Exacerbation of chronic gastritis. Symptoms and treatment of exacerbation of chronic gastritis

Gastritis is a process of inflammation of the gastric mucosa, characterized by periods of exacerbation and temporary weakening of the manifestations of a chronic disease.

The disease occurs as a result of:

Bacterial activity (Helicobacter pylori).
Nervous strain and chronic fatigue.
Wrong diet and unhealthy food (excessive diets that are not sparing the body or, conversely, gluttony).
Alcohol or nicotine addiction.
intolerance medical preparations(possibly due to frequent use or because of the immunostimulatory function of the drug).
non-compliance temperature regime when eating.
Aggressive chemical substances used in cooking (vinegar).

Gastritis occurs in acute and chronic form.

The acute form of the disease occurs as a result of a one-time exposure to a strong irritant: poor-quality food, strong medicine or chemically active substance. If the patient is not treated, the disease turns into chronic gastritis. As statistics show, this happens in most sufferers acute form. If there is relief and the symptoms no longer appear, you can not stop taking the medication and ignore the diet. How long it will take to be treated, the doctor decides.

The chronic form leads to pathological changes in the gastric mucosa and the death of the glands that produce gastric juice. The causes are the activity of bacteria, stress, harmful addictions, regular malnutrition.

To identify the stage of development of the disease, it is necessary to consult a doctor and undergo an examination (ultrasound, endoscopic diagnostics, intragastric ph-metry, blood and stool tests).

Inflammation leads to wrong work stomach, which will affect the digestibility of food. If left untreated, gastritis can progress to ulcers and stomach cancer.

Exacerbation of gastritis occurs exclusively in a chronic form. The reasons are increased exposure to bacteria, gluttony, cigarette abuse, carbonated drinks, stress.

The main symptom is severe abdominal pain, acute or pulling. By the time of the course of pain, a short-term, permanent, long-term character is detected. Usually, pain appear 15 minutes after eating and remain for two hours. The actual exacerbation can last from several days to several weeks, depending on the success of the treatment and the characteristics of the organism.

Aggravation chronic gastritis characterized by nausea, vomiting, heartburn, stool changes, flatulence, weight loss, general weakness. Sometimes the temperature rises.

Signs of exacerbation appear purely individually, it can hurt and feel sick either on an empty stomach or after eating. Individual symptoms able to be absent.

If the patient does not want to be treated, the pain will intensify and develop into seizures. It is important to pick up on time suitable treatment taking into account individual characteristics organism.

Duration of exacerbation of gastritis

The duration of exacerbation of gastritis is suggested by the strength of the symptoms. The period of exacerbation can last up to a month, provided proper conduct treatment and diet. If treatment and diet are violated, the exacerbation is delayed for an indefinitely long time.

Exacerbation of chronic gastritis occurs in a similar way: it all starts with bloating and little pain, then overcrowding is added after a small portion of food, belching, the consistency of defecation changes. It is already becoming clear that digestion is disturbed. Then the seizures begin. At acute gastritis last a little more than an hour, in chronic cases they can continue throughout the day.

Clinical examination is carried out after an exacerbation every 2 months (3 times), then every 3 months for 3 years, then every six months. In spring and autumn, treatment is carried out with courses against seasonal exacerbation.

The duration of an exacerbation of gastritis depends on the patient and good doctor who prescribed the appropriate course of treatment.

Drug therapy

Drug therapy is carried out in a complex manner. It will be necessary to eliminate the symptoms, find the cause and eliminate it in order to prevent the remission of the disease.

If Helicobacter Pylori bacteria are the culprit of the disease, treatment is carried out in four directions:

Antibacterial. Antibiotics in combination with De-Nol help to cope with the disease.
Regulating acidity. With increased or normal acidity, acid and alkali neutralizers are used. If the acidity is low, it is recommended to take artificial gastric juice.
Protecting the gastric mucosa, enzymes are used to restore it.
Symptomatic (antidiuretics, analgesics, antispasmodics, carminatives, antiemetics).

When choosing drugs for treatment, the main thing is that the patient does not have allergic reactions. If the allergy caused gastritis, you will need to take antihistamines. After recovery, it is recommended to take probiotics to normalize the work. gastrointestinal tract.

The course of treatment is carried out at home, under the supervision of a doctor, for 2-3 weeks.

Folk recipes

To relieve symptoms during an exacerbation, the secrets of traditional medicine are used. The course of admission lasts up to two months.

Decoctions, herbal infusions are usually used, which are taken 20 minutes before meals four times a day for a third of a glass. Herbs and berries are poured with boiling water and left overnight.

There is a division into infusions suitable for gastritis with low acidity and for gastritis with high acidity. For decreased secretion stomach take elecampane, chicory, cranberries and wormwood. For increased - celandine, mint, three-leaf watch leaves, yarrow, St. John's wort, dill seeds, licorice root, chamomile, honey, potato juice.

Sea buckthorn oil reduces pain. You need to drink it half an hour before meals.
Carrot juice relieves inflammation and reduces acidity. You need to drink freshly made.
A decoction of chicory relieves.
Licorice reduces the level of stomach acid.
Aloe is an excellent antiseptic, heals wounds.
Calendula will help to cope with gastritis, which has developed due to the activity of Helicobacter Pylori bacteria.
Sage will help to cope with inflammation and bloating.

You can’t go on a diet, but a method of treating hunger is known, it should be carried out under the supervision of a doctor. There is a theory that during fasting, the body is cleansed, the gastric mucosa is updated, and the process takes place in 3 weeks.

Diet for exacerbation of gastritis

- choice proper nutrition, which does not violate the integrity of the gastric mucosa and maintains digestion at the proper level. observed constantly.

At the first appearance of symptoms, adhere to strict diet. The diet depends on the level of acidity of the stomach and. Smoking is strictly prohibited alcoholic drinks, fried, greasy and spicy food, carbonated drinks. You should eat six small meals a day so as not to overload the stomach and stabilize the level of acid.

If the patient has exacerbated gastritis with high acidity, meat and fish broths, sausages, smoked meats, and grapes are prohibited. Avoid cabbage, coffee, mushrooms, bread coarse grinding. They remove preservation and various marinades, turnips, onions, tomatoes, citrus fruits, pineapples.

If a person is unable to give up sweets, one should switch to natural preserves, jams, dry shortbread cookies, crackers and honey.

With gastritis, it is better to make a menu of cereals, meat, but not fatty and river fish, steam cutlets, milk, eggs. Add dishes of boiled potatoes and carrots, beets, green tea, rosehip broth, jelly.

Fruits and vegetables are not advisable to eat raw, it is better to bake, stew, or cook in a double boiler.

Mineral water to improve well-being is drunk according to the doctor's recommendations.

Be sure to observe the temperature regime for food so that it is not scalding or cold. Any temperature outside the range between room temperature and body temperature is considered unnatural for the body.

It is impossible to use vinegar and salt, artificial additives when cooking. If you make indulgences and break the regimen, this will lead to new injuries of the gastrointestinal tract, and it is already harder to cure them.

Each experienced doctor knows how the exacerbation of gastritis proceeds in children and adults. This pathology very widespread. This disease affects millions of people around the world. Some forms of chronic gastritis are dangerous because they can cause ulcers and stomach cancer.

Gastritis in the acute phase

Exacerbation of gastritis is a common occurrence. In this case we are talking about chronic inflammation of the gastric mucosa. Involved in the process various departments organs. The following forms of chronic gastritis are known:

erosive;
antral;
atrophic.

Inflammation is caused by Helicobacter pylori infection. Only 10-15% of patients with chronic gastritis go to the doctor. Adults and children get sick. The severity of the clinical picture depends on the cause of gastritis and the area of the lesion. Signs of an exacerbation of the disease are very similar to gastric ulcer. Diagnosis can only be made on the basis of endoscopic examination.

Causes and risk factors

With an exacerbation of gastritis, symptoms occur under certain circumstances. This happens most often in spring and summer. Causes - a change in diet and drinking alcohol. The following factors contribute to the aggravation:

smoking;
alcoholism;
food poisoning;
exposure to toxic substances;
nutritional errors;
non-compliance with medical prescriptions;
taking NSAIDs or other gastrotoxic drugs;
development of cholecystitis or pancreatitis;
harmful working conditions;
stress;
dysfunction of the sphincter of Oddi;
food allergy;
acute infectious diseases;
decrease in immunity.

If a person has previously been diagnosed chronic form diseases, the symptoms may appear on the background of malnutrition. Plays a decisive role in the exacerbation of spring gastritis wrong mode nutrition. Long intervals between meals, snacking, eating in a hurry, drinking hot or too cold drinks, insufficient mechanical grinding, eating 2-3 times a day in large portions, cravings for rough, fried and fatty foods, drinking soda and coffee - all this contributes to the appearance of symptoms of the disease.

Spring exacerbations are often observed in people who experience regular stress. The causes are family problems, the death of loved ones, nervous work and exams. If chronic gastritis worsened, then NSAIDs, antibiotics or cytostatics could contribute to this. These medications irritate the lining of the stomach, causing inflammation.

Spring exacerbation is typical for people who drink alcohol, drugs and smoke. Contained in cigarette smoke substances inhibit the production of mucous protective substances and alcohol enhances secretion of hydrochloric acid. The cause of exacerbated gastritis can be Helicobacter pylori infection. These microbes withstand the action of gastric juice.

They break the balance between the aggressive environment and the protective factors of the mucosa. The cause of an exacerbated form of gastritis can be duodenal reflux. This is a condition in which the contents of the duodenum, along with bile, are thrown into the stomach. Reflux is possible with insufficiency of the sphincter. The foci of acute and chronic infection contribute to the exacerbation of the chronic form of gastritis.

How is the exacerbation

Clinical manifestations are largely determined by the cause and level of acidity of gastric juice. For exacerbation of gastritis, the following symptoms are characteristic:

pain in the epigastric zone;
feeling of heaviness in the upper abdomen;
nausea;
feeling of fullness in the stomach after eating.

At hyperacidity signs such as sour belching, pain, heartburn, diarrhea alternating with constipation, bloating and vomiting. During exacerbations, there is often bad taste in the mouth. Increased production of hydrochloric acid contributes to flatulence. Cause in education a large number gases.

Appetite may be maintained. chronic inflammation stomach in the acute phase can be manifested by rumbling in the abdomen, air belching, diarrhea, nausea in the morning and decreased appetite. This points to . These people often experience hypersalivation and weight loss. Exacerbation of chronic gastritis is always manifested by pain.

It has the following features:

occurs on an empty stomach or 1.5-2 hours after eating;
weakens after taking antacids or proton pump blockers;
is of varying intensity;
localized in the epigastric region.

If the pain is felt on the right, then this indicates a lesion of the pyloric part of the stomach. For exacerbation of gastritis with erosions, the occurrence of bleeding is characteristic. Such patients may vomit like coffee grounds and loose, black stools (melena). In severe cases, shock may develop. For exacerbation of gastritis, the occurrence of an anemic syndrome is characteristic.

It is manifested by weakness, pallor of the skin and visible mucous membranes, apathy, dry hair, brittle nails, shortness of breath, pain in the heart, decreased performance and arterial hypotension. If gastritis is often exacerbated, then this leads to indigestion and hypovitaminosis. In autoimmune etiology, the disease often occurs neurological symptoms in the form of blackouts in the eyes, tinnitus, numbness of the limbs, dizziness and unstable mood. An external examination of patients with gastritis in the acute stage often reveals plaque on the tongue.

What are dangerous exacerbations

People with frequent exacerbations should be under medical supervision. Without treatment, the following negative consequences are possible:

ulcer formation;
achilia;
alimentary dystrophy;
development of gastroduodenitis;
hypovitaminosis;
B12-iron deficiency anemia;
bleeding;
hemorrhagic shock;
pyloric stenosis;
obstruction of the stomach;
deformation of the stomach.

Complications develop if a person with an exacerbation of gastritis does not see a doctor, self-medicates, or does not follow the recommendations of a gastroenterologist. The most dangerous is malignancy. This is a condition in which abnormal cells appear. In this case, surgical intervention is required.

Patient examination plan

With exacerbation of gastritis, treatment is carried out after clarifying the diagnosis. This pathology can be masked as food poisoning, ulcers, pancreatitis or enteritis. With a spring exacerbation of gastritis, the following studies will be needed:

analysis for Helicobacter bacteria;
general and biochemical analyzes blood;
linked immunosorbent assay;
polymerase chain reaction;
analysis of feces for occult blood;
biopsy;
endoscopy;
radiography with contrast.

Before prescribing drugs, the doctor must collect an anamnesis of the disease and the patient's life. It is necessary to identify whether there were previous attacks of pain in the epigastric region and other symptoms. It is important to identify risk factors for the development of chronic gastritis. It is necessary to clarify how long the exacerbation lasts and what provoked it. It is necessary to assess the nature of the patient's diet.

To rule out food poisoning, bacteriological analysis vomit and feces. Before removing the exacerbation, it is necessary to assess the acidity of the stomach. This is important for subsequent therapy.

The mucosa is examined during endoscopic examination. The following changes are possible:

hemorrhages;
puffiness;
hyperemia;
erosion;
narrowing of the pyloric zone;
epithelial dysplasia.

At atrophic gastritis thinning of the mucous layer of the organ is revealed. Additionally, analyzes are carried out for the content of gastrin and pepsinogen.

Treatment during an exacerbation

The phase of exacerbation of the disease can last a long time, causing a lot of problems for a person. Medications are selected by the attending physician, based on the form of gastritis and the level of acidity. In the hyperacid form of the disease, the following can be prescribed:

antacids;
proton pump blockers;
somatostatin analogues;
gastroprotectors;
analgesics;
antispasmodics;
antibiotics;
histamine receptor blockers.

With the development of B12-iron deficiency anemia, it is possible to use hormonal drugs(corticosteroids). With gastritis, pain and spasms are relieved by drugs such as No-Shpa, Papaverine and Drotaverine. It is necessary to abandon the use of drugs of the NSAID group inside, as they irritate the mucous membrane.

An important place in the treatment is the use of proton pump blockers. These include Sanpraz, Omez, Pariet, Rabiet, Nolpaza and Peptazol. They help to eliminate pain during an exacerbation of the disease. To symptomatic remedies include antacids. These are drugs that quickly neutralize hydrochloric acid in the stomach. This group includes Gaviscon, Almagel and Phosphalugel.

Along with these drugs, gastroprotectors are prescribed. These include De-Nol and Venter. Their mechanism of action is based on the creation of a protective film on the gastric mucosa. If the test results for Helicobacter bacteria are positive, antibiotics from the group of macrolides, cephalosporins, 5-nitroimidazole derivatives, or protected penicillins are prescribed.

If sick people eat and after that nausea or vomiting appears, then prokinetics are included in the treatment regimen. These drugs improve the motor function of the stomach and intestines. The most commonly prescribed are Motilium and Cerucal. With hypoacid gastritis and the complete absence of hydrochloric acid, Acidin-Pepsin is prescribed. If an exacerbation of atrophic gastritis is observed in the spring, then natural gastric juice is included in the treatment regimen.

With the development of anemia against the background of erosions of the gastric mucosa, iron preparations may be prescribed. Enzymes are used to normalize digestion. They are contraindicated in the acute phase. These medicines should be taken after elimination pain syndrome. Enzymes include Panzinorm, Creon and Festal.

Other aspects of therapy

Diet with exacerbation of gastritis is an important component of treatment. What can be eaten by the sick, every gastroenterologist knows. With hypoacid gastritis, it is prescribed medical nutrition No. 2, and with increased acidity, table No. 1 is shown. Patients should be excluded from the menu:

alcoholic and carbonated drinks;
fresh fruits and vegetables;
coffee;
mushrooms;
smoked meats;
sausages;
canned food;
pickles;
seasonings;
spicy and fatty foods;
fresh pastries;
spicy cheese;
spicy ketchups and sauces;
mustard.

You need to eat 5-6 times a day with an interval of 3-3.5 hours. You can not skip meals and eat dry food. Vegetables are recommended to be consumed in boiled form. From fruit useful bananas. A diet for gastritis in the acute stage is observed for a month. Nutrition should be such that all the necessary substances enter the body, but at the same time it should be gentle in relation to the gastric mucosa.

Do not consume hot or too cold drinks and dishes. AT acute phase gastritis is recommended to eat pureed or semi-liquid food. After the pain subsides, you can include lean meat, fish, lean cottage cheese, milk, hateful soups, vegetable purees and cereals in the diet. Removing the exacerbation of atrophic gastritis, you need to remember that it is necessary to increase the secretion of hydrochloric acid.

To do this, the menu includes extractives, sweet and sour fruits, berries and juices, as well as rich broths. Compliance with this diet should contribute to the production of gastric juice. It is very important that the food is appetizing and smells fragrant. It is recommended to drink diluted lemon juice. Outside the stage of exacerbation of gastritis, physiotherapy is carried out (electrophoresis, balneotherapy, phonophoresis).

Prevention of exacerbations of gastritis

In order not to relieve exacerbations in the future with the help of medications, you need to follow the recommendations of your doctor. This is the main aspect of disease prevention. Necessary:

completely abandon alcoholic beverages;
do not drink carbonated water;
do not eat prohibited foods;
eat fractionally (5-6 times a day) and on schedule;
quit smoking;
avoid contact with chemicals;
take medicines prescribed by a doctor;
timely treat infectious diseases;
do not overexert;
not be exposed to stressful situations;
do sport;
chew food thoroughly before swallowing;
eat warm food;
stop snacking at work or school;
eat cereals and soups daily.

In the presence of atrophic and erosive gastritis, monitoring of patients is required, since there is a risk of malignancy. After curing from Helicobacter pylori for the purpose of prevention reinfection it is recommended to wash your hands frequently, wash dishes thoroughly in hot water and eat only clean cutlery.

Gastritis in the acute stage is bright clinical picture. The appearance of pain, nausea, or other symptoms is a reason to visit a gastroenterologist and endoscopy.

Diseases of the digestive system often manifest themselves after nervous experiences and overeating, especially in the autumn and spring periods. Given the acidity of the stomach, the doctor prescribes the treatment of chronic gastritis in the acute stage. folk recipes, additional method recovery, will help bring the digestive tract in order even faster.

General information about the disease

Inflammation of the lining of the stomach is called gastritis. There are acute and chronic forms of the disease. Gastritis affects 70% of the world's population, stomach ulcers - 8%. Helicobacter pylori is the cause of gastritis in 90% of cases, ulcers in 80% of cases. After infection with a bacterium, which usually occurs in childhood develops a chronic form of inflammation of the gastric mucosa. Exacerbation of chronic gastritis can cause different factors, for example: climate change, nutrition, stress or metabolic disorders.

The bacterium Helicobacter pylori is transmitted through kissing, personal hygiene items. But it is almost impossible to become infected with it in adulthood.

Gastroendoscopy of the stomach is the most informative method diagnosis of diseases of the digestive system. It makes it possible to set accurate diagnosis, acidity level and some others important parameters(for example, is the gastritis erosive or not).

Erosive gastritis dangerous, it can turn into an ulcer. The cause of its occurrence is often anti-inflammatory nonsteroidal drugs. Alcohol abuse and food poisoning also do not go unnoticed.

non-erosive superficial gastritis– more mild form disease, sometimes asymptomatic. However, such gastritis also requires treatment.

Helicobacter pylori is infected by children under 5 years of age, who have not yet formed well enough the immune system. For some time, the bacterium may not manifest itself in any way and not harm its owner. But with prolonged coexistence with the microorganism, the protective properties of the stomach are weakened, foci of inflammation develop.

Symptoms of exacerbation of chronic gastritis - night pain in the abdomen, discomfort after eating, vomiting, bloating, belching, diarrhea. All this indicates the need to visit a gastroenterologist.

treatment of gastritis and peptic ulcer designed to kill bacteria and increase protective properties mucous

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Treatment of gastritis

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With reduced acidity

Traditional medicine methods

Drugs that increase acidity, stimulate the production of gastric secretions and improve motility are prescribed by a doctor to establish normal digestion in a patient. To destroy Helicobacter pylori antibiotic therapy.

folk recipes
1. With a low pH level of the stomach, it is useful to eat lingonberries (soaked or fresh), peaches.
2. Carefully washed and scalded with boiling water, pass the potatoes with the peel through a juicer (two or three medium tubers). Juice should be drunk immediately. Course: 10 days treatment, 10 days break. There are three courses in total. Juice is drunk in the morning, an hour before breakfast. Such treatment can only be carried out until the end of January, after which solanine is formed in the potato, which can be poisoned.

Bismuth tripotassium dicitrate (De-Nol) is the first drug whose effectiveness against Helicobacter has been proven Nobel laureate

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With high acidity

Medical

The doctor may recommend a course of treatment that includes: drugs that lower the pH level in the stomach (Almagel, magnesium oxide, Vikalin), painkillers (if necessary), enzymes (Festal, Mezim) and De-Nol.

De-Nol is not an antibiotic, it has no side effects on the mucosal microflora. The drug has astringent properties, creates a protective film on the surface of erosion, promotes the synthesis of prostaglandins, creates conditions for growth epithelial cells in the area of the defect. All this increases the resistance of the gastrointestinal tract to the aggressive effects of hydrochloric acid, pepsin and bile acids. De-Nol will help with pain not related to organic diseases GIT.

Fresh carrot juice, as well as potato, can be taken on an empty stomach as an anti-inflammatory and healing agent for the gastric mucosa

Traditional medicine
1. Tea from calendula, plantain roots, St. John's wort, coltsfoot envelops the mucous membrane, removes pain and nausea. To prepare the infusion, take medicinal plants in the same ratio. For 1 cup of boiling water, brew 2 teaspoons of the collection. Before preparing the infusion, grind the flowers and leaves into a powder. You can do this with a mortar. The finer the components of the mixture, the more healing substances will give the plant in water infusion.
2. Beet and carrot juice lowers the pH of the stomach.
3. Eat 1 teaspoon of psyllium seeds in the morning and 1 teaspoon of horse sorrel seeds in the evening for 2 months.
4. 10 drops alcohol tincture drink propolis with a glass of water (before meals, 3 times a day).

Self-medication can be harmful to health. Therefore, before testing folk recipes on your own stomach, you need to consult a specialist.

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Video: seasonal exacerbation of the disease

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Diet for gastritis

Prohibited drinks and foods: coffee, soda, canned juices, alcohol, strong tea, fresh pastries, cabbage, fatty meats, radishes, mushrooms, legumes, grains and bran bread.

Allowed dishes and products: vegetable puree, skim cheese, mucous porridge (oatmeal, rice, semolina), chicken or rabbit meat, fish (hake, cod), jelly from sweet fruits and berries (except grapes).

Dishes should be eaten lightly salted and without spices.
Fractional and separate meals It has importance. Eat 5 small meals a day.
To facilitate digestion, do not mix proteins with carbohydrates (eat meat and fish with vegetables). Simple, no frills, food - the most useful and healthy.
There is individual intolerance. Be attentive to your stomach: digestive problems can cause certain product, which is listed in the category of "allowed" for gastritis. Be sure to eliminate it from your diet.

Braised pumpkin puree mixed with rice porridge and a little milk, fine diet dish. It improves digestion, normalizes metabolism

With a decrease in immunity, a violation of the diet, stress, an exacerbation of chronic gastritis occurs, the treatment recommended by the doctor can take place in a hospital, or it can be an outpatient. five meals a day, good dream, a complex of multivitamins and following the recommendations of a specialist will help restore health. When acute pain it is recommended to immediately call an ambulance, other, more serious diseases can be disguised as gastritis.

Inflammatory changes in the mucosa are a pathology with characteristic intervals of calm and exacerbation. Most often, exacerbation of gastritis is observed in the spring and autumn months. It is during these periods that nature pleases with a variety of fruits and vegetables, forgetting about dietary nutrition, patients abuse foods with high content fiber. How long does an exacerbation last, how to treat?

What is an exacerbation?

Among all diseases of the stomach, chronic gastritis is most often manifested, which is characterized by prolonged inflammation of the mucous membrane of the organ. Like any chronic disease, gastritis is characterized by exacerbation of the inflammatory process.

It is important to understand the difference between sudden mucosal inflammation (acute) and exacerbation of a chronic condition.

How is it developing?

The signs of exacerbation that have appeared indicate the occurrence of erosions on the walls of the organ. It is the mucosal damage that causes discomfort. An acute condition can develop in a couple of hours. During this period, the body directs its forces to the release of matters that attract protective cells to the affected area. Their mission is to remove pathogenic substances in the stomach, the vital activity of which causes inflammatory process. It follows that exacerbation of gastritis is not only the result of damage to the walls of the organ, but also a reaction to the efforts of the body to recreate the integrity of the mucosa.

Causes of exacerbation of gastritis

Exacerbation of chronic gastritis often occurs in the spring or autumn time when the impact of weather factors on the body. Reduction blood vessels leads to spasms, which disrupts the delivery process nutrients to internal organs. In addition, it is known that the stomach reflects the physical and spiritual state of a person.

Endogenous factors

An internal factor provoking an exacerbation may be chronic diseases digestive organs, untreated gastritis. Doctors have proven that a bacterium can cause vasospasm and the formation of substances that support inflammation. Helicobacter pylori, which perfectly adapts to an acidic environment.

Other factors

Additional causes that affect the exacerbation of inflammation are:

binge eating;
poorly balanced diet for the purpose of losing weight;
attraction to alcohol and nicotine;
increased fatigue;
stressful situations;
autoimmune processes in the body.
poisoning.

For a woman's body, pregnancy becomes a risk group. This does not affect the development of the baby, so chronic gastritis is not a contraindication for pregnancy. Determine the exact duration acute condition impossible, it depends on immunity, age, speed of recovery of the body.

Characteristic symptoms

Heaviness in the abdomen may be a sign of exacerbation of gastritis.

An exacerbated inflammatory process manifests itself at the local and general level. The key local symptoms of exacerbation of gastritis are as follows:

feeling of heaviness in the abdomen;
pain aggravated after eating;
burning in the sternum;
heartburn;
repulsive odor from the mouth;
nausea;
vomit;
stool disorder (diarrhea or constipation).

Except local symptoms, with exacerbation of gastritis appears:

general weakness;
irritability;
elevated temperature;
dizziness;
cardiopalmus.

Survey

When initial symptoms a person should definitely consult a specialist. Only a thorough examination can answer the question of why the inflammatory process has worsened. Should be done general diagnostics, and after receiving the results, the doctor can approve the diagnosis and draw up individual appointments. For examination, the specialist will prescribe:

general laboratory tests(urine, blood);
biochemical analyzes;
fibrogastrodudenoscopy, which can accurately confirm the presence of protracted illness, and determine the increased or decreased acidity;
histological studies.

With exacerbation of gastritis, it is necessary to lie on the left side.

The chronic process aggravates suddenly and the first actions are directed to the elimination of pain. For this, it is best to use pain relief pills prescribed by a doctor. But how to relieve the pain syndrome if the attack was taken by surprise? With an exacerbation of gastritis, it is necessary to lie on your left side and pull your knees up to your chest and try to relax. You need to stay in this position for about 30 minutes. Cold applied to the stomach will help speed up the process.

Not the last role in the exacerbated state of gastritis is played by the nervous system, therefore, after stopping the pain syndrome, it is necessary to drink valerian or motherwort tincture. It is necessary to calm down and, after stopping the attack, figure out what became the basis of the current state.

Treatment of an exacerbation

For the treatment of acute inflammation of the walls of the stomach, you need to consult a doctor, you can not self-medicate. The use of dubious drugs can bring complications, and how long the acute phase lasts depends on the strict implementation of the recommendations of the gastroenterologist. The therapy process is complex and includes drug treatment, diet, strengthening of immune defenses, traditional medicine.

Medications

AT modern medicine There are many drugs that can restore the function of the body. The scheme according to which the medication is taken consists of several types: painkillers that remove the source of the problem and eliminate the symptoms. They are efficient and work in their own direction. Let's dwell on each in more detail.

Pain Remedies

Anesthetic medicine is divided conditionally into two groups:

Antacids. Medicines relieve the acidic effect on the inflamed mucosal walls. Magnesium or aluminum included in the composition. render therapeutic effect. Penetrating into the digestive organ, they envelop the mucous membrane and neutralize excess hydrochloric acid, eliminating vomiting, heartburn. These drugs include: Rennie, Phosphalugel, Maalox, Almagel.
Antispasmodics. Medicines strong action are used for severe pain. Pills or injections of "No-shpy" help to anesthetize. They are widely used in hospitals and at home.

Gastritis is a common disease in which there are periods of exacerbation, alternating with remission.

Most often in spring or summer, due to uncontrolled intake plant food exacerbation of gastritis occurs. Symptoms are different for everyone: it can be both a sharp pain, and a slight, gradually increasing.

Main symptoms

People suffering from gastritis, as a rule, have learned to control their condition, and if they find the following ailments, they seek the help of a specialist. The main symptoms appear as:

Soreness in the hypochondrium on the left.
Signs of nausea or vomiting.
Decreased appetite.
Drying of the lips and oral cavity, or vice versa, strong salivation.
Heartburn and belching.
Bloating.
Violation of bowel movements (constipation or diarrhea).

The manifestation of the above symptoms is very individual. They can appear on an empty stomach or after eating, constantly or occasionally. As a rule, it depends on the degree of damage to the disease, in connection with this it is characterized by various pain sensations. Therefore, it is very important at the doctor's appointment to list all the signs as accurately as possible in order to prescribe the optimal treatment regimen.

Often exacerbation of gastritis ends severe pain if therapy is not given on time. Signs of nausea at the initial stage may not appear, as a rule, they are characteristic of chronic course diseases, but it all depends on the individual characteristics of the person. With advanced disease, vomit has dark mucus, and in case of violation of the mucous layer of the stomach - blood clots. These symptoms are very dangerous, require medical intervention. Uncharacteristic bowel activity (swelling of the abdomen, pain, constipation or diarrhea) also characterizes exacerbation of gastritis. Treatment at this stage positive results at timely handling for help.

When manifested the above signs The doctor orders an examination to confirm the diagnosis. For this you need:

Pass a blood test (detailed, biochemical), urine, feces;
Conduct an endoscopic examination of the gastric mucosa;
Sometimes a histology is required.

It is not effective to conduct an examination using X-rays, because. this method does not allow to illuminate the true picture to determine the disease. It is almost impossible to prescribe therapy using these data.

Basic Treatments

If an exacerbation of chronic gastritis is diagnosed, only a qualified gastroenterologist should prescribe treatment. You can not buy medicines on your own, because. this leads to partial relief of the primary symptoms, and the disease continues to develop. Medical treatment should be carried out in combination with diet food. After analyzing the results of the research, the gastroenterologist determines the acidity of the stomach, prescribes drugs and makes recommendations regarding the diet.

If increased acidity is detected, then it is necessary to exclude from the diet:

Meat and fish dishes fatty varieties, broths.
Drinks with gas.
Sausage, spices.
Canned vegetables.
Fruits (grapes, pineapples, apples, lemons).

Must be present:

Milk, dairy products.
Sweet kissels, compotes.
Kashi, pasta.
Boiled or steamed meat.

Diet for exacerbation of gastritis, if installed low acidity, prohibits the use of products:

Spicy, smoked foods.
Meat fatty honeycombs, sauces.
Water with gas.
Alcoholic drinks.

Daily meals should contain dairy products, cereals, broths from lean meat and fish, pasta, White bread, crackers, fruit juices.

During the diet, meals should be in small portions 5 times a day. Smoking negatively affects the exacerbation of gastritis. Symptoms and treatment may be aggravated by abuse of this habit.

Medications should be taken according to the scheme prescribed by the doctor, and depend on the results of the study. With increased acidity, drugs are prescribed that protect the gastric mucosa, eliminate heartburn, and relieve pain.

At low acidity you need to take medicines containing enzymes to stimulate the stomach and produce acid. With inflammation of the mucosa or the formation of ulcers, drugs are needed to promote the healing of the surface.

Exacerbation of chronic gastritis should not be ignored, even if primary symptoms are mild and do not cause much concern. A neglected disease ends with the formation of ulcers, which can provoke the development of cancer. Modern methods dietary treatment allows short time eliminate the symptoms and lead to complete relief from the disease.

Folk methods of treatment

There are many folk methods of treatment, but they are all in addition to drug treatment and cannot replace it. The most effective are:

Potato juice stimulates the production of gastric juice, affects acidity. Freshly squeezed juice (100 grams) should be drunk an hour before meals. Take one week. Similar action renders carrot juice. It can be drunk within two weeks.
Well proven oatmeal jelly. To prepare it, soak 100 grams of oatmeal in water (250 grams), leave until the morning. In the morning, drain the water, put on fire, bring to a boil, adding one tablespoon of starch. Cool the resulting jelly and take before breakfast. Such treatment can be carried out for a long time.

Chronic gastroduodenitis: causes

With gastritis, not only the lining of the stomach is very often inflamed, but also the mucous membrane of the duodenum, because. these organs are anatomically related to each other. Gastroduodenitis is characterized by periods of exacerbation and remission. Accompanied by this disease sharp pains in the abdomen, lack of appetite, heartburn, nausea. The severity of the disease is determined by the level of abdominal pain. Violation of the natural processes of the body, malnutrition, low immunity, disorders nervous system, impact external factors affect chronic gastroduodenitis. Exacerbation occurs with prolonged use of antibiotics, after transferred stress and nervousness, abuse of alcohol and tobacco. There are primary and secondary gastroduodenitis. The primary form of the disease is associated with malnutrition, digestive disorders. The secondary form is a consequence of gastritis.

From the level of acidity in the stomach, the secretory function of gastroduodenitis is classified. It can be normal, low, high, and depending on this, treatment is prescribed.

Symptoms of the disease

Symptoms are very individual, they depend on the degree of damage. Chronic gastroduodenitis in the acute stage is characterized by acute, increasing pain in the lower abdomen, often radiating to the right hypochondrium. They occur after eating and may be accompanied by a feeling of heaviness and fullness. In addition, nausea, heartburn, belching, constipation or diarrhea often occur, a yellowish coating forms on the tongue, and an unhealthy shade appears on the skin. The pain period can last from a week to ten days, and then a period of remission begins. Most often, exacerbations occur in the autumn-spring period, after stress and irregular nutrition. These symptoms resemble those of an exacerbation of chronic gastritis, often occurring with other diseases. digestive tract, that's why correct diagnosis can only be given by a doctor.

Diagnosis and treatment

For correct definition diagnosis applies endoscopic examination esophagus, stomach, duodenum and histology of mucous membranes.

During the period of exacerbation, the primary task is to comply with the diet, bed rest. Products should be boiled, in extreme cases, steamed. It is forbidden to use:

broths based on meat, fish, vegetables;
smoked meats, sauces;
canned foods;
spicy vegetables (onion, radish, sorrel);
carbonated drinks, coffee;
pastry, bread.

The patient's daily diet should include:

lean types of boiled meat, skinless poultry meat;
cereals (rice, buckwheat, oatmeal), with the addition of milk and butter;
pureed soups;
fat-free sour cream, cottage cheese, dairy products;
limited use of boiled eggs or scrambled eggs.

If an increased secretory function, then drugs are prescribed that reduce acidity and drugs that block pain. It is mandatory, along with medicines, the appointment of a complex of vitamins of group B, folic acid, vitamins A, E.

If the secretory function is reduced, then in addition to drugs that regulate processes in the mucous membrane, it is necessary to take decoctions of herbs of plantain, yarrow, and brew wild rose.

Phytopreparations, when taken in combination with a diet, most effectively eliminate symptoms, without side effect on the liver and kidneys. Also, using such therapy, the work of the gallbladder is restored, the process of bile flow into duodenum. However, it is necessary to know that herbal treatment is an addition to the main drug treatment. During the period of exacerbation, electrophoresis with drugs is very effective.