Stomach pain bothers people, because of many reasons, one of them may be gastritis.
Why stomach pain?
There are many diseases that arouse feelings of pain in the stomach, helena around him. For the doctor it is important to determine the nature and localization of pain. Here is a list of some of the diseases and a description of the nature of the associated painful feelings:
- pancreatitis, cholecystitis and peptic ulcer, duodenal ulcer cause sharp pain in the stomach area. The pain that patients describe as sharp, usually talking about the perforation of the ulcer (formation of a hole in the floor authority because of chronic disorders of the process in its wall). This can happen even in ulcer of the stomach, helena duodenum;
- gastritis and stomach ulcers are usually accompanied by a feeling of burning in the epigastrium (part of abdomen below the sternum). If the process ironiziruya, then the pain becomes dull and pain. With gastritis and ulcers clearly see the consistency with the meals: the feelings of pain occurs within a few hours after the meal helen on an empty stomach;
- pain "shooting", a short (a few seconds), which was created when you inhale helena quickly rising from the bed, is typical for the spasm of the diaphragm. Provokes a spasm of violation of blood supply of the diaphragm;
- patients with malignant diseases of the stomach complain of a weak, but constant pain. If the palatine had metastasized in the pancreas, then the pain turns into encircling;
- for poisoning is the typical sharp, severe, cramping pain in any part of the abdomen;
- colitis (inflammation of the large intestine) is accompanied by intense pain in the upper abdomen, which usually wears off within a few days, but not completely disappear.
These are the most common causes of pain in the abdomen. However, accurate diagnosis can put only the doctor for certain diagnostic studies. In addition to the above-mentioned conditions, the pain occurs when one package of the abdominal aorta, injury after hitting into the region of the stomach and intestines. There are cases, when the pain from a heart attack moves in the epigastric guests.
Some diseases require rapid response and immediate surgery to save the patient's life. For example, if the time to perform the operation in the perforation, ulcers gastric helena duodenal ulcer, develop complications (peritonitis, sepsis), which directly threaten the life of the patient.
Important! When pain of any localization can not drink analgesics. The character of the pain will tell the doctor which body check, and the self-disappearance of pain may say that the disease process progresses, and it is necessary to urgently do something, even though subjectively the patient will seem him feel better. Such a state can be observed at rupture appendicitis.
The symptoms of gastritis
More detail on the gastritis. What is this disease and what are the other symptoms, besides pain, may point to this diagnosis? Gastritis – inflammation of the inner surface of the stomach, arising due to a number of reasons. The main provoking factors of gastritis are:
- poor diet (a lot of greasy and fried, one meal per day);
- drinking large amounts of alcoholic beverages;
- chronic stress;
- smoking;
- the use of drugs that affect the stomach, for example, a non-steroidal anti-inflammatory agents (aspirin, ibuprofen);
- the action of the bacteria Helicobacter pylori.
Usually the one reason to allocate difficult, because the disease develops in regard to the combination of the above factors.
Symptoms of gastritis:
- pain is the main complaint of patients with gastritis. Ill report the localization of pain in the epigastrium (epigastric guests). Most often the pain sensations arise within a few hours after food consumption. Come and hunger pain (the pain occurs a fasting helena for a longer time after a meal). Uncomfortable feelings are amplified in the case that the patient eat fried, spicy, sour, helena hot;
- belching, bloating;
- rumbling in the abdomen;
- heaviness in the stomach;
- nausea, vomiting;
- coated white bloom language;
- a slight increase in body temperature (up to 37 degrees);
- discomfort in the stomach, which takes place throughout the day.
As was said above, provoke inflammation of the stomach can many factors. One of the main is considered to be the bacterial theory, where a crucial role in the development of the disease plays the bacterium Helicobacter pylori. However, the wrong mode exclusive catering (for example, one helena two meals a day), taste to a particular type of food (spicy helen fried dishes) irritates the mucous membrane of the stomach, causing the disease process.
Chronic gastritis
Acute gastritis is an acute condition caused by the unique influence of irritant substances (harmful microorganisms, poor quality food, chemical substances) in the lining of the stomach. Arises the inflammatory process. In such a case is indicated by the diet, the treatment is treatment. While respecting all the rules and effective treatment, of acute inflammation of the stomach stays for the patient in the past. Under the influence of some factors (poor nutrition, chronic stress) period of exacerbation are permanent. This means that the process moved into a chronic form.
Usually observed seasonality of exacerbations. Patients get to the hospital with exacerbation in the autumn and spring. It is associated with reduced immunity in these months, the ability to resist bacteria under it, that carries behind inflammation of the mucous membrane.
Often a chronic inflammation of the stomach getting worse in the stressful situation. People are not able to adequately regulate their emotional state, constantly struggling with pain in the stomach.
So the doctor gave the diagnosis of chronic gastritis the patient should undergo a series of examinations:
- gastroscopy – examination of oesophagus and stomach using a special probe, equipped with a camera;
- ph-metry – monitoring the acidity of the stomach during the night and more. The method allows to detect inflammation and to determine the nature of gastritis (hyperacidity helena hipoatsydni);
- the study of gastric juice, which is taken with a probe;
- respiratory test for the detection of the bacteria Helicobacter pylori;
- biopsy of the gastric mucosa in place of the defective process is for the determination of an accurate diagnosis;
- ULTRASOUND;
- xray studies;
- a blood test for search of antibodies to a pathogenic microogranism.
Acute gastritis does not usually lead to complications. It is the hallmark of the chronic process. Of complications it is worth to highlight:
- anemia (develops due to chronic bleeding, because of damage to the stomach wall);
- peptic ulcers;
- benign helena malignant tumors.
About cancer, it may indicate a change in the habitual stream of chronic gastritis - change the localization of pain and its character. A doctor should be consulted immediately in the presence of other symptoms: black cal, pale skin, frequent dizziness and headache, fainting, tachycardia, shortness of breath. It can testify about the complications of gastritis.
How to cure gastritis?
The basis of the pharmacological treatment of hyperacidity, gastritis (inflammation of the mucous membrane on the background of increased ph in the stomach), is to reduce the acidity of the stomach. The necessary effect to achieve next medicines:
- antacids – this is a medication to reduce the acidity of the stomach, and also the adsorbent enzymes responsible for the digestion of food and the production of hydrochloric acid (e.g., pepsin). Antacids are produced in the form of tablets, powders, gels and slurries.
- alginates – medicinal products, which shall enter into reaction with hydrochloric acid to form a special gel, covering the surface of the stomach.
For pain reduction, use of antispasmodics and analgesics. In any case can not be used with gastritis non-steroidal anti-inflammatory agents (NSAIDS), because they have ulcerogenic effects (induce the development of ulcers).
Further protects the mucous membrane of the stomach gastroprotectia. How and alginates these products formed on the internal surface of the stomach a thin film, which gives hydrochloric acid affect and damage even more mucus. Gastroprotectia often prescribe together with the antisecretory drugs, such as the last themselves are able to influence the development of bacteria in the cavity of the stomach. Antisecretory drugs such as proton pump inhibitors reduce the secretion of hydrochloric acid.
One of the reasons for gastritis - Helicobacter pylori bacteria, and therefore is in the treatment of appropriate identification of antibacterial agents. However, antibiotics have many side effects, it is with caution it is necessary to apply to children and people of older age, pregnant women and mothers during feeding. At the same time with the intake of antibiotics prescribe probiotics to normalize the functioning of the intestines. Antibacterial means always the cause of dysbiosis.
Prokinetics are drugs, accelerating the motor of the digestive tract, and normalize the process of promotion of food on an empty stomach and its treatment further into the duodenum. There is a vast difference from other drugs: prokinetics apply to the reduced acidity of the stomach, at increased. Data drugs reduce the nausea.
Every drug has contraindications, side effects, functions and use for different ages. Therefore prescribe a treatment treatment can only a doctor-a specialist. In gastritis, usually prescribe a combination of several drugs to eliminate the unpleasant symptoms and effect on several links of the process of the formation and secretion of hydrochloric acid.
Diet with gastritis
In addition to receiving special preparations, a person with gastritis, must adhere to the regime the diet. With gastritis with low acid content it is worth it to eat foods that trigger the secretion of hydrochloric acid, what and lowers the ph. For this period of exacerbation used:
- meat and fish broths from lean types of meat and fish;
- liquid porridge, soups without solid and coarse particles of food;
- vegetable puree;
- cooked lean meat, steam cutlets, roast meat and poultry;
- boiled eggs, scrambled eggs;
- cottage cheese.
It is worth it to give up milk, which can even more reduce the acidity.
With gastritis with high acidity of diet is focused on neutralization of the hydrochloric acid. Also the food must be as gentle, so in addition does not damage the mucosa of the stomach. Therefore, patients in the period of relapse should include in your diet:
- the milky soup;
- the broth of the lean meat;
- lean milk (you can add to the tea);
- boiled helena steamed vegetables;
- boiled eggs;
- lean meat, poultry, fish (cooked helena baked);
- white breadcrumbs.
For each type of gastritis is forbidden to eat:
- fatty meat and fish, and, respectively, broths of fatty meat helena fish;
- buttery dough;
- fresh white and black bread;
- hard-boiled eggs;
- smoked products;
- canned food, pickles;
- spicy dishes;
- hot meals;
- fresh vegetables and fruit is of the thick and rough skin;
- confectionery;
- alcoholic beverages;
- fast food;
- any carbonated beverages;
- spices, sauces.
Any of the above products cause even greater irritation of the stomach and disrupt the positive dynamics of the therapy. Any cooked food should be easy of absorption. Best to grind up the food, make the most of the help empty the stomach to spend it.
A strict diet for chronic gastritis observed until the disappearance of symptoms. It takes from one month to two. Further range significantly expands, however, the basic rules you should keep to prevent deterioration. Regardless of the stage of the disease the food should be nutritious, filled with vitamins, trace elements, balanced in protein, fats and carbohydrates.
Coffee with gastritis
You can also coffee with gastritis? Usually doctors recommend to give up your favorite beverage completely. This is due to the ability of caffeine, chlorogenic acids and other substances in the composition of coffee irritates the stomach and increases the acidity. Regular consumption of coffee with gastritis, and especially on an empty stomach, will result in the deterioration of the faulty process and the formation of ulcers.
However, there are several recommendations that will help you drink the beverage even in the inflamed mucosa of the stomach:
- you can't drink coffee on an empty stomach. Just after a meal, after at least half an hour, and preferably over an hour. Substances in the composition of coffee cause the secretion of hydrochloric acid. If it is along with coffee in the stomach can comes food, then the acid just start to act on the wall of the organ;
- coffee may not be hot helena cold. Warm drink the maximum saving will be held through the stomach;
- instead of instant coffee is better to drink natural grain. In the fat-soluble beverages are present tannins, which even more damage to the stomach wall of the stomach;
- coffee must be strong;
- in the course of the day, the number of drunk cups of coffee should not exceed two.
Coffee is allowed to eat when hypoacid (reduced acidity) gastritis. But drinking it is worth it all the same in small quantities. Also in gastritis with reduced acidity is recommended to drink chicory, because this plant affects the production of hydrochloric acid. But it must be remembered that chicory is strictly contraindicated for people with hyperacidity gastritis.
When hyperacidity (heartburn) inflammation in coffee is recommended to add milk. It cools the drink, is its effect on the mucosa of the milder. Replace also coffee, cocoa with a variety of useful for the body properties (increase tone, and mood enhancement due to the presence in the composition of the endorphins).
During exacerbation of the disease, of coffee better to give up completely. It will help you recover as quickly as possible the mucous membrane, without stretching this process for many months.
Well-constructed diet will allow without consequences survive acute gastritis. In chronic process granted the exclusive food reduces the risk of deterioration even in the fall and spring. Diet in this disease is an important part of the therapy, without which the good results achieved, it is virtually impossible. The mode of observance of the exclusive catering to significantly improve the quality of life of the patient.