Exacerbation of gastroduodenitis

Chronic gastroduodenitis is an inflammatory disease in which the mucous membrane of the stomach and duodenum is affected. In fact, there is a merger of two processes into one, namely gastritis and duodenitis.

For the pathological process is characterized by successive periods of remission and exacerbation. The illness negatively affects the regenerative properties of the mucous membrane of the digestive tract, which means that it loses its properties to self-healing.

Lesion of the mucosa can be focal and diffuse, that is limited and widespread. The disease is characterized by the progression of the pathological process, which entails the appearance of atrophic changes on the surface of the mucosa - irreversible effects.

Exacerbation of chronic gastroduodenitis often occurs against a background of stressful situations, eating disorders, physical stress. Relapses occur more often in the autumn and spring periods. The disease is so common problem that to this day remains a topical issue among gastroenterologists and pediatricians.

The insidiousness of the ailment lies in the fact that at the very beginning of the process the patients are practically not disturbed by any symptoms. This entails a later appeal to a specialist. Exacerbation of gastroduodenitis requires immediate treatment, as it can lead to serious consequences.

Clinical manifestations of relapse are similar to other diseases of the gastrointestinal tract, therefore it is almost impossible to recognize it independently. How long does the exacerbation of gastroduodenitis lasts, how it manifests itself and by what methods can remission be prolonged?

Aggravating factors

Exacerbations of chronic gastroduodenitis may be associated with endogenous and exogenous factors. To begin with, we consider the endogenous causes that develop in our own organism. In the basis of development lies the aggressive and protective factors of the gastrointestinal tract. Gastric juice, hydrochloric acid, bile, secret of the pancreas - all this refers to aggressive factors.

Protection from them is adequate blood supply, mucous secretion, prostaglandins, bicarbonate buffer. Violation of the nervous regulation can cause imbalance. That is why chronic gastroduodenitis in the acute stage usually occurs due to neurological disorders, injuries and vegetative-vascular dystonia( VSD).

Disease often occurs against the background of

VSD There is also a host of unfavorable factors from the outside that can play a role in the occurrence of an inflammatory reaction:

• improper nutrition. This includes abuse of fatty, salty, fried, floury. Negative influence on the mucous membrane is affected by food in dry conditions and in fast foods;
• bad habits: alcoholism, smoking;
• fasting, radical diets;
• reactive poisons;
• stressful situations, anxiety, anxiety;
• Helicobacter pylori;
• defective sleep, inadequate rest.

Species

Depending on the endoscopic characteristics, specialists subdivide gastroduodenitis into such forms:

• Surface .The process is characterized by swelling and redness of the mucosa, as well as increased mucus formation. Along with this, the stomach glands are preserved and, as a rule, there is a normal level of acidity. In the process, only the mucous membrane is involved, and all other structures of the stomach and duodenum are not violated.
• Erosive .It is characterized by the formation of defects on the surface of the mucous membrane. In the period of remission, erosion can heal, and in the period of exacerbation they reappear only at other sites. The disease is well treatable and experts call it a stressful form.
• Hyperplastic .There is thickening of the mucous membrane with the formation of growths. It is accompanied by pains in the upper part of the abdominal cavity and vomiting. This form can be transformed into a malignant tumor.
• Hemorrhagic .It is a variation of erosive type. It differs only in that the blood begins to ooze from the erosions. The patient has characteristic symptoms in the form of vomiting "coffee grounds" and black stool.
• Atrophic .It is characterized by thinning of the mucous membrane and dying of the glands. This affects the production of hydrochloric acid, resulting in a reduced acidity. Atrophic gastroduodenitis is considered a precancerous form. Most often observed in elderly people.

During the exacerbation there are severe pains in the abdomen

Depending on the state of the secretion of hydrochloric acid gastroduodenitis occurs with a decreased and increased acidity. Depending on the causative factor, the disease is divided into an infectious, autoimmune, chemical form. There are also specific subspecies of gastroduodenitis: granulomatous and eosinophilic.

Characteristic features of

Like any chronic disease, gastroduodenitis occurs in several stages. In the phase of exacerbation, the disease can cause attacks of colic in the stomach, vomiting, diarrhea, pain after eating. This all characterizes the active phase, which lasts from one week to one month. After that comes a remission.

We distinguish the main symptoms of exacerbation:

• attack of nausea and vomiting;
• abdominal discomfort;
• approximately in two hours after meal there is a pain in the top part of an abdominal cavity of a pricking or cutting character;
• plaque in the language;
• stool disorder;
• is nervousness and irritability;
• belching sour;
• migraine;
• change in taste;
• heartburn;
• dry mouth, increased salivation;
• tachycardia, hypotension;
• change in taste in the mouth;
• pallor of the skin;
• sweating;
• sleep disturbance;
• reduced performance;
• loss of appetite, body exhaustion;
• rumbling of the abdomen.

The pains associated with gastroduodenitis are associated with meals

Separately, we distinguish the symptoms of an erosive form. Experts say that this is a pre-ulcer condition. There is an increased production of hydrochloric acid, as well as a violation of blood supply and trophism. For erosive gastroduodenitis, the appearance of such symptoms is characteristic:

• epigastric pain after ingestion;
• severity after eating;Heartburn and acidic eructations
• ;
• violation of general well-being;
• appetite impairment, weight loss;
• signs of anemia.

In an atrophic type, immunity produces antibodies against its own cells. As a result, cells of the glands of the stomach die under the action of antibodies. Atrophic changes are manifested as follows: feeling of a crowded stomach, mild pain syndrome, belching with a rotten or bitter aftertaste, gurgling in the abdomen, headaches, apathy, weakness.

For gastroduodenitis with high acidity, fasting pains are characteristic. They have a piercing or cutting character. Patients are concerned about sour belch, heartburn, nausea, vomiting. A tendency to constipation is characteristic.

Features of the disease in children

For chronic gastroduodenitis, the acute stage in children is characterized by a greater variety of symptoms. This is due to the fact that the duodenum has an endocrine function. In children, there are signs of vegetative-vascular dystonia.

They can complain of severe headaches, dizziness, sleep disturbance, weakness. After a while after eating, sweating and weakness appear. Also, the symptoms typical of hypoglycemia may be troubling: dizziness, trembling, muscle weakness.

Exacerbation of gastroduodenitis in children is accompanied by severe pain

In children, exacerbation of gastroduodenitis is often combined with the development of reactive pancreatitis and dyskinesia of bile ducts. Approximately half of the cases show pathologies of the nervous system. Often the soreness is diffuse, so young children can not specify the exact place of pain.

Treatment of exacerbation of gastroduodenitis

At the first signs of exacerbation to clarify the diagnosis should consult a gastroenterologist. Treatment of chronic gastroduodenitis is a whole complex of measures, including the following: drug therapy, dietary nutrition, the right regimen, folk recipes, bed rest, physiotherapy, psychotherapy.

Treatment of gastroduodenitis should aim to achieve the following goals:

• Cessation of inflammatory response.
• Restore secretory functions.
• Normalization of admission and secretion of the biliary secret.
• Elimination of imbalance from the stomach, duodenum and nervous system.

Medications

The doctor selects medications depending on the type of gastroduodenitis and the provoking factors of its development. For example, if Helicobacter infection was detected, then antibacterial drugs can not be avoided.

Often use a combination of two or three antibiotics. With increased acidity antacid and antihistamines are used, as well as proton pump inhibitors. To combat atrophic changes, bismuth preparations are prescribed.

When helikobakter pylori is detected, gastroduodenitis should be treated with antibiotic

. The diet of

. Proper nutrition is very important in the treatment of inflammation of the stomach and duodenum. To start, let's talk about products that should be excluded from fat, spicy, smoked, pickled, etc., alcoholic beverages, rich broths, strong tea and coffee.

Vegetables and fruits should be thermally treated, except tomatoes. Products such as radish, white cabbage, spinach, cucumbers, onions, irritate the mucous membrane, so during a relapse from them it is better to refuse. Products can be baked, steamed, boiled and stewed.

Each organism is individual, so if some product you personally causes an exacerbation, then it should be discarded. In the first days of an exacerbation the diet should consist of broths and compotes without sugar: dog rose, cocoa, herbal tea.

After a few days in the diet it is permissible to introduce vegetable soups and low-fat broth with a little addition of cereals. It can be rice, oatmeal or semolina. With regards to meat dishes, preference is best given to low-fat varieties: rabbit, chicken, beef. It is also permitted to cook steamed fish.

Menu is better to specify with the doctor and clarify what you can and can not do

Folk recipes

In addition to medicines and dietary nutrition, the council of folk medicine will help to speed up the recovery process. For the preparation of non-traditional medicines such plants are taken as a basis: yarrow, chamomile, St. John's wort, hops, valerian, dill.

The decoction scheme is made by a doctor, it is individual for each patient. Folk recipes are used both for curative and preventive purposes. Let's consider the most effective methods:

• Juices .You can use potato and cabbage juice. Use only freshly squeezed juices, which are used half the mill before meals. The course of treatment is ten days, then you need to make a ten-day break. Juices should be diluted in equal proportions with water. They stop the symptoms of the disease and normalize the digestive process.
• Infusion of mint .Half a glass of dry mint pour a liter of boiling water and let it brew in the thermos. In the morning, drink half of the glass on an empty stomach, and then the same amount should be taken before lunch and dinner.
• Flax seeds .The product should be turned into flour. A tablespoon of flax is poured with two glasses of water and put on the fire. After the water boils, the product is cooked on low heat for another twenty minutes. Then he should be allowed to brew for an hour. Take infusion in the morning on an empty stomach for three months. After the end of the month, do not forget to do a ten-day break.
• Infusion of celandine .The grass is poured with alcohol and left to be infused for two weeks. Begin taking the drug five drops, increasing the dosage one drop per day. The maximum dosage is fifty drops, then the dosage should be reduced in the reverse order.

Exacerbation of chronic gastroduodenitis can be associated with inaccuracies in nutrition, Helicobacter pylori infection or even stressful situations. The pathological process causes enormous discomfort, causing painful sensations and dyspeptic disorders in the form of heartburn, belching, bloating.

Gastroduodenitis has various forms, some of which are called pre-ulcer or even precancerous. In order to avoid the development of dangerous complications, contact a specialist in a timely manner. Remedying the ailment can only be complex measures.

The treatment of gastroduodenitis is not only medication therapy. In order to cope with inflammation, you need to change your lifestyle and adjust your diet. Follow all the doctor's recommendations, give up bad habits, do not let negative thoughts take possession of your mind, and be healthy!