Signs of exacerbation of gastritis of the stomach. Traditional methods during remission. Rules for therapeutic nutrition during relapse

Inflammatory processes in the stomach, accompanied by such unpleasant symptoms as nausea, stool disorders, pain in the epigastric region - all these are signs of gastritis, a pathology that many perceive as a minor ailment that does not require any special treatment. However, this condition can cause more serious problems. But not everyone knows what to do with gastritis, especially.

General symptoms of gastritis

The fact is that the symptoms described above may indeed indicate problems with the gastrointestinal tract, and not only gastritis. Therefore, you need to know in more detail about the nature of pain during exacerbation of gastritis in order to be able to distinguish this disease from other painful conditions of the gastrointestinal tract.

Chronic gastritis, which is typical, is often asymptomatic. Or rather, signs of inflammation are present, but their increase occurs so slowly that it often goes unnoticed. Aggravated gastritis is characterized by a rapid increase in pain, usually it becomes sharp and appears in paroxysms.

Secondary signs of gastritis are a state of weakness, periodic headaches, and fatigue. During an exacerbation of gastritis, symptoms of acute intoxication of the body may appear, accompanied by an increase in body temperature.

Heartburn is one of the most characteristic signs of gastritis, as are diarrhea, belching, and loss of appetite. Often there is bloating, nausea, an unpleasant odor in the mouth, and during exacerbations of the disease - vomiting and increased salivation. The presence of blood in the stool is a symptom of worsened gastritis.

Pain in the area of ​​the projection of the stomach in the chronic course of the disease usually appears after eating and then gradually subsides, but its duration can vary greatly, increasing and subsiding in a sinusoidal manner.

To know how to treat exacerbation of gastritis, it is necessary to more accurately establish the diagnosis, as well as the causes of exacerbation of inflammatory processes in the stomach. In particular, if there are blood clots in the vomit, one can conclude that erosion has developed into a peptic ulcer, and this is a reason for immediate hospitalization. Gastric bleeding may also be indicated by such signs as dark brown diarrhea with visible blood clots, black tarry stool.

Symptoms of acute gastritis with increased secretion of gastric juice

Exacerbation of inflammatory processes in the stomach, accompanied by an increase in the level of hydrochloric acid secretion, is usually manifested by the appearance of nagging or stabbing pain, while an increase in pain can occur after a long break between meals or, conversely, immediately after eating. Increased secretion of gastric juice is also characterized by night pain, which can be acute or quite tolerable, most often it is of an increasing nature. Accompanying pain in the epigastric region, if inflammation of the mucous membrane is exacerbated by increased acidity, is belching with a clearly noticeable sour odor, loss of appetite and a sharp decrease in body mass index.

Symptoms of exacerbation of gastritis with low acidity

Sometimes inflammation of the epithelial layer of the stomach is observed against the background of a decrease in secretory activity for the production of hydrochloric acid, the main component of gastric juice. Such aggravated gastritis is called atrophic, and it can be recognized by the smell of belching, reminiscent of a rotten egg. Diarrhea may alternate with constipation, painful sensations in the epigastric region of a dull nature, flatulence are observed, the patient may feel a feeling of heaviness in the supra-umbilical region, which is perceived as fullness of the stomach even with a small amount of food consumed.

What to do if gastritis worsens? It is advisable to consult a doctor as soon as possible, even if you are sure of the correctness of your diagnosis. If the symptoms of problems with the gastrointestinal tract are detected for the first time or the signs of the disease are mild, you can simply try for a while to go on a diet that excludes the consumption of foods that irritate the stomach. But if the pain is severe, this may indicate the presence of other gastroenterological problems, so a visit to the doctor will be very useful, and often necessary. Laboratory and, if necessary, instrumental studies will make it possible to clarify the diagnosis, depending on which the diagnosis will be made.

The treatment regimen for acute gastritis depends on what type of inflammation of the gastric mucosa is observed in the patient - with high or low acidity.

Treatment of gastritis with increased secretion

Therapy for high acidity involves two stages: first, antibacterial medications are prescribed for exacerbation of gastritis (antibiotics), which are taken for 7-15 days, after which they proceed to taking medications from the antacid group, which have an enveloping effect on the walls of the stomach, reducing their irritation under the influence of food .

If necessary, drug therapy is supplemented with painkillers that relieve abdominal pain, as well as sedative drugs (if the patient has psycho-emotional problems that also provoke irritation). And, of course, if gastritis has worsened, along with taking medications, an appropriate therapeutic diet is prescribed.

Treatment of gastritis with reduced production of hydrochloric acid

Therapy for atrophic gastritis, characterized by low acidity, is aimed at ensuring normal digestion of food in the stomach, and not at reducing the irritation caused by food entering the stomach. In this case, two main groups of drugs are prescribed: enzymatic, stimulating the production of hydrochloric acid by the glands, and having a restorative effect on the inflamed mucous membrane.

In parallel with stimulation of the secretory activity of the stomach, analgesic therapy is used to relieve the painful manifestations of atrophic gastritis. Drug treatment must be supplemented with a diet; if necessary, the patient is prescribed a course of antibiotics to destroy the main causative agent of inflammation of the mucous membrane - Helicobacter pylori.

Patient actions during exacerbation of gastritis

What to take during exacerbation of gastritis, when severe abdominal pain is observed against the background of nausea and the urge to vomit? It is better not to self-medicate: it may be poisoning, inflammation of the pancreas may worsen, and other pathological conditions of a gastroenterological nature may be present. Only a doctor can make an accurate diagnosis.

But if the pain is tolerable, you can try to alleviate your condition with a cold heating pad applied to the epigastric region. By adopting the fetal position, you can help relax your abdominal muscles.

For severe pain, painkillers and medications that relieve stomach cramps are usually prescribed. Therefore, if you are sure that your gastritis has worsened, the first thing you need to do at home is Drotaverine. These are complex drugs that have both analgesic and antispasmodic effects.

In case of increased acidity, take a tablet of Maalox or Almagel, which reduce the irritating effect of food on the inflamed areas of the gastric epithelium, but systemic treatment of acute gastritis is unacceptable - the risk of complications that can significantly worsen the patient’s condition is too great. This is especially true when taking antibiotics, which many people take, regardless of their medical history and the possible negative consequences of such ill-conceived and adventurous treatment.

Diet for acute gastritis

It is generally best to take medications for gastritis in the acute stage only after consulting a doctor, even in absentia. The only acceptable (and even recommended) remedy for treating gastritis at home is diet.

It involves avoiding eating foods that irritate the gastric mucosa. This is a fairly extensive list, consisting of all categories of products, from drinks to vegetables:

All these products have a moderate stimulating effect on the secretion of gastric juice, which is not recommended for any form of gastritis. If you have high acidity, you should also avoid eating acid-containing foods - and this is most fruits.

Besides diet and medications, how else to treat exacerbation of gastritis of the stomach? It has been proven that frequent consumption of alcoholic beverages and smoking also have an irritating effect on the gastric mucosa, so bad habits should be abandoned at least for the duration of antigastritis therapy.

Finally, it is worth mentioning the rehabilitation procedures used after completing the course of treatment at home - this is physical therapy, which without much fanaticism (heavy physical activity should be excluded) should be carried out an hour before meals.

If you follow a reasonable diet and exclude other provoking factors, inflammation of the mucous membrane should not worsen, and this should always be remembered by those who have already had to undergo treatment for acute gastritis.

Summarizing the above, we note: you should decide on your own what you can drink during an exacerbation of gastritis, with great caution, and it is best to completely refuse treatment at home, taking a trip to the nearest clinic for an examination, on the basis of which the gastroenterologist will prescribe a drug therapy regimen in combination with diet.

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

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

Acute and chronic types of gastritis differ in their signs and symptoms. Thus, patients often cannot independently understand what type of disease has befallen them. Some types of the disease are characterized by a complete absence of symptoms, so for diagnosis it is better to consult a doctor than to draw any conclusions on your own.

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

• Pain that worsens mainly after eating;
• Frequent heartburn;
• Nausea;
• Vomit;
• Malaise;
• Bloating;
• Flatulence;
• Heavy salivation;
• Indigestion - constipation followed by diarrhea;
• Hunger pains.

Secondary signs 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 of how long an 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 caused by infection with a pathogenic microorganism - Helicobacter pylori. The pathogen feels comfortable in gastric mucus and is easily able to maintain its activity even with high acidity of the organ.

Helicobacter causes disruption of the gastric glands. The proliferation of the microorganism leads to destabilization of the pyloric region, which is responsible for the production of an alkalizing environment.

Chronic gastritis of the antral type is exacerbated due to a sharp increase in acidity in the stomach. This is caused by poor diet, alcohol abuse, and smoking. Sometimes ordinary food allergies lead to deterioration.

Signs of an aggravated disease look like this:

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

In severe stages of the disease, the patient experiences weight loss.

Erosive gastritis

The manifestation of erosive gastritis is characterized by an extensive inflammatory process, which has one distinctive feature - small erosions form on the gastric mucosa. They pose the main danger, as they can provoke internal bleeding and tissue degeneration.

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

• Spasm;
• Heartburn;
• Heaviness in the stomach;
• Motor skills disorders;
• Rotten belching;
• Dry mouth;
• Malaise;
• Stool disorder;
• Increased pain immediately after eating.

In terms of symptoms, erosive gastritis is virtually no different from a superficial pathology. The exception is signs indicating the presence of bleeding. Superficial gastritis is also a chronic form of the disease and must be treated through diet and medication until the condition is stable.

Atrophic gastritis

Atrophic gastritis is a serious inflammation of the stomach leading to a precancerous condition. Atrophy in the initial stages is virtually asymptomatic, but in an advanced state it has pronounced symptoms. Symptoms of atrophic inflammation are as follows:

• Weight loss;
• Nausea;
• Constant burping;
• Constipation alternating with diarrhea;
• Flatulence;
• Constant rumbling in the stomach;
• Weakness;
• Malaise;
• Anemia;
• Headache;
• Severe abdominal cramps;
• Yellowness of the skin;
• Disruptions in hormonal metabolism.

Autoimmune gastritis

The clinical picture of autoimmune gastritis is associated with a malfunction in the immune processes of the human body. The disease is much less common than other types of inflammation of the mucous membrane, which makes its timely diagnosis and treatment difficult.

Exacerbation of chronic gastritis of the autoimmune type manifests itself as follows:

• Heaviness in the abdomen;
• Feeling of overcrowding;
• Rare abdominal pain;
• Heartburn;
• Belching air;
• Decreased appetite;
• Loss of body weight;
• Weakness;
• Sweating;
• Dizziness;
• Malaise;
• Diarrhea.

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

• Dry skin;
• Visual impairment;
• Hair loss;
• Brittle nails;
• Bleeding gums.

Gastritis of this type appears and worsens due to disruption of immune processes in the body. It is predominantly hereditary in nature.

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 stomach lining.

Common symptoms of complications in children are as follows:

• Pain syndrome that occurs mainly in the upper parts of the stomach.
• The intensity directly depends on the severity of the disease and the degree of its neglect;
• Heartburn, which worsens during physical activity and bending to the sides;
• The appearance of bad breath;
• Belching;
• Lack of appetite or severe decrease in appetite;
• Hunger pains;
• Nausea;
• Vomiting (rare);
• Digestive problems - bloating, flatulence, rumbling in the stomach, anemia;
• Malabsorption of nutrients (hypovitaminosis);
• Paleness of the skin;
• The appearance of a white coating on the tongue;
• Discomfort when palpating the abdomen.

Symptoms of exacerbation of gastritis in young children should be stopped as soon as possible after their detection. You shouldn't do this on your own. You need to consult a doctor.

Complications of gastritis in pregnant women: signs and symptoms

Exacerbation of gastritis during pregnancy often overtakes women. This includes the effect on the stomach of the fetus and hormonal changes. The main signs of exacerbation during pregnancy are as follows:

• Toxicosis, which is quite complex, may indicate that a woman’s pathology is in the acute stage. If this common symptom occurs, it is better for a woman to consult a doctor.
• Drawing pain. This symptom occurs after toxicosis. A woman experiences pain in the epigastric region.
• Heartburn. This symptom occurs when the condition worsens in every second pregnant woman.
• Raid. A gray coating very often appears on the tongue of pregnant women. This speaks of illness.
• Temperature. Low-grade fever in women rises within 37-38°C.

When faced with these manifestations, a woman needs to see a doctor to relieve them, since gastritis during pregnancy leads to weight loss for the expectant mother and underweight in the child.

What danger does the complication pose?

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

1. 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 due to a lack of fluid in the body. With repeated vomiting, the patient experiences dry mucous membranes, a slight burning sensation in the eyes, headaches, and incoordination. With prolonged vomiting, patients may also suffer from weight loss.
2. Heartburn. This is a common symptom and occurs at least once in every person over 20 years of age. A retrosternal burning sensation is usually not 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. Cells of the inflamed mucosa can degenerate into malignant ones. Heartburn can also lead to varicose veins of the esophagus. The consequences of this disease are bleeding, chest pain and even death.
3. Stool disorder. An aggravated disease is characterized by a symptom of stool disorder. At the same time, the person also suffers from dehydration. Due to poor absorption of beneficial elements from food, a person suffers from rapid weight loss and iron deficiency anemia.

Therefore, if you notice signs of deterioration, you should immediately consult a doctor and undergo diagnostics.

Many diseases occur with periods of exacerbation and remission. The above fully applies to chronic gastritis. The disease consists of inflammation of the gastric mucosa. The severity and severity of the disease directly depend on the degree of damage to the gastric lining.

It is not advisable to self-medicate; unauthorized treatment can lead to complications; it is better to immediately seek medical help.

Diagnostics

When diagnosing, it is important to exclude food poisoning and diseases accompanied by similar symptoms.

Appointed:

• general and detailed biochemical blood tests;
• urine and stool tests;
• duodenal intubation;
• endoscopic examinations;
• histology of tissues of the stomach lining;
• tests for the presence of Helicobacter bacteria.

After conducting the necessary research, a treatment regimen, medicinal and alternative, is prescribed.

Diet and its importance

First aid for acute gastritis is, of course, diet. When drawing up an individual diet, many factors are taken into account, mainly the acidity of the patient’s gastric juice.

With increased acidity, exclude from the diet:

• strong broths;
• coffee and alcohol;
• sausages;
• all sour fruits;
• marinades and canned food;
• fried and smoked foods;
• mushrooms;
• carbonated drinks;
• rough bread.

• fermented milk products and milk;
• viscous porridge;
• jelly and compotes;
• pasta;
• low-fat meat and poultry dishes;
• mineral water of certain types.

Drug treatment and psychotherapy

The choice of drug therapy is individual for the patient; a number of schemes are distinguished:

1. If Helicobacter pylori and other bacteria are detected, antibacterial therapy is prescribed.
2. For high acidity, the main medications are antacids. They protect the gastric mucosa, improving regeneration. Effectively relieve pain, relieve heartburn and belching. Well-known drugs of the group are Maalox, Gastal, Almagel. De-Nol is often prescribed.
3. First aid for gastritis with low acidity - drugs to improve intestinal function, production of hydrochloric acid, enzymes.
4. Gastritis is aggravated by difficulties with the immune system, then hormonal drugs are additionally prescribed.
5. Pregnancy is recognized as a factor causing relapse. If an exacerbation of gastritis occurs during pregnancy or in a nursing mother, treatment is carried out with great care so as not to cause complications for the fetus or newborn.
6. Stress is considered a frequent factor initiating exacerbation; it is important to ensure a state of emotional peace during treatment. The patient will need additional consultation with a psychologist or psychotherapist.

Relaxation, the ability to switch in time without pushing negative emotions inside is an important component of treating the disease. The doctor will help you understand the reasons that provoke psychological instability and teach you how to overcome depressed states, anxiety, and irritation.

Additionally, working with a psychotherapist has a good effect on the patient’s mood, creating a strong mindset for recovery. It is possible to prescribe medications to support the nervous system.

If medical help is not available

It often overtakes the patient quickly and unexpectedly. It’s good when emergency assistance is quickly provided by a professional. It happens that at an alarming moment a person is out of town, professional medicine is not available. There are many examples: a fishing trip, picking mushrooms or berries, just relaxing in a secluded place, far from civilization, where nature is magical, but there is no first aid station.

First of all, the acute pain should be removed, the syndrome should be relieved. It is better to use antispasmodics prescribed by your doctor. Usually, people suffering from chronic gastritis do not forget to take such medications with them, putting them in a traveling first aid kit.

If drugs are not available, the described method will provide good results. You need to lie on your side, pulling your knees towards your stomach. Remain in this position for 15 minutes to half an hour, trying to relax as much as possible. It is permissible to apply a heating pad with cold water to the stomach, to the place popularly called “under the stomach.” This relieves the spasm. The feeling of nausea can be relieved at home with a piece of ice or a small slice of lemon.

In the absence of the opportunity to get to a doctor, the indicated simple arsenal of means usually produces good results.

Traditional therapy

It is permissible to use traditional medicine recipes. Folk remedies are mainly herbs in the form of teas and decoctions. Chamomile, oats, flaxseed, celandine and yarrow envelop the stomach, relieve inflammation and pain.

For low secretion, mint, St. John's wort, and plantain are suitable. They improve digestion and increase acid production.

Vegetable and fruit juices have properties that allow you to restore the proper functioning of the gastric glands. Select juices (for example, grape and apple) help the stomach secrete. Cherry and raspberry - reduce production. Vegetable juices include potato, cucumber and carrot juices, which are extremely beneficial for digestion.

If gastritis has worsened, propolis will help. It relieves symptoms quite well. Often improvement occurs already on the third to fifth day after the start of treatment. There are many recipes for using propolis, the simplest is daily resorption of up to 8-10 g of the product on an empty stomach. Naturally, such treatment is possible only in the absence of allergies to bee products.

Oatmeal has long been considered a cheap but effective remedy. Recipe: Soak half a glass of cereal in one and a half glasses of water overnight. In the morning, the water is drained, jelly is cooked from the drained amount with the addition of 1 tbsp. spoons of flour or starch. The drink is drunk before breakfast, and the actual breakfast is porridge made from soaked flakes.

A useful remedy for gastrointestinal diseases is mumiyo. For acute gastritis, a popular recipe is: dilute 0.3 g of mumiyo in a glass of cool boiled water and take twice a day, before meals.

The aggravation is over. What's next?

The acute form passes; with successful treatment, a period of remission begins. The pain goes away, the symptoms of the disease weaken or disappear. The diet becomes less strict, and additional foods are now allowed. But nutrition must remain correct; abuse of spicy, heavy, fatty foods is unacceptable.

It is necessary to visit a doctor regularly (at least 2 times a year), follow his prescriptions and undergo the necessary examinations. Try to maintain a healthy diet and a healthy lifestyle in general. Eliminate or minimize alcohol and smoking. Rest more, monitor your emotional state.

It is recommended to promptly treat concomitant diseases so as not to provoke another exacerbation of gastritis. Particular attention should be paid to diseases of the gastrointestinal tract, dental and ENT diseases.

A responsible approach to health during the period of remission is the key to ensuring that the disease does not worsen.

Inflammatory changes in the mucous membrane are a pathology with characteristic intervals of calm and exacerbation. Most often, exacerbation of gastritis is observed in the spring and autumn months. It is during these periods that nature pleases with a variety of fruits and vegetables, forgetting about dietary nutrition, patients abuse foods with a high fiber content. How long does an exacerbation last, how to treat?

What is an exacerbation?

Among all diseases of the stomach, chronic gastritis is the most common, which is characterized by prolonged inflammation of the mucous membrane of the organ. Like any chronic disease, gastritis is characterized by an exacerbation of the inflammatory process.

It is important to understand the difference between sudden inflammation of the mucous membrane (acute) and an exacerbation of a chronic condition.

How is it developing?

Signs of exacerbation that appear indicate the occurrence of erosions on the walls of the organ. It is the damage to the mucous membrane that causes discomfort. An acute condition can develop within a couple of hours. During this period, the body directs its forces to secrete substances that attract protective cells to the affected area. Their mission is to remove pathogenic substances in the stomach, the activity of which causes an inflammatory process. It follows that exacerbation of gastritis is not only the result of damage to the walls of the organ, but also a reaction to the body’s efforts to recreate the integrity of the mucous membrane.

Causes of exacerbation of gastritis

Exacerbation of chronic gastritis most often occurs in spring or autumn, when weather factors affect the body. The contraction of blood vessels leads to spasms, which disrupts the supply of nutrients to the internal organs. In addition, it is known that the stomach reflects the physical and spiritual state of a person.

Endogenous factors

An internal factor that provokes an exacerbation may be chronic diseases of the digestive system or untreated gastritis. Doctors have proven that the bacterium Helicobacter pylori, which perfectly adapts to an acidic environment, can cause vasospasm and the formation of substances that support inflammation.

Other factors

Additional reasons influencing the exacerbation of inflammation are:

• binge eating;
• poorly balanced diet for weight loss;
• craving for alcohol and nicotine;
• increased fatigue;
• stressful situations;
• autoimmune processes in the body.
• poisoning

For a woman’s body, pregnancy becomes a risk group. This does not affect the baby’s development in any way, so chronic gastritis is not a contraindication for pregnancy. It is impossible to determine the exact duration of the acute condition; it depends on immunity, age, and the speed of recovery of the body.

Characteristic symptoms

An aggravated inflammatory process manifests itself at the local and general level. Key local symptoms of exacerbation of gastritis are as follows:

• feeling of heaviness in the stomach;
• pain that gets worse after eating;
• burning in the sternum;
• heartburn;
• repulsive odor from the mouth;
• nausea;
• vomit;
• bowel disorder (diarrhea or constipation).

In addition to local symptoms, with exacerbation of gastritis the following appears:

• general weakness;
• irritability;
• elevated temperature;
• dizziness;
• cardiopalmus.

Survey

When initial symptoms appear, a person should definitely consult a specialist. Only a thorough examination can answer the question of why the inflammatory process has worsened. A general diagnosis should be made, and after receiving the results, the doctor can confirm the diagnosis and make individual prescriptions. For the examination, the specialist will prescribe:

• general laboratory tests (urine, blood);
• biochemical tests;
• fibrogastrodudenoscopy, with which you can accurately confirm the presence of a protracted illness and determine increased or decreased acidity;
• histological studies.

The chronic process worsens suddenly and the first actions are aimed at eliminating pain. The best way to do this is to use pain relief pills prescribed by your doctor. But how can you relieve pain if the attack takes you by surprise? If gastritis worsens, you need to lie on your left side and pull your knees to your chest and try to relax. You need to stay in this position for about 30 minutes. Cold applied to your stomach will help speed up the process.

The nervous system plays an important role in the aggravated state of gastritis, therefore, after relieving the pain syndrome, it is necessary to drink valerian or motherwort tincture. It is necessary to calm down and, after stopping the attack, figure out what became the basis for the current condition.

Treatment of exacerbation

To treat acute inflammation of the stomach walls, you need to consult a doctor; you should not self-medicate. The use of questionable drugs can lead to complications, and how long the acute phase lasts depends on the strict implementation of the gastroenterologist’s recommendations. The therapy process is complex and includes medication, diet, strengthening the immune defense, and traditional medicine.

Medications

In modern medicine, there are many medications that can restore organ function. The regimen according to which the medication is taken consists of several types: painkillers that remove the source of the problem and eliminate the symptoms. They are effective and each work in their own direction. Let's look at each in more detail.

Pain Remedies

Painkillers are divided into two groups:

• Antacids. Medicines relieve the acidic effect on the inflamed mucosal walls. Magnesium or aluminum included in the composition. have a healing effect. Penetrating into the digestive organ, they envelop the mucous membrane and neutralize excess hydrochloric acid, eliminating vomiting and heartburn. These drugs include: “Rennie”, “Phosphalugel”, “Maalox”, “Almagel”.
• Antispasmodics. Strong medications used for severe pain. No-shpy tablets or injections help relieve pain. They are widely used in hospitals and at home.

Many modern people are faced with exacerbation of gastritis. This is a manifestation of a chronic disease. In case of exacerbation, certain treatment and diet are required, because only through the measures taken can you improve your condition and prevent a deterioration in your well-being.

Causes of exacerbation of the disease

The main factor provoking exacerbation of chronic gastritis is associated with poor nutrition:

• rare and plentiful consumption of food (one or two meals a day);
• poor chewing of food and dry food;
• abuse of too cold and very hot food;
• use of low-quality products;
• frequent consumption of canned and spicy foods, which cause irritation of the mucous membrane in the stomach.

Exacerbations are additionally caused by bad habits, medications, and harmful occupational factors. Chronic diseases of the digestive system, endocrine, infectious diseases and other pathological conditions play an important role in the deterioration of the condition.

Experts additionally claim that the microorganisms H. pylori are involved in the development of gastritis. Virulent strains penetrate the mucosal barrier and reach epithelial cells. Thus, the epithelium is damaged. As a result, an inflammatory reaction develops, defects appear on the surface of the mucous membrane, and ulcerations occur. As a result, appropriate treatment is required for exacerbation of gastritis.

General symptoms and classification of the disease

Chronic gastritis is usually asymptomatic. Signs of a pathological condition appear only during periods of exacerbation. The most typical syndromes are:

• painful;
• dyspeptic;
• dyskinetic;
• asthenovegetative.

Pain syndrome, as is already clear, is manifested by pain. It is predominantly localized in the area of ​​the right hypochondrium and is ulcer-like in nature. Dyspeptic syndrome develops due to a violation of the motor and evacuation functions performed by the stomach. This is manifested by nausea, in the mouth, heartburn, and changes in appetite. To eliminate these symptoms, a special diet for gastritis during an exacerbation is necessary. associated with impaired intestinal functioning, and asthenovegetative - with irritability and sleep disturbance.

Sometimes additional symptoms are observed, and the above signs appear with certain characteristics. It depends on the type of disease and acid-forming function. One type of the disease is chronic gastritis with increased or preserved secretory function. It, in turn, is divided into dyspeptic and pain. Another type of disease is chronic gastritis with decreased secretion of gastric juice.

Signs of gastritis with increased or preserved secretory function

Specific signs are inherent in the dyspeptic form of gastritis. Most often they occur when a person abuses alcohol, eats fatty foods or foods with a large amount of carbohydrates. Due to poor nutrition, belching with a sour taste and heartburn are tormented. Appetite due to gastritis is not impaired. In some patients it is elevated. The pain occurs only after eating. Additionally, there is a feeling of burning, heaviness and fullness in the epigastric region. Constipation and vomiting are also possible, which brings relief.

The painful form is characterized by severe pain syndrome. The pain varies. Experts have even created a classification of this symptom for gastritis with increased or preserved secretion. In connection with it, pain is distinguished:

• by nature - diffuse, aching and dull;
• by time of occurrence - morning (before the first meal), early (15-20 minutes after a meal), late (2-3 hours after a meal), night;
• by location - pain most often occurs in the right hypochondrium.

Proper nutrition: diet for exacerbation of gastritis

Treatment of aggravated gastritis includes specific drug therapy, but lifestyle and nutrition still play a more important role. To restore the normal functions of their body, patients are advised to give up alcohol and unhealthy foods (for example, chips, instant noodles). A specific diet is prescribed. It depends on the general condition of the person, the phase of the disease, and the secretory function of the stomach.

For gastritis with preserved or increased secretion, the daily diet changes as follows:

• those products that have a stimulating effect on the secretion of gastric juice are deleted from the menu;
• the mechanical impact of food is eliminated (foods are crushed more thoroughly, the frequency of meals increases and portions are slightly reduced, i.e. it is best to eat often, but little by little).

If gastritis worsens, it is recommended to consult a specialist. The doctor will prescribe a specific diet and determine the duration of its use. The duration of therapeutic nutrition is an individual parameter. It depends on the course of the disease. As a rule, in case of exacerbation of the disease, diet No. 1a is prescribed. In the future, when the condition improves, it will be possible to switch to diet No. 1b, No. 1.

Introducing Diet No. 1a

Diet No. 1a is prescribed in the first days of treatment of chronic gastritis at the acute stage. Recommended culinary processing is boiling or steaming food in semi-liquid and liquid form. Food is consumed exclusively warm - neither cold nor hot. The optimal temperature is from 40 to 50 degrees. The most suitable products and dishes are listed in the table. From these you can create a menu for a week in case of exacerbation of gastritis.

Sample one-day menus

Let's start with diet No. 1a, because it is prescribed first in case of exacerbation of gastritis. Breakfast can consist of two products - eggs and milk. Eggs are boiled soft-boiled. A couple of pieces are enough. Milk (1 glass) is simply heated a little and drunk. During your next snack, you are allowed to drink 1 more glass of milk and 180 g of fruit jelly.

Lunch is more filling on this diet. The menu for exacerbation of gastritis includes rice and milk based (400 g), a little steamed meat soufflé. For dessert, eat fruit jelly (125 g). A daily snack consists of 2 healthy drinks - a glass of milk and a glass of rosehip infusion. For dinner, boil 1 soft-boiled egg and semolina porridge with milk (300 g). Shortly before bed, drink a glass of milk.

After 1-2 weeks of nutrition, taking into account the conditions of diet No. 1a, they move to another table No. 1b. Its purpose is to moderately spare the digestive system. An approximate one-day meal demonstrating what to eat during an exacerbation of gastritis may be as follows:

• for the main breakfast - cutlets with milk sauce, cooked from meat and steamed (110 g), pureed porridge cooked from buckwheat and milk (200 g) and 1 glass of milk;
• for the next snack - 1 glass of fruit jelly;
• for lunch - pureed soup based on rice and milk (400 g), some steamed meat balls and fruit jelly as dessert (125 g);
• for a daytime snack - 1 glass of rosehip decoction, some crackers (100 g);
• for dinner - fish fillet cutlets with sunflower oil (115 g), fruit jelly (180 g);
• before bed - 1 glass of milk.

Prohibited Products

With gastritis with preserved and increased secretion, you cannot eat certain foods. It is worth noting that their doctors prohibit them from eating not only during exacerbations, but also during remissions (for a long time). The list includes those foods and dishes that stimulate the secretion of gastric juice. So, from the menu during exacerbation of gastritis and subsequently during remission, the following must be crossed out:

• fatty soups;
• fatty meats and poultry;
• fatty stew;
• strong meat and fish broths;
• okroshka;
• smoked sausages and fish products;
• canned foods;
• marinades;
• carbonated and alcoholic drinks, coffee, cocoa, kvass.

Chronic gastritis with decreased secretion of gastric juice

With this type of disease, pain can also be observed. However, it has some peculiarities. In most cases, no pain is felt. Why is this symptom not present in this type of disease, but is it characteristic of the gastritis described above? The fact is that in case of an illness with increased or normal secretion, pain is caused by high secretory activity.

But there are also exceptions. With gastritis with reduced secretory function, pain sometimes occurs. By nature they are dull, aching, aggravated after eating food. To avoid pain, people often refuse to eat. There is no specific localization of the unpleasant sensations. There is also no specific time for the onset of pain. Basically, they begin to be felt somewhere in half an hour or 1 hour after eating. The severity of pain depends on the quality and quantity of foods eaten.

Dyspeptic syndrome with gastritis with reduced secretory function is manifested by the following symptoms:

• a feeling of heaviness, fullness or distension in the epigastric region;
• bad breath;
• belching rotten food;
• unpleasant taste in the mouth;
• nausea;
• drooling;
• decreased appetite.

Dyskinetic syndrome is characterized by alternating diarrhea and constipation. Patients also complain of flatulence. This unpleasant symptom appears due to the rapid movement of food masses through the gastrointestinal tract.

Features of dietary nutrition

With exacerbation of gastritis of the stomach with secretory insufficiency, special nutrition is also required. Experts advise following a chemically and mechanically gentle diet, enriched with vitamins and proteins, for a week (or a little longer). She has several goals. Firstly, a diet during exacerbation of gastritis prevents the appearance of pathological changes in the mucous membrane lining the stomach. Secondly, therapeutic nutrition restores the secretory activity of gastric gland cells.

With gastritis, the functioning of other internal organs is assessed. If you are prone to diarrhea, diet No. 4b is prescribed, and a little later - diet No. 4c. If there are signs of damage to the pancreas, liver, or gall bladder, then diet No. 5a or diet No. 4b is required, with a further transition to diet No. 4c or No. 5.

General features of drug treatment

Is it possible to choose a medicine on your own in case of exacerbation of gastritis? You should definitely talk to your doctor about drug therapy. There is no miracle cure that can get rid of any gastritis. Drugs are selected taking into account the acidity of gastric juice and the presence of other diseases of the gastrointestinal tract.

So, one of the medicines is “Almagel” in a bottle in the form of a suspension for oral administration. Among its indications is gastritis with increased and normal secretion during an exacerbation. "Almagel" refers to antacid drugs. It protects the gastric mucosa from the negative effects of digestive juice. Once in the body, the drug neutralizes free hydrochloric acid and does not provoke secondary hypersecretion of gastric juice.

For the treatment of chronic gastritis with secretory insufficiency, doctors prescribe:

• replacement therapy (hydrochloric acid, natural gastric juice preparations, medications with pancreatic enzymes);
• agents that stimulate the secretion of hydrochloric acid (“Plantaglucid”).

At the same time, experts draw attention to the fact that replacement therapy should not be taken during an exacerbation. Such medications are used only during periods of remission and in the absence of erosions. And one more important nuance - if you have gastritis with insufficient secretion of gastric juice, you should not take anticholinergic drugs and medications containing belladonna in order to eliminate pain. These agents further reduce the secretion of digestive enzymes and hydrochloric acid.

Chronic gastritis in the acute stage is a condition that requires a visit to the doctor. Only a specialist can make the correct diagnosis and prescribe the correct treatment, which will actually be beneficial, relieve unpleasant symptoms and will not cause harm to health.