Symptoms of exacerbation of gastritis. Symptoms of exacerbation of gastritis. Symptoms of exacerbation of chronic gastritis

Exacerbation of gastritis, the symptoms of which are manifested clearly and painfully, can interfere very strongly in a person's life. During this period, people become disabled, and it is urgent to take measures to stop the attack. Chronic gastritis in the acute stage is dangerous in itself, but at the same time it has a noticeable effect on the mental state of the patient, exhausting him physically. The disease must be treated without waiting for a severe phase, but if acute symptoms, treatment should include effective therapy and strictly according to the doctor's prescription.

1 Essence of pathology

At its core, gastritis can be thought of as an inflammatory process in the gastric mucosa, which, when progressing, can affect deeper stenotic tissues. The most diagnosed type of disease is one that develops slowly long time with atrophic manifestations, secretory, contractile and other gastric dysfunctions.

A chronic variety of pathology can develop according to several main mechanisms: an autoimmune variety with degeneration of parietal cells, which disrupts the production of an acidic component and the absorption of vitamin B12; bacterial species(type B), due to exposure with a violent reaction inflammatory nature; reflux is a type of gastritis associated with the injection of bile composition into gastric cavity. Depending on the secretory abilities of the stomach, the composition of gastric juice and excessive production of acid composition ().

2 Etiology of the disease

Chronic gastritis progresses for quite a long time with alternating stages of exacerbation and sedation (remission), when the signs subside and the disease is almost asymptomatic. Exacerbations of chronic gastritis can be both exogenous ( external influences), and endogenous (internal). Among the exogenous factors, the causes of the alimentary nature associated with the violation of the regimen and diet are highlighted. The most common violations are: overeating, especially after a period of fasting; a hearty meal before bed; excessive use hot food or drinks; the use of poorly digested, spicy, fatty and low-quality food; alcohol abuse. Other causes can be identified: smoking, stress and nervous overload, uncontrolled intake certain medications (corticosteroids, antibiotics, sulfonamides, salicylates, etc.), food allergic reaction.

The exacerbation of chronic gastritis can be affected by various endogenous factors associated with internal pathogenic effects and reduced immunity. The most prominent reasons are: infectious lesions With clear signs body intoxication (flu, measles, pneumonia, scarlet fever); food infections (salmonella, staphylococcus, etc.); damage to internal gastric tissues as a result of burns, radiation, frostbite; autoimmune intoxication (renal or liver failure). A fairly frequent exacerbation of pathology in women during pregnancy is explained by toxicosis and hormonal disorders.

3 Manifestation of the disease

What are the symptoms of exacerbation of gastritis? With an exacerbation of chronic gastritis, the subtle course of the disease is disturbed, and the signs become obvious and painful. When the acute phase of gastritis begins, the symptoms can be divided into local and general. Main local manifestation- gastric dyspepsia and pain syndrome. The pain manifests itself in the epigastric region immediately after eating or on an empty stomach. It is aggravated by movement and standing. The nature of the pain can vary from dull aching pain to a sharp, in the form of seizures.

The main symptoms of exacerbation of gastritis are associated with gastrointestinal dyspepsia. The main manifestations are heaviness and pressure in epigastric region after meal; belching; regurgitation; nausea; unpleasant taste in the mouth, especially in the morning; heartburn; burning in the epigastrium. The stomach reacts especially strongly to the intake of spicy, rough, fried or smoked foods. Explicit indicators: flatulence, bloating, rumbling, impaired stool.

General signs of exacerbation are associated with intoxication of the body. Quite often there is an astheno-neurotic syndrome, characterized by general weakness, irritability, increased sweating, cardiovascular manifestations in the form of arrhythmias, cardialgia, changes in blood pressure. Immediately after eating, dumping syndrome may appear, which is expressed in sudden weakness and drowsiness, pallor skin. During such a period, it suddenly intensifies, requiring urgent emptying of it.

4 Different occasions

Given the various secretory dysfunction, exacerbation has certain differences in its manifestation. If the disease develops with increased acidity of gastric juice, then there are such characteristic symptoms: mandatory pain in the abdomen of a periodic or permanent nature; severe burning; belching with; nausea and vomiting; the presence of traces of blood in the feces; decreased appetite.

Signs of exacerbated gastritis with low acidity are somewhat different from the previous case. With the predominance of the atrophic nature of the lesion, the pain syndrome is not an indicative sign, and sometimes it is simply absent. The main symptoms are such manifestations: alternating constipation and diarrhea associated with poor digestibility of food; bad breath and belching with a putrid taste; a feeling of fullness and heaviness in the upper abdomen; flatulence; increased sweating, weakness, fatigue.

5 Treatment activities

Treatment of chronic gastritis at the stage of exacerbation depends on the characteristics of secretory and motor-evacuation disorders. In case of severe course during this period, it can be carried out stationary. The most important condition treatment becomes provision therapeutic diet, and the whole principle of therapy is aimed at sparing and restoring the gastric mucosa.

Basic treatment is based on effective drug therapy. Medicines for exacerbation should be taken only under the supervision of a doctor and after establishing the type of disease. Medications are aimed at eliminating the bacterial component of the etiology, normalizing the secretory function of the stomach, improving motility, reducing aggressiveness or increasing the acidity of gastric juice to normalize digestion, stop inflammatory response, symptomatic treatment, regeneration of affected tissues, prevention of relapses in the future.

6 Power optimization

Diet during exacerbation of chronic gastritis is a mandatory element of the diet, but its content depends on the type of acidity of gastric juice. On the first day of the acute phase of the pathology, it is necessary to refrain from eating altogether - it is carried out therapeutic fasting. You should drink cool tea and still water. Only the next day, you can introduce jelly, one soft-boiled egg and porridge in the water of a liquid consistency into the diet.

In general, a diet is established in the form of frequent (5-6 times a day), but fractional meals. Each serving should not exceed 260-320 g. With increased acidity of the stomach, it should be completely banned following products: pickles, marinades, preservatives, smoked meats, spicy seasonings and spices, fried foods; hard to digest foods - animal fats, pies, mushrooms. Food is given a form that facilitates its assimilation - cereals, pureed vegetables, mashed potatoes, soufflé, steam cutlets. The temperature of the food when it is taken should be comfortable for the esophagus. Carbonated drinks and alcohol are strictly excluded.

In case of insufficient secretion of hydrochloric acid the general diet is similar: food should be consumed warm in a semi-liquid and softened state (mashed potatoes, soufflé, etc.). Pickles, smoked meats, marinades, spicy dishes, fried, fatty meat, alcohol. Products that increase fermentation should be eliminated from the menu ( whole milk, grapes, sour cream) and hard-to-process products (animal fats, fried potatoes, etc.). To restore the body, it is recommended to replenish food with vitamins.

7 Medical therapy

What to do with gastritis in the acute phase? Basic treatment is based on drug therapy, with drugs prescribed according to the type of disease. First of all, it is recommended to take

astringent and enveloping preparations that reduce the irritating effect on the mucous membrane: bismuth nitrate, Vinylin, Plantaglucid. Pain syndrome and spasmodic phenomena are removed by prescribing atropine sulfate, Cerucal, Sulpiride, Eglonil, Dogmatil, No-shpy, Galidor. Acceleration of tissue regeneration is achieved by the use of such means: drugs nicotinic acid(Nicotinamide, Nicospan, Complamin), Methyluracil, vitamins B1, B2, B6, B12, vitamin C, Solcoseryl, aloe extract.

In case of weak secretory function (low acidity), substitution therapy is used to compensate for the deficiency of gastric juice - hydrochloric acid and natural gastric juice are introduced. From the very beginning of the exacerbation phase, it is important to take universal enzymatic medicines: Abomin, Festal, Digestal, Panzinorm, Mezim-forte.

Diluted hydrochloric acid and drugs Acidin-pepsin, Betacid, Pepsidil, Salpepsin are prescribed after the main manifestations of the inflammatory reaction.

In the case when the pathology develops with high acidity, drugs should be prescribed that neutralize the aggressiveness of gastric juice and slow down secretion (antacids): magnesium oxide, calcium carbonate, Almagel. Fairly effective modern facilities: Maalox, Maimagel, Alumag, Gastralugel, Gelfos. Complex therapy includes the use of sedatives and tranquilizers: Diazepam, Relanium, Trioxazin, Novo-Passit. Treatment of the disease caused by Helicobacter pylori is based on the destruction of these microorganisms. Antibiotics are prescribed for this. penicillin series: Ampicillin, Amoxicillin, Carindacillin, Carfecillin, Mecillinam. Antibiotics based on nitromidazole and tetracycline are also used.

Exacerbation of chronic gastritis is a dangerous and painful phenomenon that must be dealt with by effective methods. It is not recommended to remove the acute phase on your own. You should consult a doctor if signs of exacerbation appear, who will prescribe the most suitable means taking into account individual features sick person.

Gastritis is an inflammatory process that affects the lining of the stomach and causes the digestive system to malfunction. This causes a number of unpleasant, and sometimes painful symptoms, which manifest themselves in the form of pain in the stomach, nausea, bloating.

Often the disease flows into a chronic form. It is characterized by periods of remission, which alternate with exacerbations. Timely identified features of exacerbation of gastritis help to promptly begin treatment and stop the pain syndrome.

spicy and chronic view gastritis differ in their signs and symptoms. Thus, patients often cannot independently understand what kind of disease has befallen them. Some diseases are different total absence symptoms, so for diagnosis it is better to consult a doctor than to make any conclusions on your own.

The manifestation of chronic gastritis in the acute stage can be periodic. Often patients manage to get rid of discomfort due to the use of painkillers and antacids. However, over time, the disease progresses, which leads to the appearance of aggressive phenomena:

Pain syndrome, aggravated mainly after eating;
Frequent heartburn;
Nausea;
Vomit;
Malaise;
Bloating
Flatulence;
Strong salivation;
Digestive disorders - constipation, followed by diarrhea;
Hungry pains.

Secondary features include:

Weakness;
Dizziness;
Dehydration;
Headache;
Temperature;
Tachycardia.

The exacerbation of chronic inflammation and the intensity of its symptoms in each individual case is individual. Thus, it is impossible to answer the question - how long the exacerbation of gastritis lasts. The exacerbation period lasts about 30 days. However, with timely treatment, this period is reduced.

Antral gastritis

The phenomenon of antral gastritis is primarily associated with damage to the gastric mucosa, which has arisen due to infection with a pathogenic microorganism - Helicobacter pylori. The causative agent feels comfortable in the gastric mucus and is easily able to maintain its activity with a high acidity of the organ.

Helicobacter pylori provokes disruption of the gastric glands. The reproduction of the microorganism leads to destabilization in the work of the pyloric department, which is responsible for the production of an alkalizing environment.

Chronic gastritis of the antral type is exacerbated due to sharp increase acidity in the stomach. This leads to malnutrition, alcohol abuse, smoking. Sometimes a common food allergy leads to deterioration.

Signs of an exacerbated disease look like this:

Stomach ache;
hungry pains;
Heartburn;
Belching with a sour taste;
Constipation.

At a severe stage of the disease, the patient has weight loss.

Erosive gastritis

Manifestation erosive gastritis characterized by an extensive inflammatory process, which has one distinctive feature - small erosions form on the gastric mucosa. They represent main danger, since they can cause internal bleeding and tissue regeneration.

Exacerbation of chronic erosive gastritis is recognizable by the following signs:

Spasm;
Heartburn;
Heaviness in the stomach;
Motility disorders;
Rotten eructation;
dry mouth;
Malaise;
stool disorder;
Increased pain immediately after eating.

Erosive gastritis in terms of symptoms is actually no different from the pathology of the superficial type. The exception is signs that indicate the presence of bleeding. Superficial gastritis is also a chronic form of the disease and must be treated through diet and medication until stable.

Atrophic gastritis

Atrophic gastritis - severe inflammation stomach, leading to a precancerous condition. atrophy on early stages is virtually asymptomatic, but in a state of neglect has severe symptoms. Symptoms of atrophic inflammation are as follows:

Weight loss;
Nausea;
Constant belching;
Constipation alternating with diarrhoea;
Flatulence;
Constant rumbling in the stomach;
Weakness;
Malaise;
Anemia;
Headache;
severe cramps in the abdomen;
Yellowness of the skin;
Disruptions in hormonal metabolism.

autoimmune gastritis

The clinic of autoimmune gastritis is associated with a malfunction in the immune processes of the human body. The disease is many times less common than other types of mucosal inflammation, which makes it difficult to diagnose and treat it in a timely manner.

Exacerbation of chronic autoimmune gastritis is manifested as follows:

Heaviness in the abdomen;
Feeling full;
Rare abdominal pain;
Heartburn;
Belching with air;
Decreased appetite;
weight loss;
Weakness;
sweating;
Dizziness;
Malaise;
Diarrhea.

If the treatment of autoimmune inflammation does not occur on time, then the progression of the disease is observed. This leads to malabsorption nutrients. This leads to the following consequences:

Dry skin;
visual impairment;
Hair loss;
Brittle nails;
Bleeding gums.

This type of gastritis appears and worsens due to a violation of the immune processes in the body. It is predominantly hereditary.

Exacerbation of gastritis in children

The manifestation of gastritis in a child is not a rare phenomenon. School-age children regularly suffer from it. Eating disorders, stress and frequent lack of sleep lead to inflammation of the lining of the stomach.

Common symptoms of complications in children are as follows:

Pain syndrome that occurs mainly in upper divisions stomach.
The intensity directly depends on the severity of the disease and the degree of its neglect;
Heartburn, which is aggravated during physical activity and bending to the side;
Appearance bad smell from mouth;
Belching;
Lack of appetite or a strong decrease in it;
hungry pains;
Nausea;
Vomiting (rare)
Disruptions in digestion - bloating, flatulence, rumbling in the abdomen, anemia;
Malabsorption of nutrients (hypovitaminosis);
Paleness of the skin;
The appearance of a white coating on the tongue;
Discomfort on palpation of the abdomen.

Symptoms of exacerbation of gastritis in young children should be stopped as soon as possible after they are detected. It is not worth doing this on your own. You need to seek the advice of a doctor.

Complication of gastritis in pregnant women: signs and symptoms

Exacerbation of gastritis during pregnancy often overtakes women. This is the effect on the stomach of the fetal body and hormonal changes. The main signs of exacerbation during the period of bearing a child are as follows:

Toxicosis, which is quite difficult, may indicate that a woman has a pathology in the acute stage. When this occurs common symptom, the woman is better to address to the doctor.
Drawing pains. This symptom joins after toxicosis. The woman experiences pain in the epigastric region.
Heartburn. This symptom occurs when the condition worsens in every second pregnant woman.
Plaque. On the tongue in pregnant women very often occurs gray coating. It speaks of illness.
Temperature. Subfebrial temperature in women rises within 37-38oC.

Faced with these manifestations, a woman needs to see a doctor for their relief, since gastritis during pregnancy leads to weight loss of the expectant mother and underweight for the child.

What danger is fraught with complication?

The complication of gastritis is not as safe as it might seem at first glance. Even the most harmless signs diseases can turn serious consequences for the patient.

Vomit. This symptom most often leads to dehydration. It seems to a person that he has lost weight, but in fact this effect is created through a lack of fluid in the body. With repeated vomiting, the patient develops dry mucous membranes, a slight burning sensation in the eyes, headaches, and discoordination. With prolonged vomiting, patients may suffer from weight loss.
Heartburn. This is a common symptom and occurs at least once in a lifetime in every person over the age of 20. Retrosternal burning is usually not a cause for concern, but it can lead to many unpleasant consequences. First of all, it is cancer of the esophagus, provoked by constant exposure to acid. The cells of the inflamed mucosa can degenerate into malignant ones. Heartburn can also lead to varicose veins veins of the esophagus. The consequences of this disease are bleeding, chest pain and even death.
Chair disorder. An exacerbated disease is characterized by a symptom of stool disorder. At the same time, the person also suffers from dehydration. Due to poor absorption useful elements from food, a person suffers from rapid weight loss and iron deficiency anemia.

Therefore, noticing signs of deterioration, you should immediately consult a doctor and undergo a diagnosis.

Among diseases gastrointestinal tract gastritis is the most common. Physicians associate it with in an unhealthy way life: poor-quality nutrition, alcohol abuse, smoking and constant stress, which is actually the norm for people of our time. But in most cases, exacerbation of chronic gastritis is still due to the food that a person eats.

Like any other chronic disease, gastritis is progressive in nature, occurring with periods of remission and exacerbation. More often this happens in spring and summer, when patients do not follow the doctor's recommendations and begin to consume uncontrollably fresh fruits or vegetables. And these products are large quantities unambiguously cause damage to sick stomachs.

The main causes of the disease

Chronic gastritis is a sluggish inflammation of the mucous epithelium of the stomach, provoking its degeneration: it atrophies, transforms into connective tissue, and the functioning of its glands is disrupted. As a result, the secretion of gastric juice and motor function organs deteriorate, which cannot but affect the state of health.

The pathology under consideration occurs in people of all ages. During the period active phase arises acute inflammation mucous membrane of the stomach wall, which causes pain and other painful symptoms. This disease is caused by many factors, but among the main causes, doctors name the following:

Helicobacter pylori infection.
Strict or unbalanced diet.
The use of low quality products.
Stress, lack of sleep.
Hypothermia (overcooling of the body).
Frequent food poisoning.
Overeating, when a person gets up from the table with a heaviness in the stomach.
Immune system suppression.
intestinal microorganisms.

These factors adversely affect health and cause serious gastrointestinal disorders.

First symptoms

In all people, the signs of exacerbation manifest themselves in different ways, which is associated with the degree of damage to the mucous membrane. Someone is constantly tormented by unbearable pain in the epigastrium, in others it is moderate, and occurs periodically. Common symptoms of exacerbation of gastritis include:

Feeling of heaviness, fullness in the upper abdomen on the left.
Pain in the stomach area after eating.
Vomiting, belching and heartburn.
Nausea, sometimes vomiting.
Bitter taste in the mouth.
Constipation followed by diarrhoea.
Blood in feces.
Dulling the feeling of hunger.
Uncontrolled weight loss.

With an exacerbation of the disease, the patient may also experience asthenic syndrome. It is expressed in dizziness, fatigue, nervousness, mood instability and sleep disturbance. In any case, you need to visit a gastroenterologist. He will prescribe a comprehensive examination, and based on the results he will be able to choose an individual course of treatment.

Gastritis with high acidity

With this type of pathology, inflammation of the gastric mucosal epithelium is accompanied by hypersecretion of hydrochloric acid, which causes acidification. This process always proceeds with complications. Acute chronic gastritis is manifested by the following symptoms:

Pain and burning in the epigastric region.
Heartburn, nausea, belching.
Decreased appetite.
Presence of blood clots in feces and vomiting.
Weight reduction.
dehydration ( low quantity urine and intense thirst).

Gastritis with low acidity

The condition is called atrophic and is characterized by limited secretion of hydrochloric acid. Accompanied by the following symptoms:

Pain, heaviness in the stomach.
burp, fetid odor from mouth.
Periodic diarrhea and constipation.
Flatulence, bloating with rumbling.
Increased sweating, drowsiness.

Accurate diagnosis

After the first symptoms are detected, the patient should contact a medical institution to establish a picture of the pathology. There is a series of laboratory tests and special instrumental tests that can be used to diagnose exacerbated chronic gastritis:

General analysis of urine, feces.
Blood test (clinic, biochemistry).
(FGDS), fibrogastroduodenoscopy.
Tests to detect infections, including Helicobacter pylori.
duodenal sounding.
Histology of the gastric mucosa.
Ultrasound of the abdominal organs.

When self-medication is dangerous

Therapy, not agreed with the doctor, carries a certain threat in case of exacerbation of gastritis. Even traditional medicine can exacerbate the problem. Incompatibility with drugs, non-compliance with the dosage - all these conditions can provoke the development of complications.

In addition, at severe course exacerbation required urgent hospitalization, since ulcers, erosions, bleeding wounds form on the walls of the organ. And they carry a certain risk of converting gastritis in the acute stage into stomach cancer. In this state, against the background of general weakness in a person:

More severe pain that lasts longer than usual.
Well-defined bloody discharge in the vomit.
Discoloration of feces due to blood entering the intestines.

With such symptoms, you should immediately call an ambulance. Before the arrival of the ambulance, you should not take any medications. It is better to lie on one side, bending your knees, and pulling them towards you. Take painkillers only on the advice of a doctor.

Treatment of exacerbation of gastritis

Basic therapy chronic forms pathology is prescribed by a gastroenterologist. Only he can determine the need for medicines and adjust the diet, taking into account the acidity of gastric juice. Therefore, the first thing to do when you see the initial manifestations of gastritis is to visit a medical facility as soon as possible.

Therapy in adults always begins with washing the digestive tract. The procedure is unpleasant, but necessary, since it is necessary to cleanse the stomach of the remnants of undigested harmful mass. In the first three days, you can eat only porridge on the water and jelly. Further in the diet include lean meat and steamed vegetables. After these preparations, the complex treatment.

Drugs and regimens

Medicines for gastritis are prescribed by a doctor, taking into account the form of the disease and the level of acidity. Prior to the onset of drug exposure, it is necessary to stop taking NSAIDs, since they irritate the mucous epithelium of the stomach. Primary Therapy includes the following groups of drugs:

Antibiotics (Amoxicillin, Clarithromycin, Omeprazole).
Means to reduce the amount of gas in the intestines (Espumizan).
Analgesics (No-Shpa, Baralgin, Nurofen, Papaverine).
Prokinetics (Motilium, Phosphalugel, Cerucal).
Tablets for vomiting (Betahistine, Dimenhydrinate, Vertigoheel).
Antihistamines (Suprastin, Zyrtec).
Antacids (Almagel, Gaviscon, Smectite).
Normothymic drugs for normalization nervous system.

Drug treatment also includes taking inhibitors. proton pump(Omez, Nolpaza, Peptazol). Such funds cope with pain during periods of exacerbation of the disease. In combination with them, gastroprotectors (De-Nol, Venter) are prescribed, which create a protective film in the stomach and prevent irritation of the mucous membrane.

At low acidity, or if hydrochloric acid is not secreted at all, the drug Acidine-pepsin is prescribed. And in spring period during exacerbation atrophic gastritis the drug course of therapy is supplemented with natural gastric juice. Erosive lesions organs are often accompanied by the development of anemia, which requires taking iron-containing preparations.

At antral gastritis acidity rises. To reduce its concentration, antisecretory substances are prescribed that prevent erosion of the mucous epithelium of the organ (Renny, Maalox, Omeprazole). After pain relief, when the acute phase has safely passed, enzymes are prescribed to the patient to normalize the functioning of the gastrointestinal tract (Festal, Panzinorm, Creon).

All drugs should be prescribed only by a gastroenterologist. The specialist sets a certain dose, taking into account the individual characteristics of the patient. During therapy, he can change the treatment regimen, so it is important to listen to his recommendations.

Folk remedies

Effective alternative therapies can be used in the treatment of exacerbations of gastritis as an auxiliary measure, but only with the permission of a doctor.

Potato (carrot) juice

Peel vegetables and wash thoroughly.
Grind with a grater and squeeze the juice out of the pulp.
Drink the finished drink fresh 100 ml 1 hour before meals three times a day.
The course of treatment is 1 week.

Elecampana decoction

Dried roots, 20 g pour 250 ml of boiling water.
Simmer the mixture on fire for 20 minutes.
Drink the resulting broth 15 ml three times a day before meals.

banana "tea"

Dried fruit, 10 g pour 1 tbsp. boiling water.
Simmer on fire for 10 minutes, then filter.
Drink a ready-made decoction of 15 ml three times a day, on an empty stomach.

Diet

Proper nutrition will help cure exacerbation of gastritis. Medical therapy in combination with dietary adjustments - important step on the road to recovery. However, when choosing products, it is necessary to take into account the level of acidity. In addition, any form of gastritis requires compliance healthy lifestyle life and abandonment bad habits(nicotine, alcohol). Such actions will help restore the functioning of the gastrointestinal tract.

With increased acidity in the stage acute pain some foods should be excluded from the diet:

Stimulating the secretion of hydrochloric acid (cabbage, tomatoes, citrus fruits, grapes, fish and meat broths, coffee).
Irritating the wall of the gastric mucosa (pork, fatty foods in vinegar, spices, smoked, cold and hot dishes, soft drinks).

The daily menu should contain products that reduce the concentration of hydrochloric acid and help improve the patient's condition:

Dairy products.
Variety of cereals.
Macaroni and vermicelli.
Dietary meat (chicken, rabbit, turkey, beef).
Jelly, juices and compotes based on non-acid fruits.

If the indicators of hydrochloric acid are underestimated or it is not produced, this type of food is excluded from the diet:

spicy dishes.
Smoked products and fatty meat (pork).
Carbonated drinks.
Biscuit, flour products.
Sweets, including chocolate.

To improve the condition of the digestive system, the following foods are included in the diet:

Dairy products.
All grains except rice.
Lean varieties of meat and fish.
Durum wheat pasta.
White bread crackers.
natural juices.

Treatment of an exacerbation during pregnancy

Carrying a child is a complex process that can provoke a complication chronic diseases, including gastritis. Along with hormonal changes provoking factors are:

Toxicosis, infections.
heavy stress for the body.
The need to take certain medications.
Diet for pregnant women.

Symptoms of the disease in women during gestation are the same as in ordinary people. But with hypersecretion of hydrochloric acid, serious disorders often occur. With low acidity, there is a pronounced heaviness in the stomach.

Methods for the treatment of gastritis in women "in position" are very limited, which is associated with the prohibition of many drugs during this period. Correction of nutrition will help improve the condition of a pregnant woman. You need to eat food up to 7 times a day in small portions. From daily menu fried, spicy, smoked, fatty foods, as well as spices and pickles. It is useful to limit the consumption of sweets, especially sugar and chocolate. Daily diet should include light meals, hot milk and soups.

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 of plant foods, an 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 with severe pain, if therapy is not prescribed in time. Signs of nausea at the initial stage may not appear, as a rule, they are characteristic of the chronic course of the disease, but everything 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.

With the manifestation of the above signs, the doctor prescribes an examination to confirm the diagnosis. For this you need:

Pass a blood test (detailed, biochemical), urine, feces;
Spend endoscopy 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. Drug treatment should be carried out in combination with dietary nutrition. 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, fish meals from 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, relieve pain.

With low acidity, it is necessary 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 of treatment with a diet allow you to short time eliminate the symptoms and lead to complete relief from the disease.

Folk methods of treatment

There are many folk methods treatment, but all of them are 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 natural processes body, malnutrition, low immunity, disorders of the nervous system, exposure to external factors affect chronic gastroduodenitis. Exacerbation occurs when long-term use antibiotics, after stress and nervousness, alcohol and tobacco abuse. There are primary and secondary gastroduodenitis. The primary form of the disease is associated with malnutrition, impaired digestive function. 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, it is characterized by sharp, intensifying pains 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. Pain period can last from a week to ten days, and then there is a period of remission. Most often, exacerbations occur in the autumn-spring period, after stress and irregular nutrition. These symptoms resemble the symptoms of exacerbation of chronic gastritis, often occur with other diseases of the digestive tract, therefore 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 must be boiled, in last resort 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 is determined, then drugs that reduce acidity and drugs that block pain are prescribed. It is mandatory, along with drugs, 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.

With an exacerbation of a disease such as gastritis, a number of unpleasant symptoms, which significantly spoil the usual way of life. A similar phenomenon is observed today quite often, especially among the young population. Most often, exacerbation attacks make themselves felt in autumn period, since at this time of the year there is a cooling, which, in turn, provokes a narrowing blood vessels, and this is one of the main causes of spasmodic pain in the gastrointestinal tract.

In autumn, people eat a lot of raw fruits, vegetables, berries. This can provoke a seasonal exacerbation of the inflammatory process that occurs in the gastric mucosa. Relapses can also occur at other times of the year. The development of inflammation is influenced by a number of various factors. It is important to know how exacerbation of gastritis manifests itself, and what to do to avoid it.

With an exacerbation of gastritis, a person experiences a number of unpleasant symptoms. Chronic gastritis is considered a prolonged inflammatory process of the mucosa. digestive organ. With an exacerbation, there is development.

Development acute condition observed for several hours. At that time human body directs its forces to mobilize protective cells and draw them to the affected part hollow organ. the main objective cells is to neutralize and neutralize the pathogenic microorganisms present in the stomach cavity, which provokes the development of an exacerbation. During an exacerbation, the entire the immune system person. In this case, you need to consult a competent doctor.

In most cases, an exacerbation is observed in spring and autumn, since at this time the immune system weakens, temperature drops are observed. Vasoconstriction provokes spasms, there is a violation of the full process of supplying vitamins and minerals to internal organs. From endogenous factors that provoke an exacerbation of the disease, it should be noted chronic pathologies. The bacterium Helicobacter pylori can also contribute to the onset of the disease.

Causes of exacerbation of gastritis:

malnutrition and overeating;
food poisoning;
fatigue and stressful situations;
lack of sleep, hypothermia;
unbalanced diet;
abuse of nicotine, alcoholic beverages;
the presence of autoimmune processes in the body.

For treatment, a combined approach is used, namely a combination of diet therapy, medication and folk remedies.

Clinical picture of exacerbation of the inflammatory process

Symptoms given period directly depends on the form, severity, stage of the disease, immunity and general well-being. Manifestations can be pronounced or weak. In some cases, hospitalization is required.

The clinical picture of exacerbation of gastritis:

nausea;
heartburn;
pain syndrome, which increases after a meal;
belching, which has an unpleasant aftertaste, fetid odor;
diarrhea or constipation;
vomit contains blotches of green, yellow;
excessive dryness in the mouth or excessive salivation.

One can note such concomitant symptoms exacerbation of gastritis of the stomach:

severe weakness and fatigue;
chills;
rapid heart rate;
dizziness and headaches;
increase, decrease in body temperature.

Body temperature deserves special attention. It may remain within acceptable limits. If inflammation is observed, then the temperature may rise slightly. If a person has intoxication of the body, then it falls.

Relapse can provoke the development of erosive and ulcerative lesions on the stomach walls. They are evidenced by symptoms such as: stool black color, vomiting with blood, pain in an hour and a half after eating. Such a clinical picture may signal the development of dangerous complications. Urgent medical attention required.

Duration acute period depends on the reasons for its development. If the exacerbation occurred against the background malnutrition, it will take several days to normalize the functioning of the secretory glands. Basically, such cases are treated with a diet, medications do not apply. If bacteria act as a provocateur, then therapy lasts at least fourteen days, hospitalization in an inpatient department will be required.

Features of first aid and treatment for exacerbation

In the event of an acute period, emergency assistance may be needed. dock severe pain help antispasmodic drugs prescribed by the doctor. If there are no such remedies at hand, take the fetal position, this action will help relieve pain. You should lie down for at least thirty minutes to achieve desired effect and relief. If the pain does not subside, then in the area solar plexus cold can be applied.

A small lemon slice or a piece of ice will help get rid of painful nausea. If an exacerbation occurs against the background nervous strain, admission required sedatives. You can use valerian or motherwort. If bloody vomiting and black stools appear, call an ambulance immediately.

There are currently many developed medications restoring the functions of the gastrointestinal tract. The medication regimen should be prescribed by a gastroenterologist. It is forbidden to self-medicate.

There are two groups of painkillers: antispasmodics and antacids. Antacids relieve acid exposure. They contain aluminum and magnesium. When they get into digestive system, there is a neutralization of an excessive amount of hydrochloric acid and an enveloping of the mucous membrane, which helps to stop heartburn and bouts of vomiting.

Popular antacids:

Maalox;
Rennie;
Phosphalugel.

Antispasmodics help to cope with intense pain syndrome. In this situation, it is worth noting injections, No-shpa (Drotverin) tablets. They can be used at home and in the hospital.

You will also need anti-inflammatory medications. With increased acidity, proton pump inhibitors are prescribed, which reduce the level of acidity. These medicines include: Omez, Omeprazole and Pantoprozol. They also take antisecretory drugs that increase the rate of production of mucus, which has anti-inflammatory properties. Basically, it's Kvamatel, Ranitidine.

The period of exacerbation occurs suddenly and is characterized by an unpleasant intense clinical picture. Having found suspicious symptoms, it is recommended to immediately consult a doctor to avoid complications.