Chron­ic gas­tri­tis is an inflam­ma­to­ry dis­ease, which accounts for more than 80% of all stom­ach patholo­gies. With this dis­ease in the mucous lay­er of the stom­ach devel­ops per­sist­ing for a long time, peri­od­i­cal­ly relaps­ing inflam­ma­tion, lead­ing to pro­nounced mor­pho­func­tion­al changes in this organ. Below we look at chron­ic gas­tri­tis in terms of symp­toms, diet, and med­ica­tion.

Clinical picture in chronic gastritis

Clinical picture in chronic gastritis

Chron­ic gas­tri­tis is accom­pa­nied by quite spe­cif­ic symp­toms.

First of all, with this dis­ease, there are com­plaints about a feel­ing of heav­i­ness, dis­com­fort, dull sore­ness in the stom­ach that occurs after eat­ing. Anoth­er char­ac­ter­is­tic symp­tom is nau­sea after eat­ing. In some cas­es, there are sin­gle bouts of vom­it­ing that do not bring relief.

In addi­tion, the clin­i­cal pic­ture may be sup­ple­ment­ed by heart­burn, sour belch­ing. Char­ac­ter­ized by a decrease in appetite, the appear­ance of an unpleas­ant after­taste in the mouth, a whitish coat­ing on the tongue.

Symp­toms may vary some­what depend­ing on whether gas­tric secre­tion is increased or decreased.

With gas­tri­tis with high acid­i­ty, in addi­tion to dis­com­fort after eat­ing, there may be a pain syn­drome that occurs dur­ing long breaks between meals, includ­ing at night, which is asso­ci­at­ed with the aggres­sive effect of hydrochlo­ric acid on the mucous mem­brane.

Patients with chron­ic gas­tri­tis often expe­ri­ence var­i­ous stool dis­or­ders, such as diar­rhea. The stom­ach of a sick per­son is swollen, com­plaints of weak­ness, peri­od­ic dizzi­ness join.

Diet and drugs for chronic gastritis

In case of increased acid­i­ty of gas­tric juice, treat­ment table No. 1 is pre­scribed. With a decrease in the pro­duc­tion of hydrochlo­ric acid, diet No. 2 is indi­cat­ed.

In both cas­es, the patient should eat frac­tion­al­ly, in small por­tions. Fried, pick­led, smoked dish­es are exclud­ed, all food con­sumed should be as gen­tle as pos­si­ble for the mucous mem­brane of the gas­troin­testi­nal tract.

Long inter­vals between meals should not be allowed. Car­bon­at­ed and alco­holic drinks are strict­ly pro­hib­it­ed.

As for drugs, they should only be used as pre­scribed by a spe­cial­ist.

The pri­ma­ry direc­tion in the treat­ment of chron­ic gas­tri­tis is erad­i­ca­tion ther­a­py, car­ried out when a Heli­cobac­ter pylori infec­tion is detect­ed. It includes tak­ing antibi­otics, pro­ton pump inhibitors, prod­ucts con­tain­ing bis­muth.

Pro­ton pump inhibitors can also be pre­scribed sep­a­rate­ly if nec­es­sary to reduce the secre­tion of hydrochlo­ric acid.

In addi­tion, in a chron­ic inflam­ma­to­ry process, antacids and gas­tro­pro­tec­tors can be pre­scribed. The treat­ment plan can be sup­ple­ment­ed with methyl­me­thio­n­ine sul­fo­ni­um chlo­ride (vit­a­min U), which is an effec­tive method of pro­tect­ing the mucous mem­brane of the gas­troin­testi­nal tract, which was proven by sci­en­tists from the Astrakhan State Med­ical Uni­ver­si­ty in a paper pub­lished in 2021.

Var­i­ous phys­io­ther­a­peu­tic pro­ce­dures are also car­ried out, for exam­ple, elec­trophore­sis.

By Yraa

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