The stomach pain is concerned of people due to many reasons, one of which can be gastritis.
Why the stomach pain?
There are many diseases that cause the feeling of stomach pain or around it. For the doctor it is important to determine the nature and location of the pain. Here is a list of some of the diseases and the description of the character of the accompanying pain:
- pancreatitis, cholecystitis and duodenal ulcer cause severe pain in the stomach area. The pain, that patients characterize as acute, usually talking about drilling the ulcer (appearance of holes in the floor of a body due to the chronic of the pathological process in its wall). It can occur gastric or duodenal ulcer;
- gastritis and stomach ulcers are usually accompanied by a burning sensation in the epigastric (abdominal bottom of your sternum). If the process of ironiziruya, then the pain becomes dumb and deaf. Gastritis and ulcer clearly the relationship with the meals: the feeling of pain appears after a couple of hours after meals or on an empty stomach;
- the pain is "shooting", of short duration (a few seconds), that occurs during the in-breath fast or gets out of bed and is characterized by spasm of the diaphragm. Causes a spasm circulatory disorders of the diaphragm;
- patients with malignant tumors the stomach complain of weakness, but a chronic pain. If the cancer has spread to the pancreas, the pain turns into all around them;
- food poisoning is characterized by a strong, sharp, cramping pain in any part of the abdomen;
- colitis (inflammation of the colon) is accompanied by intense pain in the upper abdomen, which usually weakens after a couple of days, but does not disappear completely.
These are the most common causes of abdominal pain. However, an accurate diagnosis can put only a doctor following a few diagnostic tests. In addition to these conditions, the pain occurs during the layering of the abdominal aorta, trauma after the impact in the area of the stomach and intestines. There are cases, when the pain from a heart attack moves in the epigastric area.
Some diseases require a rapid response and immediate intervention to save the life of the patient. For example, if the time does not carry out the operation during the drilling of a gastric or duodenal ulcer, develop complications (peritonitis, sepsis), which are directly threatening the life of the patient.
Important! When the abdominal pain of any localization, not to drink painkillers. The pain will tell the physician the authority to verify independently, and the disappearance of pain can say that the pathological process progresses and an urgent need to do something, even if subjectively the patient feel that he has done well. This condition may occur when the rupture appendicitis.
The symptoms of gastritis
Let us reflect on the gastritis. What is this disease and what are the other symptoms, besides the pain, they can point to this diagnosis? Gastritis is an inflammation of the internal surface of the stomach, which occurs due to a number of reasons. The main predisposing factors of gastritis are:
- the wrong food (a lot of fat and fried dishes, a meal a day);
- the consumption of large quantities of alcoholic beverages;
- chronic stress;
- structure;
- the use of medications that affect the stomach, for example, non-steroidal anti-inflammatory drugs (aspirin, ibuprofen);
- the impact of the bacterium Helicobacter pylori.
Usually a reason to highlight difficult, as the disease develops due to a combination of the above factors.
Signs of gastritis:
- the pain is the complaint of patients with gastritis. Ill indicate the location of pain epigastric (epigastric area). Often the pain occur after a couple of hours after the consumption of the food. We are hungry of pain (the pain, appears to be on an empty stomach or after a long period of time after the meal). Bad feelings are amplified if the patient eats fried, spicy, sour or hot;
- belching, flatulence;
- rumbling of the stomach;
- the heaviness of the stomach;
- nausea, vomiting;
- white hair a touch of tongue;
- a slight increase in body temperature (up to 37 degrees);
- discomfort in the stomach, which does not pass throughout the day.
As mentioned above, can cause gastritis by 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 power mode (for example, one or two meals per day), a predilection for a certain type of food (acute or fried dishes) irritate the mucous membrane of the stomach, causing a pathological process.
Chronic gastritis
Acute gastritis is acute is a condition caused by an effect of stimuli (harmful bacteria, poor quality of food, chemicals) on the gastric mucosa. Occurs an inflammatory process. In this case it is suitable a diet, pharmacological treatment. In respect of all the rules and effective as treatment, acute gastritis remains for the patient in the past. Under the influence of some factors (poor nutrition, chronic stress) periods of exacerbation become permanent. This means that the process has passed into the chronic form.
Usually occurs the seasonality of exacerbations. The sick are admitted in the hospital with a peak in autumn and spring. This is due to the low immunity in these months, the ability to resist bacteria the lower, which is an inflammation of the mucosa.
Often the chronic gastritis is intensified during a stressful situation. People who do not know how to properly adjust your emotional state, you are faced with the pain of the stomach.
The doctor has diagnosed a chronic gastritis, the patient must undergo a series of polls:
- gastroscopy – inspection of the esophagus and the stomach with the help of a special probe with camera;
- ph-monitoring – monitoring the acidity of the stomach for days and more. The method allows you to detect inflammation and to determine the character of gastritis (hyperacid or hypoacid);
- the research of the gastric juice, that shoves the probe;
- the respiratory test for the detection of the bacteria Helicobacter pylori;
- biopsy of the gastric mucosa in the site of a pathological process to establish the most accurate diagnosis;
- ULTRASOUND;
- the the x-ray examination;
- analysis of the blood for the research of antibodies to pathogenic microogranism.
Acute gastritis is not usually leads to complications. This is a typical characteristic of a chronic process. Of complications it is worth to highlight:
- anemia (develops due to the chronic bleeding, because of damage to the walls of the stomach);
- peptic ulcers;
- benign or malignant tumor.
Cancer may indicate a change in the habits of the current chronic gastritis - change of location of the pain and its character. The doctor needs to see you immediately if you have more symptoms: black cal, the pallor of the skin, frequent dizziness and headache, fainting, tachycardia, shortness of breath. This can bear witness to the complications of gastritis.
How to cure gastritis?
The basis of the pharmacological treatment of hyperacidity gastritis (inflammation of mucosa on the background of an increase of ph in the stomach) is the reduction of the gastric acidity. The desired effect try close to of drugs:
- antacid is drugs that reduce the acidity of the stomach, and also of absorbing the enzymes responsible for the digestion of food and the production of hydrochloric acid (e.g., pepsin). Antacids release it in the form of tablets, powders, gels and suspensions.
- alginates – medicines, which, entering in the reaction with hydrochloric acid, forming a gel that covers the surface of the stomach.
To reduce the pain, apply anti-spasmodics and painkillers. In any case, you can use the gastritis non-steroidal anti-inflammatory drugs (NSAIDS), because they have ulcerogenic action (lead to the development of ulcers).
Also protect the gastric mucosa gastroprotectia. As alginates these medicines formed on the internal surface of the stomach thin film that does not give hydrochloric acid to act and cause even more damage to the mucous membrane. Gastroprotectia often prescribed in conjunction with antisecretory agents, as well as the latest, of itself, able to influence the development of bacteria in the stomach cavity. Antisecretory agents, for example, proton pump inhibitors, reduce the secretion of hydrochloric acid.
One of the reasons for gastritis - the bacterium Helicobacter pylori (h. pylori), and then during the treatment it is advisable the appointment of antibacterial agents. However, antibiotics have a lot of side effects, they should be used with caution children and the elderly, pregnant women and mothers during lactation. Also with the intake of prescribed antibiotics, the probiotics, in order to normalize the intestine. Antibacterial always call a goiter.
Prokinetic agents is drugs that improve the motility of the GASTROINTESTINAL tract, that is to say, normalize the process of promoting the food for the stomach and its excretion above in the reflux duodenum. The substantial difference of other drugs: prokinetics apply with low stomach acid and not with the increase. These drugs also reduce the nausea.
Each medication has contraindications, side effects, and the usage characteristics for different age groups. Then assign the pharmacological treatment can only specialist. In the case of gastritis, usually prescribe a combination of different drugs to relieve the unpleasant symptoms and act on a couple of links of the process of the formation and secretion of hydrochloric acid.
Diet for gastritis
Taking special medications, people with gastritis must comply with the diet regime. Gastritis with low acidity, it's worth eating foods that cause the secretion of hydrochloric acid, which lowers the ph. For this reason, in an acute period of use:
- meat and fish dishes, broths and low-fat varieties of meat and fish;
- liquid cereals, soups without solid and hard particles of food;
- puree vegetables;
- lean meat boiled, steamed meatballs in the oven meat and poultry;
- hard-boiled eggs, omelet;
- the ricotta cheese.
It is worth to abandon the milk, which can further lower the acidity.
Gastritis with high acidity diet aims to neutralize the hydrochloric acid. Also the food must be the most delicate, not to hurt further the gastric mucosa. Therefore, patients in periods of relapse must include in your diet:
- milk soup;
- the broth of the lean meat;
- partially skimmed milk (you can add to the tea);
- boiled or steamed vegetables;
- hard-boiled eggs;
- lean meat, poultry, fish (boiled or baked);
- white crumbs.
For each type of gastritis, non-smoking consumer:
- fat of meat and fish and, as a result, broths fat meat or fish;
- pasta;
- fresh white and black bread;
- hard-boiled eggs;
- smoked products;
- preserves, pickles;
- the spicy dishes;
- hot dishes;
- fresh vegetables and fruits with thick peel, rough skin;
- confectionery;
- alcoholic beverages;
- fast-food restaurants;
- any carbonated drinks;
- spices, and sauces.
Any one of these products causes even more irritation of the stomach and breaks a positive trend of the therapy. Every dish prepared has to be easy to digest. Preferably to grind the food as much as possible to help the stomach to digest.
Strict diet for chronic gastritis observed until the symptoms disappear. It lasts from a month to two. Above the menu expands significantly, however, the main rules should be respected, to avoid the aggravation. Regardless of the stage of the disease, the diet must be full, rich in vitamins, trace elements, balanced in protein, fat and carbohydrates.
Coffee gastritis
If the coffee gastritis? Doctors usually advise to leave drink completely. This is due to the ability of caffeine will taste, chlorogenic acids and other substances in coffee irritate the stomach and increase the acidity. The regular consumption of coffee gastritis, especially on an empty stomach, it will lead to a worsening of the pathological process and the formation of ulcers.
However, there are some tips that will help you to a drink even if inflammation of the gastric mucosa:
- you can't drink coffee on an empty stomach. Only after meals, after at least half an hour, better an hour. Substances coffee causes the secretion of hydrochloric acid. If together with the coffee in the stomach does not get food, the acid just begins to impact the wall of the organ;
- the coffee should not be hot or cold. Hot drink heavier passes through the stomach;
- instead of instant coffee is better to drink natural grain. In the instant beverages present tannins, which are even more evil to the walls of the stomach;
- the coffee must not be strong;
- in the course of the day, the number of drunk cups of coffee should not exceed two.
Coffee allowed consumption when hypoacid (ipoacidità) gastritis. However, drinking it in small amounts. Also gastritis with low acidity should drink three new teeth, as well as is a plant that affects the production of hydrochloric acid. But it should be clear that the three new teeth is strictly contraindicated for people with hyperacidity gastritis.
In giperatsidnom (hyperacidity) gastritis in the coffee recommended to add the milk. It cools the drink, is its effect on the mucosa of the soft. Replace the coffee may cocoa, with a series of benefits for the body properties (increase of the tone and an improvement of mood due to the presence of endorphins).
An exacerbation of the disease coffee is better to give up completely. This will help you as quickly as possible to restore the mucous membrane of the stomach, does not extend this process for many months.
Successfully completed the diet without any consequences to relive acute gastritis. When chronic process due to feeding reduces the risk of exacerbation in the autumn and in the spring. The diet in this disease is an important part of the therapy, without which the good results achieved practically impossible. With respect to mode of power supply will significantly improve the quality of life of the patient.