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  • Reflux gastritis: treatment and principles of therapy

    Reflux gastritis refers to chronic diseases of the stomach.

    It is based on the ingestion of intestinal contents into the stomach, which leads to damage to its mucosa and the corresponding symptoms - heaviness in the stomach, nausea and vomiting, unpleasant taste in the mouth, stool changes, flatulence, weight loss. If a patient is diagnosed with gastritis reflux, a qualified gastroenterologist should prescribe and monitor the disease, otherwise serious complications are likely.

    Features of gastritis reflux

    At the initial stages of development this disease is characterized by mild symptoms, so often patients are engaged in self-medication using the achievements of alternative medicine, not realizing that the treatment of reflux gastritis with folk remedies only eliminates unpleasant symptoms, but does not affect the etiology of the disease. Adequate therapy of this pathology can be prescribed only by a qualified gastroenterologist after a thorough examination with the obligatory elimination of the causative factor.

    It is very important to seek medical help on time, because, for example, one of the forms of this disease - atrophic reflux gastritis, proceeds with pronounced thinning of the mucous membrane and atrophy of its glands, which are responsible for the formation of gastric juice. At the same time, atrophic processes predominate over inflammatory changes in the stomach, which can change clinical manifestations.

    In addition, the pathogenesis of this lesion may lie in the autoimmune process, in which antibodies that destroy parietal cells of the stomach are formed in the body, so incorrect treatment can only exacerbate pathological changes. First, the action of bile develops a superficial gastritis.

    It is characterized by mucosal lesions without signs of atrophy, but with prolonged ingestion of gastric contents into the antral part of the stomach, not only the inflammatory process develops, but also atrophic changes, which causes secretory insufficiency. Erosions in the stomach, proliferative processes, dysplasia, duodenitis - reflux gastritis is complicated by such pathologies, if not on time to begin treatment, which will not only prevent damage to the epithelium, but will also affect the causes of the disease.

    How does the disease develop?

    The basis of the disease is a violation of the motility of the gastrointestinal tract, including changes in the tone of the gallbladder and biliary tract. In this case, the contents of the intestine enter the cavity of the stomach. This contributes to the inadequacy of sphincters, who are unable to perform their functions properly.

    With prolonged illness, antrum reflux gastritis with signs of atrophy is often diagnosed, which increases the risk of cancer. Bile, which enters the stomach, sharply alkalizes its contents - as a result of this, active secretion of hydrochloric acid begins, which destroys the protective layer of mucus on the surface of the epithelium.

    Principles of reflux therapy of gastritis



    Drug treatment of gallstick reflux of gastritis is aimed at eliminating the irritating effect of duodenal contents. To do this, use drugs that accelerate the emptying of the stomach and promote an increase in the tone of the sphincters. The most commonly prescribed motilium or cisapride.

    In addressing the question of how to treat reflux gastritis, the nature of gastric secretion is necessarily taken into account. If high acidity is characteristic, then antisecretory drugs are prescribed, and in the majority of cases, the inhibitors of the proton pump( contralateral, non-oxy, parenter) become the drugs of choice.

    If there is a decreased acidity, then antacids are prescribed, more often phosphalugel or maalox. These drugs do not reduce the secretion of hydrochloric acid, but contribute to the effective chemical binding of bile acids and lysolecithin, which damage the gastric mucosa. In addition, these drugs exhibit a cytoprotective effect, as they activate the secretion of mucin and hydrocarbonates. A similar effect is also exhibited by sucralfate, which can also be included in complex treatment.

    Most patients take Ursofalk. The effectiveness of the treatment of gastro reflux with this drug is that it turns bile acids into forms that irritate the mucous to a lesser extent, so bile can not affect the secretion processes in the glandular cells and a direct damaging effect on the protective mucus layer and the epithelium lining the cavitystomach.

    It is also worth remembering the therapeutic diet, which is extremely important for any defeat of the digestive system. It is based on frequent, fractional reception of the frayed optimum temperature of dishes, which should not include products with irritating effect. It is also important not to drink liquids while eating. Correctly composed diet with reflux gastritis promotes long-term remission of the disease. It is also important to remember that with such a variant of gastritis, the elimination of bad habits of the patient becomes an indispensable condition of effective therapy - smoking and alcohol use can affect the tone of sphincters of the gastrointestinal tract.

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