- 1 Erosive Gastritis
- 1.1 Species
- 1.2 Symptoms
- 1.3 Treatment
- 1.4 Medication
Erosive Gastritis may be among the most widespread diseases of the stomach, which expressed in the inflammation of its walls. At the same time, there are several forms of gastritis, one of which is erosive gastritis. As the name suggests, for this gastritis is characterized by the appearance of erosions in the gastric mucosa.
There are two types of erosive gastritis:
Trigger the development of acute gastritis may be errors in the diet, prolonged exposure to certain drugs Foodborne diseases. Gastritis also may develop as a result of food allergies to certain foods (e.g., mushrooms or strawberries).
Chronic gastritis is often the result of improper or undertreated acute illness. But more often a continuous process in the gastric mucosa develops due to prolonged exposure to various exogenous factors, among which are the following:
- Repetitive eating disorders;
- The use of coarse and spicy food;
- Overreliance too hot food;
- The habit of eating cold food;
- Frequent consumption of alcoholic beverages.
Also, chronic gastritis may develop due to prolonged and uncontrolled taking certain medications that have an irritating effect on the gastric mucosa.
Four Types of gastritis on the mechanism of development
1. Atrophic gastritis.
It characterized by thinning of the mucous membrane, as well as a decrease in the number of functioning cells. All this leads to that produced less gastric juice and therefore reduced gastric acidity. The result is that the food because of the small number of gastric juice does not pass here the necessary treatment. Such changes in the mucosa appear, usually after the long current chronic process.
2. Hypertrophic Gastritis.
In the mucosa of it is completely the opposite of the previous one. Hypertrophic mucosa growths characterize it, sometimes with the formation of cysts and adenomas. It felt that this form of gastritis is a risk factor for gastric cancer in the following structures.
3. Autoimmune gastritis.
It refers to a form of atrophic inflammation that occurs on a background of autoimmune disorders observed in the body. In this case, the immune system begins to fight its cells producing antibodies (in this case to the gastric mucosa cells, mistaking them for foreign). As a result there increased production of hydrochloric acid. All this causes, and support the inflammatory process.
4. Allergic gastritis.
Most often it occurs in people who have a tendency to allergic reactions. The immediate cause of becoming an allergen, which when released into the stomach and causes inflammation of allergic nature.
If we talk about common clinical manifestations of gastritis, they usually appear within a few hours after exposure to external factors.
The main symptoms of acute gastritis are the following:
- A feeling of heaviness in the stomach;
- General weakness;
This changes the overall condition of the patient – his skin and mucous membranes pale, swept up in the language of the white-gray patina. It can be observed as dryness of the mouth, and excessive salivation.
Symptoms of acute gastritis
Among the common clinical manifestations can note the appearance of pain that occurs in the stomach and the chest. At the same time, it can be quite intense. The appearance of pain or amplification occurs, usually after a meal or after a particular time. Pain associated with erosive gastritis touching with deeper layers of the mucosa until the muscle layer.
Often when there are erosive gastritis and vomiting, and the vomit found traces of blood and mucus. Blood may be present in stool and which thereby become almost black. In this chair often liquid, and the presence of blood in it indicates internal bleeding.
Symptoms of chronic gastritis
Often, this form is characteristic for almost asymptomatic. Sometimes patients may complain of bloating, nausea, discomfort, and heaviness in the stomach. Also, manifest itself chronic gastritis may be unstable chair. Of this diagnosis is often associated with internal bleeding discovered that the process proceeds to an acute stage. In this case, during endoscopy doctor can detect the presence of erosions on the gastric mucosa.
Given that among the leading causes of erosive gastritis can be called errors in the diet, then it is correct and to begin treatment of this disease. Therefore it is necessary to consider the issues in more detail dieting.
Dining with erosive gastritis
In this case, the recommendation regarding will differ depending on the severity of the process.
In the acute phase as well as during the initial recovery period is recommended diet no 1. It is intended to limit the secretion of exciting products, as well as the exclusion of foods that irritate the mucous membrane.
Which products should b excluded?
- Any fresh, as well as rye bread;
- Fish and meat broths;
- Borscht, cabbage soup;
- Fat varieties of poultry, fish, meat;
- Canned, salted fish;
- Barley, pearl barley, millet, corn, and cereals;
- Dairy products having high acidity;
- Sorrel, radishes, cucumbers, onions;
- Fermented, salted and pickled vegetables;
- Sour berries and fruit.
Useful are the following products in this period:
- The dried or yesterday’s bread;
- Milk soups from the wiped grouts;
- Soups with the addition of pureed vegetables;
- Cream, milk, sour yogurt, and cottage cheese;
- Carrots, potatoes, cauliflower, beets;
- Rice, semolina, oatmeal and buckwheat grouts;
- Sweet fruits and berries in poor form.
In the chronic course of erosive gastritis diet no two shows. In this case, sparing the gastric mucosa requires moderate. But even in this period is necessary to give up certain foods. In particular, it should exclude from the diet:
- Flour products of pastry;
- Fresh bread;
- Bean and pea soups;
- Fat grades of meat and poultry;
- Canned, smoked;
- Salty, fatty and smoked fish;
- Radish, onion, peppers, radishes, garlic, cucumbers;
- Coarse varieties of berries and fruit in its raw form;
- Chocolate products.
- No muffins bakery products;
- Wheat bread;
- Soup made with fat-free or loosely fish broth, as well as vegetable broth;
- Lean poultry, meat, and fish;
- Milk drinks, cream;
- Cheese, fresh cheese, sour cream;
- Almost all cereals except barley and millet;
- Carrots, potatoes, zucchini, beets, cabbage;
- Soft fruit and vegetables;
- Oranges, tangerines, grapes peeled, watermelon;
- Candy, marmalade, honey, jam, jam.
In addition to compliance with all of the above recommendations on nutrition needed to eliminate alcohol.
Treatment of erosive gastritis must be complex. Therefore, it includes several areas:
- Effect on Helicobacter pylori with antibiotics;
- Normalization of gastric acidity;
- Antacids, reducing mucosal.
Of the group of antibacterial drugs may be prescribed clarithromycin, ampicillin, metronidazole, tetracycline, nifuratel, oksatsilin. These antibiotics affect the pathogen Helicobacter pylori, destroying this bacterium.
The second direction in the treatment of erosive gastritis will decrease in acidity of the stomach. For this purpose, can be assigned to two groups of drugs:
- H2 histamine receptor blockers, which include famotidine and ranitidine;
- Blockers hydrogen pump
Due to the action of these drugs have an impact on the gastric mucosa cells. And with simultaneous blocking release of hydrochloric acid in the gastric lumen. Receiving the above drugs may reduce gastric acidity for a relatively long time, and this, in turn, will lower the irritation of the stomach wall and decrease the activity of Helicobacter pylori bacteria.
The third area of medical treatment – intake of antacids. Their action directed at neutralizing the acid and subsequent reduction of the pH in the stomach. These preparations can produce 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. But such conditions are more favorable for its recovery.
The good news in the fact that due to lower pH is noted and reduced Helicobacter pylori activity. When erosive gastritis particularly effective is the administration of drugs containing bismuth salts, as they promote the formation of erosions in the emergency layer and does not contact with the gastric mucosal damaged juice.