Today, modern people are so busy that snacks on the run, fatty, spicy, spicy food, fast food and dry food have long become habitual for them. For 95% of the population of civilized countries, such a diet does not pass without a trace, and many have stomach problems.
In this article, we will consider how gastritis is treated, drugs for effective treatment, why therapy should be complex, and what purpose and contraindications the most popular medicines for this disease have.
How does a specialist select a drug for gastritis?
For the treatment of inflammatory processes of the gastric mucosa, it is necessary to determine their type and shape. There are more than a few dozen varieties of gastritis, each of which requires the appointment of special medications. In this article, you can learn only the general principles of treatment, without taking into account all the possible nuances.
Drugs for the treatment of gastritis are presented below.
Basicrule
For the treatment of gastritis, an integrated approach is needed: as a rule, specialists prescribe several drugs of dissimilar orientation. Some are able to remove the main symptoms, others - to protect the mucous membrane from damage, others - to cope with the main cause of the disease. Only such a complex of drugs will help during an exacerbation of the pathology and prevent its development. The type of medications and the duration of administration for different patients vary significantly.
When exacerbated
During an exacerbation, doctors prescribe drugs for the treatment of gastritis that can eliminate the cause of the condition: antihistamines (if there is an allergic reaction), antibacterial drugs (if there is an infection), adsorbents (if there are toxic substances in the stomach). To relieve signs of the disease and prevent the development of inflammatory processes, prokinetics are prescribed (in the presence of nausea and vomiting), analgesics and antispasmodics (with painful sensations), antacids (to reduce damage and protect the mucous membrane) drugs. The symptoms and treatment of gastritis are often linked.
For chronic gastritis
In the chronic form of gastritis, an indicator of the acidity of the stomach is very important for treatment: with an increased mucous membrane, it suffers from a high concentration of hydrochloric acid. Therefore, among the prescribed drugs are proton pump inhibitors and antacids, which can neutralize and reduce acid production, as well as gastroprotectors, whichprotect all membranes of the stomach wall. Gastritis with a low acidity index is a much rarer and very dangerous type. To combat it, gastric juice, enzymes, bismuth preparations and prokinetics are used. For the treatment of chronic gastritis caused by a dangerous microorganism - the bacterium Helicobacter pylori (Helicobacter pylori), a system consisting of three components is used: antibiotics, proton pump inhibitors and drugs with the main active substance bismuth substrate. Such therapy lasts about ten days. For resistant bacterial strains, excipients are prescribed - nitrofuran derivatives. In the treatment of gastritis, the most effective drugs can be purchased at the pharmacy.
Do not forget that only a qualified doctor can recognize the disease and prescribe the right medicines to help treat gastritis. Self-medication is strictly contraindicated, because it can only significantly worsen the condition. Also, when using drugs for the treatment of gastritis, you should carefully study the instructions, contraindications and possible side effects.
Groups of antacid drugs for the treatment of gastritis
If the inflammatory process of the gastric mucosa is caused by an increased acidity index, then one of the most important areas of gastritis therapy is to lower the concentration of hydrochloric acid. To do this, prescribe the use of antacids - drugs that can neutralize a certain amount of stomach acid.
Antacids are divided into two largecategories - non-absorbable (aluminum hydroxide, aluminum phosphate, etc.) and absorbable (for example, sodium carbonate, magnesium oxide). To date, absorbable substances are practically not used, because they can only temporarily alleviate the condition, but at the same time aggravate the course of the disease.
Aluminum phosphate, a popular non-absorbable antacid, should not be used for Alzheimer's disease, severe impairment of all kidney functions, individual intolerance, and hypophosphatemia.
There is, after all, the difference between the treatment of gastritis and effective treatment.
Alginates
According to the mechanism of action, the substances of this group are very similar to antacids, because they are able to lower the acidity of the stomach, due to the fact that they react with hydrochloric acid. As a result of this reaction, a safe gel is formed that envelops the mucous membrane and protects it from damage. Alginates, like antacids, are prescribed for the treatment of gastritis with an increased index of stomach acidity.
Sodium alginate is the most prominent representative of this group of drugs used to combat gastritis. Medicines containing this active ingredient should not be used in patients under the age of 12 years, with hypersensitivity to the components and phenylketonuria.
It is important to understand that only a doctor can select the necessary drugs. Symptoms and treatment of gastritis in adults are of interest to many.
Gastritis therapy will not be effectiveactions, if, in addition to taking medication, do not change the diet. If the disease occurs in an acute form, then fasting is allowed for a day, after which it is allowed to eat low-fat, light food. If the disease proceeds in a chronic form, then the diet is prescribed depending on the acidity index: with an increased acidity, this is table No. 1, with a reduced one, table No. 2.
What other drugs are known for the treatment of gastritis?
Using analgesics and antispasmodics to relieve pain
Inflammatory process in the gastric mucosa can often be accompanied by pain. If gastritis is caused by an increased acidity index, then taking antacids may be enough: the pain disappears when the hydrochloric acid is weakened. But if the acidity index is lowered, then the specialist additionally prescribes antispasmodics and analgesics. Treatment of exacerbation of gastritis with drugs can take a long time.
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Anspasmodics are prescribed for spasms, because they are able to have a relaxing effect on the muscles, thereby reducing and eliminating pain. Very popular drugs in this subgroup are those that contain papaverine or drotaverine hydrochloride. According to some doctors, the first is used for course treatment, and the second is effective for exacerbations. These drugs have similar contraindications: they should not be used in patients who have an allergic reaction to the components, in case of impaired renal function (drotaverine - also in renaland heart failure), in the presence of a type of heart block - atrioventricular block. In addition, papaverine is contraindicated in elderly patients, infants and glaucoma, and drotaverine is contraindicated in low blood pressure and cardiogenic shock.
drugs for the treatment of gastritis - Analgesics are used to relieve pain that is not spastic. For example, metamizole sodium is very popular. This substance, like most analgesics, has a wide variety of contraindications: pregnancy and breastfeeding, asthma, leukopenia, anemia, impaired liver and kidney function, problems with hematopoiesis, individual intolerance to components, etc.
In general, antispasmodics and analgesics, in addition to the analgesic effect, can negatively affect the state of the digestive tract, so their use is recommended to be combined with gastroprotectors in the treatment of gastritis. Effective treatment with drugs is not complete without them.
Gastroprotectors
Substances of this group are able to protect the gastric mucosa by forming a thin layer on its surface. Drugs are prescribed for the treatment of gastritis with high acidity, when the mucous membrane of the organ is destroyed by hydrochloric acid.
One of the most popular drugs in this group are those that contain bismuth subcitrate in their composition. They not only protect, but are also able to have an antibacterial effect by suppressing the development of the bacterium Helicobacter pylori. Welltreatment with bismuth drugs usually lasts several months.
Drugs with this active substance are contraindicated in pregnant and lactating women, with hypersensitivity to the components, as well as with severe renal failure.
We continue to consider the symptoms and treatment of exacerbation of gastritis with drugs.
Antibacterial drugs for the treatment of gastritis and stomach ulcers
If the inflammatory process in the gastric mucosa is caused by the bacterium Helicobacter pylori, then drugs are used for treatment that can destroy it. It has already been mentioned above that bismuth preparations show good results in the fight against this bacterium. But quite often, antibiotics are also prescribed: for example, amoxicillin trihydrate (a group of penicillins) is very common in the treatment of gastritis. Preparations for the treatment of gastritis in adults can be purchased at any pharmacy.
Like the vast majority of antibiotics, it has a number of significant restrictions on its use. In particular, it should not be taken by the elderly and children, women during breastfeeding, hay fever, asthma, allergic reactions, lymphocytic leukemia, some pathologies of the digestive system and a number of other diseases.
Do not forget that antibiotics can not only destroy harmful bacteria, but also beneficial ones, which can cause intestinal problems. After the completed course of treatment with amoxicillin, it is very often prescribed to take probiotics that canrestore intestinal microflora.
We review the symptoms and treatment of gastritis in adults. The drugs don't end there.
Prokinetics
This group of drugs affects the motility of the digestive tract by accelerating the removal of food from the stomach. They are also able to relieve the most common symptoms of gastritis - nausea and vomiting. Basically, prokinetics are used to treat gastritis with low acidity.
Popular prokinetics are drugs for the treatment of gastric gastritis containing domperidone or metoclopramide. Both drugs are contraindicated for use in bleeding in the gastrointestinal tract, intestinal obstruction, some types of tumors and in childhood (from one to five years).
Conclusion
Therapy of such a disease as gastritis requires an integrated approach: most often the doctor prescribes a course that includes about three drugs from the above groups. During treatment, it is important not only to overcome the exacerbation of the disease, but also to prevent its consequences: for this, the doctor prescribes vitamin complexes and gastroprotectors. For those who want to forget about the pain in the stomach, a radical change in lifestyle is shown - the exclusion of bad habits and the revision of their diet.
This is what the treatment of gastritis means. Effective drug treatment is well established.
