Spring exacerbation of gastritis treatment at home. When self-medication is dangerous. Rules for therapeutic nutrition during relapse

The course of the pathology is characterized by phases of exacerbation and remission. Gastritis exacerbations often bother patients in the autumn and spring periods. When fruits or vegetables become available, which sometimes leads to overconsumption of fiber-rich foods. As a result, exacerbation of gastritis develops.

Concept

Exacerbation of gastritis is a fairly common condition in patients with a chronic form of the pathology. Various parts of the stomach are involved in the inflammatory process in this disease. Experts identify several different gastritis forms:, and.

Most often, this pathology develops against the background of a lesion, and only 10-15% of patients consult a specialist when pathological symptoms occur.

Pathology is detected in patients of any age, even children. The clinical picture manifests itself depending on the etiology of the inflammatory pathology and the area of ​​spread of the disease. The diagnosis can only be confirmed after endoscopic diagnosis.

Causes

Exacerbation of gastritis pathologies can occur due to various reasons. As mentioned above, quite often gastritis sufferers experience an exacerbation in the autumn or spring, when people begin to drink alcohol more often and include heavy fibrous foods in their diet.

Gastroenterologists note that most often the causes of exacerbations of gastritis are the following factors:

• Food intoxication;
• Changes in diet;
• Toxic effects;
• Ignoring doctor's instructions;
• or cholecystitis;
• Long-term therapy with non-steroidal anti-inflammatory drugs or gastrotoxic drugs;
• Employment in production with increased harmfulness;
• Allergic food reactions;
• Suppression of immune defense;
• Development .

If the patient has already been diagnosed with gastritis pathology of a chronic form, then the pathological symptoms of exacerbation can appear even with poor nutrition.

Long intervals between meals, frequent snacks dry or on the go, drinking too hot or cold drinks, too large pieces of food that injure the mucous membranes, eating food twice or thrice a day in large portions - all this can provoke gastritis exacerbation.

In spring, gastritis usually worsens in people who often face stress. This category usually includes people with family problems, those who have experienced the loss of a loved one, or those working in stressful jobs, as well as students facing exams.

Uncontrolled use of NSAIDs, cytostatics or antibiotics can also provoke an exacerbation. These drugs irritate the mucous membranes, which provoke inflammatory lesions.

Spring exacerbations are also typical for people who abuse alcohol, cigarettes and narcotic substances. Cigarettes contain components that suppress the production of protective mucus, and alcohol also increases hydrochloric acid secretion. Also a common cause of pathology is Helicobacter pylori infection, etc.

Symptoms of exacerbation of gastritis

When gastritis sufferers suffer from chronic gastritis, over time they learn to recognize the onset of an exacerbation in time, which is accompanied by symptoms such as nausea and vomiting symptoms, pain in the left hypochondrium, or flatulence, belching, heartburn, intestinal disorders, dry mouth or excessive secretion of the salivary glands .

Such symptoms are individual in nature; they can appear on an empty stomach or immediately after eating. Typically, this factor depends on the degree of damage to the mucous membranes.

Often, attacks of exacerbation of gastritis inflammation are accompanied by severe painful sensations. The chronic course of the pathology is often characterized by the presence of nausea, although everything depends on the individual characteristics of the patient.

In advanced conditions, vomit is dark in color and mucous in nature. If the exacerbation is accompanied by mucosal damage, then bloody clots are found in the vomit. Such signs are dangerous and require urgent intervention from a gastroenterologist. If you contact specialists in a timely manner, therapy will be successful.

How long does the condition last?

Typically, an exacerbation is not limited to any specific time frame and depends on the factors that provoke this condition.

If the reasons are related to unhealthy foods, then it will take no more than a couple of days to restore normal digestion and full gastric activity.

Typically, such exacerbations do not require drug support. Simply correcting your diet is enough.

If gastric inflammation has worsened under the influence of bacterial microorganisms, then recovery will take a couple of weeks, and in hospital conditions.

Why is it dangerous?

With frequent gastritis exacerbations, it is extremely important for patients to be seen by specialists more often, otherwise the lack of proper therapy is fraught with complications such as:

1. Ulcerative processes or gastric deformation;
2. Nutritional dystrophy or;
3. or ;
4. Oncological processes and hemorrhagic shock;
5. In 12 - iron deficiency anemia or heavy bleeding;
6. Pyloric stenosis of gastric obstruction.

Typically, the development of complications is facilitated by situations when patients do not turn to specialists for help, trying to cope with an exacerbation on their own. Also, an exacerbation is inevitable if the patient does not comply with medical prescriptions.

The most dangerous complication is the malignancy of the inflammatory process, which is characterized by the formation of atypical cellular structures.

Survey

If initial symptoms occur, the patient should visit a gastroenterologist. Only a qualified specialist will be able to accurately determine the type of gastritis and prescribe the correct treatment regimen.

First, the doctor will send the patient for examination and general diagnostics, and then, based on the results, select appropriate therapeutic measures.

Usually, if gastritis of any form is suspected, the patient is prescribed:

• General laboratory tests (urine, feces, blood);
• Biochemical research;
• , which accurately confirms the presence of a chronic inflammatory process and helps
• assess the degree of acidity of the pathology;
• Histological examination of the biopsy specimen.

First aid

Usually an attack of exacerbation overtakes the patient suddenly, therefore first aid should be immediate. Antispasmodics will help relieve pain.

If you don’t have the right drug at hand, this method will help - you need to lie on your side and pull your knees to your chest.

This position is the surest remedy for pain, effectively saving patients from such an unpleasant symptom of exacerbation. You need to spend at least half an hour in this position, and you need to relax as much as possible. If the pain does not subside, then you can take advantage of the cold by applying something to the solar plexus.

Ice or a lemon drop, which must be dissolved in the mouth for a long time, will help against nausea and vomiting reactions. The nervous state of the patient is also of no small importance during such exacerbations. To calm down, you can drink valerian or motherwort.

If these measures do not lead to positive results, then you should urgently contact specialists, especially if bloody vomiting and temperature changes occur.

How to treat?

Before any treatment, the doctor will definitely take the necessary measures to identify the cause of the pathology and its exacerbation. In this situation, to quickly relieve pathological symptoms, it is necessary to accurately select medications, otherwise the disease can simply be suppressed, but not brought to remission.

Drugs

There are many drugs available to restore gastric functions. Typically, the treatment regimen includes taking several medications at the same time, which help eliminate symptoms, relieve pain and eliminate precipitating factors of exacerbation.

• Antispasmodics and antacids are used among painkillers. The first group is represented by No-shpa, and the second involves taking Maalox or Almagel and relieves irritation on the mucous membranes.
• Drugs with anti-inflammatory activity are also prescribed. For hyperacid chronic gastritis, the use of antisecretory agents that reduce enzymatic adhesion and increase mucous synthesis (Kvamatel, Ranitidine), as well as proton inhibitors that reduce acidity (Omez, Omeprazole), is indicated.

In the hypoacid form, the use of agents with acid-increasing activity is indicated. Enzyme medications, medications to eliminate diarrhea or constipation, and medications that improve intestinal motility are also prescribed. For autoimmune etiology of gastritis, hormone therapy is necessary, but only a doctor should prescribe it.

Diet

Therapy for aggravated gastritis is unthinkable without dietary restrictions. And there will be no effect from the pills in the absence of a diet.

In the first three days, the patient is advised to go on a hunger strike; he can drink mineral water without gas and herbal infusions. On the third day, the introduction of pureed vegetable dishes, fat-free broths and water-based (liquid) porridges is omitted. They eat it often, but a serving is 4-5 spoons. The food should be warm, steamed or boiled.

You cannot eat vegetables containing fiber, such as radishes and beans, peas, rye and fruits, sour berries are also prohibited.

The diet should have a moderate but balanced content of raw materials, so you need to include meat (only lean), chicken breast, vegetable broths and rosehip broth in the diet. You definitely need to limit salt.

Recipes

Folk remedies help speed up the achievement of remission. There are plenty of recipes for such medications.

• Potato juice. You need to grate a few potatoes and squeeze the juice out of them. You should take 100 ml of juice three times a day, about an hour before meals. The course is a week.
• Carrot juice. The vegetable is peeled, crushed in a blender and the juice is squeezed out using gauze. Drink 250 ml of juice on an empty stomach; you can have breakfast an hour later. Course – 10 days.
• Plantain. Pour 200 ml of boiling water over 10 g of dry raw material, cook for 10 minutes, then filter. The decoction should be drunk three times a day, 15 ml before meals.

Traditional recipes help eliminate the symptoms of exacerbation, but do not cure it; qualified treatment is indispensable. In the future, these recipes can be used in similar courses to prevent exacerbation.

Treatment during pregnancy

Gestation is a very difficult condition for any mother, and if gastritis is added to it, and worsened, then the situation reaches critical levels.

Large-scale hormonal reforms occur in the mother’s body, which are the leading factor in gastritis exacerbation.

In addition, the development of inflammatory exacerbations in pregnant women can also be caused by toxic conditions, stressful situations, a diet for pregnant women, or the need to take certain medications.

Therapy for aggravated gastritis in expectant mothers is very limited, which is due to the ban on taking most medications. The basis of treatment is strict diet therapy, and in case of severe pain, you can take No-shpu. All prohibited foods must be excluded from the diet.

Preventive measures

To prevent such conditions, you must strictly follow medical instructions, not only during treatment, but also after it. It is necessary to exclude alcohol and cigarettes, prohibited foods and sweet sodas, and any contact with substances of aggressive chemical origin.

Also, patients should not overexert themselves and bring themselves to extreme fatigue, abuse strenuous sports, snack, eat on the run and eat dry food.

Food must be chewed, dishes must be eaten warm and little by little, but often. If infections occur, they must be treated immediately.

Even during remission, you should not forget about the medications prescribed by your doctor, especially when exposed to precipitating factors of exacerbation. If a patient is diagnosed with a pathology of the erosive or atrophic type, then special monitoring is carried out for such patients, because such gastritis often malignizes, degenerating into malignant forms.

Diseases of the digestive system often manifest themselves after nervous experiences and overeating, especially in the autumn and spring periods. Considering the acidity of the stomach, the doctor prescribes treatment for chronic gastritis in the acute stage. Traditional recipes, as an additional method of healing, will help bring the gastrointestinal tract in order even faster.

General information about the disease

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

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

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

Erosive gastritis is dangerous; it can develop into an ulcer. It is often caused by non-steroidal anti-inflammatory drugs. Alcohol abuse and food poisoning also do not go unnoticed.

Non-erosive superficial gastritis is a milder form of the disease, sometimes asymptomatic. However, such gastritis also requires treatment.

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

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

Therapy for gastritis and peptic ulcers is aimed at destroying bacteria and increasing the protective properties of the mucous membrane

Treatment of gastritis

Low acidity

• Using traditional medicine methods

Medicines that increase acidity, stimulate the production of gastric secretions and improve motility are prescribed by the doctor to establish normal digestion in the patient. To destroy Helicobacter, antibacterial therapy is carried out.

• Folk recipes
  1. If the pH level of the stomach is low, it is useful to eat lingonberries (pickled or fresh) and peaches.
  2. Pass the thoroughly washed and scalded potatoes with their skins through a juicer (two or three medium-sized tubers). You need to drink the juice right away. Course: 10 days treatment, 10 days break. In total you need to take three such courses. Drink the juice in the morning, an hour before breakfast. This treatment can only be carried out until the end of January, after which solanine is formed in the potatoes, which can cause poisoning.

Bismuth tripotassium dicitrate (De-Nol) is the first drug whose effectiveness against Helicobacter was proven by a Nobel laureate

With high acidity

• Medication

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

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

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

• Traditional medicine
  1. Tea made from calendula, plantain roots, St. John's wort, coltsfoot coats the mucous membrane, relieves pain and nausea. To prepare the infusion, take medicinal plants in the same ratio. Brew 2 teaspoons of the mixture for 1 cup of boiling water. Before preparing the infusion, grind the flowers and leaves into powder. This can be done using a mortar. The finer the components of the mixture, the more healing substances the plant will release in the water infusion.
  2. Beetroot and carrot juice lowers the pH of the stomach.
  3. Eat 1 teaspoon of plantain seeds in the morning and 1 teaspoon of horse sorrel seeds in the evening for 2 months.
  4. Drink 10 drops of propolis alcohol tincture with a glass of water (before meals, 3 times a day).

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

Video: seasonal exacerbation of the disease

Diet for gastritis

Prohibited drinks and foods: coffee, carbonated water, canned juices, alcohol, strong tea, fresh baked goods, cabbage, fatty meat, radishes, mushrooms, legumes, grain and bran bread.

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

• Dishes should be eaten lightly salted and without spices.
• Fractional and separate meals are important. Eat small meals 5 times a day.
• To ease digestion, do not mix proteins with carbohydrates (eat meat and fish with vegetables). Simple, no-frills food is the most wholesome and healthy.
• There is individual intolerance. Be attentive to your stomach: digestive problems can be caused by a certain product that is listed as “allowed” for gastritis. Be sure to exclude it from your diet.

Stewed pumpkin puree mixed with rice porridge and a little milk is an excellent dietary dish. It improves digestion and normalizes metabolism

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

Stress, alcohol, smoking, poor diet, and the spring-summer period lead to consequences such as exacerbation of gastritis. Now more and more people are suffering from this disease. Our lifestyle, diet and environment very often lead to inflammation of the gastric mucosa. Recently, doctors have come to the conclusion that the cause of the disease is the spread of the bacteria Helicobacter pylori. The onset of the disease occurs without visible symptoms, so it is detected only at the acute stage. Gastritis comes in different levels of acidity. During exacerbation of chronic gastritis of varying acidity, the same medications are indicated, because the main task at this stage is to relieve pain. But the diet for gastritis in the acute stage is significantly different from that prescribed during the chronic course of the disease.

Symptoms of exacerbations

It is difficult to guess how long the acute period lasts. Tachycardia, decreased blood pressure, and severe weakness may be observed. The main signs of damage to the gastrointestinal tract:

Decreased appetite;

Stomach ache;

Nausea;

Dizziness;

Drying of the mucous membranes in the mouth;

Constipation or diarrhea.

The main task is to relieve the pain of gastritis attacks, which can be handled with painkillers. But an aggravated illness requires medical intervention.

Stages and their signs

There are several stages of the disease:

Superficial. Its signs are disorders of the stomach due to weakening of its functions. If detected at this stage, complete cure is possible.

Chronic. If the first one is not recognized in time, the process enters the chronic stage. Signs here include pain in the stomach area, nausea, vomiting, and diarrhea. And in the absence of proper treatment, the stage manifests itself as serious health problems.

Causes

Recurrence of gastritis usually occurs in spring or autumn. Poor diet, stress, smoking and alcohol can also be the cause. This is facilitated by a change in temperature and a decrease in immunity, especially on the eve of winter. In spring, more seasonal vegetables and fruits are consumed, and they can also cause inflammation of the gastric mucosa. Treatment of aggravated gastritis is not only about pain relief. Since exacerbations of chronic gastritis are often provoked by colonies of Helicobacter pylori bacteria, antibiotics are mandatory. If chronic gastritis in the acute stage is not properly treated, it can develop into a stomach ulcer.

Treatment of exacerbations of gastritis

What to do in case of exacerbation? When choosing treatment for exacerbation of gastritis, the doctor must first determine the type of disease. In addition to prescribing medications, it is necessary to create a menu that does not include products that have an aggressive effect on the gastric mucosa. With high acidity, avoid tea, coffee, spicy, fried foods, and canned food. In this case, steamed dishes, lean soups, and light, low-fat broths are allowed. If the acidity is low, the prohibitions remain the same, and the list of permitted dishes includes liquid porridges, berry jelly, and sweet juices. To relieve pain, you need to see a doctor. Only he can prescribe pain medication to relieve exacerbation of chronic gastritis.

Prescribed drugs

To relieve pain during exacerbation of gastritis with low or high acidity, only a doctor prescribes a certain list of drugs. How to relieve symptoms of exacerbation of gastritis? These can be antacids and antispasmodics. Typically, patients are prescribed to take Phosphalugel, Rennie, Gaviscon, Almagel, Maalox. They envelop the walls of the stomach, thereby relieving pain. Release form: tablets, syrups, suspensions. No-spa is considered a popular antispasmodic. It is often prescribed in hospital as an injection to relieve pain.

Diet and treatment at home

The treatment regimen for gastritis at home and medications are prescribed only by a gastroenterologist. It is strictly forbidden to treat acute gastritis at home without consulting a doctor, using only folk remedies. Often the exacerbation phase occurs suddenly and here first aid can be provided by loved ones. Always have painkillers on hand. But both the spring exacerbation of gastritis and sudden attacks or for prevention purposes, not only medications, but also diet are considered the main ones. You can take folk remedies. St. John's wort infusion and cabbage juice are recommended to be used to treat this disease in the phase of low stomach acidity.

Menu for low stomach acidity

If the doctor has diagnosed an exacerbation of gastritis with low acidity, then the daily diet should contain the following dishes: cereal porridge, low-fat cottage cheese, steamed dishes, vegetable soups, green tea. Moderate salt consumption and a complete ban on spices. Portions should be small and food should be warm. If gastritis relapses with low acid levels, sorrel and spinach are excluded from the menu. From liquids you can drink sweet juices, jelly, fresh fruit, cocoa, tea, coffee.

Menu for high stomach acidity

In the first days of acute gastritis, the following products are excluded: kefir, fermented baked milk, yogurt and high-fat cottage cheese, sour cream, cheese, bread and pastries, flour products, sweets, sauces, fresh fruits, vegetables and berries, soda, cocoa and coffee, seasonings, spices, vinegar, fatty meat, fish and poultry, lard. Replacements include porridge, cereal soups, steamed dishes, milk, sugar, honey, eggs.

Preventive measures

Why is prevention of this disease so important in today’s lifestyle? By adhering to a proper diet, giving preference to healthy foods with the least amount of preservatives and dyes, and moderate alcohol consumption, you can avoid this disease. It is important to remember that you cannot ignore the body’s signals about impending disturbances in the functioning of the stomach. Prevention of exacerbations in the autumn-spring periods is based on taking appropriate tablets. This will allow you to promptly prevent exacerbation of gastritis and avoid taking painkillers again.

Among diseases of the gastrointestinal tract, gastritis is in first place in terms of prevalence. Doctors attribute this to an unhealthy lifestyle: 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 still occurs due to the food that a person eats.

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

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 the motor function of the organ deteriorate, which cannot but affect well-being.

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

• Helicobacter pylori infection.
• Strict or unbalanced diet.
• Consumption of low quality products.
• Stress, lack of sleep.
• Hypothermia (hypothermia).
• Frequent food poisoning.
• Overeating, when a person gets up from the table with a heaviness in the stomach.
• Suppression of the immune system.
• Intestinal microorganisms.

These factors negatively affect health and cause serious gastrointestinal disorders.

First symptoms

In all people, signs of exacerbation manifest themselves differently, which is associated with the degree of damage to the mucous membrane. Some people are constantly tormented by unbearable pain in the epigastrium, for 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 that occurs after eating.
• Regurgitation, belching and heartburn.
• Nausea, sometimes vomiting.
• Bitter taste in the mouth.
• Constipation followed by diarrhea.
• Blood in stool.
• Dulling of the feeling of hunger.
• Uncontrolled weight loss.

When the disease worsens, the patient may also experience asthenic syndrome. It is expressed in dizziness, fatigue, nervousness, mood instability and sleep disturbances. 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 select an individual course of treatment.

Gastritis with high acidity

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

• Pain and burning in the epigastric zone.
• Heartburn, nausea, belching.
• Decreased appetite.
• The presence of blood clots in stool and vomit.
• Weight reduction.
• Dehydration (low urine output and extreme 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 area.
• Belching, bad breath.
• Periodic diarrhea and constipation.
• Flatulence, bloating with rumbling.
• Increased sweating, drowsiness.

Accurate diagnosis

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

• General analysis of urine and stool.
• Blood tests (clinical, biochemistry).
• (FGDS), fibrogastroduodenoscopy.
• Tests to detect infections, including Helicobacter pylori.
• Duodenal sounding.
• Histology of gastric mucosa.
• Ultrasound of the abdominal organs.

When self-medication is dangerous

Therapy that is not agreed upon with a doctor carries a certain threat during exacerbation of gastritis. Even traditional medicine can aggravate the problem. Incompatibility with medications, non-compliance with dosage - all these conditions can provoke the development of complications.

In addition, in case of severe exacerbation, urgent hospitalization is required, since ulcers, erosions, and bleeding wounds form on the walls of the organ. And they carry a certain risk of transforming 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.
• Clearly visible bloody discharge in the vomit.
• Change in color of stool due to blood entering the intestines.

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

Treatment of exacerbation of gastritis

The main therapy for chronic forms of pathology is prescribed by a gastroenterologist. Only he can determine the need for medications and adjust nutrition taking into account the acidity of gastric juice. Therefore, the first thing you should 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 lavage of the digestive tract. The procedure is unpleasant, but necessary, since you need to cleanse the stomach of the remnants of undigested harmful mass. In the first three days you can only eat porridge with water and jelly. Next, the diet includes lean meat and steamed vegetables. After such preparatory measures, comprehensive treatment begins.

Drugs and dosage regimens

Medicines for gastritis are prescribed by a doctor, taking into account the form of the disease and the level of acidity. Before starting medication, you must stop taking NSAIDs, as they irritate the gastric mucosa. 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).
  
• Anti-vomiting tablets (Betagistin, Dimenhydrinate, Vertigohel).
  
• Antihistamines (Suprastin, Zyrtec).
  
• Antacids (Almagel, Gaviscon, Smectite).
  
• Motility medications to normalize the nervous system.

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

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

With antral gastritis, acidity increases. To reduce its concentration, antisecretory substances are prescribed that prevent corrosion of the mucous epithelium of the organ (Rennie, Maalox, Omeprazole). After pain is relieved, when the acute phase has safely passed, the patient is prescribed enzymes to normalize the functioning of the gastrointestinal tract (Festal, Panzinorm, Creon).

All medications 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 may 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 exacerbation of gastritis as an auxiliary measure, but only with the permission of a doctor.

Potato (carrot) juice

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

Elekempana 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 for 10 minutes, then filter.
• Drink 15 ml of the prepared decoction three times a day, on an empty stomach.

Diet

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

In case of increased acidity in the stage of acute pain, it is necessary to exclude some foods from the diet:

• Stimulating the secretion of hydrochloric acid (cabbage, tomatoes, citrus fruits, grapes, fish and meat broths, coffee).
• Irritating to the wall of the gastric mucosa (pork, fatty foods in vinegar, spices, smoked, cold and hot dishes, soft carbonated 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.
• Pasta and vermicelli.
• Dietary meat (chicken, rabbit, turkey, beef).
• Jelly, juices and compotes based on non-acidic fruits.

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

• Spicy dishes.
• Smoked meats and fatty meats (pork).
• Carbonated drinks.
• Biscuit, flour products.
• Sweets, including chocolate.

To improve the condition of the digestive system, the following products 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 exacerbation during pregnancy

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

• Toxicosis, infections.
• Severe stress for the body.
• The need to take certain medications.
• Following a 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.

Treatment methods for gastritis in pregnant women are very limited, which is due to the ban on many medications during this period. Nutritional correction will help improve the condition of a pregnant woman. You need to eat food up to 7 times a day in small portions. Fried, spicy, smoked, fatty foods, as well as spices and pickles should be removed from the daily menu. It is useful to limit the consumption of sweets, especially sugar and chocolate. The daily diet should include light meals, hot milk and soups.

Acute gastritis is a serious and quite painful pathology that requires special therapeutic nutrition. During an exacerbation of the disease, the patient is prescribed a diet that not only consists of non-calorie foods with a reduced content of fats and simple carbohydrates, but also allows the healing of the gastric mucosa to be accelerated through gentle thermal and mechanical processing of food.

Gastritis is a disease that is almost impossible to cure completely, but if you follow medical recommendations and take a responsible attitude towards your own health, you can achieve long-term remission. In the acute course of the disease, the patient feels severe pain in the epigastric region, which occurs as a result of damage to the epithelial layer of the stomach. The localization of pain depends on which part of the stomach the inflammatory process is taking place. Therapeutic nutrition during this period will help to avoid complications and reduce pain, and will also contribute to faster healing of the mucous membrane.

The main goal of dietary nutrition during exacerbation of gastritis is to eliminate the increased load on the organs of the digestive tract and any irritating effect on the injured mucous membrane of the gastric walls. Eating throughout the entire period of relapse should be frequent - from 5 to 8 times a day. It is advisable to observe certain periods of time so as not to stimulate the secretion of gastric juice and not to increase the acidic environment of the stomach. The serving size should be small: the maximum amount of food that can be eaten at one time is 250 g (or 280 ml if we are talking about first courses).

Thermal processing of food should be carried out by boiling, steaming or stewing. The consistency of the dishes is liquid, mashed to a puree. The temperature of served dishes should be 28-32°. Consumption of any cold (ice cream, popsicles) or hot foods is prohibited. It is advisable to heat even drinks in the microwave for 20-30 seconds. After the symptoms of exacerbation subside, you can slowly introduce drinks and foods at room temperature to the menu.

When choosing a cooking method (mechanical processing of food), the following recommendations should be observed:

• the first 2-3 days - dishes with a high content of mucus (jelly is especially useful);
• starting from day 4 – pureed food, pureed soups, liquid porridge.

Important! After the pathology goes into remission, you will have to adhere to the therapeutic diet for another 5-7 days. It is strictly forbidden to suddenly change the therapeutic diet to regular foods: the mucous membrane, which has not fully recovered after an exacerbation, is very susceptible to the effects of aggressive substances, and the patient may experience a re-exacerbation.

Rules for therapeutic nutrition during relapse

Any sour fruits and berries should be completely excluded from the patient's diet. Kissel and puree for dessert must be prepared not from berries, but from apples or pears. The amount of liquid you drink should be limited to 1.5 liters per day. Products containing coarse plant fiber can cause increased pain and injure irritated mucous membranes, so they are also excluded from the menu. Such products include cereals and grains, fresh vegetables and fruits. You shouldn’t completely remove them from your diet, but you need to boil or bake them before eating. Baked apples and pears are especially useful for gastritis.

The amount of table salt will also have to be reduced to 10 g per day, as it can retain fluid in the subcutaneous fat and lead to edema. Spices, seasonings and seasonings will have to be completely abandoned.

Separately, it is worth mentioning foods that cause fermentation of gases in the intestines and flatulence. These include:

• fresh bread;
• bakery products made from peeled rye flour with the addition of bran;
• any baked goods and confectionery products;
• beans, peas and other legumes;
• chocolate and products containing it;
• cabbage, onions (onions and greens).

Note! The listed products should not be introduced into the diet until the symptoms of acute gastritis completely subside. Even thermally processed cabbage contains a large amount of purine, so it is better to avoid using it during an exacerbation.

5 principles of diet for exacerbation of gastritis

Important! In case of exacerbation of gastritis, drinking alcoholic beverages is prohibited. If this recommendation is violated, internal bleeding, ulcerative lesions and other serious complications may develop, in which the risk of death increases. Any drinks containing ethanol (even in minimal dosages) are prohibited.

What can you eat?

The basis of the diet for acute gastritis should be protein dishes prepared in the form of steamed meatballs or soufflé. Liquid milk porridge and soft cottage cheese are useful (you can add a small spoon of sour cream). Yogurts can also be included in the patient’s diet, but provided that they do not contain dyes or flavors (white yogurt). 2-3 times a week you can add a little natural cream to the menu.

Eggs are a useful product for gastritis. They should be served in the form of a steam omelette. When cooking, you can add a little tomato puree to it.

It is impossible to severely limit the consumption of fats, as they promote rapid healing of the mucous membrane and restoration of the epithelial layer. The patient must include the following sources of healthy fatty acids in the menu:

• olive oil;
• almond oil;
• walnut oil;
• butter with a fat content of 82.5% (50-60 g per day).

Vegetable oils can be used to season dishes. You can add them to porridge or pour on top of meat soufflé. When choosing oil, preference should be given to premium oils that were obtained by cold pressing (squeezing).

Vegetables are usually added to the menu on the third day of treatment. They must be ground to a puree, first opened in lightly salted water. Vegetable purees can be added to meat dishes or cereals to improve intestinal function, prevent constipation and restore normal functioning of the gastrointestinal tract. The fruit can also be consumed as a puree. Before doing this, they need to be baked in the oven.

Advice! If you do not have time to prepare individual dishes, you can use cereals and purees intended for feeding children from six months. They do not contain sugar or salt, and their consistency will not harm the walls of the stomach. If desired, you can even eat children's cookies (no more than 1-2 pieces per day), as they quickly soften in the mouth to a pulp.

Video - Proper nutrition for gastritis

What drinks are allowed?

During an exacerbation, the patient can include dried fruit compotes in the diet (it is advisable not to add sugar during preparation), weak tea with milk, fruit juices diluted with water in a 1:1 ratio. Jelly is very useful for acute gastritis, but we are talking about a natural product made from fruit and starch. Instant jelly or jelly in a briquette are not suitable for medical nutrition, as they contain aggressive dyes and flavors.

Before acute symptoms subside, you must completely exclude from the menu:

• coffee and cocoa;
• sparkling water;
• lemonades;
• industrial juices;
• berry fruit drinks;
• alcoholic drinks.

Important! The basis of the drinking regimen for acute gastritis should be compotes and rosehip decoction. Tea consumption should be reduced to 2 cups per day, and their volume should be taken into account when calculating the daily fluid intake.

What should you exclude from your diet?

Throughout the entire period of treatment and within 5-7 days after its completion, the following products must be completely removed from the menu:

• dishes prepared by frying and frying;
• corn;
• legumes;
• “today’s” bread and pastries;
• vegetables and fruits without heat treatment;
• salted, pickled and canned products;
• fat meat;
• spices, herbs and seasonings;
• onions and garlic;
• chewing gum.

After the disease goes into remission, you should also not abuse the listed products. In diseases of the digestive system and gastrointestinal tract, they can negatively affect the functioning of the stomach and intestines and cause new relapses.

Nutrition during exacerbation of gastritis is the main component of the treatment regimen. The speed of recovery and the prognosis for future life depend on whether the patient follows the doctor’s recommendations and adheres to the diet, since in most cases gastritis has a chronic course. You can prepare many delicious dishes from permitted products and avoid taste monotony, so withstanding temporary dietary restrictions is not such a difficult task compared to treating a frequently recurrent pathology.

Video - Diet table No. 1 What is possible? What's not allowed?