It called gastritis inflammation of the gastric mucosa. This is one of the most frequent diseases of the gastrointestinal tract, has recently become more and more common.
Given the fact that the stomach is a key element in the breakdown of food entering the body, it is understandable why gastritis disease is not only reflected on the entire gastrointestinal tract, but in all systems of the body, without exception, greatly reducing the quality of life of the patient.
The cause of gastritis
For a long time it was thought that the main cause of gastritis are errors in nutrition and permanent psycho-emotional stress. However, Australian scientists Robin Warren and Barry Marshall in the course of investigations, including on himself, proved that the leading role in the occurrence of gastritis belongs to Helicobacter pylori.
Helicobacter pylori - a bacterium, which was able to adapt to high acidity, and living in the mucous lining of the human stomach, side by side there, as if nothing had happened with the glands that release corrosive hydrochloric acid. Transmission occurs from person to person, presumably the oral-oral route: via shared utensils, toothbrushes, kissing, etc. Before the opening of the Warren and Marshall is considered impossible, it was assumed that the hydrochloric acid of the stomach destroys everything microorganisms. In 2005, scientists received the Nobel Prize for his discovery, since it allowed the development of effective treatment of gastritis and stomach ulcers.
Nevertheless, gross errors in nutrition and exposure to stress are the necessary conditions that allow Helicobacter pylori multiply and cause gastritis. Otherwise everything is reduced only to a carriage, in which the bacteria contained in the stomach small amounts, and does not lead to the disease. The fact that Helicobacter pylori is one of the most common bacteria in the world are infected by it about two thirds of the world population, and the incidence of gastritis, though high, but still significantly lower.
Forms of gastritis
By the nature of the flow are acute gastritis and chronic gastritis.
By type of inflammation of gastritis is divided into the following forms:
- Erosive (hemorrhagic) gastritis, under which the image bleeding erosion in the gastric mucosa;
- Superficial gastritis, wherein the process is involved in only the upper layer of the mucosa;
- Atrophic gastritis;
- Hypertrophic gastritis;
- Gastritis with increased secretion of gastric juice;
- Gastritis with decreased secretion of gastric juice.
Different forms inherent in the different symptoms of gastritis.
The symptoms of gastritis
Acute gastritis is a sudden onset. Typically, an attack of gastritis begins 20-30 minutes after eating, and almost always food, hard to stomach: greasy, fried, smoked food, alcohol intake, eating fast food, or simply eating.
The attack of acute gastritis accompanied by intense pain dull epigastric (upper part of the abdomen, located directly beneath the breastbone), nausea, bloating, heartburn, belching and other dyspepsia. If untreated, symptoms of gastritis in acute gradually subside on their own, but it should not be misleading, as in this case almost always acute gastritis becomes chronic.
Chronic gastritis occurs in waves, with periods of remission and exacerbation. During remissions the symptoms of gastritis or non-existent or poorly expressed. During an exacerbation of chronic gastritis occurs just as sharp, except to the patient symptoms of gastritis is not a novelty. Symptoms of chronic gastritis may be less intense than the symptoms of acute gastritis, although the attack attack strife.
The symptoms of gastritis with increased secretion of gastric juice are different in that they are characterized by the so-called hunger pains: the pain occurs 2-3 hours after the last meal, and cease after the patient eats or takes antacid. The symptoms of gastritis with low acidity, on the contrary, show themselves "fed" pain: pain occurs in 20-30 minutes after eating, and then immediately after the meal.
If untreated, the disease progresses slowly, and some types of chronic gastritis can degenerate into cancer of the stomach (atrophic gastritis), and some give rise to stomach ulcers (erosive gastritis).
Treatment of gastritis
Effective treatment of gastritis, taking into account its etiology offered all the same Robin Warren and Barry Marshall, proving itself to its effectiveness. The mainstay of treatment of gastritis - a course of antibiotic drugs which are sensitive to the Helicobacter pylori (Barry Marshall applied for yourself metronidazole) and preparations containing bismuth salts. The antibiotic kills Helicobacter pylori, bismuth salt and promote healing of defects formed gastric mucosa.
Additional drugs may be administered, reducing gastric acid secretion, analgesics and spasmolytics. However, please note that for the treatment of gastritis categorically not suitable non-steroidal anti-inflammatory drugs that are so fond appoint themselves patients achieving pain relief. These medications (especially aspirin, indomethacin, ketoprofen) are in themselves a factor in increasing the risk of gastritis, as irritate the stomach lining.
In remission of chronic gastritis effective treatment of gastritis with mineral water, which is usually administered to the patient spa treatment.
Diet for gastritis
Treatment of gastritis - is ineffective without dieting. Diet for gastritis, especially chronic gastritis, should become a way of life, at least for the period until they can be reached sustained remission, is not interrupted for one or two years.
Diet for gastritis is an important complement to the treatment of gastritis, and should include the following:
- Compliance with a clear diet: four to five meals a day in small portions at regular intervals, in the same time of the day;
- The hard limit number of products: greasy, fried, spicy, salty, spicy food, smoked food prepared by commercial methods (except baby food), fast food, alcohol, carbonated drinks, concentrated fruit juices, chocolate, canned food, strong coffee, tea;
- Products used heat-treated, but gentle ways: cooking, stewing, baking, steaming;
- In remission for gastritis diet allows the use of a certain amount of fresh vegetables and fruits, excluding vegetables from burning taste. It is desirable that fresh fruits and vegetables were either crushed in a blender or grated, or chew;
- During exacerbation of chronic gastritis or acute attack of gastritis diet should be taken homogenized, that is homogeneous in the form of puree or rather thin gruel.