Erythematous gastropathy is an acute form of damage to the mucous membrane of the gastric surface, which is accompanied by a further inflammatory reaction.
This disease is more exposed to the antrum of the stomach. This is due to its anatomical and morphological specificity.
When passing products, they first encounter this department, their negative properties can injure just this area. That is why pathology is most often diagnosed in the antrum stomach. We will examine in more detail what erythematous gastropathy means.
Classification
According to some scientists, this pathology is classified by degree. The basis of this division is the endoscopic symptom of inflammation of the mucous membrane. The first, second and third degrees of erythematous gastropathy are distinguished.
However, recently, scientists have concluded that this classification is a little wrong.
Erythematous gastropathy of the 1st degree is characterized by local redness. The second and third degrees are symptoms of a more serious disease - gastritis, but only of its forms such as erosive and superficial.
Erythematous gastropathy of the 2nd degree is very common.
Causes of the disease
Gastric erythema and inflammation can be caused by several causes:
- blood circulation disorders;
- infectious diseases;
- chemical burns;
- drug (drug) gastritis;
- metabolic defects due to other diseases;
- malnutrition;
- various irritating factors (alcohol, smoking).
Of great importance is also stress resistance and daily routine.
The possibility of the appearance of an ailment is determined by protective gastric factors, the resistance of the organism as a whole and genetic characteristics.
Specific type
Erythematous gastropathy with atrophy of the gastric mucosa becomes a specific type. It often happens that these two diseases are present in the body at the same time.
In the presence of atrophic phenomena, the mechanisms of organ protection are significantly weakened, and therefore any negative effect on the organ wall can cause erythematous gastropathy of the antrum.
When exposed to a pathological factor, damage to the surface of the epithelium, as well as the glandular part of the organ, appears. All this entails the appearance of dystrophic-necrobiotic transformations. If this process continues for a certain period, then the trigger of the inflammatory reaction will work.
Common signs of the disease
Among the symptoms of such a pathology as erythematic gastropathy, the following are especially pronounced:
- Poor appetite. This symptom appears often, but not in all patients. Everything is determined by the prevalence of inflammation and form. Experts say that the cause of this phenomenon is a violation of the activity of peristalsis of the inflamed organ.
- Indigestion and diarrheal syndrome, which appears in the process of transformation of the processes of gastric secretory ability. Along with this, there is an acceleration of the movement of the chyme in the lower sections of the digestive canal.
- Heartburn. Due to an increase in the function of gastric secretion, cardiac sphincter insufficiency may appear, which causes reflux of gastric acid content into the esophagus, which irritates nerve endings mainly in the distal esophagus.
- Nausea that occurs when poisons, toxic infections, damage to chewed and insufficiently processed foods. Often preceded by vomiting.
- Burping. Such a symptom is rare, most often when stressful situations are the provoking cause of the disease. Belching is the result of impaired muscle function of the esophagus sphincter.
- Vomiting A particularly frequent sign of such a pathology. The stomach with the help of vomiting seeks to remove all pathological substances from the body on its own and is a reflex defense mechanism.
- Soreness in the upper abdominal regions. It is felt when overeating. Due to the fact that the wall of the stomach is overstretched by food, pain receptors of this organ work. From these receptors, impulses go to the center of the brain, the patient begins to feel pain.
- Bitter taste in the oral cavity.
- Dyspnea. Shortness of breath or difficulty breathing.
- A sense of excessive plaque in the tongue.
General condition change
In addition to gastric disorders, the pathology may have signs of a change in the patient's condition as a whole, for example:
- rapid feeling of tiredness and lethargy;
- weakness;
- periodic headaches along with intestinal pathologies;
- pallor of the skin;
- decrease in reactivity of immunity;
- jumps in pressure indicators;
- sophistication of appetite and taste preferences.
Now it’s clear what it is - erythematous gastropathy. How to treat the disease, we learn below.
How is a disease diagnosed and detected?
The very first thing that is required if you suspect such a disease is a general examination of the person. May be noted:
- pallor of the skin and mucous membranes (in the sclera, oral cavity);
- a lot of plaque on the tongue (the shade can vary from white to gray);
- an unpleasant odor from the oral cavity can be felt;
- the patient may feel excessive dry mouth and thirst.
After this, the specialist should assess the state of gastric secretory function using pH meter. At the onset of the disease, the secretory function is an increase in the amount of acidity and secretion of the stomach; after hypersecretion, the functioning of the glands of the stomach is inhibited.
If necessary, an x-ray analysis is prescribed. At the same time, no characteristic signs are observed, but the slowdown of the evacuation and motor function due to spasm of the pylorus, atony and hypotension becomes noticeable.
Gastroscopy
A significant diagnostic method is gastroscopy. But such a method for this disease is not shown to all patients. If there is a suspicion of a chemical or mechanical source of the disease, such a procedure can exacerbate its course. That is why gastroscopy is performed exclusively in remission.
The following symptoms may occur during the procedure:
- swelling and redness of the mucosa;
- leukocyte infiltration - cells that protect the body;
- plethora of blood vessels.
What is the treatment of erythematous gastropathy?
Treatment features
Due to the fact that pathology is a traumatic disease, a starvation diet should be followed in the first two days. After that, sparing dishes are connected to the diet: gruel-like and mashed foods without excessive acidity, not too salty and spicy. Along with this, etiological causes are also eliminated.
All manipulations and the use of drugs in the treatment of erythematous antral gastropathy require strict control of a specialist.
After the diagnosis is determined, you need to carry out a number of the following procedures:
- If the etiology is exogenous, then gastric lavage becomes an important medical measure. It must be produced in order to stop the negative effect of the pathological factor on the organ, as well as the removal of toxin compounds. Gastric lavage is done as many times as necessary to cleanse the contents of the organ so that it does not contain food or other impurities.
- If it is impossible to carry out the previous manipulation for any reason, they use artificial vomiting, the implementation of which is possible only when the patient is conscious and there are no disorders of the central nervous system. For example, if a patient is poisoned with toxic poisons, you can not do it in any case.
- Abundant drinking, replenishment of the body with fluid through infusion treatment with droppers.
- If there are difficulties in applying the previous methods under the strict medical supervision and in the presence of indications, the patient is injected with the vomiting drug Apomorphine. Its independent use can harm human health and life.
- Adsorbents are widely used, that is, active drug substances that remove toxic agents from the body, blocking their further penetration into the bloodstream: polysorb, activated charcoal.
- Laxatives are used to increase the rate of elimination of the harmful factor from the body.
- In the first two days after determining the diagnosis, bed rest should be observed, complete rest is recommended.
- It is allowed to drink not very strong warm tea.
With erythematous gastropathy, the following drugs can be prescribed:
- Antisecretory (“Pariet”, “Nolpaza”, “Omeprazole”, “Kvametel”). They reduce the production of hydrochloric acid - the main irritant of the mucosa.
- Gastroprotectors ("Vicalin", "Vicair", "De-nol"). Thanks to the bismuth contained in their composition, they produce anti-inflammatory and astringent effects, protect the walls of the organ, and help fight the bacterium that causes stomach ulcers.
- Antacids (Gastal, Maalox, Almagel). Reduce acidity, that is, the aggressiveness of the gastric environment. Pathogenic components are bound and then excreted from the body.
- Carrying out regulation of motility ("Itoprid", "Ganaton"). They can be prescribed in case of gastric stasis, which causes rotting and fermentation. Alternative treatment of erythematous gastropathy can be very effective.
Treatment with folk remedies
To cure this disease with folk remedies, herbal remedies are most often used to help heal wounds and relieve inflammation. One of these substances is honey. It must be used in a special way - one teaspoon of candied honey should be put in the mouth and then dissolved until completely dissolved, swallowing it a little. A similar procedure is carried out three times a day.
The treatment of this disease with a decoction based on three herbs is especially known: nettle leaves (responsible for wound healing), chamomile flowers (anti-inflammatory properties), oak bark (different astringent effect). These components are used in dried form, mixed in the same proportions - one tablespoon each, they need to be poured with boiling water (250 milliliters), insisted for a couple of hours, decanted and chilled after each meal.
Food
A significant component of therapy is proper nutrition. Products that irritate the mucous membrane are excluded from the diet: fried, alcohol, spicy, coffee, salty, sour, soda, smoked, etc. It is advisable to cook everything in a double boiler and pay more attention to dishes such as broths, jelly and cereals. Cold and hot food is contraindicated.
Forecast
The disease is not dangerous for humans, but treatment should be started on time, because otherwise it will worsen and, if untreated, will lead to gastroduodenopathy, ulcer or gastritis.
If the first signs appear, then thanks to modern medicines and a proper diet, you can quickly get rid of erythematous gastropathy.
What is it and how to treat an ailment? We examined these issues above.