Wednesday, August 24, 2016

Stomach mope? You - gastritis!

 Stomach mope? You - gastritis!

His few people take seriously. Gastritis? Yes, I do not have it! Indeed, chronic gastritis - the most common disease of the gastrointestinal tract. Many live with him for years, almost without noticing. Quite another thing when gastritis - acute


A bolt from the blue


Acute gastritis, usually caught by surprise - in the morning feeling better than ever, and for lunch or in the evening a man does not know: writhing in pain in the abdomen, it wears vomiting, diarrhea, no strength. Why scourge? There are a few hazards.


Food poisoning - the most common cause of "sudden" gastritis. Simply put, this dangerous infection of the bacteria. The culprit may be yesterday's salad with mayonnaise or cream cake, a favorite with many meat with blood, and in the summer heat unsafe and dairy products - sour cream, cottage cheese, milk. In everyday life it is often called banal food poisoning. And many of us unaware - for such "poisoning" is bound to acute gastritis, that is inflammation of the stomach lining. Viral intestinal infections - such as rotavirus.


Chemicals that damage the gastric mucosa. Sometimes it may be drugs, for example, too high doses of NSAIDs. They can provoke acute gastritis is not only due to the direct irritation of the gastric mucosa, but also due to a violation of the molecular mechanisms for the protection of the gastric mucosa, so the disease can occur even with too frequent use of anti-inflammatory ointments.


Other "chemical options," triggering an exacerbation of gastritis - acute alcohol poisoning.


Allergic reactions. Some to acute gastritis may cause overloading of the stomach a large amount of unusual food, for example, on vacation abroad when it is difficult to resist the temptation to taste the dishes of a national cuisine.


Simple and not very


Inflammation can affect only the surface layer of the gastric mucosa - experts call such a simple or catarrhal gastritis. As a rule, it goes pretty fast, does not require serious treatment - our internal defense mechanisms to cope with it on their own.


But acute erosive gastritis (namely, it causes a non-steroidal anti-inflammatory drugs, alcohol, aggressive chemicals) runs hard: in this case, not only the surface destroyed, but the deeper layers of the gastric mucosa, muscular layer sometimes. This often gives rise to gastritis, peptic ulcer disease.


At home or in the hospital?


In addition to the classic symptoms of acute gastritis, and he has a "special signs" - clumps of dark blood in the vomit, stool is very dark in color. The duration of acute illness is typically 2-4 days. But a doctor should be sure to apply. Because, for example, vomiting, or abdominal pain may be pancreatitis or poisoning when an urgent need to wash the stomach, and may be a symptom of acute appendicitis. It is necessary to cause "fast" and not to take any medicine, not to lubricate the picture of the disease. If a doctor were bad suspicions, do not give up hospitalization - examination at the hospital will supply all the i's and make the right decisions.


Uncomplicated acute gastritis can be treated at home. In less severe disease, doctors usually prescribe drugs binders. If an attack of gastritis is accompanied by severe pain, antispasmodics are used further. When a state of moderate severity of need prokinetics, in heavy - dropper. It also happens that the need to help the surgeon.


According to a rigid schedule


Inflammation of the stomach is not up to the job, so when acute gastritis first day there can not be. However, and to the patient does not want to. But you must drink. Suit table water, sweetened tea, infusion of rose hips, but the juice is prohibited. The total volume of fluid should be up to two liters per day. At the same time, it is very important to be any drink warm.


The emergence of appetite - the good news: the worst is over, things got better. But in the next five days, the patient is waiting for the ascetic life. The main principle - the food should not irritate the stomach, so the dishes are boiled or steamed, give them to the patient in a shabby, almost unsalted and even more so without spices and herbs.


What is possible?   Start with viscous soups - rice or oatmeal, they can add a bit of butter. Next - liquid porridge: semolina, rice, buckwheat and oatmeal mashed. From lean meats, poultry and fish dishes are prepared, which passed 2-3 times through a meat grinder or blender to break. Allowed milk, steam souffle grated cheese. Eggs - only boiled or in the form of a steam omelette. Welcome jelly sweet berries and fruits, weak tea with milk or cream, broth hips.


Prohibited: yogurt, yogurt and any milk drinks, cheese, sour cream, plain cottage cheese, raw vegetables and fruits, bread, pastries, coffee, cocoa, brew soda.


When and how much: between diet food must be fractional: every 2-3 hours, 6 times a day, small portions. After 5-7 days, the menu can be expanded gradually and in two weeks to return to the usual diet.


Trigger


Not to be confused with acute gastritis and chronic aggravation. These are completely different things. Gastritis - general collective medical term. In fact, the so-called a number of diseases of the upper gastrointestinal tract: acute and chronic gastritis, functional dyspepsia, ulcer, erosive gastroduodenitis and others.


Community gastroenterologists are now discussing how to call chronic gastritis, because, in fact, it is a distinct disease with its specificity. For example, in contrast to acute chronic gastritis may be asymptomatic. But once activated "trigger": tired of eating cold food from the stomach, or the lady tending to lose weight, she sat on a rigid diet, or a man entered the chronic stress ... In short, a lot of factors, and anyone can make a secret revealed.


Learn the truth


The attack can occur and disappear. But after a while he would repeat, once, twice, three times. What next - the more often. Usually between the "first bell" to refer to a gastroenterologist takes two or three months - on the problem of "get" and a desire to get rid of them.


What are the symptoms can be understood that this "Chronicle"? During normal or increased secretory function of human stomach during exacerbation feels heartburn, "acidic" belching spilled stomach pain, constipation for some characteristic. When the secretory failure after eating the stomach "bursting", there is belching air, mushy stool.


Establish the truth will examined by a gastroenterologist, which begins with laboratory diagnostics (biochemical and clinical blood tests), then performed a gastroscopy: that it allows you to detect changes in the gastric mucosa - the presence of edema, the degree of redness, atrophy, the presence of erosions, the prevalence of the process, and so on. Etc. . Do not be afraid of this study: in good clinics it is carried out with anesthesia. If necessary, your doctor may prescribe additional examinations. There are different forms of chronic gastritis, accurate diagnosis depends on the particular scheme and the success of treatment.

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