Treatment of chronic gastritis – how is it carried out? Chronic gastritis is an ailment that causes a lot of inconvenience to the carrier of the disease. Treatment of exacerbation of chronic gastritis is a separate topic for discussion, since there are many traditional and non-traditional forms of getting rid of the disease. Therapy of chronic gastritis includes many nuances that you should be aware of. This applies not only to taking medications, but also to lifestyle and nutrition. How to cure chronic gastritis, of course, it is better to learn from the attending doctor, but we will also give you some recommendations. Treatment of chronic gastritis – read gastritinfo.com.
Treatment of chronic gastritis
Treatment of chronic gastritis is complex and includes recommendations on diet and diet, medications, physiotherapy and spa treatment.
Due to the fact that this disease is largely associated with the impact of stressful factors and strong emotional experiences, in some cases the patient needs the help of a psychologist or psychotherapist.
The choice of specific drugs varies significantly depending on the severity of the condition and the individual characteristics of the patient. In the case of hypoacid gastritis, drugs that enhance the secretion of hydrochloric acid in the stomach are prescribed, such as pantoglucide, abomine, wormwood tincture, etc. It is also recommended to use chloride or chloride-carbonate sodium mineral waters before meals.
With increased secretion of hydrochloric acid in the stomach (hyperacid gastritis)prescribe drugs that reduce acidity:</ strong>
- antacids (almagel, phosphalyugel). Antacids are taken 3-4 times / day 1-2 hours after meals;
- histamine H2 receptor blockers (ranitidine, famotidine,);
- non-selective m-cholinolytics (atropine, metacin, platyphylline);
- inhibitors of Na/K dependent ATPase (omeprazole, lansoprazole, rabeprazole). In most cases, the drug of choice is the drugs of this particular group.
Antibacterial therapy (in case of confirmation of infection with Helicobacter pilori). Several therapeutic regimens have been developed for the treatment of helicobacter infection, including one, two or three antibacterial drugs (amoxicillin, clarithromycin, furazolidone, etc.), antisecretory agents (omeprazole, ranitidine) and bismuth preparations. The eradication (destruction) of Helicobacter pylori is monitored 2-6 weeks after the treatment.
Metoclopramide, domperidone, and sculpiride are used as prokinetics (drugs that improve gastric motility) in chronic gastritis. To protect the gastric mucosa, white clay, neosmectin, a decoction of flax seeds, etc. are prescribed. Improving the fermentation and digestion of food. Enzyme preparations containing pancreatin are added to therapy.
Therapy of chronic gastritis requires long-term adherence to a diet and scrupulous intake of prescribed medications. In addition, often the true cause of gastritis is psychological stress. Many patients need the help of a psychologist. However, only the patient himself can decide on the need for such treatment. In any case, a little rest from work will do you good.
Treatment of exacerbation of chronic gastritis
Gastritis is an inflammatory process in the gastric mucosa. It can be caused by various factors. This ailment is mostly independent, but sometimes develops as a complication of diseases such as cholecystitis or colitis.
To suffer from chronic gastritis means to completely change your life. It is necessary to carefully control the diet, adhere to a healthy daily routine, devote a proper amount of time to outdoor walks and sports.
As a rule, exacerbation begins in the autumn-spring period. The disease manifests itself not only at the stomach level. During an exacerbation, the whole body has to suffer.
The most common signs include the following:
- constipation; discomfort in the epigastric region;
- frequent attacks of heartburn; rumbling and severe bloating;
- belching with air;
- the appearance of an unpleasant taste in the mouth;
- the formation of gray-white plaque on the tongue;
- dry mouth; dizziness;
- general weakness; irritability;
- the appearance of bloody veins in the feces;
- nausea; vomiting with a characteristic sour smell and mucus impurities;
- swelling of the lips and oral mucosa;
- tachycardia; slight increase in temperature;
- profuse salivation;
- deterioration of appetite; sharp weight loss.
How clearly these symptoms of chronic gastritis manifest themselves in the acute stage, and whether home treatment is suitable, largely depends on the patient’s state of health. An important role is played by the degree of mucosal inflammation. The more pronounced the signs are, the more the inflammatory process is started. In this case, it is advisable to contact a specialist and it should be done as soon as possible.
As is the case with most diseases of the gastrointestinal tract, treating exacerbation of chronic gastritis should begin with a diet. You need to eat often, but fractional. Up to five to six meals a day are allowed. Coffee, alcohol, fatty meat and fish dishes, mushroom broths, everything spicy and spicy, soda should be removed from the diet. It is allowed to leave porridges, pasta, fermented dairy products, low-fat fish, fruit drinks, mineral waters, wheat bread and crackers on the menu.
For the treatment of chronic gastritis with increased acidity in the acute stage, antacids are used:
- Gastal;
- Maalox;
- Almagel;
- De-Nol.
They envelop the mucous membrane and protect it from irritation. If the exacerbation is caused by Helicobacter, antibacterial therapy is mandatory. And for autoimmune causes, only the treatment that involves measures to strengthen immunity can be truly effective.
How to cure chronic gastritis
There are many folk remedies and traditional medicine remedies designed to cure chronic gastritis. If you ask a question about how to cure chronic gastritis to doctors or just acquaintances, you will most likely hear radically opposite opinions.
On the one hand, chronic diseases, based on the definition itself, are not treatable. On the other hand, there are many reviews of ordinary people who claim that they have completely recovered from chronic gastritis and have not felt its symptoms for a long time. How to understand: is it still possible to cure this stomach disease and if so, how to cure chronic gastritis completely?
In fact, there is no unambiguous answer to this question. Strictly from a medical point of view, it is impossible to cure chronic gastritis, but it is only possible to maintain the disease in a state of stable remission. During remission, the symptoms of gastritis are smoothed out or disappear completely and the patient feels quite satisfactory.
Stable remission is also achievable provided that the gastric mucosa is not affected by irreversible pathological changes. Long-term inflammation of the gastric mucosa can lead to such changes, often causing a restructuring of the normal structure and degeneration of stomach cells. The result may be atrophy of the cells of the gastric mucosa and loss of gland function.
If the complications in your case are not so serious, you may well achieve a long-term stable remission of chronic gastritis, which many call a cure.
If you have set such a goal as to cure chronic gastritis, you need to consult an experienced gastroenterologist, because you can only trust your health in the case of such a serious disease to professionals.
Any experienced doctor will tell you that in the treatment of chronic gastritis, diet therapy plays an important role. How carefully you follow the medical instructions will determine the degree of improvement in your condition.
Compliance with a sparing diet for chronic gastritis is the key to successful treatment and well–being. It is important not to allow “breakdowns” and not to overeat prohibited foods, including fried, smoked, pickled, salty and spicy dishes, as well as sweets, ice cream, coffee, strong broths on fish or meat, etc.
It is unnecessary to even remind that alcohol should be completely excluded, because it is impossible to cure chronic gastritis by taking alcohol.
If you want to achieve a stable long-term remission of chronic gastritis, you need to follow the following recommendations:
- eat in small portions 5-6 times a day;
- chew food very carefully – at least 100 chewing movements;
- do not talk or watch TV during meals, as this provokes overeating and excess air entering the digestive tract;
- do not eat too hot/cold food or drinks;
- resist “breakdowns”, do not eat foods prohibited for gastritis;
- be careful with medications, consult a doctor before taking any medications;
- eat recommended foods prepared in a suitable way (boiled, mashed, etc.);
- be observed by an experienced gastroenterologist.
How can chronic gastritis be cured
Doctors attribute chronic gastritis to precancerous conditions. This means that in the absence of qualified medical care, ulcers may soon form on the affected mucosa, and subsequently malignant neoplasms.
Chronic gastritis is asymptomatic for a long time. Many people are unaware of the disease developing in their gastrointestinal tract and lead a habitual lifestyle. In the vast majority of cases, it was he who caused destructive and degenerative changes in the mucosa.
But, starting treatment, gastroenterologists warn the patient about the need to make adjustments to the usual way of life. Chronic gastric pathology is characterized by frequent changes in remissions and relapses under the influence of external or internal factors. Prevention of exacerbations leading to the progression of the disease is of no small importance in therapy.
The speed of recovery, and often the expediency of taking expensive drugs, depends on the strict implementation of the following medical recommendations:
- complete rejection of bad habits. Alcoholic beverages and tobacco smoke contain toxic compounds that disrupt blood circulation in damaged tissues and contribute to an increase in the inflammatory process;
- reduce physical activity. Active sports, as well as a sedentary lifestyle, will prevent the rapid regeneration of the inner wall of the stomach;
- revision of the drinking regime. During the day it is necessary to consume at least 2 liters of clean water. Such a volume is needed to wash out the products of inflammation, toxins and toxins accumulated in the gastrointestinal tract.
Ulceration of the mucous membrane often occurs in adherents of self-medication. Uncontrolled intake of glucocorticosteroids, nonsteroidal anti-inflammatory drugs, tranquilizers causes chronic gastritis. It is necessary to inform the attending gastroenterologist about the medications used. He will assess the feasibility of their use and, if necessary, replace them with safe analogues.
Proper nutrition for the treatment of chronic gastritis
Following all the doctor’s advice and taking effective medicines will not make sense if the patient continues to abuse fatty, fried, salt- and spice-rich foods. It is necessary to exclude carbonated drinks, fast food, smoked meats, crackers, confectionery with cream from the diet.
All products must be boiled, baked in the oven or steamed. Food should be consumed only warm — cold and hot will provoke the spread of the pathological process in inflammatory foci. You also need to eat at the same time in small portions 5-6 times a day. After recovery, you need to permanently abandon the use of harmful products.
During therapy, the patient’s daily menu should consist of the following products:
- steamed omelets, boiled eggs;
- rabbit, veal, white poultry meat;
- low-fat varieties of river and sea fish;
- transparent broths;
- cereal porridges with the addition of a small amount of butter or vegetable oil;
- dried black or white bread.
What and how to treat chronic gastritis
The process of detecting gastritis should begin, as it often happens with other diseases, with tests. If there is a disease in the blood, leukocytosis, low hemoglobin and total protein levels, signs of inflammation may be detected. Stool analysis will allow you to check for undigested food particles and hidden blood.
Is it possible to cure chronic gastritis? Almost. If, at the time of exacerbation, the disease is dealt with correctly, using the most effective ways, then it is possible to maintain the remission stage for a long time. In half of the cases, victims of chronic gastritis live quietly for several decades.
Drug therapy of chronic gastritis
To combat chronic gastritis, the following medications are used: Gastroprotectors that protect the mucous membrane from an aggressive environment (gastric juice, hydrochloric acid). This group of products has enveloping and astringent properties. This group of drugs includes de-nol, venter, vikalin, etc.
Medications that inhibit the work of the hydrochloric acid production system: proton pump inhibitors (omeprazole, nexium); blockers (ranitidine). Means for relieving spasms (papaverine, no-shpa). Antibacterial formulations to combat Helicobacterpylori. Antibiotics are selected by the doctor.
Motor regulators (trimadat). Antacids for getting rid of heartburn (almagel, gaviscon, phosphalyugel). Medications to activate gastric secretion, prescribed to patients with low acidity (lemontar, plantain juice). Enzymes (mezim, pancreatin). Vitamins (B12, iron, folic acid).
Therapeutic nutrition for chronic gastritis
Therapeutic nutrition is also of great importance in the process of combating chronic gastritis. The doctor should choose a diet based on the diagnosis, form and stage of the disease, taking into account concomitant diseases. Meanwhile, the main points converge.
Diet rules for chronic gastritis:
- prohibition of alcohol;
- regular meals (from 5 times at regular intervals);
- the first couple of days (stage of exacerbation) – fasting;
- moderate temperature of dishes; prohibition on overeating;
- food should be chewed thoroughly;
- fried dishes are taboo (products are recommended to be consumed boiled or baked);
- sour and spicy food must be excluded from the menu;
- sugar, coffee and chocolate are extremely undesirable items on the menu, especially in the acute stage.
You should eat slowly, chew each piece well (about 25 chews). Snacks are not welcome, as well as long pauses between meals. Abundant “belly holidays” or starvation are disastrous for victims of gastritis. How you eat largely depends on how long the remission period will be. Treatment with the help of folk techniques is permissible, but only with the permission of the doctor.
Read more Is it possible to use baking soda for gastritis
Chronic gastritis: recommendations for treatment
Of the causes that cause the development of chronic gastritis, alimentary factors, i.e. various nutritional disorders, are in the first place. First of all, it is the abuse of coarse, spicy and spicy food, strong meat and fish broths, marinades, fatty meat, fatty sausage. The next most important reason should be called haste in eating, poor chewing of food.
Unpleasant emotions that are often experienced can also lead to stomach disease. Do not sort things out at the table, do not quarrel when you eat! Nutrition for chronic gastritis should be full and varied. Proteins are of great importance in the nutrition of gastritis. Their lack leads to a more severe course of the disease, slower restoration of the function of the stomach and other organs.
Poorly chewed food is not crushed enough and injures the gastric mucosa more. To prevent gastritis, it is necessary to chew food so that its original taste disappears. Chronic gastritis can also lead to a violation of the rhythm of eating, especially prolonged fasting followed by overeating; excessive nutrition, and especially at night; eating food at contrasting temperatures — too cold and too hot; alcohol abuse, smoking.
The set of protein products is about the same as for peptic ulcer disease. In addition to lean meat and lean fish, eggs (in their natural form and in dishes), jelly, cottage cheese, milk (if tolerated) or lactic acid drinks are used. In most cases, it is quite possible to provide the diet with a sufficient amount of protein in the form that is most acceptable in each particular case.
In chronic gastritis with secretory insufficiency, the amount of fat in the daily diet does not decrease, even if the gastric juice is completely absent. An important place in the diet is occupied by vegetables, which have the remarkable property of increasing the secretion of digestive juices and enhancing their enzymatic activity. Meat and fish are better absorbed if they are eaten with vegetables. Vegetables are dynamic regulators of digestion.
Considering the stimulating effect of table salt on gastric secretion, the use of normally salted food is allowed in chronic gastritis. For the same reason, you can eat fried dishes, canned snacks in moderation.
The dishes chosen according to taste are the most useful, they cause increased juice production and are better absorbed. The taste of most dishes and products largely depends on the presence of volatile substances in them — osmophores, large concentrations of which are formed only with proper processing of the product. In a word, you need to cook delicious.
So, the main recommendations for gastritis with secretory insufficiency are as follows:
- it is advisable to start a meal with a snack — it increases appetite and prepares the stomach for better digestion of what is eaten;
- periodically you can afford some spicy sauces, but moderately;
- broths and extracts from roots should also be eaten among the first dishes.
Concluding the general recommendations, I would like to remind you how important it is to take food slowly, chewing it well. Food eaten hastily is insufficiently processed by saliva, is more difficult to digest, causes an abundant discharge of mucus in the stomach, which further reduces the acidity of gastric juice and its digesting ability.
Read more Louise Hay about gastritis