Exacerbation of gastritis is a problem familiar to many people. Almost every attending physician often encounters this disease, especially in the summer season.
It is important to recognize the symptoms of the disease in time and to prevent the occurrence of complications that can lead to even more negative consequences for human health.
You need to know what are the main causes and factors that provoke chronic gastritis.
They will help establish an accurate diagnosis and carry out the correct treatment of gastritis with its exacerbation (both at home and in a medical institution).
It is also very important to understand what are the main symptoms of the disease.
Gastritis with high acidity
With inflammation of the gastric mucosa, an increase in acidity occurs. It is on this that the signs that manifest an attack of gastritis, the prescribed treatment of the disease and the prescribed diet largely depend on it.
Special signs by which gastritis with high acidity can be diagnosed do not always appear immediately and in its entirety. Sometimes it can be only one or two symptoms. The following main manifestations of exacerbation of this disease of the stomach in adults and adolescents are distinguished:
- pain in the stomach - pain will certainly appear, perhaps not immediately, but gastritis cannot do without them: pulling, stitching, periodic, constant, before eating or on an empty stomach, tolerant or very acute - the nature of the pain can be any, but usually the intensity is increasing
- burning - provoked by the corrosive effect of hydrochloric acid, manifests itself along with pain,
- heartburn - occurs due to excessive production of hydrochloric acid when throwing it into the esophagus,
- burping - it happens by air or a small portion of food, but with a sour taste,
- nausea or vomiting - an attack often occurs after eating or in the interval between meals,
- diarrhea or constipation - due to a violation of the processing of food in the stomach, which occurs with inflammation of the mucosa,
- the presence of blood in vomit or feces occurs with erosive gastritis,
- decreased appetite - due to increased acidity, a feeling of fullness can occur even when taking a small portion of food, in addition to this, the pain that occurs after eating keeps you from eating again,
- weight loss - associated with a decrease in appetite.
The last two symptoms significantly affect the overall health of adolescents. If the child worsens gastritis and begins to eat less, then vitamin deficiency occurs, which is unacceptable during the formation of all internal systems.
Causal factors and symptoms
Exacerbation of gastritis in the summer is not a coincidence, because, first of all, most of the female representatives, in anticipation of the warm period, begin an active struggle with extra pounds.
The trend is very strict and even dangerous diets that have a bad effect on the walls of the stomach.
In addition, in the summer, the temperature regime is quite high, and therefore, the risks of eating expired foods increase.
The fruit and vegetable menu prevails in the diet at this time, having a significant effect on the wall of the stomach.
In addition to this, exacerbation of the disease (regardless of the season) is affected by some other factors, such as various stressful situations, chronic fatigue syndrome, bad habits - smoking, drinking alcohol.
Naturally, it is worth noting another important point - food. A malnutrition wave can probably contribute to the onset of acute or chronic gastritis.
Medical experts characterize chronic gastritis as a sluggish inflammation that affects the tissues of the stomach.
Due to the appearance of inflammation and degenerative processes in the mucous membrane, its atrophy occurs, connective tissues grow, and the glands do not fully function.
As a result, the secretory functions of the stomach are worsened.
Of course, this condition manifests itself in a specific way. There are some symptoms that clearly indicate the development of exacerbation of the disease.
If a chronic form of gastritis is found, the patient sometimes feels dull pain in the stomach.
During an exacerbation of the disease, the pain intensifies especially - people need to take painkillers.
In most situations, pain appears in a specific period of time (most often during meals).
In addition to the painful sensations in the stomach area with the appearance of a chronic form of gastritis, other signs also appear, namely, a feeling of discomfort, bloating and bloating of the abdomen.
After eating, there is a feeling of fullness and pressure in the epigastric region.
Often a sickening state is a constant "companion" of patients suffering from a chronic form of gastritis. In the presence of exacerbations of this disease, nausea can intensify many times, sometimes the patient has a desire to vomit.
These symptoms are observed in most cases after eating.
In a situation when, against the backdrop of worsening illness, a high degree of acidity of the stomach is observed, the patient often suffers from such a thing as constant heartburn.
In addition, the sutra, one of the typical phenomena will be a very bad taste in the oral cavity.
Typically, these symptoms to varying degrees may be present with ordinary gastritis. However, at the stage of exacerbation of the disease, they manifest themselves much brighter.
It is worth noting that the above symptoms are characteristic exclusively for cases of a chronic form of the disease at the acute stage.
In medical practice, the clinical picture of gastritis is often somewhat different - in each case, everything will depend on the individual characteristics of a particular patient.
One patient has all the symptoms of the disease during its exacerbation, another - only 1 or 2 of them.
In this regard, in order to determine the diagnosis, it is recommended to visit a doctor (specialist in the field of gastroenterology).
Treatment should be based on an examination and a correct diagnosis. The doctor will see all the signs and symptoms of the disease.
And only after a thorough examination and diagnosis, the doctor will diagnose and prescribe the appropriate treatment.
An exacerbation of the chronic form of the disease has good reasons. Often, they coincide with the causative factors initially associated with the development of ordinary gastritis.
A special emphasis should be placed on an infection called Helicobacter. Nowadays, experts were able to state with confidence that the occurrence of an ailment is provoked by the ingress of this type of bacterium into the body.
These microorganisms are able to penetrate into each damaged cell of the gastric wall during an exacerbation of the disease. There, bacteria begin the active process of reproduction.
As a result, directly vulnerable areas of the gastric wall are damaged and a chronic form of the disease develops.
If the process of reproduction of bacterial agents is not controlled, a constant exacerbation of gastritis is almost guaranteed.
In addition to infectious triggers, the appearance of the disease in an acute form may be due to a number of factors of external and internal origin.
The first ones include:
- Introduction to the diet of dietary nutrition.
- Digestive system problems.
- Bad habits.
- Some drugs that cause chronic gastritis.
- Inflammation of a chronic nature.
- Problems with the endocrine system.
- Conditions and symptoms associated with kidney disease.
How to aggravate gastritis? The menu of modern people is very difficult to call the right one, which is why the diet can affect the exacerbation of this ailment.
If a person prefers acidic foods and spices, and also consumes food in cold or hot form, in the near future he will probably be diagnosed with a certain form of gastritis.
When the patient already has gastritis in a chronic form, the slightest mistake in the diet can aggravate gastritis.
Often, chronic gastritis worsens in the presence of some dental problems. For example, toothache (when there is caries) leads to an insufficient process of chewing food.
As a result, particles in the gastrointestinal tract can irritate the tissues of the gastric wall.
This contributes to the development of exacerbation of chronic gastritis. In this regard, in any circumstances, you should not "close your eyes" to existing problems with caries and visit a dentist in a timely manner.
Often gastritis is exacerbated due to the abuse of alcohol and cigarettes. Alcohol can have a strong irritating effect on particularly vulnerable areas of the gastric wall and stimulate the release of excessive amounts of gastric juice.
This increases the acidity of the stomach. Cigarette smoke contains many harmful substances that adversely affect the gastric wall.
In some situations, the acute stage occurs due to the use of certain medications that have a similar negative effect on the area of the gastric mucosa.
Such drugs include non-steroidal anti-inflammatory drugs (such as Phenylbutazone, Indomethacin, acetylsalicylic acid, as well as drugs used to treat lung diseases).
Methods of therapy and prevention
As mentioned above, exacerbations of the chronic form of gastritis are generally well tolerated.
It is definitely not worth postponing the treatment of chronic gastritis, because advanced gastritis increases the risks of various complications.
To treat detected gastritis (especially with its exacerbation), in any case, is necessary.
In order to implement the right therapy, in addition to using home remedies, it is highly recommended to visit a medical institution and get advice from a professional medical specialist.
Treatment of chronic gastritis in the acute stage involves bed rest and a strict diet.
In other words, dietary food should be the basis for the treatment of chronic gastritis, as it has a direct effect on the secretory functions of the stomach.
Medicinal treatment of gastritis is aimed at blocking the excessive production of gastric juice, normalizing the condition of this organ.
To stop the pain during exacerbation of gastritis with low or high acidity, only an experienced doctor can prescribe certain medications.
Among the known medications for the treatment of chronic gastritis, antacid group medicines and antispasmodic drugs are distinguished.
If an exacerbation of gastritis is observed, the symptoms of treatment drugs consist of:
They are able to envelop the gastric wall, relief of pain in gastritis. These drugs are available in the form of tablets, syrups, suspensions. One of the popular antispasmodics is No-shpa.
It is often prescribed in a hospital setting to relieve pain with the sudden onset of gastritis.
It is necessary to take any medications for the treatment of chronic gastritis, having previously agreed upon all the nuances with the treating doctor, since an incorrectly selected list of drugs can only aggravate the disease.
Only an experienced professional doctor should treat the patient.
When aggravation of gastritis occurs, symptoms at home should be carried out taking into account the consumption of exclusively healthy products consisting of:
- Lean meat, poultry and fish. These types of products are allowed to cook or bake in the oven, of course, without the use of oil and breading.
- Various soups. The patient can prepare vegetable soups with lean meat or fish. But mushrooms should be strictly excluded, since they have an irritating effect on the wall of the stomach.
- Dairy products, eggs. When exacerbating an ailment, whole milk is strictly forbidden to eat. However, all kinds of dairy products and omelettes on milk are not just acceptable, but are also shown subject to a medical diet.
- Crackers and dry skim cookies.
- Unsweetened drinks.
To quench thirst with gastritis, the patient is recommended to drink tea with lemon slices, any kinds of juice (except citrus), eat broths, jellies and stewed fruits.
This diet is rich in useful substances that can eliminate many of the symptoms of gastritis over time.
It is also worth remembering about certain prohibited foods for each patient who has gastritis.
Their use causes the development of more severe inflammation of the stomach wall, as a result of which the patient may need a much more serious treatment.
Prohibited foods for gastritis include fresh baked goods, alcohol, and all spicy, salty, smoked, and fried foods.
If all the recommendations of the gastroenterologist are observed, serious complications can be avoided and medical treatment of the disease can not be performed even with its exacerbation.
How is gastritis treated
If the causes of gastritis are identified, only a gastroenterologist can prescribe the correct treatment. Most often, exacerbation of chronic gastritis is associated with the activity of pathogenic microbes Helicobacter pylori, and is provoked by excessive consumption of coffee, alcohol, smoking, malnutrition, junk food and stress.
- antibiotic therapy, which lasts 7-14 days,
- taking drugs that reduce the production of hydrochloric acid,
- taking antacids that protect the gastric mucosa from the harmful effects of an acidic environment, and you need to take drugs of this group a couple of hours after taking other drugs or an hour after eating,
- taking painkillers to relieve stomach cramps,
- sedatives are prescribed to relieve a nervous condition,
- after completion of the main treatment, if antibiotics were prescribed, the gastric microflora should be replenished with beneficial bacteria,
A strict diet at the beginning of an exacerbation, and a few days after the main symptoms subside, milder is a prerequisite, without which successful treatment is impossible.
The first two days are recommended to be spent without food; for 3-4 days, pureed and semi-liquid foods are introduced, for example, viscous cereals, mashed soups, jelly, and a few days later - steamed fish and meat dishes or just boiled meat and fish, stewed, boiled vegetables.
If there is an attack of gastritis with high acidity, then the consumption of fresh vegetables and fruits is significantly reduced - coarse fiber should not enter the stomach to stimulate the production of gastric juice. Cabbage and grapes are completely prohibited.
Smoking, alcohol, coffee, carbonated drinks, fried, greasy, spicy foods, sausages, all kinds of animal broths, mushrooms, fresh pastries, fast food should be completely excluded. Food is consumed in small amounts 5-6 times a day.
It is very important to control the nutrition process in adolescents - the exclusion of crackers, chips, soda, chocolate, fast food from the diet and an explanation of the reasons for the measures taken are the basis for recovery. Teenage diet should be followed for six months.
If it is known for certain that an exacerbation of gastritis has occurred whose symptoms indicate increased acidity, then normalize its level, as well as treat the damaged mucous membrane of the stomach with the help of traditional medicine:
- fresh potato juice - taken half a cup an hour before each meal, the course of treatment is 10 days with an interval of 10 days,
- green apples - grated, and then eaten 2 apples without a peel, and before and after taking applesauce for 3 hours you can neither eat nor drink, the treatment lasts a month,
- yarrow infusion at the rate of a tablespoon of herb per glass of boiling water removes is able to relieve an attack of acute pain - you need to drink the entire glass during the day in 5 doses,
- rice broth or oatmeal kissel envelop the gastric mucosa, relieve pain, contribute to recovery.
Gastritis with low acidity
Signs of mucosal inflammation with insufficient production of hydrochloric acid, or atrophic gastritis, as well as its treatment, have significant differences from the treatment of antral gastritis.
Atrophic gastritis is characterized, first of all, by indigestion, and pain syndromes take the second place. Among the symptoms are distinguished such as:
- stool disorder - alternating diarrhea or constipation are the result of poorly digested food, caused by insufficient production of hydrochloric acid,
- bad breath or a bad smelling belching - indicate the process of decay of undigested food,
- bursting in the upper part of the stomach, dull aching pain in the same area, a feeling of heaviness, as well as overcrowding,
- rumbling, flatulence,
- excessive sweating, fatigue, a strong desire to sleep after eating.
If you learn about all the symptoms of exacerbating gastritis in adolescents is quite problematic, then abdominal pain, bad breath, and also drowsiness after eating should definitely alert parents.
How is atrophic gastritis treated
The treatment of this type of gastritis is based on ensuring complete digestion of the incoming food, stimulating the production of hydrochloric acid and restoring the gastric mucosa.
Drug treatment involves the following activities:
- anti-Helicobacter therapy, if necessary,
- at the beginning of aggravated gastritis, drugs containing digestive enzymes help digest food
- after the acute symptoms subside - stimulants for the production of hydrochloric acid are prescribed, while eating, gastric juice diluted in water is taken,
- regulation of the digestive tract.
The basis of the treatment of atrophic gastritis is a diet, medications often only supplement a healthy diet.
In the diet of a patient who is diagnosed with gastritis with low acidity, there should be products that stimulate the production of gastric juice, have perfect freshness, because an insufficiently acidic environment of the stomach cannot inhibit the development of pathogenic microflora, and it does not necessarily cause any irritation of the gastric mucosa. Another important nutritional requirement for atrophic gastritis is diversity and usefulness.
- vegetables, fruits, mushrooms,
- all kinds of broths
- vegetable soups
- fatty, roasted, spicy, coffee, flour products.
Preference is given to boiled or steamed meat and fish dishes, mashed potatoes, very well-boiled cereals, sour-milk products. From drinks, you can include in the diet weak tea, mineral still water, juice from berries with the addition of pulp.
Traditional medicine recipes
To help the stomach cope with an exacerbation of atrophic gastritis, treatment can be with alternative methods:
- honey and butter are mixed in equal amounts, the mixture is taken in a tablespoon 40 minutes before meals three times a day - helps restore normal acidity,
- a teaspoon of crushed burdock root is brewed with two glasses of boiling water, infused overnight, the entire volume is taken one day before meals in 30 minutes,
- fresh cabbage juice drinks half a cup 30 minutes before meals for a month - stimulates the production of hydrochloric acid.
Preventive measures for any type of gastritis include proper nutrition, reduction of stress levels, quitting smoking and alcohol, prevention of Helicobacter pylori infection at the level of personal hygiene. Eating properly means not overeating, not eating at night, restricting fried, spicy, smoked, pickled, not eating dry food and on the run.
It is possible to avoid exacerbation of gastritis during its prophylaxis, but if signs of inflammation of the gastric mucosa have already appeared, then a doctor should be consulted immediately. Taking medications based on recipes of traditional medicine, it is necessary to inform the attending physician - some herbs may be incompatible with prescribed medications.