Chronic gastritis. Clinic

Chronic gastritis is an inflammatory disease of the mucous membranes, accompanied by dystrophic processes leading to secretory and motor insufficiency of the stomach. The causes (factors) leading to the development of gastritis of a chronic course are of two groups: exogenous and endogenous.

Exogenous are those that come from the external environment. These include: a violation of diet, chronic intoxication, neuropsychic stress, alcohol, smoking, prolonged use of medications, especially antibiotics.

Endogenous causes are those that are located directly in the body itself. For example, a hereditary factor, the presence of chronic focal infection, metabolic and intestinal microflora, chronic circulatory failure.

As a rule, chronic gastritis is classified according to two signs: morphological and functional. Superficial, atrophic, erosive, hypertrophic, widespread, limited (antral and fundamental) - these are gastritis, which are conditionally combined into one group according to morphological characteristics. Functional include gastritis with increased secretion and decreased, as well as with normal acidity.

Chronic gastritis with low (secretion) acidity often develops in people of adulthood. Patients feel heaviness in the abdomen mainly after eating, as well as a feeling of fullness and fullness. Another feature of this form is the rapid saturation and burping of rotten eggs. The pain that a person has is aching in nature. Very often, in addition to a constant feeling of nausea, the patient develops vomiting on an empty stomach. Decreased appetite and pain after eating lead to weight loss, diarrhea often occurs. Since hypovitaminosis develops with reduced secretion, changes in the appearance of the patient occur: dry skin, bleeding gums, hair loss, dullness and brittle nails.

Chronic gastritis with reduced secretion, if untreated, inevitably leads to complications, such as: stomach cancer, cholecystitis, pancreatitis.

Chronic gastritis with high acidity - this disease is characteristic of a young age. A person experiences paroxysmal pain not immediately as he ate, but after an hour or two in the epigastric region without irradiation. During the period of exacerbation, the patient has an eructation of sour, severe heartburn, vomiting with gastric contents. As a rule, appetite remains normal, but constipation occurs. The main feature of this form is hungry and night pain, as well as the development of asthenoneurotic syndrome (irritability, unstable mood, decreased performance, sleep disturbance). Chronic gastritis with high acidity can be a complication - it is an ulcer.

At the appointment, the doctor will prescribe treatment and talk in detail about how to treat chronic gastritis. Depending on the severity of the disease, treatment is carried out on an outpatient basis or in a hospital, and the regimen remains normal. Doctors recommend paying much attention to nutrition. Food should not be cold or too hot, as it will irritate the gastric mucosa, and increase peristalsis. The following cooking is most acceptable for cooking: boiling, steaming or baking in the oven, and completely fry off. In the early days of exacerbation of gastritis, it is better to use light soups and cereals. Fresh bakery products, fried and smoked foods, fatty fish and meat, soda and fresh fruits, milk and legumes, as well as sweets are products that must be forgotten during the illness.

The next stage in the treatment is the appointment of drug therapy. To relieve pain and spasm, antispasmodic drugs are used, for example, no-spa, papaverine. Be sure the patient needs to take antibiotics (Trichopolum) and enveloping (Almagel, Smecta, Almagel - A). With increased secretion, enzymes (Mezim, Festal) are still prescribed. To achieve maximum results, it is advisable to use herbal medicine and physiotherapy.

With proper and adequate treatment, a remission stage begins in three weeks.


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