Erosive gastritis: symptoms, treatment, diet, causes
In today's time, doctors increasingly diagnose all sorts of pathologies of the gastrointestinal tract.
Blame all the wrong food, the presence of frequent stresses, poor state of the environment.
Erosive gastritis is a disease in which the mucous membrane of the stomach is affected.
At the very beginning of the disease, erosion is small, but over time they have the property of progressing, thereby delivering pain, discomfort, and various gastrointestinal disorders to a person.
Erosive gastritis, like other varieties of the disease, can have various causes. There are also primary and secondary erosive gastritis.
The first appears as an independent disease, and the second is a negative consequence of other diseases. One of the leading factors that contributes to the occurrence of erosions in the stomach cavity is the frequent use of various kinds of medications. The most severe adverse effects are corticosteroids, non-steroidal anti-inflammatory drugs, digitalis preparations, veroshpiron and others.
Erosive gastritis can also cause diseases such as diabetes, hyperparathyroidism, sepsis, kidney failure, circulatory system diseases. Also, a huge impact on the development of erosive gastritis have stress, nervous disorders.
Some representatives of modern medicine as the main "culprit" of both erosive and other types of gastritis, consider a bacterium called Helicobacter pylori.
However, most studies prove that it can lead to erosion only in combination with other pathologies: a violation of the hormonal status, a decrease in the cytoprotective properties of gastric mucus, duodenogastric reflux.
See also, the causes of atrophic gastritis.
In modern medicine I distinguish several varieties of erosive gastritis:
Chronic erosive is also often called hemorrhagic gastritis. It occurs most often as a result of an incorrect lifestyle, abuse of painkillers and other medications. In chronic gastritis, the patient is diagnosed with large erosions with a diameter of 3 mm.
The erosive anthral affects primarily the lower segment of the stomach, since it is there that the Helicobacter pylori bacteria that cause it are located. Microorganisms cause a strong inflammation of the mucosa, which in time turns into erosion of different sizes.
The cause of erosive reflux is a pathology in which there is a constant casting of the contents from the duodenum into the stomach. Due to the constant irritation of the mucosa on its surface lesions are formed by the type of erosion.
Erosive gastritis, the clinical symptoms of which depend, in the first place, on its variety. Thus, the acute form is manifested by the presence of acute or paroxysmal pains in the abdomen. As a rule, they have the property of increasing after eating. Also, the patient is usually worried about heartburn and severe nausea.
If it is a chronic erosive gastritis, then in this case the symptoms for a long time may be absent.
Disease, as a rule, makes itself felt at the later stages. The patient may have mild nausea, flatulence, a feeling of heaviness in the abdomen.
See also, symptoms and treatment of superficial and chronic gastritis.
If a patient is suspected of having some form of erosive gastritis, he is required to appoint an endoscopy procedure that is performed by a qualified gastroenterologist.
It is performed with the help of a special device - an endoscope. It looks like a tube with a built-in camera. During the procedure, it is administered by the oral route into the stomach cavity.
The camera allows the doctor to fully assess the condition of the mucous organ, see erosion and other possible lesions. In some cases, endoscopy is used to take a tissue sample for biopsy. This analysis can accurately show the presence in the stomach of Helicobacter pylori.
In addition to endoscopy, a number of laboratory tests are prescribed for a patient with suspected ailment. First, you should give a general blood test. With a similar form of gastritis, hemoglobin is often reduced, which is an indirect sign of internal bleeding.
Also on bleeding can indicate blood in the feces, so such patients must necessarily make a feces analysis for the latent blood.
Treatment of erosive gastritis begins with the determination of the main cause of erosion. So, if the lesion provoked medicines, they are canceled. If necessary, other, more sparing drugs are prescribed.
In case an erosive gastritis was caused by an infection, the patient is prescribed a course of antibiotics. Most often it is tetracycline, amoxicillin, levofloxacin, amoxicillin, or clarithromycin.
It is very important to follow the analyzes after the completion of the course, since Helicobacter pylori is able to quickly restore its quantity in the gastric mucosa in case of insufficient treatment.
With erosive gastritis it is important to control the level of acidity in the stomach, as it is often elevated in patients and hinders recovery. For this purpose, patients are shown taking antacids.
In addition, the reception of enzyme preparations is recommended, which will help improve the digestion and recovery process. Also shown are medicines that accelerate the recovery of damaged mucosa. These drugs include Trental and Iberogast.
See also, treatment of gastritis with high acidity.
One of the most important conditions for recovery in erosive gastritis is the observance of an appropriate diet.
In particular, patients are prohibited from eating certain types of products:
These dishes gently envelop the walls of the stomach and help the healing of erosion. But it's better not to abuse fresh vegetables and fruits. Sour fruit is recommended to be completely turned off from the diet.
Despite the strict diet, the patient needs to ensure that his diet is as full and useful. It is impossible to tolerate deficiency of vitamins and microelements.
Blame all the wrong food, the presence of frequent stresses, poor state of the environment.
Erosive gastritis is a disease in which the mucous membrane of the stomach is affected.
At the very beginning of the disease, erosion is small, but over time they have the property of progressing, thereby delivering pain, discomfort, and various gastrointestinal disorders to a person.
Causes of erosive gastritis
Erosive gastritis, like other varieties of the disease, can have various causes. There are also primary and secondary erosive gastritis.
The first appears as an independent disease, and the second is a negative consequence of other diseases. One of the leading factors that contributes to the occurrence of erosions in the stomach cavity is the frequent use of various kinds of medications. The most severe adverse effects are corticosteroids, non-steroidal anti-inflammatory drugs, digitalis preparations, veroshpiron and others.
Alcohol intoxication is another common cause of erosive gastritis. Frequent use of alcohol leads to many diseases, but most of all, the digestive organs, including the stomach, suffer.
Erosive gastritis can also cause diseases such as diabetes, hyperparathyroidism, sepsis, kidney failure, circulatory system diseases. Also, a huge impact on the development of erosive gastritis have stress, nervous disorders.
Some representatives of modern medicine as the main "culprit" of both erosive and other types of gastritis, consider a bacterium called Helicobacter pylori.
However, most studies prove that it can lead to erosion only in combination with other pathologies: a violation of the hormonal status, a decrease in the cytoprotective properties of gastric mucus, duodenogastric reflux.
See also, the causes of atrophic gastritis.
Classification
In modern medicine I distinguish several varieties of erosive gastritis:
- 1) Acute erosive;
- 2) Chronic erosive;
- 3) Antral erosive;
- 4) Erosive reflux.
Chronic erosive is also often called hemorrhagic gastritis. It occurs most often as a result of an incorrect lifestyle, abuse of painkillers and other medications. In chronic gastritis, the patient is diagnosed with large erosions with a diameter of 3 mm.
The erosive anthral affects primarily the lower segment of the stomach, since it is there that the Helicobacter pylori bacteria that cause it are located. Microorganisms cause a strong inflammation of the mucosa, which in time turns into erosion of different sizes.
The cause of erosive reflux is a pathology in which there is a constant casting of the contents from the duodenum into the stomach. Due to the constant irritation of the mucosa on its surface lesions are formed by the type of erosion.
Symptoms of erosive gastritis
Erosive gastritis, the clinical symptoms of which depend, in the first place, on its variety. Thus, the acute form is manifested by the presence of acute or paroxysmal pains in the abdomen. As a rule, they have the property of increasing after eating. Also, the patient is usually worried about heartburn and severe nausea.
In severe cases, vomiting is possible, while in the vomit, often there are impurities of blood. Stool is unstable, as diarrhea often gives way to constipation.
If it is a chronic erosive gastritis, then in this case the symptoms for a long time may be absent.
Disease, as a rule, makes itself felt at the later stages. The patient may have mild nausea, flatulence, a feeling of heaviness in the abdomen.
See also, symptoms and treatment of superficial and chronic gastritis.
Diagnostics
If a patient is suspected of having some form of erosive gastritis, he is required to appoint an endoscopy procedure that is performed by a qualified gastroenterologist.
It is performed with the help of a special device - an endoscope. It looks like a tube with a built-in camera. During the procedure, it is administered by the oral route into the stomach cavity.
The camera allows the doctor to fully assess the condition of the mucous organ, see erosion and other possible lesions. In some cases, endoscopy is used to take a tissue sample for biopsy. This analysis can accurately show the presence in the stomach of Helicobacter pylori.
In addition to endoscopy, a number of laboratory tests are prescribed for a patient with suspected ailment. First, you should give a general blood test. With a similar form of gastritis, hemoglobin is often reduced, which is an indirect sign of internal bleeding.
Also on bleeding can indicate blood in the feces, so such patients must necessarily make a feces analysis for the latent blood.
Treatment of erosive gastritis
Treatment of erosive gastritis begins with the determination of the main cause of erosion. So, if the lesion provoked medicines, they are canceled. If necessary, other, more sparing drugs are prescribed.
In case an erosive gastritis was caused by an infection, the patient is prescribed a course of antibiotics. Most often it is tetracycline, amoxicillin, levofloxacin, amoxicillin, or clarithromycin.
It is very important to follow the analyzes after the completion of the course, since Helicobacter pylori is able to quickly restore its quantity in the gastric mucosa in case of insufficient treatment.
With erosive gastritis it is important to control the level of acidity in the stomach, as it is often elevated in patients and hinders recovery. For this purpose, patients are shown taking antacids.
In addition, the reception of enzyme preparations is recommended, which will help improve the digestion and recovery process. Also shown are medicines that accelerate the recovery of damaged mucosa. These drugs include Trental and Iberogast.
See also, treatment of gastritis with high acidity.
Diet with erosive gastritis
One of the most important conditions for recovery in erosive gastritis is the observance of an appropriate diet.
In particular, patients are prohibited from eating certain types of products:
- fatty meat and its derivatives
- fried, spicy food
- marinades
- bakery
- beans
- coffee
- radish and radish
These dishes gently envelop the walls of the stomach and help the healing of erosion. But it's better not to abuse fresh vegetables and fruits. Sour fruit is recommended to be completely turned off from the diet.
Despite the strict diet, the patient needs to ensure that his diet is as full and useful. It is impossible to tolerate deficiency of vitamins and microelements.