Gastrointestinal disease, in which single or multiple ulcers appear on the gastric mucosa during inflammation, is called erosive gastritis. Treatment should be aimed at eliminating the causes, normalizing the acidity of gastric juice and restoring the mucous membrane. During the course of the acute phase of the disease, you need to follow a diet.
Sharp shape
Treatment of erosive gastritis in this form should be aimed at healing the surface of the gastric mucosa. Its rapid course is facilitated by various stresses experienced by the patient. Erosions resemble wounds with a predominant lesion of the distal section. Their diameter does not exceed 3 mm. The most common is superficial erosive gastritis. It is mainly provoked by stress.
Chronic form
It is the most dangerous for human he alth. There are multiple erosionsgastric mucosa, which may be at different stages of healing. The lesions are small islands that are somewhat elevated above the mucosa. Small ulcers may be located on the tops, which are similar to manifestations of the stomach disease of the same name.
Types of erosion
According to the morphological pattern, the following forms are distinguished:
- superficial (acute, incomplete or flat) - covered with fibrous plaque or blood, less often - clean, flat, small in size, with hyperemia on the periphery;
- complete (chronic, elevated, inflammatory-hyperplastic), not healing up to 2-3 years with periodic relapses, polypoid form, up to 15 mm in diameter, elevated above the mucosal surface.
Erosive gastritis according to ICD-10
This abbreviation stands for International Classification of Diseases. Any ailment has its own cipher, consisting of a Latin letter and numbers that fit into a card or medical history. This information is reviewed periodically every 10 years. The next stage of the revision is scheduled for 2018.
Erosive gastritis according to ICD-10 refers to section K.29. It is he who, together with the surface form, has the code 29.3.
Foundations of Appearance
Erosive gastritis does not occur from scratch. It is usually preceded by other diseases of the gastrointestinal tract, in which the patient did not go to the doctor. He tries to self-medicate, which does not lead to anything good. Advanced form of this diseasecould end badly.
Causes of erosive gastritis are as follows:
- bad habits;
- taking certain drugs for a long period of time: paracetamol, NSAIDs - continued treatment with these drugs can provoke the transition of erosive gastritis to a malignant neoplasm;
- eating spicy food;
- malnutrition;
- eating too hot or too cold food;
- getting into the stomach of the contents of the duodenum in case of failure of the gastroduodenal sphincter during digestion;
- toxic substances that enter the body as a result of human professional activity;
- marked diabetic ketoacidosis;
- thyroid dysfunction;
- reflux;
- diabetes mellitus;
- surgical interventions, since the production of hydrochloric acid in the first ten days after surgery increases 4 times;
- hypoxia in acute and chronic forms: coma, severe respiratory or heart failure, massive burns, injuries;
- pressure exerted on the mucosa by voluminous neoplasms located in the submucosal layer;
- chronic disease of the gastrointestinal tract;
- presence of Helicobacter pylori bacteria in the gastrointestinal tract.
Symptomatics
As mentioned above, the disease can occur in two forms, each of which has its own signs.
Symptoms of acute erosive gastritis:
- liquid stool appears, which may contain blood, indicating internal bleeding;
- vomit contains stomach contents, blood clots, mucus and gastric juices;
- nausea or heartburn after eating;
- there are paroxysmal or persistent pain in the abdomen, aggravated after eating and as erosion develops;
- Mouth may feel dry and bitter;
- there may be a decrease in appetite or its complete absence.
Symptoms of chronic erosive gastritis:
- gastric bleeding occurs;
- burping occurs;
- stool becomes unstable - diarrhea is constantly replaced by constipation;
- nausea;
- heartburn;
- abdominal discomfort.
Types of erosive gastritis
The following are distinguished:
- superficial - is the beginning of the chronic form, while the upper layer of the mucosa suffers, the surface epithelium decreases, acidity increases, local inflammation occurs;
- antral - named for the location of erosions in the lower part of the stomach, called antral, most common, caused by pathogens;
- reflux is the most severe form of the disease with the formation of large erosions;
- erosive-hemorrhagic - gastritis, in which bleeding is observed, can be fatal;
- ulcerative - varietyacute form, erosion gradually turn into ulcers.
Erosive gastritis can manifest itself in a focal form, manifested by the presence of several lesions. It can be confused with cancer and should be well researched.
Diagnosis
To make a diagnosis of erosive gastritis, the doctor must prescribe an endoscopic examination. This procedure is quite unpleasant for the patient, but there are no analogues of it today. The doctor inserts an endoscope into the gastrointestinal tract through the oral cavity, which is a tube with a light bulb and a camera at the end. Through its use, the state of this path is evaluated. Simultaneously with the examination, a scraping from the mucous membrane is performed for a biopsy.
Additional diagnostic methods are as follows:
- radiography to detect tumors, ulcers and erosions when taking a barium solution passing through the gastrointestinal tract and staining it, in which pathologies become visually visible;
- blood and feces analysis - with the help of the first, anemia is detected that accompanies gastric bleeding, and the number of red blood cells in the feces is determined, an increased number of which also indicates the latter.
Erosive gastritis treatment
It should be aimed primarily at eliminating the cause. Helicobacter pylori is the most commonly prescribed antibiotic. In this case, use the following pills for erosive gastritis:
- "Amoxicillin";
- Clarithromycin;
- Levofloxacin;
- Tetracycline.
The course should not be interrupted, because bacterial colonies die for a long time and, if they are not completely destroyed, they can resume their reproduction at any time.
Next, it is necessary to normalize the acidity of gastric juice. In this case, acid blockers and antacids are prescribed:
- "Nizatidin";
- "Magnesium hydroxide";
- "Almagel";
- Maalox;
- Rennie and others.
They all have a different mechanism of action, so you should not take them without the advice of a doctor.
The action of gastric juice is muted by these drugs, so enzymes are prescribed to facilitate the digestion of food:
- "Digestal";
- Mezim.
To relieve pain, the doctor may prescribe antispasmodics:
- "No-shpa";
- "Papaverine".
At the last stage, you need to restore the gastric mucosa. To do this, take the following drugs:
- Trental;
- Iberogast.
With their help, the affected tissues are better supplied with oxygen, which ensures a faster regeneration process.
To relieve symptoms and stimulate wound healing in erosive gastritis, drugs of the following groups can be used:
- sedatives;
- antispasmodics;
- antioxidant drugs;
- reparants;
- antacids.
In complextherapy may be prescribed physiotherapy. With observed bleeding, laser, thermo- and electrocoagulation can be prescribed. Brackets, endoscopic stitching can also be applied. In addition, injections of sclerosants and adrenaline can be given.
When bleeding, hemostatic agents are prescribed by intravenous or intramuscular injection of the following drugs:
- Vikasol;
- "Thioctic acid";
- "Dicinon".
In severe bleeding, electrocoagulation is prescribed, but sometimes the method does not work, then the stomach is removed surgically, since this is the only way to save a person's life.
Folk remedies
They should be used after consulting your doctor.
The most effective folk remedies in the treatment of erosive gastritis are as follows:
In equal proportions take sage, horsetail, St. John's wort, peppermint, flax seeds, yarrow, plantain leaves, which are mixed. One spoon is taken from the mixture, which is placed in a glass of boiling water, in which the infusion is carried out for three hours. The funds are taken ten minutes before meals
- Green apples grated. Two tablespoons of honey are added to them. The mixture is taken 5 hours before meals. After eating, do not eat for the same time. In the first week of treatment, the mixture is taken daily, the next - three times, the third - once, after which allrepeats in a new circle. The course of treatment is three months.
- If you have low acidity, you can drink pineapple juice three times a day before meals for three weeks.
- Buckwheat honey in the amount of 250 g is mixed with half a liter of olive oil. Take 1 tbsp. l. 3 times a day half an hour before meals.
- Propolis tincture is prepared based on the ratio - 3 parts of propolis to 10 parts of vodka. 20 drops diluted in a glass of water and taken in the morning on an empty stomach. The course is 2-3 months, should be held twice a year with breaks.
- Milk is mixed with mummy. The course is 3 months and includes admission to 1 tbsp. l. before bed.
- Linden honey is mixed with aloe juice in a ratio of 1:1. It is taken before meals three times a day.
- Sea buckthorn juice is diluted with water in a ratio of 1:1. It contributes to the enveloping of the mucosa and its restoration. Consume half a cup before meals.
- An aloe leaf that has been developing for more than three years is placed in the freezer of the refrigerator for one hour. After that, juice is squeezed out of it, which is consumed before meals, one spoon at a time. The course of treatment is 1-2 months.
- Also the most effective folk remedy for the treatment of erosive gastritis is the following recipe: take a cup of wheat grains, pour water and place on the windowsill. After it sprouts, the grains are washed. Sprouts are cut with a knife or passed through a meat grinder. The mixture is taken in 1 tbsp. l. on an empty stomach.
Diet
The menu for erosive gastritis involves the inclusion of fresh foods in the diet. The patient mustreceive fractional meals. These products include:
- low acid fruits and vegetables: greens, pears, pumpkin, bananas, peaches, celery, carrots, apples;
- sources of vegetable fiber that help restore the digestive system: brown rice, millet, buckwheat;
- vegetable oil, eggs, low fat dairy products;
- lean fish and meat, boiled or steamed.
The following foods should not be consumed:
- contributing to excessive gas formation in the intestines: legumes, onions, cabbage, broccoli and others;
- indigestible, fatty and heavy foods: fried potatoes, beef and pork;
- smoked meats;
- spices;
- s alty food;
- alcohol;
- cold and hot food, because the first impairs blood circulation in the erosion zone, and the second exacerbates the inflammatory process;
- muffin;
- chocolate;
- wheat bread;
- highly carbonated drinks.
The ban on these products should be strictly enforced during the period of exacerbation of erosive gastritis.
In a chronic disease, you need to stick to diet number 5. The multiplicity of meals is 5-6 times a day. Food should be well chewed. You can not eat on the run, change the intervals between meals during the day. You do not need to eat foods containing coarse fiber, meat with tendons. Fruit and vegetable products must be cleaned.
If availableerosive gastritis with high acidity, you need to use hydrocarbonate mineral water, which should be non-carbonated, one glass an hour before meals.
As an example, below is a one-day menu for a patient with erosive gastritis.
Breakfast: cottage cheese casserole, cocoa.
Second breakfast: baked goods with low-fat toppings or a small amount of butter.
Lunch: low-fat broth based on animal or poultry meat. Lean fish fillets and steamed vegetables.
Dinner: steamed vegetables with meat, rosehip compote.
For the night: fermented milk products such as bifidok, yogurt or kefir.
In closing
Treatment of erosive gastritis should be aimed at eliminating the cause, eliminating acidity and restoring the mucous membrane. The most common cause is considered to be the impact on the stomach of pathogenic microflora in the form of the bacterium Helicobacter pylori. But there are other reasons for this disease. The disease in case of bleeding is a threat to human life. It may involve surgery to remove the stomach. Basically, the treatment is therapeutic. After consultation with your doctor, you can use folk remedies in complex therapy, which help to reduce the healing time. Treatment must be accompanied by diet 5.
