicates a decrease in acidity.

In addition, the doctor has the right to prescribe additional diagnostic procedures, such as: contrast radiography organs abdominal cavity; Ultrasound of the abdominal organs; computed tomography stomach; biochemical blood test.

Comprehensive treatment regimen for gastritis with high acidity

Therapy for exacerbation of the disease is carried out for the following purposes:

• Eliminate inflammatory changes.
• Relieve clinical symptoms.
• Prevent progression of mucosal damage.
• Destroy Helicobacter pylori infection.

The fundamental link in the treatment of this pathology is the correct balanced diet. During this period, the patient must strictly follow a gentle diet.

It means a complete refusal at the time of therapy from fried, spicy, coarse, smoked foods, chocolate; from drinking alcohol, fast food and smoking.

Shown fractional meals 5-6 times a day in small portions. Limit intake of salt, strong tea, coffee, dairy products. Regular nutrition and chewing thoroughly food.

Such patients are allowed to add to their diet: non-rich soups, boiled meat and fish, steamed porridge, chicken breast, mashed potatoes and vegetables. With restrictions on fermented milk products.

It implies the destruction of Helicobacter pylori in the gastrointestinal tract and a decrease in the level of hydrochloric acid secretion.

Medicines should only be taken as prescribed and under the supervision of a qualified specialist!

How and with what to treat gastritis with high acidity:

• Anti-helicobacter agents

Against the background, pain and dyspeptic symptoms disappear, healing of the damaged layer occurs, and neutrophil infiltration disappears.

These medications include: De-nol, Metronidazole (Trichopol), Tetracycline, Amoxicillin, Clarithromycin, Gastrostat - combination drug, containing in its composition potassium salt disubstituted bismuth citrate and tetracycline hydrochloride; Pylobact.

• The “gold standard” in the treatment of gastritis is proton pump inhibitors.

These include: Omeprazole, Lanzoprazole, Pantoprazole, Rabeprazole, Esomeprazole. This group is the most powerful inhibitor of gastric secretion to date.

Treatment without these drugs of this type diseases are not rational and ineffective. This group regulates the function of parietal cells, which subsequently leads to normal acid secretion.

• H2 – blockers: Ranitidine; Famotidine; Nizatidine; Roxatidine.

These drugs are based on principle feedback. They directly block the receptors themselves, which are affected by gastric juice.

If the receptors are blocked, they do not send a signal that more hydrochloric acid needs to be produced, and therefore there is no excess of it.

• Absorbable antacids.

Neutralize the acid itself, reduce the symptoms of heartburn and heaviness: Sodium bicarbonate, Magnesium oxide, Calcium carbonate, Rennie.

• Aluminum containing antacids: Almagel, Magnesium Algeldrate, Maalox, Phosphalugel, Gastal, Gelusil-varnish.

For the acute course of the disease, a three-component treatment regimen is used. Any regimen must include a proton pump inhibitor.

Example: 2 antibacterial drugs + PPI. Clarithromycin + Metronidazole + Omeprazole.

De-Nol + Amoxicillin + Esomeprazole. Klacid + Metronidazole + Pantoprazole.

In connection with the problem of resistance, there are rules for the use of anti-Cheltcobacter therapy:

• If the prescribed treatment regimen does not help eliminate the causative agent of the disease, then it is no longer necessary to repeat it.
• If the regimen did not contribute to recovery, this means that the bacteria is resistant to one or more of the components and they are not able to affect it.
• The appearance of infection in the body after a certain time is a relapse. It needs to be treated with more effective regimens.

Symptoms and treatment of chronic gastritis with high acidity

The signs of the disease are as follows:

• 24-hour pain in the upper half of the abdominal cavity, not relieved by eating. The pain is associated with overstretching of the walls by gastric contents.
• Constant dryness in the mouth.
• White or gray coating on the tongue, thicker at the root.
• Bad breath.
• Decreased appetite.
• Weight loss noticeable by the patient.
• Burning in the esophagus or stomach.

Therapy for exacerbation of chronic infection

In case of protracted, prolonged and recurring course of the disease, treatment approaches are longer.

Goals in the treatment of exacerbations of chronic hyperacid gastritis:

• Relieve inflammatory changes.
• Extend the remission phase.
• Reduce the duration of an exacerbation attack.
• Relieve and relieve symptoms.
• Improve the patient's quality of life and performance.

Just like in acute cases, the diet must be carefully selected and followed. In addition, the patient must observe a daily routine, work and rest.

With clinically and laboratory diagnostically confirmed chronic gastritis, it is most rational to use a four-component treatment regimen.

All medications should be prescribed only by your doctor, as they may cause unexpected reactions.

Examples of four component circuits. Bismuth drug + two antibacterial drugs + PPI.

De-nol + tetracycline + omeprazole + metranidozole.

De-nol + clarithromycin + metronidazole + esomeprazole.

In prolonged cases, physiotherapy is resorted to, and can also be used. To relieve pain, electrophoresis with novocaine or platiphylline may be prescribed; procedures for applying heat to the epigastric region, periodic currents.

Patients with chronic form V mandatory sanatorium-resort treatment is indicated. They issue vouchers to Kislovodsk, Esentuki, Kislovodsk.

Criteria for recovery from the disease

Treatment will be effective and complete if the patient is completely free of complaints, endoscopic signs of inflammatory process activity and the presence of bacteria.

Patients with the chronic form should be observed by a gastroenterologist throughout their lives, and treatment and examination are carried out only when complaints and syndromes appear.

The duration of therapy depends on the correctly chosen regimen. If the patient follows a complete diet and takes medications regularly, recovery occurs within 12-14 days.

For relapses and persistence clinical symptoms, the doctor has the right to extend the use of proton pump inhibitors until the required period, 1-2 months.

Currently, gastritis is not rare disease. This pathology It is diagnosed mainly in representatives of the stronger sex. Poor diet, frequent stress, bad habits - all these factors negatively affect the proper functioning of the gastrointestinal tract and disrupt metabolism. This article discusses gastritis with high acidity in detail. Treatment with folk remedies and medications described below.

Description of the disease

Gastritis with high acidity is a fairly common disease, which is accompanied by activation of the secretory pathology. The pathology occurs in the form of an inflammatory process directly on the mucous membrane of the organ and often disrupts the normal functioning of the entire gastrointestinal tract. As a result, fatigue appears, decreased performance, and the person becomes overly irritable.

The symptoms of the disease are very specific and difficult to miss. Nature itself came up with this so that a person would pay attention to them in a timely manner and immediately begin a course of treatment. Otherwise, the presence of an increased amount inevitably entails damage to its cells, the development of erosions and ulcers.

Fortunately, modern medicine offers several options for combating pathologies such as gastritis with high acidity. Treatment with folk remedies, herbal medicine, compliance special diet- all these measures allow you not only to reduce the manifestation of symptoms of the disease, but also to forget forever about its existence.

Causes

Gastritis of this type develops due to various reasons, which are conventionally divided into exogenous and endogenous. The first ones include the following:

• Eating excessively spicy, spicy or hot foods.
• Bad habits.
• Wrong diet.
• Long-term use of certain groups of medications (hormones, anti-inflammatory drugs, painkillers).
• Work in hazardous production.

The following factors can be considered endogenous (internal) causes:

What signs are accompanied by gastritis with high acidity (symptoms)? Potent treatments medicines can be avoided if the disease is noticed in time. To do this, you need to know what signs it is characterized by.

If the acidity in the stomach increases, the first symptom of the pathology is a feeling of heartburn after directly eating. Aching pain in the epigastric region may also appear.

As the disease progresses, a feeling of heaviness and stool disturbances (diarrhea/constipation) develop. Patients with this diagnosis become overly irritable, their performance decreases, and sleep disturbances appear.

Classification of the disease

• Type A The body begins to form antibodies to the cells of the gastric mucosa, which is explained by genetic predisposition. This means that the likelihood of the disease occurring is several times higher if close relatives have already been diagnosed with gastritis with high acidity. Treatment with folk remedies for the fundamental variant of the pathology gives excellent results, despite the practically asymptomatic course.
• Type B ( antral gastritis). As a rule, the area where the stomach passes into the duodenum due to the active activity of bacteria, pathologies resemble peptic ulcer.
• Type C. Gastritis appears due to poisoning with alcoholic beverages, food, and medications.

Establishing diagnosis

A disease such as gastritis with high acidity should not be ignored. How to relieve pain, reduce constant feeling abdominal discomfort, coping with dyspeptic disorders - these are just some of the issues that concern patients in the first place. In this case, it is recommended to initially seek help from a gastroenterologist who can confirm the diagnosis.

At the appointment, the doctor listens to the patient’s complaints, collects anamnesis, and palpates the epigastric area. Then they are appointed laboratory research to determine the nature of the lesion:

• Blood test, stool test.
• Fibrogastroduodenoscopy (allows you to visually examine all existing changes in the esophagus and take tissue for cytology).
• Probing (examines the secretory function of the stomach).

Based on the test results, the specialist can confirm the diagnosis and recommend appropriate treatment.

Drug therapy

Treatment of this disease involves stopping pain syndrome and a decrease in the production of hydrochloric acid. This is the only way to reduce inflammation and manifestations. unpleasant symptoms, which always accompany gastritis with high acidity. Treatment with medications includes:

• Taking medications to reduce stomach acidity (Omeprazole, Atropine, Ranitidine).
• To improve the digestion process of food, enzymes are prescribed (Mezim, Digestal).
• The use of agents whose main purpose is to envelop the stomach cavity and reduce the impact of food on the mucous membrane (“Smecta”).
• If Helicobacter Pylori is detected, special antibacterial drugs are recommended. They are appointed on an individual basis.

Gastritis with high acidity: folk remedies

Many today prefer the recipes of our grandmothers rather than traditional medicine. Of course, seek help traditional treatment should only be done after consulting a doctor. Otherwise, you can cause irreparable harm to your own body.

Potatoes are an excellent remedy in the fight against this disease. With increased stomach acidity, it is recommended to consume 25 g of potato juice daily, gradually increasing this volume to 100 g per day. Improvement is usually noted already on the fifth day.

Honey is not only tasty treat, but also an excellent medicine against many gastrointestinal pathologies. It is necessary to dissolve 100 g of honey at room temperature (approximately three glasses). A few hours before meals, you should take one glass of this infusion. The course of treatment can be up to two months. If you have heartburn, you can add milk to honey.

Doctors strongly recommend reconsidering the usual diet for all patients, without exception, diagnosed with gastritis with high acidity. Treatment with folk remedies involves eating a special porridge. To prepare it you will need 100 g oatmeal stir in a liter of water and cook over low heat. After the porridge has cooled, you need to add a pinch of salt, two tablespoons of honey, a handful of ground walnuts and a spoonful of chopped fennel leaves. Such a “medicine” should be divided into three equal portions and eaten one before next appointment food. The course of treatment is six days.

Phytotherapy

Many doctors specializing in herbal medicine recommend the following recipes to their patients.

• Pharmaceutical camomile. One tablespoon of the herb should be brewed in a glass of boiling water and left overnight. It is recommended to take half a glass of the decoction approximately 30 minutes before meals.
• Yarrow, marshmallow, calendula, and chamomile flowers also help fight diseases such as gastritis with high acidity. The herbs must be mixed in equal proportions and pour a glass of boiling water, let it brew. The decoction should be taken 0.4 cups three times a day.

Herbal medicine has proven itself to be excellent in the treatment of gastritis. However, it is not indicated for all patients. This is why it is so important not to self-medicate, but to undergo a course of therapy under the constant supervision of a doctor. Thus, the probability of defeating gastritis with high acidity is much higher.

Diet

The menu for this disease necessarily requires adjustment. Proper nutrition is important factor, which allows not only to reduce the risk of exacerbation, but also to permanently stop the development of pathology. Experts recommend completely changing your usual diet for three weeks.

For breakfast you can eat porridge with water and without added sugar/oil. Considered an excellent option oatmeal. For lunch, cereal soups and steamed dishes without spices are allowed. Recommended drinks: jelly, rosehip infusion. You can eat non-acidic fruits.

The diet for gastritis should be fairly balanced, consisting of proteins, fats and carbohydrates (approximate ratio - 1: 1: 4). The entire daily amount of food should be divided into approximately 5-6 meals. Consumption is strictly prohibited following products: sour fruits and berries, spicy dishes, legumes, baked goods, fatty fish and meat, canned food and smoked products. What can you eat? Vegetable soups, steam omelettes, pasta, low-fat cheese and fish, various cereals- all these dishes should be present in the diet.

It is advisable to steam or bake food and eat it pureed. The proposed diet is recommended to be followed during periods of exacerbation of the disease. As symptoms decrease, you can gradually switch to a common table. Such nutrition creates the maximum comfortable conditions for the stomach, it allows you to overcome gastritis with high acidity, both lose weight and normalize the functioning of the gastrointestinal tract. Many patients note that within a few days after changing their diet, heartburn and a constant feeling of discomfort in the epigastric area disappear.

Conclusion

Unfortunately, in Lately Pathologies of the gastrointestinal tract are being diagnosed more and more often. This problem also affects the younger population. In this article, we explained what a disease called “gastritis with high acidity” is. Folk remedies Treatments coupled with drug therapy help to forget about this disease forever. Moreover, timely diagnosis helps prevent pathology from degenerating into peptic ulcer or oncology. Be healthy!