The pain in the stomach disturb people for many reasons, one of which may be gastritis.
Why a stomach ache?
There are many diseases that cause pain in the stomach or around it. For the doctor, it is important to determine the nature and location of the pain. Here is a list of some diseases and the description of the nature of the accompaniment of the pain:
- the pancreatitis, cholecystitis and duodenal ulcer cause severe pain in the region of the stomach. The pain that patients characterize as acute, generally speaks to the perforation of the ulcer (appearance of holes in the floor of the body because of the chronic pathological process in the wall). This issue may occur when the ulcer of the stomach or duodenum;
- the gastritis and ulcer of the stomach is usually accompanied by a burning sensation at the epigastrium (the part of the abdominal cavity below the sternum). If the process of ironiziruya, the pain is mute and deaf. When the gastritis and the ulcer, there is a clear correlation with the meal: the pain appears a few hours after meals or on an empty stomach;
- the pain "curved", short (a few seconds) during the inhalation or rapid, rise from a bed, is found to a spasm of the diaphragm. Causes a spasm of the circulatory disorders of the opening;
- patients with malignant neoplasms in the stomach complain of weakness, but the pain persistent. If the tumor has spread to his in the pancreas, the pain turns into circling;
- for intoxication is characterized by a broad, strong, pain, cramps in any part of the abdomen;
- colitis (inflammation of the colon) is accompanied by the intensification of the pain in the upper part of the abdomen, which usually weakens in a few days, but does not disappear completely.
It is the most common causes of abdominal pain. However, an accurate diagnosis can put a doctor after some diagnostic studies. Apart from these factors, the pain occurs when the whole of the abdominal aorta, of injuries after the impact in the area of the stomach and the intestine. There are cases where the pain of myocardial moves in the epigastric region.
Some diseases require a rapid response and immediate intervention to save the patient's life. For example, if the time is not an operation during the perforation of ulcer of the stomach or duodenum, of developing complications (peritonitis, sepsis), which threaten the patient's life.
It is important! When the pain in the belly of any location can not drink analgesics. The character of the pain your doctor will tell you what is the authority to verify, but independent of the disappearance of the pain may mean that the disease process is progressing and there is an urgent need to do something, although subjective patient seems to he relieved. A similar condition can be observed during the rupture of the appendicitis.
The symptoms of gastritis
Let us dwell on the gastritis. What is this disease and what are the other symptoms in addition to pain, may indicate this diagnosis? Gastritis is an inflammation of the internal surface of the stomach, which is triggered due a number of reasons. The main provoking factors of gastritis include the following:
- a poor diet (lots of fatty and fried, one meal per day);
- the consumption of large quantities of alcoholic beverages;
- the chronic stress;
- smoking;
- the consumption of drugs that affect the stomach, for example, non-steroidal anti-inflammatory drugs (aspirin, ibuprofen);
- the impact of the bacterium Helicobacter pylori.
Usually, a reason to allocate difficult, as the disease develops as a result of the combination of these factors.
The signs of gastritis:
- the pain is the main complaint of patients with gastritis. Patients indicate the location of the pain to the epigastrium (epigastric region). The more often the pain occurs a few hours later, after the food consumption. Are of hunger and the pain (pain appearing on an empty stomach or after a long period of time after the meal). An unpleasant feeling of strengthen, if the patient eats a deep-fried, spicy, sour or hot;
- belching, flatulence;
- rumbling in the belly;
- heaviness in the stomach;
- nausea, vomiting;
- surrounded by white-flowering of the language;
- a slight increase in body temperature (37 ° c);
- the discomfort in the stomach, which does not pass throughout the day.
As has been said above, cause of gastritis can result of various factors. One of the main is regarded as a theory, where a decisive role in the development of the disease plays the bacterium Helicobacter pylori. However, the wrong power supply mode (for example, one or two meals per day), the dependence on a type of food (acute or deep-fried) are irritating to the mucosa of the stomach, causing a pathological process.
The chronic gastritis
Gastritis acute is an acute condition, caused by a unit of the influence of stimuli (micro-organisms, poor quality food, chemicals) on the mucosa of the stomach. Occurs an inflammatory process. In this case illustrates the power, the medication. In accordance with all the rules and the effective treatment, the gastritis acute will remain for the patient in the past. Under the action of some factors (poor diet, chronic stress) periods of exacerbation of economic standing. This means that the process has a chronic form.
Usually, there is the seasonality of exacerbations. Patients arrive at the hospital with an exacerbation of the fall and spring. This is due to reduce immunity in these months, the ability to resist bacteria below, that the head of an inflammation of the mucous membrane.
Often, chronic gastritis, acute in a stressful situation. People, not knowing how to properly adjust your emotional state, are constantly struggling with pain in the stomach.
So the doctor has diagnosed a chronic gastritis, the patient must undergo a series of examinations:
- gastroscopy – inspection of the esophagus and stomach using a probe, equipped with a camera;
- ph-metry monitoring of the acidity of the stomach during the day and more. The method allows detection of inflammation and to determine the nature of the gastritis (hyperacidity or hypoacid);
- the study of gastric juice, which is extracted from the probe;
- the test for the detection of Helicobacter pylori;
- the biopsy of the mucosa of the stomach in place of a disease process to establish more accurate diagnosis;
- ULTRASOUND;
- the x-ray;
- a blood test for the antibody pathogenic microogranism.
Gastritis acute typically does not lead to complications. It is characteristic of a chronic process. Complications, it is necessary to quote:
- anemia develops because of a bleeding chronic, due to damage to the lining of the stomach);
- of peptic ulcers;
- benign or malignant tumor.
Pro cancer can indicate changes in patterns of chronic gastritis - the change of the location of the pain and its character. A doctor, you should immediately contact us if you have other symptoms: black cal, pallor of the skin, frequent dizziness and headache, fainting, tachycardia, dyspnea. This may indicate a complication of the gastritis.
How to treat gastritis?
The basis of drug treatment of hyperacidity of the gastritis (inflammation of the mucous membrane on the bottom of the high ph of the stomach) is to reduce the acidity of the stomach. The effect of near drugs:
- antacids are medicines that reduce the acidity of the stomach, as well as adsorbing the enzymes responsible for the digestion of food and the production of hydrochloric acid (e.g., pepsin). The antacid is produced in the form of pills, powders, gels and suspensions.
- the alginates – drug, which reacts with hydrochloric acid to form a special gel, covering the surface of the stomach.
To reduce the pain, apply anti-spasmodics and analgesics. In any case, you can't use the gastritis, nonsteroidal anti-inflammatory drugs (NSAIDS), because they have ulcerative action to cause the development of ulcer).
Rogue protect the lining of the stomach gastroprotectia. As the alginates these medicines are formed on the internal surface of the stomach thin film, which does not give the hydrochloric acid influence, and cause even more damage to the mucosa. Gastroprotectia often prescribed in conjunction with antisecretory drugs, because they are able to influence the development of bacteria in the cavity of the stomach. Antisecretory drugs, for example, inhibitors of the proton pump, inhibit the secretion of hydrochloric acid.
One of the causes of gastritis Helicobacter pylori, a bacterium, and, therefore, with a proper treatment of appointment of antibacterial agents. However, antibiotics have many side effects, with caution should be applied to children and the elderly, to pregnant women and to mothers during lactation. Simultaneously with antibiotics prescribed probiotics to normalize the work of the intestine. The antibacterial agents always called dysbiosis.
Promotility agents are drugs that accelerate GASTROINTESTINAL motility, and it is to standardize the process of promotion of food from the stomach and the excretion later in the duodenum. Essential difference compared with other drugs prokinetics applied during the decrease of the acidity of the stomach, and not to the humidity. Also these drugs reduce the nausea.
Any medication has contraindications, side effects and usage characteristics for the different ages. Therefore, prescribing a drug therapy may be a medical specialist. Gastritis usually prescribed a combination of several drugs for the filing of unpleasant symptoms and to work on several links of the process of education and the secretion of hydrochloric acid.
The diet of gastritis
In addition to the receipt of special products, the person with gastritis should follow the power mode. Gastritis with low acidity worth eating foods that cause the secretion of hydrochloric acid, in quebec, and lowers the ph. To do this, in the period of exacerbation uses:
- of meat and fish, broth varieties low in fat content meat and fish;
- the liquid gruel or watery porridge, soups without solids and food particles;
- puree vegetables;
- boil the lean meat, ribs, cooked meat and poultry;
- potatoes, eggs, omelette;
- curd.
Worth to abandon the milk, which can further lower the acidity.
Gastritis with acidity diet is intended to neutralize the hydrochloric acid. Also the food must also be soft, in order not to traumatize the advanced of the lining of the stomach. Therefore, the patients in the periods of relapse should include in your diet:
- milk soup;
- the broth on the lean meat;
- low-fat milk (you can add in the tea);
- boiled or steamed vegetables;
- eggs in the shell;
- lean meats, poultry, fish (boiled or baked);
- white bread crumbs.
For each type of gastritis is forbidden to use:
- fatty acids of meat and fish and, consequently, of the broth of fat meat or fish;
- butter biscuits from the dough;
- fresh white and black bread;
- hard-boiled eggs;
- the smoked products;
- preserves, pickles;
- spicy dishes;
- hot dishes;
- fresh vegetables and fruits and thick and rough bark;
- confectionery;
- alcoholic beverages;
- fast food;
- the carbonated beverages;
- the spices, the sauces.
One of these products generates a greater irritation of the stomach and would break the positive dynamics of the therapy. Each dish prepared should be easy to digest. It is desirable to grind food in order to help maximize his or her stomach to digest.
A strict diet, in chronic gastritis is observed until the symptoms disappear. It takes a month to two. Further, the menu expands significantly, but the basic rules to follow to avoid the aggravation. Regardless of the stage of the disease, the food must be complete, full of vitamins, micronutrients, balanced protein, fat and carbohydrates.
Coffee gastritis
Can you the coffee of gastritis? Usually, doctors recommend to forego the drink entirely. This is due to the ability of caffeine, chlorogenic acids and other substances in the composition of the coffee irritate the stomach and increase the acidity. The regular coffee consumption of gastritis, especially on an empty stomach, will lead to a worsening of the disease and the formation of ulcers.
However, there are a few recommendations that will help you to drink the same with an inflammation of the mucosa of the stomach:
- you can't drink coffee on an empty stomach. Only after meals, after at least half an hour, and better after an hour. Of the substance in the composition of the coffee triggers the secretion of hydrochloric acid. If with the coffee into the stomach receives no food, so the acid I began to work on the wall of the body;
- the coffee should not be hot or cold. Hot beverage, a maximum of atraumatic will pass through the stomach.
- instead of instant coffee, it is better to drink natural grain. In the soluble beverages present tannins, which injure the stomach wall;
- the coffee must be strong;
- in the day, the number of cups of coffee consumed must not exceed two.
The coffee is allowed for consumption during the hypoacid (reduction of acidity) gastritis. However, drink costs even in small quantities. Also the gastritis with low acidity recommend drinking of the chicory, so that it is a plant affects the production of hydrochloric acid. But it should be understood that the chicory is strictly against-indicated in people with hyperacidity gastritis.
When hyperacidity (acidity) gastritis, in coffee is recommended to add the milk. It cools the glass, because of its impact on the mucous membrane is softer. A coffee substitute can be cocoa, has close to useful for the organism properties (increase in energy and improvement in mood thanks to the presence in the composition of endorphins).
During exacerbation of the disease of coffee is better to abandon it altogether. This will help as soon as possible of all restore the lining of the stomach, do not hold out your the process of several months.
Correctly formatted plan without consequences survive in gastritis acute. When the chronicity of the process, a tribute to the power reduces the risk of worsening even in the fall and the spring. The regime of the disease is an important element of the therapy, without which good results to be achieved practically impossible. Respect for the power mode, greatly enhance the quality of life of the patient.