Stomach pain worries people because of many reasons, one of which may be gastritis.
Why stomach hurts?
There are many diseases that trigger pain in the stomach or near it. For the doctor it is important to determine the nature and localization of pain. Here is a list of some diseases and a description of the nature of accompanying pain:
- pancreatitis, cholecystitis and peptic ulcer of the duodenum cause sharp pain in the stomach. The pain that patients describe as sharp, usually indicates a perforation of the ulcer (of the phenomenon the appearance of holes in the hollow body due to chronic pathologic process in the wall). This can occur when the stomach ulcer or duodenal ulcer;
- gastritis and stomach ulcers are usually accompanied by a burning sensation in the epigastrium (part of abdomen and lower sternum). If the process ironiziruya, the pain is dull and aching. Gastritis and ulcer is clearly seen the correlation with the food intakes: pain phenomena appear in a couple of hours after a meal or on an empty stomach;
- the pain is "shooting", is a short (a few seconds) that occurs when breathing or standing up quickly W spoon, characteristic spasm of the diaphragm. Provoke spasm, circulatory disorders of the diaphragm;
- patients with malignant neoplasms in the stomach complain of a weak, but persistent pain. If the tumor had metastasized to the pancreas, the pain turns into encircling;
- for poisoning characterized by 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 is usually weaker than a few Zen, but does not disappear completely.
This is the most common cause of abdominal pain. However, an accurate diagnosis can only ask a doctor after specific diagnostic studies. In addition to the above conditions, the pain occurs when the stratification of abdominal aortic injury after a blow to the stomach and intestines. There are times when the pain is a hell of a heart attack is moved to the epigastric region.
Some diseases require rapid response and immediate operative intervention to save the patient's life. For example, if time does not carry out the operation for perforation of gastric ulcer or duodenal ulcer, develop complications (peritonitis, sepsis) that directly threaten the patient's life.
Important! When abdominal pain of any localization can't drink with painkillers. The character of the pain will tell the doctor what body check, and the self-disappearance of pain may say that the pathological process progresses and an urgent need to do something, although sub ectin the patient will seem to make it better. A similar condition may occur with the rupture of the appendicitis.
The symptoms of gastritis
Let's focus on the gastritis. What is this disease and what other symptoms, besides pain, may indicate this diagnosis? Gastritis – inflammation of the inner lining of the stomach, which occurs due to several reasons. The main provoking factors of gastritis are as follows:
- improper diet (lots of fatty and fried foods, one meal per day);
- the use of large quantities of alcoholic beverages;
- chronic stress;
- Smoking;
- the use of drugs that affect the stomach, for example, nonsteroidal anti-inflammatory drugs (aspirin, ibuprofen);
- the impact of Helicobacter pylori.
Usually one reason to highlight is difficult, as the disease develops due to a combination of the above factors.
Symptoms of gastritis:
- pain is the primary complaint of patients with gastritis. Patients show localization of pain in the epigastrium (epigastric region). Often the pain occur a few hours after eating. There are hunger pains (pain that phenomenon is on an empty stomach or long after meal). Uncomfortable sensations if the patient will eat fried, spicy, acidic or hot;
- belching, flatulence;
- rumbling in the abdomen;
- heaviness in the stomach;
- nausea, vomiting;
- coated with white bloom language;
- low-grade fever the whole (Yes, 37 degrees);
- stomach discomfort that does not pass throughout the day.
As mentioned above, can cause gastritis can many factors. It is considered one of the leading bacterial theory, where a crucial role in the development of the disease is played by the bacterium Helicobacter pylori. However, wrong diet (e.g., one or two meals per day), affection and a certain type of food (spicy or fried foods) irritate the stomach, causing pathological process.
Chronic gastritis
Acute gastritis is an acute condition caused by a single impact of the stimuli (harmful microorganisms, poor quality food, chemicals) on the mucous membrane of the stomach. There is an inflammatory process. In this case, shown diet, medication. Subject to all rules and effective treatment of acute gastritis will remain 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 moved into a chronic form.
Usually there is a seasonality of exacerbations. Patients hospitalized with exacerbation in the autumn and spring. This is due to lowered immunity in these months, the ability to resist bacteria was lower, which resulted in the inflammation.
Frequently chronic gastritis acute stressful situation. People who are not able to adequately regulate their emotional state, constantly faced with the pain in my stomach.
The doctor diagnosed 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 meter – monitoring the acidity of the stomach during the day and more. The method allows to detect inflammation and to determine the nature of gastritis (hyperacid or hypoacid);
- the study of gastric juice, which is extracted by the probe;
- respiratory test for the detection of Helicobacter pylori;
- biopsy of the gastric mucosa in place of the pathological process to establish more accurate diagnosis;
- Ultrasound;
- x-ray examination;
- a blood test to find antibodies and pathogenic microogranism.
Acute gastritis usually does not and complications. It is characteristic of chronic process. Of complications should be highlighted:
- anemia (develops due to chronic bleeding due to damage of the stomach wall);
- peptic ulcer;
- benign or malignant tumors.
About cancer may indicate changes in the usual course of chronic gastritis - a change in the location of pain and its nature. Yes, the doctor needs to address immediately in the presence of additional symptoms: black stool, pale skin, frequent dizziness and headaches, fainting, tachycardia, shortness of breath. This may indicate a complication of gastritis.
How to treat gastritis?
The mainstay of medical treatment of hyperacid gastritis (inflammation of mucosa due to high pH in the stomach) phenomenon is the decrease in the acidity of the stomach. The desired effect achieve next medicines:
- antacids – medicines that decrease stomach acidity and adsorbed enzymes responsible for digestion and the production of hydrochloric acid (e.g., pepsin). Antacids produced in the form of tablets, powders, gels and suspensions.
- alginate – drugs that reacts with hydrochloric acid, constitute a special gel that covers the surface of the stomach.
To reduce pain used antispasmodics and analgesics. In any case, cannot be used for gastritis nonsteroidal anti-inflammatory drugs (NSAIDs) because they have ulcerogenic action (provoke the development of ulcers).
Also protect the lining of the stomach gastroprotectia. As with alginate, these drugs form the inner lining of the stomach thin film which does not give hydrochloric acid can act to cause even more mucous. Gastroprotectia is often prescribed in conjunction with antisecretory drugs, since the latter themselves are able to influence the development of bacteria in the stomach cavity. Antisecretory drugs, such as proton pump inhibitors, reduce the secretion of hydrochloric acid.
One of the causes of gastritis - Helicobacter pylori the bacterium, and thus in the treatment it is advisable prescription of antibacterial agents. However, antibiotics have many side effects, they caution it is necessary to use children and elderly people, pregnant women and mothers during feeding. Simultaneously with antibiotics prescribed probiotics to normalize intestinal function. Antibacterials always cause goiter.
Prokinetics are drugs that speed up the motility of the gastrointestinal tract, namely, normalizes the process of movement of food in the stomach and its excretion distances in the duodenum. A significant difference hell other drugs: prokinetics used in the lowered acidity of a stomach and not elevated. Also, these drugs reduce nausea.
Every drug has contraindications, side effects, and considerations for different ages. Therefore, to appoint medical treatment can only specialist. Gastritis usually prescribed a combination of several drugs to relieve the unpleasant symptoms and affect multiple components of the process of formation and secretion of hydrochloric acid.
Diet for gastritis
In addition to administration of specific medications, people with gastritis should follow a policy of diet therapy. Gastritis with low acidity should eat foods that trigger the secretion of hydrochloric acid that lowers the pH. To do this, in the period of exacerbation is used:
- meat and fish broth lean meats and fish;
- liquid porridge, soups without solids and coarse particles of food;
- vegetable puree;
- boiled lean meat, steam cutlets, roast meat and poultry;
- boiled eggs, scrambled eggs;
- cheese.
Hell should drop the milk, which may further reduce the acidity.
In gastritis with high acidity diet aimed at neutralizing hydrochloric acid. Also a hedgehog needs to be as lenient as possible, so as not to injure further the mucous membrane of the stomach. So patients during periods of exacerbation should include in your diet:
- milk soup;
- soup on lean meat;
- low-fat milk (you can add in tea);
- boiled or steamed vegetables;
- boiled eggs;
- lean meat, poultry, fish (boiled or baked);
- white crackers.
For each type of gastritis and prohibited use:
- fatty meat and fish, and, accordingly, the broth of fat meat or fish;
- pastry;
- fresh white and black bread;
- hard-boiled eggs;
- smoked products;
- canned food, pickles;
- spicy dishes;
- hot meals;
- fresh vegetables and fruits with thick and rough skin;
- confectionery;
- alcoholic beverages;
- fast food;
- any carbonated beverages;
- spices, sauces.
Any of the above products will cause more irritation of the stomach and to break the positive dynamics of the therapy. Each cooked dish is supposed to be easily digested. It is desirable to grind a hedgehog, to best assist the stomach to digest it.
A strict diet for chronic gastritis occurs and symptoms subside. It takes a hell of month Yes two. Dalia menu is greatly expanded, but the basic rules should be followed to prevent aggravation. Regardless of the hell stage of the disease the diet should be full of vitamins, minerals, balanced in protein, fats and carbohydrates.
Coffee for gastritis
Can coffee with gastritis? Usually doctors recommend to give Ada the beloved satiated completely. This is due to the ability of caffeine, chlorogenic acids and other substances in the coffee to irritate the stomach and increase acidity. Regular consumption of coffee with gastritis, especially on an empty stomach, will cause the deterioration of the pathological process and the formation of ulcers.
However, there are several recommendations that will help to drink sing even in the inflamed mucosa of the stomach:
- can't drink coffee on an empty stomach. Just after a meal, at least half an hour, better an hour. Substances in coffee cause the secretion of hydrochloric acid. If along with coffee in the stomach is not received urchin, a simple acid starts to affect the wall of the body;
- coffee should not be hot or cold. A warm hum in a careful pass through the stomach;
- is instant coffee better to drink natural grain. In instant drinks are tannins, which further injure the stomach wall;
- coffee should be strong;
- during the day the number of cups of coffee should not exceed two.
Coffee is allowed and the application in hypoacid (reduced acidity) gastritis. However, drinking it is still in small quantities. Also in gastritis with low acidity is recommended to drink chicory, as this plant affects the production of hydrochloric acid. But it should be understood that the chicory is strictly contraindicated in people with hyperacidity gastritis.
Hyperacidity (acidity) gastritis in coffee is recommended to add milk. It cools NAPA, making its effect on the mucous softer. Replace coffee with cocoa, which has a number of beneficial properties (increased tone and improved mood due to the presence in the composition of the endorphins).
During exacerbation of the disease hell coffee is better to refuse at all. This will help to quickly restore the gastric mucosa, not drawing out this process for many months.
Correctly composed diet will allow without consequences to experience acute gastritis. When the process has become chronic the proper diet reduces the risk of exacerbations even in autumn and spring. Diet in this disease phenomenon is an important part of the therapy, without which good results almost impossible to achieve. Compliance with the diet greatly improve the quality of life of the patient.