Exacerbation of erosive gastritis treatment. Erosive gastritis: symptoms characteristic of this disease. Diet and menu for patients

Treatment of erosion of the stomach is aimed at eliminating clinical symptoms. The cause of the disease is cracks in the mucous membrane due to damage to blood vessels. Eliminate etiological factor rarely succeeds. The use of reparative agents is limited by aggressive influence gastric juice.

Erosion of the stomach: the right treatment

Treat erosion of the stomach should be complex. Medicines have side effect. early degree erosive changes in the mucous membrane can be eliminated by diet, folk remedies, organization of the daily routine.

Dietary nutrition for erosive gastritis

The diet for erosive gastritis is based on the following principles:

• Mechanical, thermal, chemical sparing of the gastric mucosa;
• Refusal of fibrous, rough, hard food;
• Do not eat baked, fried foods;
• Priority is given to steamed food;
• removed from the diet nutrients that increase gastric secretion;
• Excluded hot, cold food;
• Portion meals - 4-5 times a day.

Diet for erosion of the stomach involves the following diet:

1. Steam omelets;
2. Meatballs, steamed cutlets;
3. Cooked porridge (oatmeal, semolina);
4. Scrambled eggs;
5. Pureed compote, soufflé, jelly, jelly;
6. Soup with pureed vegetables;
7. Butter, vegetable oil;
8. Herbal decoctions;
9. non-acidic juices;
10. Unleavened pies with filling;
11. Wheat bread;
12. Boiled pasta;
13. Kefir, curdled milk, cream, milk;
14. Pastila, honey, jam, marshmallows;
15. Sour cream.

What not to eat with erosive gastritis:

1. Kvass;
2. Confectionery;
3. Raw vegetables;
4. Fatty fish and meat;
5. Mushrooms;
6. Fish broths;
7. bran bread;
8. citrus juices;
9. Strong tea;
10. Coffee;
11. Fried eggs;
12. Spicy seasonings;
13. Alcohol;
14. Carbonated drinks;
15. White cabbage, radish, swede, legumes, baking.
16. Limit salt (no more than 7 grams daily).

It is optimal to dilute blood with liquid - about 1.5 liters should be drunk per day.

Diet for erosion of the stomach - the initial stage of treatment

Diet for erosive gastritis - starting treatment. Application pharmaceuticals complicates the course of nosology. The choice of drugs should be treated with extreme caution. Only when the diet does not bring effect, medicines for the stomach are prescribed.

With erosive gastritis, overeating is dangerous. Excessive stretching of the gastric wall leads to an increase in the size of erosion. Follow the optimal sleep and rest regimen so as not to impair blood circulation. Smoking, frequent alcohol consumption are provoking factors, erosive gastritis, peptic ulcer.

"Student nutrition" adversely affects digestion in the stomach. Periodic snacking on coarse food leads to the release of of hydrochloric acid, which increases the extent of erosion. Coarse food has a similar property.

• Crackers;
• Crisps;
• fast food;
• salted nuts;
• Spicy snacks;
• Spices.

What is erosive gastritis, how it manifests itself and the causes of its occurrence, the main types of the disease, methods of treating the disease, the basics of dietary nutrition.

Description of the disease "erosive gastritis"

With erosive gastritis, the mucosa not only becomes inflamed, but begins to wear off, and bleeding occurs over time. The development of the disease is slow - at first a person can ignore the symptoms of the disease. Therefore, this type of gastritis is often found when a large part of the stomach is affected.

Erosive gastritis is also called stress gastritis, because it often occurs unexpectedly, due to psychological trauma, nervous exhaustion, serious illness.

Like ordinary gastritis, erosive gastritis comes in two forms - acute and chronic. Acute ailment has a rapid course, especially if it is accompanied by stress. The chronic form proceeds almost imperceptibly and is characterized by an abundance of erosions on the gastric mucosa.

It is worth noting that of all forms of gastritis, this is the most protracted. Treatment is long and difficult, in comparison with other forms. In addition, erosive gastritis can cause gastric bleeding. varying degrees gravity. it serious complication, since bleeding occurs simultaneously from all ulcers that cover large areas of the mucosa. With the appearance of bleeding, gastritis passes into a new form - erosive-hemorrhagic.

The mechanism of development of such gastritis is associated with the size, localization and depth of erosive lesions. Quite rarely, superficial erosions bleed on the anterior, back walls and fundus of the stomach. The most dangerous are large and numerous erosions that affect the walls of the stomach on great depth. Most dangerous place the location of erosion is the area of ​​lesser curvature. Here are large vessels and high intensity of the general blood flow.

The main causes of erosive gastritis

In addition, erosion on the mucosa can occur due to the influence of such factors:

• Wrong diet. Usually gastritis provokes too hot, spicy and rough food, consumed regularly.
• Prolonged stressful situations. An unfavorable psychological environment that affects a person for a long time can cause gastritis. It can also be provoked by severe psychological trauma.
• Burns, head injuries, blood loss. All these conditions are detrimental to the stomach.
• Row reception medicines . Some medications can interfere protective functions walls of the stomach. These include aspirin, diclofenac. All of them contain acid, which has a destructive effect on the mucous membrane.
• Alcohol. Regular consumption of hard liquor causes gastritis.
• Diseases digestive organs . In particular, an unhealthy liver negatively affects the state of the stomach.
• Diabetes. Often high sugar in the blood causes erosive lesions of the walls of the stomach.
• Ingestion in the stomach toxic substances . This often happens when working on hazardous industries. Systematic poisoning leads to the development of erosions on the mucous membrane of the digestive organs.

Varieties of erosive gastritis

1. Acute erosive gastritis. He is being provoked various injuries, burns, loss of a large volume of blood, liver and kidney failure. If the patient is in serious condition, then identifying the symptoms of a dyspeptic nature can be very difficult. The main symptoms of the disease are tarry stools and hematemesis.
2. . It is provoked by some non-steroidal anti-inflammatory drugs. Also a favorable background for the onset and development of the disease are infectious diseases viral etiology and Crohn's syndrome.
3. Idiopathic form of erosive gastritis. At the same time, there are no obvious reasons disease progression. Also no bright severe symptoms illness. Sometimes the patient may experience nausea. Typically, patients seek medical care when stomach bleeding occurs.
4. Antral erosive gastritis (antrum). It is characterized by damage to the lower third of the stomach. This form is most common, since it is in this area that the pathogenic bacteria Helicobacter pylori actively multiply and develop. Its toxins irritate the mucous membrane and cause an inflammatory process.
5. Erosive reflux gastritis. This form is characterized by deep and severe lesions of the mucous membrane. The cause of the development of the disease is the casting of content duodenum into the stomach. Edema forms on the mucous membrane, it is covered with large ulcers. In the process of development of the pathology, tissues can exfoliate, their fragments will come out with vomiting. In the process of formation of scarring erosions, the lumen of the esophagus will be narrowed.

Symptoms of erosive gastritis in humans

To general symptoms erosive gastritis include:

• . As a rule, sensations affect the epigastric zone upper divisions belly. The pain is usually not intense, but with extensive damage to the stomach, the help of powerful analgesics is sometimes required.
• Heartburn. This symptom is inherent in chronic gastritis with impaired gastric motility, as well as reflux of gastric acid in lower section esophagus.
• Dyspeptic deviations. They manifest as a feeling of heaviness in the stomach, rotten and sour belching, bitterness and dryness in the mouth, stool disorders.
• Strengthening or appearance pain on an empty stomach or after a meal. At the same time, the content of acid increases in the stomach cavity, which irritates the receptors at the bottom of erosive lesions.
• Other signs. Flatulence, bloating, discomfort

In the chronic form, dyspeptic and abdominal syndromes. Pain out epigastric region often radiate into spinal column. At the same time, in young people the pain is usually aching and dull, and in the elderly it is cramping.

Features of the treatment of erosive gastritis

If erosive gastritis is suspected in a patient, then it is necessary to conduct comprehensive examination. For this, the method of fibrogastroduodenoscopy is used, if necessary, a biopsy, and tests for Helicobacter pylori infection are also carried out. Only after drawing up a complete clinical picture, adequate treatment is prescribed.

Treatment of erosive gastritis with medications

1. Eliminate the causes of the disease. If the disease was caused by the bacteria Helicobacter pylori, then antibiotics should be the basis of the drug effect. As a rule, patients are prescribed tetracycline, clarithromycin, levofloxacin, amoxicillin. These drugs require a long course of administration. If you interrupt it, then Helicobacter will begin to actively restore its own colony in the stomach.
2. Normalization of gastric acidity. Damaged gastric mucosa must be protected from the aggressive action of acid. Therefore, sometimes it is necessary to resort to correction chemical composition gastric juice. In such cases, patients are prescribed acid blockers and antacids. These include drugs such as Rennie, Almagel, Maalox, Nizatidine, magnesium hydroxide. Despite the fact that all these drugs have antacid effects, each of them has its own mechanism of treatment. Therefore, appoint suitable remedy the attending physician must.
3. Improvement secretory function . Antacids inhibit the action of gastric juice, therefore, in order for food to be digested well, additional enzymes must be introduced. This group of funds includes Digestal, Mezim, Festal.
4. Elimination of pain syndrome. For this, the patient is given antispasmodic drugs. Most often it is No-Shpa and Papaverine.
5. Restoration of the gastric mucosa. it essential part treatment course. For this purpose, the patient is prescribed drugs that increase the supply of oxygen to the affected areas. Thanks to this, the regeneration process is significantly accelerated. Most often prescribed Trental and Iberogast.

Alternative treatment of erosive gastritis with home remedies

Also, do not replace folk recipes medical treatment prescribed by a specialist. Phytomedicine can become additional measure but not the main one.

Consider the most popular recipes used to treat erosive gastritis:

• . This remedy perfectly heals erosion and eliminates inflammation. For therapy, you can use oil purchased at a pharmacy, or homemade. Preparing it is simple: mix five tablespoons of sea buckthorn juice with the same amount of olive oil and leave to infuse for three days. You need to take it in the morning on an empty stomach in a teaspoon. Course duration - 2 weeks.
• Propolis tincture. With a strong pain syndrome accompanying gastritis, it makes sense to try treatment with propolis. Every 5 hours before eating, you need to dissolve 20 drops alcohol tincture propolis in one glass of warm water. Already after the first use of the product pain should decrease. The course of treatment is 21 days.
• wheat germ. A few handfuls of wheat should be thoroughly washed and laid out on a damp gauze napkin. Top with another napkin and leave for 3 days, wetting from time to time. The grass will sprout, and it is the sprouts that are needed for treatment. Grind them in the amount of 6 tablespoons. Mix with a couple of tablespoons of olive oil and place in glass jar. You need to use the drug for 5 days in a teaspoon one hour before breakfast.
• Honey with aloe. To prepare the medicinal product, you need 5 tablespoons bee honey and 5 leaves of aloe older than three years. Before use, the leaves of the plant are recommended to be placed in the freezer for a day. After that, we pass them through a meat grinder and squeeze the juice from the gruel. Mix liquid with honey. We take the remedy on an empty stomach in a teaspoon. Course duration - 3 weeks.
• Mummy. it potent agent will be a good help in the treatment of advanced erosive gastritis. Into a glass warm milk add one pea mummy, a tablespoon natural honey and mix thoroughly. During the day, we take two glasses of this drink - on an empty stomach and at bedtime. Course duration - 2 weeks. In total, it is necessary to conduct three courses with a break of 5 days between them.
• Milk with chamomile. We place 5 tablespoons of dried chamomile flowers in an enameled bowl and pour them with a glass of boiling milk. We leave to infuse for one hour. After that we filter. We drink one glass of the drug on an empty stomach for 5 days.

Before using this or that folk remedy, make sure that you do not have allergic reactions to this or that component.

Treatment of symptoms of erosive gastritis with mineral waters

Treatment of erosive gastritis with alkaline mineral waters has a very positive effect on the patient's condition. It is best to carry out therapy in the conditions of sanatoriums. However, as additional therapy you can use mineral water at home.

It is also important to drink water at the right temperature. So, with excessive secretion of gastric juice, it is recommended to heat the mineral water in order to get rid of excess carbon dioxide. You need to drink it in one gulp, no later than an hour before eating. In this case, at the moment food enters the stomach, it will already be in the intestines and act from there.

It is necessary to start drinking mineral water for therapeutic purposes with small doses - ? or? glass. So you accustom the stomach to the procedure. Over time, you can move on to drinking one glass of water at a time. It is recommended to drink three times a day. The maximum course of use is 1 month. Such treatment should be carried out no more than four times a year.

Suitable water should have a bicarbonate-sodium composition. These are, for example, Borjomi, Essentuki No. 4, mineral waters of Zheleznovodsk, Arzni and Matsesta.

The course of treatment with mineral waters must also be agreed with the attending physician.

Treatment of erosive gastritis of the stomach with surgical methods

With severe bleeding, the patient is given a transfusion of blood, fresh frozen plasma, aminocaproic acid.

If stop stomach bleeding fails, resection (removal) of the affected parts of the organ during surgical intervention is performed.

What is the diet for erosive gastritis

Erosive gastritis in any form cannot be cured without observing certain dietary advice. They should also be followed to prevent the disease.

Diet rules for erosive gastritis

1. You need to eat small portions at a strictly set time.
2. Food must be chewed thoroughly. Enzymes contained in saliva largely duplicate the action of gastric juice.
3. Food should not be hot or cold. It will take too long for the stomach to digest cold food, requiring more acid, and hot food is irritating to the mucous membranes.
4. Cook food better method stewing, boiling.
5. The basis of the diet should be liquid and mushy dishes.
6. During exacerbations, the diet should be strict, in the future - sparing.

Allowed products for erosive gastritis

• Light soups. It could be fast vegetable dishes or soups with lean meats.
• Kashi. Oatmeal, pearl barley, buckwheat are suitable.
• Vegetable stew. It is desirable that they do not include vegetables, which contain large amounts of coarse fiber.
• Mashed potatoes without oil.
• Dairy products. Low-fat sour cream, kefir, cottage cheese are allowed.
• Fish. It can only be eaten boiled and lean.
• Meat. Suitable dietary varieties - veal, rabbit, chicken.
• Eggs. Of these, it is recommended to cook steam omelettes or eat them raw before the main meal. Thus, the egg will gently envelop the stomach and protect against harmful effects gastric juice.
• Bread. You can eat stale white and black bread, as well as crackers.

Prohibited foods for erosive gastritis

1. Vegetables and fruits containing large amounts of coarse fiber. These include radish, radish, cabbage, citrus fruits.
2. Drinks that irritate the mucous membrane: alcohol, strong tea, coffee, sweet soda, sour juices, cocoa.
3. Products that stimulate the secretion of gastric juice: smoked meats, spices, pickles, marinades.
4. Dishes that the stomach will digest for a long time: fried, fatty, spicy.
5. Confectionery, chocolate, as well as muffins, including yeast.

Menu for erosive gastritis

The indicative menu of the patient should look like this:

• Breakfast: a dish made from cottage cheese by baking, weak tea.
• Lunch: weak sweet tea and a stale bun (bad) with butter.
• Lunch: lean soup meat broth, steam vegetables with lean fish, dried fruits compote.
• Afternoon snack: crackers or dry cookies, jelly.
• Dinner: baked vegetables with meat, rosehip broth.
• Second dinner: fermented baked milk, kefir, yogurt.

What leads to the development of erosive gastritis? What are its varieties? What medications can a doctor prescribe?

Gastritis can be attributed to the most widespread diseases of the stomach, which is expressed in inflammation of its walls. At the same time, several forms of gastritis are distinguished, one of which is erosive gastritis. As the name implies, such gastritis is characterized by the appearance of erosions on the gastric mucosa.

Varieties

There are two types of erosive gastritis:

• chronic.

provoke development acute gastritis may be nutritional errors, prolonged exposure to certain medicinal substances(sulfonamides, salicylates, antibiotics, etc.), food poisoning. Also, gastritis can develop due to food allergies on some products (for example, mushrooms or strawberries).

Untreated gastritis can become chronic

Chronic gastritis is often the result of improper or undertreated acute illness. But most often chronic process in the gastric mucosa develops due to prolonged exposure to various exogenous factors, among which the following can be noted:

recurring eating disorders;

the use of rough and spicy food;

excessive passion for too hot food;

the habit of eating dry food;

frequent use alcoholic beverages.

Also chronic gastritis may develop due to prolonged and uncontrolled use of certain drugs that have irritant effect on the gastric mucosa.

A connection between the development of gastritis and the bacterium Helicobacter pylori has also been revealed. At the same time, it was noted that this pathogen involved not only in the development of gastritis, but also peptic ulcer.

Types of gastritis according to the mechanism of development

There are 4 types of gastritis here.

1. Atrophic gastritis.

It is characterized by thinning of the mucous membrane, as well as a decrease in the number of functioning cells. All this leads to the fact that less gastric juice is produced and, as a result, the acidity of the stomach decreases. The result is that food, due to the small amount of gastric juice, does not undergo the necessary processing here. Such changes in the mucosa appear, as a rule, after a long-term chronic process.

2. Hypertrophic gastritis.

According to the state of the mucous membrane, it is completely opposite to the previous one. It is characterized by hypertrophic growths of the mucosa, sometimes with the formation of cysts and adenomas. There is an opinion that given form gastritis is a risk factor for the development of cancers stomach.

3. Autoimmune gastritis.

Refers to one of the forms of atrophic inflammation, which occurs against the background of autoimmune disorders observed in the body. In this case the immune system begins to fight with its own cells, producing antibodies (in this case, to the cells of the gastric mucosa, mistaking them for foreign ones). As a result, there is an increased production of hydrochloric acid. All this causes and supports the inflammatory process.

4. Allergic gastritis.

Most common in people who are prone to allergic reactions. The immediate cause is an allergen, which, when it enters the stomach, causes an inflammatory process of an allergic nature.

Gastritis - inflammation of the walls of the stomach

Symptoms

If we talk about the general clinical manifestations of gastritis, then they usually appear a few hours after exposure external factor. Among the main symptoms of acute gastritis are the following:

feeling of heaviness in the stomach;

general weakness;

• dizziness;

At the same time, it changes general state sick - his skin and the mucous membranes turn pale, a white-grayish coating is noticeable on the tongue. Both dryness in the mouth and excessive salivation may be observed.

Symptoms of acute gastritis

Among the general clinical manifestations you can note the appearance of pain that occurs in the stomach and behind the sternum. However, it can be quite intense. The appearance of pain or intensification occurs, as a rule, after eating or after a while. Pain in erosive gastritis is associated with affecting the deeper layers of the mucous membrane, up to the muscle layer.

Often, with erosive gastritis, vomiting also appears, and traces of blood and mucus are found in the vomit. Blood may be present in feces which, as a result, become almost black. In this case, the stool is most often liquid, and the presence of blood in it indicates internal bleeding.

Symptoms of chronic gastritis

Often, this form is characterized by an almost asymptomatic course. Sometimes patients may complain of flatulence, nausea, discomfort and heaviness in the stomach. Chronic gastritis can also manifest itself as an unstable stool. This diagnosis is often associated with the discovery internal bleeding when the process enters an acute stage. In this case, when carrying out endoscopic examination the doctor will be able to detect the presence of erosions on the gastric mucosa.

Treatment

Considering that among the main reasons for the development of erosive gastritis can be called nutritional errors, then it is worth starting treatment with its adjustment. this disease. Therefore, it is worth considering in more detail the issues of dieting.

Nutrition for erosive gastritis

AT acute period , as well as in initial period recovery is recommended diet number 1. It implies the restriction of products that stimulate secretion, as well as the exclusion of dishes that irritate the mucous membrane.

Nutrition depends on the type of gastritis

What foods should be excluded?

These include:

any fresh, as well as rye bread;

• fish and meat broths;

  borscht, cabbage soup;

  fatty varieties of poultry, fish, meat;

  canned food, salted fish;

  barley, barley, corn grits and millet;

  dairy products with high acidity;

  sorrel, radish, cucumbers, onions;

  pickled, salted and pickled vegetables;

  sour berries and fruits.

The following products will be useful during this period:

dried or yesterday's bread;

cracker;

milk soups from mashed cereals;

soups with the addition of pureed vegetables;

cream, milk, non-acidic kefir and cottage cheese;

carrots, potatoes, cauliflower, beet;

rice, semolina, oatmeal and buckwheat;

sweet fruits and berries in pureed form.

At chronic course erosive gastritis shows diet number 2. In this case, moderate sparing of the gastric mucosa is required. But even during this period, it is necessary to abandon certain products. In particular, you should exclude from the diet:

flour products from sweet dough;

fresh bread;

bean and pea soups;

fatty varieties of poultry and meat;

canned food, smoked meats;

salted, fatty and smoked fish;

pickled and raw unmashed vegetables;

radish, onion, Bell pepper, radish, garlic, cucumbers;

• coarse varieties of berries and fruits in their raw form;

  chocolate products.

It is welcome to include the following products in the menu:

inedible bakery products;

wheat bread;

soups cooked on fat-free weak fish or meat broth, as well as on vegetable broths;

low-fat varieties of poultry, meat and fish;

sour milk drinks, cream;

cheese, fresh cottage cheese, sour cream;

almost all cereals, except barley and millet;

carrots, potatoes, zucchini, beets, cabbage;

soft berries and fruits;

oranges, tangerines, skinless grapes, watermelon;

marshmallow, marmalade, honey, jam, jams.

Medical treatment

Treatment of erosive gastritis should be comprehensive. Therefore, it includes several areas:

exposure to Helicobacter pylori with antibiotics;

normalization of stomach acidity;

antacids that restore the mucous membrane.

From the group of antibacterial drugs, clarithromycin, ampicillin, metronidazole, tetracycline, nifurotel, oxacillin can be prescribed. These antibiotics have an effect on the pathogen Helicobacter pylori, destroying this bacterium.

The second direction in the treatment of erosive gastritis will be to reduce the increased acidity of the stomach. For this purpose, drugs of two groups can be prescribed:

third direction drug treatment- taking antacids. Their action is aimed at neutralizing the acid and the subsequent decrease in the pH level in the stomach. These preparations can be produced in the form of syrups, gels or tablets. They can contain salts of aluminum, bismuth, calcium and magnesium. Under the influence of antacids in the stomach, the environment becomes less aggressive, and under such conditions are more favorable for its recovery.

A positive point is that against the background of a decrease in pH, a decrease in the activity of Helicobacter pylori is also noted. With erosive gastritis, it will be especially useful to take preparations containing bismuth salts, since they contribute to the formation of a protective layer in the area of ​​erosion and prevent the damaged mucosa from contacting with gastric juice.

Erosive gastritis of the stomach is a disease of the gastrointestinal tract resulting from inflammation of the gastric mucosa.

Erosive gastritis is characterized by the presence of multiple or single ulcers (erosions) on the gastric mucosa. If the pathology is not cured, then an ulcer appears in its place.

To choose a method of treating the disease, you need to consult a doctor, pass necessary tests. It will be possible to defeat the disease with the help of medications, funds should also be used traditional medicine and diet.

Acute erosive gastritis

If you are diagnosed with acute erosive gastritis, then this indicates superficial lesion gastric mucosa. Such superficial erosive gastritis is characterized by rapid development, especially against the background of constant stressful situations. In the presence of an acute form of the disease, the attending physician should give the patient Special attention because the disease develops rapidly. Outwardly, the presence of erosions resembles wounds, while the lesion passes into the distal stomach. In their diameter, such wounds are usually 1-3 mm.

Chronic erosive gastritis

Before treating erosive gastritis, it is recommended to determine its form, if it chronic stage, then ulcers with varying degrees of healing are visible on the mucosa. This form is the most dangerous, so it is very important to start drinking. effective medicine. If timely therapy is not started, high risk peptic ulcer formation.

Erosive gastritis - causes

The main reason why erosive antral gastritis is considered the absence timely treatment. If you do not start treatment on time, do not start taking a suitable remedy, then the disease will proceed in a neglected form. Few people know that exacerbation of erosive gastritis is often the cause of death. It is important to know not only what drugs to drink, but also recipes, since food should be dietary.

The presence of bad habits can aggravate the situation, for example, cigarettes. Smoking generally harms the stomach, even if there is mild form gastritis. If you smoke on an empty stomach, you can earn not only oncology, but even die.

Few people know, but erosive antral gastritis can occur as a result of taking certain medications. For example, prolonged, often uncontrolled intake of Paracetamol or Diclofenac causes the rapid development of the disease, as well as its further degeneration into cancer. Especially if such drugs are taken already in the presence of gastritis, also on an empty stomach.

Often, erosive gastritis with high acidity occurs when the bacteria Helicobacter pylori is present in the stomach. Despite the lack of sufficient evidence that bacteria contribute to the destruction of the walls of the stomach and cause erosion. But at the same time, doctors note that therapy for bacterial gastritis often prevents the development of defects in the gastric membrane.

Symptoms of erosive gastritis

If a person has erosive gastritis, pain is the main symptom of the disease, but in addition to them, the following symptoms are also possible:

• occurrence liquid stool with blood clots. This indicates the onset of internal bleeding;
• there is nausea after eating or heartburn;
• vomiting, in which, in addition to the contents of the stomach, there is mucus, gastric juice, and in some cases blood clots.

In the presence of chronic form erosive gastritis, the patient has the following symptoms:

• nausea;
• discomfort in the abdomen;
• heartburn;
• belching;
• chair problems: frequent change constipation with diarrhea and vice versa;
• the occurrence of gastrointestinal bleeding;
• during endoscopic examination, erosion is visible on the walls of the gastric mucosa.

Treatment of erosive gastritis with drugs

If there are erosive gastritis symptoms and treatment of which should be carried out in medical institution First of all, it is recommended to eliminate the causes of the disease. If the cause is the presence of Helicobacter pylori bacteria, then effective treatment erosive gastritis is possible only when taking antibiotics. Often, the patient is prescribed drugs of levofloxacin, tetracycline, amoxicillin, clarithromycin, which need to be taken for a long time. If the course of antibiotics was not completely drunk, then the bacteria begin to multiply again.

In the treatment of the disease, it is very important to normalize the acidity of gastric juice. It is recommended to protect the gastric mucosa affected by erosion from the aggressive effects of gastric juice, in some cases it is recommended to correct its chemical composition. The patient needs to take acid blockers and antacids - Almagel, Maalox, Renia, nizatidine, magnesium hydroxide. Although these drugs are classified as antacids, each drug has its own mechanism of action. Therefore, it is not recommended to start treatment without consulting a doctor.

Because similar drugs muffle the action of gastric juice, then in order to improve the digestion of food, additional enzymes are recommended. To enhance the secretory function, it is recommended to drink Digestal and Mezim. At this period of treatment, antispasmodic drugs are often prescribed to relieve pain, including No-shpa and Papaverine.

At the final stage of therapy, it is recommended to restore the gastric mucosa. The drugs Trental and Iberogast can perfectly cope with this task - their action enhances the supply of oxygen to the generated tissues, helping to accelerate the regeneration process.

Alternative treatment of erosive gastritis

It must be remembered that if there is erosive gastritis, treatment with folk remedies in some cases can be dangerous. Before you start taking traditional medicine, it is recommended to consult a doctor. All actions of the patient must be adjusted and directed by the doctor. Only under the supervision of the attending physician, an effective result of therapy is achieved, allowing you to get rid of the disease.

Self-treatment can only do harm. The following traditional medicine recipes are available to every patient. Observing proper nutrition with erosive gastritis and traditional medicine will speed up the treatment.

• a glass of grains of wheat is filled with water and placed on the windowsill. After a few days, the wheat germinates, the resulting sprouts must be washed, turned through a meat grinder or chopped with a knife. There is the resulting composition on an empty stomach in a tablespoon;
• you need to take aloe from the age of three years and put it in the freezer for an hour. After that, juice is squeezed out of the plant, which must be taken on a spoon before meals. The duration of treatment is from one to two months;
• dilute sea buckthorn juice with water in a ratio of 1:1. Drink half a glass before meals. Juice restores and envelops the gastric mucosa;
• linden honey is mixed with aloe juice 1:1. Take before meals three times a day for a tablespoon;
• mix milk with mummy. Take a tablespoon before bed for three months;
• take 20 drops of propolis tincture in a glass of water, a glass of strom on an empty stomach. The duration of therapy is 2-3 months. It is recommended to repeat the course twice a year;
• Mix 250 grams of buckwheat honey with 0.5 liters of olive oil. Drink a tablespoon half an hour before meals three times a day;
• drink pineapple juice three times a day for half a glass before meals. The duration of treatment is three weeks. However, you need to be careful, as acidity increases from it, which is dangerous for gastritis with erosion;
• treatment of the disease is possible with the help of green apples. Take green unripe apples and grate them. Add two tablespoons of honey to the mixture. Five hours before and after taking such a remedy, you can not eat. Such a remedy is taken three times a day for the first week, once a knock for the third week, then the scheme will be repeated again. In total, the course of therapy is three months;
• in equal proportions, it is necessary to take the leaves of yarrow, plantain, peppermint, flax seeds, sage, horsetail and St. John's wort. The whole composition is thoroughly stirred, pour a spoonful of the mixture with a glass of boiling water, insist for three hours. It is recommended to drink a cup of herbal tea obtained ten minutes before a meal.

Diet for erosive gastritis of the stomach

A diet for erosive gastritis of the stomach, the menu of which should be compiled by a doctor, is an indispensable part of the treatment.

The patient should eat fractionally, and food is prepared only from fresh products.

These products include:

• lean fish and meat, boiled or steamed;
• vegetable oil, eggs, low-fat dairy products;
• brown rice, millet, buckwheat, which contain a lot of fiber and promote the regeneration of the digestive system;
• low acid vegetables and fruits. For example, carrots, apples, peaches, celery, pumpkin, banana, greens, pear. At the same time, the patient is forbidden to eat legumes, onions, broccoli and other foods, during the use of which gas formation increases in the intestines.

In case of inflammatory processes of the gastric mucosa, and even more so the presence of erosion, it is necessary to exclude fatty, heavy, indigestible foods (fried potatoes, beef, pork), highly carbonated and alcoholic drinks from the diet.

Erosive gastritis is an acute or chronic pathology, which is characterized by the formation of erosions on the inner wall of the stomach as a result of an inflammatory process. Clinical picture the disease is variable, but the main symptoms are most often nausea, pain in the epigastric region, bouts of vomiting, dyspeptic disorders after every meal. Before treating erosive gastritis, patients are diagnosed. The therapeutic regimen is drawn up after studying and evaluating the results of laboratory, endoscopic and instrumental research. As a rule, it includes antacids, antibiotics, proton pump inhibitors and drugs that stop stomach bleeding.

The right approach to treatment

Erosive gastritis differs from other forms of gastric pathology by the presence of erosions on the mucous membrane.

Such lesions precede the formation of ulcers, so anti-ulcer techniques are used in therapy. Acute erosive gastritis cannot be cured at home. The disease occurs after aggressive substances enter the stomach cavity. chemical compounds - heavy metals, acids, alkalis. They instantly corrode the mucous membrane and deeper layers, so you can help the victim only in stationary conditions. In some cases, patients undergo urgent surgery.

The chronic form of erosive gastritis develops according to different reasons, but the constant postponement of a visit to the doctor or neglect of his recommendations leads to the rapid progression of the pathology. The patient consults a gastroenterologist sharp deterioration well-being. It is provoked heavy bleeding and is expressed in the staining of feces black due to clotted blood. First of all, the doctor recommends excluding from the usual way of life the factor that provoked the development of erosive gastritis:

• smoking and drinking alcohol. Toxic compounds found in tobacco and ethanol damage blood vessels increase their permeability. This leads to increased stomach bleeding;
• lack of stress resistance. People who tend to experience an ordinary everyday conflict strongly always suffer from gastritis. In these cases, gastroenterologists, together with the drugs of first choice, prescribe sedatives and sedatives to patients - tinctures of valerian and motherwort, Pesen, Tenoten, Deprim;
• accompanying illnesses. Pathologies that occur against the background of metabolic disorders often cause the development of an erosive disease. Therefore, doctors conduct simultaneous treatment of gastritis, diabetes, thyrotoxicosis;
• irrational nutrition. Diet in the treatment of erosive gastritis is no less important than taking pharmacological drugs.

Some medications used in therapy chronic pathologies, with prolonged use, provoke degenerative-destructive changes in the mucous membrane. These include glucocorticosteroids (Prednisolone, Dexamethasone), non-steroidal anti-inflammatory drugs (Nimesulide, Ibuprofen, Diclofenac), diuretics (Veroshpiron). The doctor cancels the drugs, replacing them with safer analogues.

Erosive gastritis can be cured only with complete failure from bad habits

Erosive gastritis, accompanied by severe bleeding, provokes the development iron deficiency anemia. A person is deteriorating not only general well-being, but also appearance- hair falls out, nails exfoliate, the skin becomes gray and dry. To replenish iron stores in the body and improve hematopoiesis, gastroenterologists can prescribe Fenyuls, Ferrum-Lek, Totem to patients.

Health food

If a patient is diagnosed with moderate to severe gastritis, then he already knows that many products are contraindicated for him. After their use, there are sharp pains in the stomach and dyspeptic disorders. Such symptoms develop if acidic, acute, hot food. Gastroenterologists recommend that patients with erosive gastritis permanently abandon following products food and drink:

• fast food, chips, salty crackers and nuts;
• rich borscht, soups;
• fatty varieties of fish and meat;
• puff pastry or pastry;
• coffee, strong green and black tea.

You can eat dried bread, cereals, clear or pureed soups, non-acidic fruits, baked or boiled vegetables With butter. Preference should be given to fresh products, poached in a small amount water or steamed. They should not be hot or cold, food is the best option. room temperature. You need to eat fractionally - in small portions 6-7 times a day. This will reduce the load on the gastrointestinal tract, accelerate the healing of erosions.

Medical treatment

Before starting treatment for erosive gastritis of the stomach, endoscopic examination patient. It allows you to assess the degree of damage to the mucosa, to detect the number and location of inflammatory foci. The doctor also takes a biological sample for histological analysis tissues for the presence of pathogenic bacteria Helicobacter pylori - common cause erosive gastritis. Based on the data obtained, the gastroenterologist draws up a therapeutic regimen that includes several groups of pharmacological drugs. When calculating dosages, the doctor takes into account the patient's age, his general health, the presence of pathologies of the organs of the cardiovascular and urinary systems, as well as the digestive tract.

The combination of Amoxicillin with clavulanic acid is used to kill the bacteria that provoked erosive gastritis.

Antibacterial drugs

Antibiotics are prescribed for erosive gastritis with detection of Helicobacter pylori. The most commonly used drugs include:

• Amoxicillin and its combinations with clavulanic acid - Panclav, Augmentin, Amoxiclav;
• Cefalexin, Ciprofloxacin;
• Clarithromycin;
• Ofloxacin.

Typically, treatment begins with simultaneous reception Amoxicillin, Clarithromycin and the antimicrobial agent Metronidazole. If pathogenic microorganisms have time to develop resistance before complete recovery, the gastroenterologist replaces one of the antibiotics.

Proton Pump Blockers

The increased acidity of gastric juice provokes the enlargement of the formed erosions and the formation of new lesions. Blockers proton pump prevent the production of hydrochloric acid, which allows them to be used for the treatment and prevention of erosive gastritis. The doctor may prescribe these drugs:

• Omeprazole,
• Rabeprazole
• Lansoprazole,
• pantoprazole,
• Esomeprazole.

Proton pump blockers are taken throughout therapy, often taking several months. If the patient is at risk of developing erosive gastritis, then drugs can be prescribed in preventive purposes for life.

Antispasmodics

Perhaps no form of gastritis provokes the appearance of such severe pain as erosive. To eliminate and prevent them, the doctor recommends taking antispasmodics. Previously, the appointment of Drotaverin, No-shpa was widely practiced. But one of them side effects often there is a relaxation of the smooth muscle muscles of all internal organs. Such activity is highly undesirable if the patient has any chronic pathologies. During pregnancy, broad-spectrum antispasmodics adversely affect the uterus. Therefore, more and more often to eliminate stomach pain are used:

• Duspatalin,
• Mebeverine.

They are selective and improve the motility of the gastrointestinal tract, preventing long-term downtime of food, the development of rotting and fermentation processes.

Antispasmodics are used in the treatment of erosive gastritis to eliminate severe pain.

Antacids

These drugs are prescribed by the attending physician for rapid decline acidity of gastric juice. Getting on erosion, hydrochloric acid provokes the development of strong acute pain. The antacid contains magnesium and aluminum hydroxides, which have alkaline properties. They neutralize the action of the acid in the process chemical reaction. Which antacids are most effective:

• Maalox,
• Gastal,
• Phosphalugel,
• Rennie,
• Gastrocid.

Medicines also form a protective sheath on erosions that prevents pathogenic bacteria, food and hydrochloric acid from penetrating open wounds.

Digestive enzymes

In the process of treating erosive gastritis with antacids and proton pump blockers, the acidity of gastric juice is significantly reduced. This favorably affects the regeneration of the mucous membrane, but negatively affects digestion. To normalize the breakdown of fats, proteins, carbohydrates and their absorption, gastroenterologists prescribe to patients a course of such drugs:

• Mezim forte,
• Enzistal,
• Festal,
• Panzinorm,
• Pancreatin.

These are balanced complexes of digestive enzymes, identical to those produced by the pancreas. They are used only during the treatment of erosive gastritis, and after recovery are subject to cancellation.

In the treatment of erosive gastritis, drugs with domperidone are used to improve gastrointestinal motility.

Drugs that improve motor skills

Often, erosive gastritis is complicated by reflux, that is, the reverse reflux of the contents of the duodenum into the stomach cavity. This provokes the formation of new inflammatory foci and an increase in the severity of symptoms. The following medicines help to cure the form of erosive gastritis, accompanied by reflux:

• motilium,
• Passagex,
• Motilac,
• domperidone,
• metoclopramide,
• Cerucal.

The drugs promote food bolus on gastrointestinal tract, accelerating the absorption of nutrients and biologically active substances. This allows you to quickly eliminate the symptoms of erosive gastritis - nausea, vomiting, excessive gas formation.

Additional Treatment

When diagnosing erosive gastritis provoked by allergic agents, antihistamines are used in its treatment:

• Loratadine,
• Tavegil,
• Suprastin.

also in therapeutic regimens drugs that promote rapid regeneration of erosions and other damage to the mucous membrane are included. The most effective are tablets whose active ingredient is bismuth tripotassium decitrate:

• De-Nol,
• Novobismol.

The drugs enhance the action of antibacterial and antimicrobial agents, form a protective shell on the inner wall of the stomach.

For the treatment of erosive gastritis, you should replace regular tea with chamomile infusion.

Traditional medicine recipes

Healers have accumulated rich experience in the treatment of gastritis, including erosive. They use useful plants and bee products in therapy, which have anti-inflammatory, antimicrobial, hemostatic and antiseptic properties. Treatment with folk remedies is carried out during the rehabilitation period as an addition to a sparing diet. Healing herbs do not replace pharmacological preparations because they are incapable of destroying pathogenic bacteria and reduce gastric acidity.

After the main therapy, you can use the following traditional medicine recipes:

• must be purchased at the pharmacy sea ​​buckthorn oil good quality(such a medicine will not cost less than 200 rubles). You should take 10 ml of oil before meals for a month. Freshly squeezed sea buckthorn juice has the same beneficial properties;
• aloe juice exhibits powerful regenerative activity. You can buy it at a pharmacy or use a plant that is more than three years old. For the treatment of erosive gastritis, it is necessary to take a tablespoon of juice after meals. The duration of therapy is 2-3 months. With gastritis with low acidity traditional healers It is recommended to add an equal amount of honey to the bitter liquid.

What else can treat erosive pathology: fruit and vegetable juices, infusions of chamomile, marigold, succession and St. John's wort. The use of 30 mg of mumijo three times a day contributes to rapid healing damaged inner wall stomach.

Erosive gastritis is able to progress rapidly, especially with its bacterial and toxic etiology. How to treat it, only doctors know narrow specialization- gastroenterologists. Correctly and quickly carried out therapy will help to avoid irreversible complications, improve the quality of life of patients. How to treat chronic gastritis is described in detail in.