What should be done if gastritis has worsened? Symptomatic picture with exacerbation of gastritis

The gastric mucosa may become inflamed with characteristic periods of exacerbation and calm. Gastritis attacks often occur in the fall and spring months. An aggravation is associated with the appearance of a large number of vegetables and fruits, which leads to the abuse of this food, a violation of the diet and an increase in the amount of fiber. This provokes a pathological condition that must be treated.

What is an exacerbation of gastritis

Among diseases of the stomach, chronic inflammation of the mucous membrane occurs more often than others. Pathologies of this type are in a state of calm, but at certain periods there is an exacerbation of chronic gastritis. There is a difference between sudden inflammation and worsening of an existing disease due to specific provoking factors.

With the development of gastritis, erosions appear on the walls of the stomach, which cause the appearance of unpleasant sensations. An exacerbation develops in a few hours, the body begins to secrete components that attract protective cells to the affected area. They must remove disease-causing substances from the stomach that provoke the inflammatory process. An exacerbation of gastritis is not only damage to the mucous membrane of an organ, but also the body's response to attempts to restore the integrity of the stomach.

Causes

People usually have a spring or autumn exacerbation of gastritis. It is provoked by certain circumstances, often caused by a painful syndrome of alcohol consumption (for example, in the summer). The following factors contribute to the deterioration of the condition:

food poisoning;
inaccuracies in nutrition;
alcoholism;
exposure to toxic substances;
smoking;
stress;
harmful working conditions;
development of pancreatitis, cholecystitis;
taking non-steroidal anti-inflammatory drugs, other gastrotoxic drugs;
ignoring medical prescriptions;
decreased immunity;
acute infectious pathologies;
food allergy;
failure of the sphincter of Oddi function.

With a previously detected chronic form of pathology, symptoms arise against the background of malnutrition. The main role in spring or autumn exacerbations is played by an improper diet. Snacks, long intervals between meals, food in a rush, food that is too hot or cold, not chewed enough, overeating, or eating irregularly. All these factors can provoke pain, heartburn, discomfort and other symptoms of chronic gastritis.

Spring deterioration is often diagnosed in people who are exposed to regular stress. Among the common reasons for the development of an exacerbation in the spring, the following situations will be distinguished:

exams;
nervous work;
death of loved ones;
family problems.

An exacerbation can be triggered by cytostatics, antibiotics or NSAIDs, because these medicines irritate the gastric mucosa. Alcohol and smoking cause the same reaction on the part of the mucous organ. There is a component in cigarette smoke that blocks the production of protective substances in the stomach, alcohol increases the secretion of hydrochloric acid.

Helicobacter pylori infection can be a provoking factor. These are microbes that do not die under the influence of gastric juice and cause inflammation. There is an imbalance between the protective factors of the mucous membrane and the aggressive environment. Sometimes the contents of the duodenum can be released into the stomach along with bile. This is called duodenal reflux, and it develops when the sphincter is insufficient.

Symptoms

Clinical manifestations determine the level and cause of gastric acidity. As a rule, the following symptoms of exacerbation of gastritis appear:

nausea;
pain in the epigastric zone (burning);
feeling of fullness in the stomach after eating;
a feeling of heaviness in the upper abdomen.

If the deterioration is caused by increased acidity, then the following manifestations are also present:

bloating;
sour belching;
alternation of constipation and diarrhea;
pain;
heartburn;
unpleasant taste in the mouth;
flatulence due to increased production of hydrochloric acid.

At the same time, the person retains appetite. In the phase of exacerbation of chronic inflammation, it is accompanied by airy belching, rumbling in the abdomen, nausea in the morning and decreased appetite. This indicates the development of hypoacid gastritis. All forms of exacerbation are accompanied by a painful syndrome, which has the following symptoms:

after taking antacids, proton pump blockers, the pain subsides;
discomfort appears 2 hours after eating or on an empty stomach;
appears in the epigastric region;
the intensity is different.

If pain is localized on the right, then this indicates a lesion of the pyloric organ. If the disease is accompanied by the appearance of erosion, then bleeding is characteristic. Patients have black, loose stools (melena), vomiting like coffee grounds. In severe exacerbation, hemorrhagic shock develops. The onset of anemic syndrome becomes a characteristic symptom. It manifests itself in the following symptoms:

pallor of the skin;
general weakness;
apathy;
fragility of nails, hair;
heartache;
dyspnea;
arterial hypotension;
decreased performance.

Complications

Negative consequences develop in the absence of therapy during an exacerbation of gastritis, improper self-medication, and non-compliance with the recommendations of a gastroenterologist. The most dangerous complication is malignancy - the appearance of atypical cells, the condition requires surgical intervention. With frequent relapses of pathology, a person should be under the supervision of a doctor; without timely assistance, the following consequences may develop:

achilia;
the formation of an ulcer;
hypovitaminosis;
alimentary dystrophy;
B12-iron deficiency anemia;
development of gastroduodenitis;
deformation of the stomach;
obstruction of the stomach;
pyloric stenosis;
hemorrhagic shock;
bleeding.

Diagnostics

You need to see a doctor immediately after the first symptoms appear. A thorough examination will answer the question of why the inflammatory process in the stomach has exacerbated. A general diagnosis will be required, which will allow the doctor to confirm the diagnosis, prescribe an individual treatment regimen. The following studies are prescribed:

biochemical analyzes;
general laboratory tests (blood, urine);
histological analyzes;
fibrogastroduodenoscopy, which helps to accurately confirm the presence of a chronic disease, to determine low or high acidity.

First aid for exacerbation of gastritis

The chronic process is exacerbated suddenly, so the first steps are aimed at eliminating pain. Pain relief pills prescribed by a doctor are well suited. If an attack of exacerbation began suddenly, then you can lie on your left side, pull your knees to your chest, try to relax. It is recommended to lie in this position for at least 30 minutes. You can speed up the process by applying cold to the stomach.

Exacerbation in chronic gastritis is associated with the nervous system. After you have managed to stop the pain syndrome, you need to drink a little tincture of motherwort or valerian. This will help the person relax, calm down, after which you can think and figure out what caused the deterioration of health. The provoking factor must be excluded in order to avoid a repetition of the situation.

Treatment of chronic gastritis in the acute stage

An important stage of therapy in case of deterioration of the condition is diet. Patients are allowed to use a specific list of products, for example, nutritional therapy No. 2 is possible with hypoacid gastritis, but if the acidity is high - table No. 1. The patient needs the following to be excluded from the menu:

mushrooms;
coffee;
fresh vegetables, fruits;
carbonated, alcoholic drinks;
sausages;
smoked meats;
mushrooms;
seasonings;
salting;
canned food;
fatty, spicy dishes;
spicy cheese;
fresh baked goods;
mustard;
hot sauces, ketchups.

Meals should be every 3-3.5 hours, it should be 5-6 times a day. You cannot skip, you should not drink liquid, eat dry food. You cannot eat fresh vegetables, but you can boil them, bananas are allowed from fruits. With an exacerbation of a pathological condition, you need to adhere to a diet for a month. The menu is designed so that the human body receives all the necessary nutrients, but at the same time it is gentle on the gastric mucosa.

It is forbidden to use too cold or hot food, drinks. During the acute phase of gastritis, it is necessary to eat semi-liquid or pureed food. After the condition improves, the pain subsides, lean fish, meat, milk, lean cottage cheese, vegetable purees, hated soups, and cereals are added to the menu. When treating exacerbation of atrophic gastritis, it must be remembered that the task is to increase the secretion of hydrochloric acid.

To achieve this, the menu should include sweet and sour fruits, rich broths, juices, berries. Compliance with such a diet helps to increase the production of gastric juice. It is important that the cooked dishes smell fragrant and arouse the patient's appetite. Diluted lemon juice is recommended. After the recession of the exacerbation stage, the patient undergoes physiotherapy:

phonophoresis;
balneotherapy;
electrophoresis.

Drugs

Medicines for exacerbation of gastritis should be selected by the attending physician on an individual basis. The very phase of deterioration can last for a long time, cause discomfort to a person. The list of medicines will depend on the form of the pathology, for example, with hyperhaline gastritis, they can prescribe:

gastroprotective agents;
somatostatin analogs;
antacids;
antispasmodics;
analgesics;
proton pump blockers;
analgesics;
blockers of histamine receptors;
antibiotics.

If B12 iron deficiency anemia develops, hormonal medications (corticosteroids) are used. With an exacerbation of pathology, it is important to relieve spasms, pain, for this you can take Drotaverin, Papaverin, No-shpa. It is necessary to refuse to take drugs of the NSAID group, because they have an irritating effect on the gastric mucosa. An important part of treatment is the use of proton pump blockers:

Peptazole;
Nolpaza;
Rabiet;
Pariet;
Omez;
Sanpraz.

The drugs help to cope with pain syndrome during an exacerbation of a chronic disease. For symptomatic treatment, antacids are prescribed, medicines of this group quickly neutralize hydrochloric acid in the stomach. As a rule, the following medicines are used:

Phosphalugel;
Almagel;
Gevikson.

Together with these medicines, you will need to take gastroprotectors, for example, Venter, De-nol. Their action is based on the formation of a protective film for the gastric mucosa. If the pathogen Helivobacter is found in the analysis, then it will be necessary to use antibiotics from the group of cephalosporins, macrolides, protected penicillins, 5-niromidazole derivatives.

If, after a meal, the patient develops vomiting, nausea, then prokinetics must be added to the course of treatment. Medicines of this group improve the motor function of the intestines and stomach. As a rule, they prescribe Cerucal, Motilium. With a hypoacid form of gastritis, a complete absence of hydrochloric acid, Acidin-Pepsin should be taken. With an exacerbation of the atrophic type of the disease in the spring, natural gastric juice is added to the therapy regimen.

With the development of anemia against the background of erosion of the mucous membrane, the doctor prescribes iron preparations. Enzymes are used to normalize digestion. The exacerbation phase becomes a contraindication for admission. Medications of this type should be drunk after the pain is eliminated. Their enzymes, like steamed, are prescribed:

Festal;
Creon;
Panzinorm.

Traditional medicine

In the acute phase of chronic pathology, a positive effect can be obtained by including herbal medicine. If you use the funds every day, then a tangible improvement occurs in 2 weeks. You can use the following recipes at home:

Multi-component charges are well suited for high acidity. Means consist of 4-5 components, for example: bitter wormwood, ivan tea, chamomile, mint. A decoction is prepared from this collection, which must be drunk every day for 4-5 weeks. You can drink it for prevention 4 times a year.
Elecampane broth is indicated for low acidity. Prepare a remedy from the herb and take before meals 3 times a day for a month.
With an exacerbation of the disease, garden horseradish will be a good helper. The component is finely rubbed and honey is added for taste. You need to take the product 15 g before meals. The medicine will help increase the production of gastric juice. It is recommended to drink horseradish juice (diluted with water or pure).

eat soups, cereals every day;

give up snacks.

Video

Gastritis, like any disease with a chronic course, has stages of exacerbation and remission. Some forms of this chronic disease are very dangerous and can cause stomach ulcers or cancer. Exacerbation of chronic gastritis is a frequent occurrence and causes a lot of problems, therefore, when symptoms of the disease arise, treatment is prescribed to alleviate the stage of exacerbation.

Chronic gastritis in children and adults is a sluggish inflammation of the gastric mucosa and submucosa with a recurrent process. In the process of inflammation, the mucous membrane atrophies, transforming into connective tissue, and a malfunction of the glands occurs, various parts of the stomach can be involved in this. The severity of symptoms depends on the cause of the disease and the size of the lesion. Signs of exacerbation of chronic gastritis strongly resemble a stomach ulcer.

There are several types of chronic gastritis. They are determined by localization, when various parts of the organ are exposed to inflammation:

antral (upper, superficial, distal) - type B gastritis, characterized by increased acidity. ;
fundic (lower);
pangastritis (mixed type), when the antrum and fundus of the stomach are affected. In turn, this type of disease can be divided into focal and diffuse.

In addition, all parts of the organ can be affected, then we are talking about diffuse obstructive gastritis.

By origin, they are distinguished:

bacterial. The cause is the bacterium Helicobacter pylori;
medicinal (reactive), which occurs while taking different medications;
autoimmune - occurs when the walls of an organ are damaged by various substances produced by the body itself;
endogenous - manifests itself as a consequence of other diseases;
reflux gastritis - occurs when the contents of the duodenum are thrown into the stomach.

By the degree of acidity:

with high acidity;
with low acidity;
with normal acidity (normal).

By the nature of the damage to the tissues of the organ:

hyperplastic (the wall of the stomach grows and becomes thicker).
atrophic - type A gastritis, in which the organ wall degenerates into another tissue and becomes thinner.

By the degree of inflammation:

moderate;
expressed.

Causes and risk factors for chronic gastritis

The onset of a chronic type of disease can be caused by many reasons:

Helicobacter pylori infection in the human body is the main cause;
frequent food poisoning;
binge eating;
too strict or unbalanced diet;
hypothermia (hypothermia);
the use of low quality products;
weak immunity;
intestinal microorganisms.

Exacerbation of the chronic type of the disease often occurs against the background of changes in diet and alcohol consumption.

Also, factors that contribute to the onset of the acute phase of the disease include:

smoking;
the effect of toxic substances;
unhealthy diet (eating too hot or cold foods, abuse of unhealthy foods - fast food, fatty, fried, spicy, salty foods, long intervals between meals);
non-compliance with doctor's prescriptions;
the formation of cholecystitis or pancreatitis;
food allergy;
stressful situations;
acute infectious diseases;
the use of toxic drugs, antibiotics, cytostatics that irritate the mucous membrane.

Remember! Exacerbations of chronic gastritis occur more often in spring and autumn due to changes in the diet.

Symptoms

The symptoms of chronic gastritis differ depending on the reasons that led to its occurrence, on the degree of damage to the mucous membrane and other factors.

Common symptoms are:

a feeling of heaviness and fullness in the abdomen (on the left in the upper part of it);
drastic weight loss for no apparent reason;
pain in the stomach area that occurs after eating;
heartburn, belching, bitter taste in the mouth;
alternating constipation and diarrhea;
the presence of blood in the stool;
nausea, sometimes vomiting;
irritability, weakness, fatigue.

Also, sometimes pain in the region of the heart can be observed, blood pressure can decrease.

In chronic gastritis with different levels of acidity, the following symptoms may be present:

Acidic gastritis (pH)	Low acid gastritis
Decreased appetite	Flatulence, rumbling in the stomach
Weight loss	Alternating constipation and diarrhea
Pain and burning in the epigastric region	Increased sweating
Heartburn, belching, nausea	Drowsiness
The presence of blood clots in the stool	Pain and heaviness in the stomach
Dehydration (small amount of urine and intense thirst)	Belching and bad breath

How does the exacerbation phase proceed, and what are its symptoms

An exacerbation of the chronic type of the disease is characterized by an increase in the main symptoms, and pain with the following signs:

occurs on an empty stomach or a few hours after eating;
its intensity decreases after the use of antacids, proton pump blockers;
it can be of different intensity;
felt in the epigastric region.

When pain is felt on the right, this indicates a lesion of the pyloric region. With an exacerbation of gastritis with erosions, bleeding may occur, liquid stools of almost black color and vomiting like coffee grounds are possible.

In severe cases, shock may develop. For the period of exacerbation, the development of anemic syndrome is typical, manifested by pallor of the skin, apathy, shortness of breath, pain in the heart, dry and brittle hair and nails, decreased performance and arterial hypotension.

If the disease is often exacerbated, it leads to indigestion and hypovitaminosis. With an autoimmune etiology of the disease, neurological syndromes can occur: darkening in the eyes, numbness of the limbs, tinnitus, dizziness, changeable mood. When viewed in an exacerbation stage, plaque is often observed on the tongue.

Danger of exacerbation

Patients with frequent exacerbations (active phase) should be under the supervision of a gastroenterologist.

V Severe highly active gastritis is dangerous because, without adequate treatment, complications such as:

ulcer;
achilia;
hypovitaminosis;
gastroduodenitis;
alimentary dystrophy;
bleeding;
B12 iron deficiency anemia;
pyloric stenosis;
hemorrhagic shock;
obstruction or deformation of the stomach.

The initial stage of the development of the disease, when the symptoms of gastritis are mild and inactive, is not always clearly recognized, but treatment at this stage is more successful than in advanced stages, in a precancerous state.

Remember! The most dangerous complication is malignancy - a condition when atypical cells appear. This situation requires surgical intervention.

Diagnostics

Some of the symptoms of the disease are similar to those of an ulcer, pancreatitis, enteritis, or food poisoning. Therefore, differential diagnosis is carried out with gastric ulcer and duodenal ulcer, esophagitis, hernia of the diaphragm, tumors.

Diagnosis of chronic gastritis is carried out using the following instrumental and laboratory methods:

analysis for the presence of the bacteria Helicobacter pylori;
general and biochemical blood test;
analysis of feces for occult blood;
linked immunosorbent assay;
endoscopic examination;
polymerase chain reaction;
manometry;
EGD and taking biopsies for histology;
radiography with contrast.

How to treat a disease during an exacerbation

Drug treatment consists of taking a complex of drugs, which are selected by the attending physician, based on the form of the disease and acidity. With a hyperacid form, the following are prescribed:

proton pump and histamine receptor blockers;
somatostatin analogs;
antacids;
antispasmodics and analgesics;
gastroprotective agents;
antibiotics.

If B12 iron deficiency anemia occurs, hormones (corticosteroids) may be prescribed.

First aid for exacerbation of the disease

To relieve pain and spasms, drugs are used in tablets: "No-shpa", "Papaverin", "Drotaverin". Of great importance in the treatment is the use of proton pump blockers: "Sanpraz", "Pariet", "Omez", "Nolpaza" and others. They help relieve pain during exacerbation. Medicines are used - antacids, which quickly neutralize hydrochloric acid: "Gaviskon", "Almagel", "Fosfalugel", "Maalox". Together with them, gastroprotectors are prescribed - "De-Nol" and others, they create a protective film on the mucous membrane.

In the presence of the bacteria Helicobacter pylori in the body, antibiotics from the group of macrolides, cephalosporins, protected penicillins are used.

To improve the motor function of the stomach and intestines, the prokinetic Motilium is prescribed.

With hypoacid gastritis and the absolute absence of hydrochloric acid, "Acidin-Pepsin" is used.

If there is an exacerbation of atrophic gastritis, then in the treatment there is the use of natural gastric juice.

If anemia occurs against the background of mucosal erosion, iron preparations are prescribed. To stabilize digestion, the enzymes Panzinorm, Creon, Festal are prescribed, but they are contraindicated in the acute stage. They must be taken after the pain has been relieved.

Diet with exacerbation

With an exacerbation of the disease, an important component of the treatment regimen is a diet that can be followed at home. Patients are advised to exclude from the diet:

alcoholic and carbonated drinks;
coffee;
spicy, fatty, smoked foods;
mushrooms;
fresh fruits and vegetables;
canned food, pickles;
fresh baked goods;
hot ketchups, mustard, sauces, seasonings.

It is recommended to take food 5-6 times a day in small portions. It is not recommended to eat dry food. Vegetables are allowed to be eaten in boiled form, bananas are allowed from fruits. All food should be at room temperature, pureed or semi-liquid. The diet should be followed during the period of exacerbation of the disease within a month, after the exacerbation subsides, lean meat, fish, milk, cottage cheese can be introduced into the diet.

With an exacerbation of atrophic gastritis, attention should be paid to an increase in the secretion of hydrochloric acid, for this it is necessary to introduce sweet and sour fruits and berries into the diet.

For different types of illness, the diet is somewhat different and lasts for different times:

with gastritis with normal or increased secretion of gastric juice, diet No. 1a is prescribed (up to a week), after - diet No. 16 (up to 2 weeks), and for 3 months - diet No. 1. With these diets, food is given to the patient in pureed or liquid form, vitamins are taken (ascorbic acid, riboflavin). Alcohol, coffee, strong tea, spicy and fatty foods, canned food, legumes (beans, peas) are prohibited.
with insufficient gastric secretion, diet No. 2 is prescribed. Food - fractional, food - well chopped and boiled, and the use of vegetable and meat broths, meat and fish of low-fat varieties, juices, coffee, tea stimulates the secretory function in case of its insufficiency. Foods rich in plant fiber are excluded from the diet: dough products, grapes, radishes, dates, spicy, smoked, very salty dishes, mushrooms, carbonated drinks, pickled vegetables, cold drinks. Whole milk, cream, buckwheat and pearl barley porridge, legumes are not recommended.

With remission, the diet becomes less strict. Also, in the stage of remission, physiotherapy is carried out: phonophoresis, balneotherapy, electrophoresis. Spa treatment is recommended.

Prevention of exacerbations of gastritis

For the prevention of exacerbations of gastritis, the following recommendations should be observed:

do not drink alcoholic beverages, do not smoke;
do not drink carbonated drinks;
take medications prescribed by your doctor;
eat fractionally, chew food thoroughly, dishes should be warm, eat cereals and soups every day;
exclude contact with various chemicals;
treat infectious diseases on time;
try to eliminate stressful situations;
exercise.

During the period of remission with increased or normal gastric secretion, you can drink mineral water "Borzhomi", "Slavyanovskaya", "Moskovskaya".

If with acute gastritis the necessary treatment has not been carried out, then the disease becomes chronic. An exacerbation can occur only with chronic gastritis.

Among the reasons that can cause another attack of gastritis, first of all, the following stand out:

activation of helicobacteria;
violation of the diet - overeating, eating before bedtime, eating dry food, abuse of fatty, fried, spicy, spicy foods;
excessive consumption of alcohol, coffee, strong tea, soda water, hot juices;
smoking;
stress.

With an inflamed gastric mucosa, it is necessary to identify the cause of the exacerbation.

Drug therapy

All medications are prescribed for exacerbation of gastritis only by a doctor.

The treatment will take place in several directions.

Antibacterial therapy

It is carried out when H. pylori is detected. In this case, the gastroenterologist prescribes antibacterial drugs. The type of medicine, its dose, duration of use is determined only by the doctor and depends on the test result. For example, it can be drugs such as:

Tetracycline.
Clarithromycin in combination with Amoxicillin or Metronidazole.
De-nol together with Oxacillin and Furazolidone.

Usually antibiotics are taken for 7-14 days.

Decrease in acidity

After establishing the level of acidity, to normalize it, drugs are prescribed that suppress the production of hydrochloric acid. This is necessary to prevent the appearance of erosions and ulcers, reduce pain and improve the body's perception of other drugs. It can be:

Gastrofarm.
Ranitidine, which blocks H2 receptors.
The hormonal drug Cytotek, which is prohibited during pregnancy.

If the acidity is low, then the prescribed drugs should, on the contrary, stimulate its production, however, in the acute course of the disease, these drugs are not prescribed. After the symptoms subside, the following are accepted:

Panzinorm.
Pepsidil.
Abomin.
Acidin-pepsin.
Ready gastric juice. A tablespoon of gastric juice is diluted in half a glass of water. The solution should be taken in small sips with meals.

Antacids

Are discharged for admission with high acidity. Preparations of this group envelop the mucous membrane and prevent hydrochloric acid from destroying it. At the same time, its activity is also extinguished, which means that heartburn and belching disappear. Among antacids for exacerbation of gastritis are:

in the form of suspensions, which are taken before meals.
Rennie.

The number of doses per day can be up to 6-7 times. The course is up to 30 days. The drugs are taken about an hour after a meal or 3 hours before it.

Taking antacids greatly reduces the absorption of other drugs. Therefore, if, for example, antibiotics are prescribed, then antacids begin to be taken about 2 hours after all the drugs.

Relief from pain and nausea

You can relieve pain if you take:

Analgin.
No-shpu.
Papaverine.
For very severe pains, Baralgin is taken.

Nausea and vomiting can be minimized by drinking:

Cerucalus.
Raglan.

Sedatives

Since one of the causes of exacerbation of gastritis is stress, sedatives will help relax the nervous system:

Relanium.
Novopassit.
Neozepam.
Preparations containing valerian or motherwort.

Pancreas problems

If there are problems with the pancreas, then with an acute attack of chronic gastritis, it is recommended to take:

Festal.
Panzinorm.
Mezim forte.

These remedies will aid in the digestion of food.

Quick help

If, in case of acute inflammation of the mucous membrane, which has arisen as a result of an exacerbation of chronic gastritis, it is not possible to immediately see a doctor, then you can resort to the following urgent measures:

stop taking any food;
drink water and induce vomiting, that is, rinse the stomach;
take a pain reliever - No-shpa is good;
for very severe heartburn, drink a rapidly absorbing antacid, for example, Rennie;
if you have Gastrofarm, then chew 2 tablets - the drug is made on the basis of herbs and helps well with an acute attack of chronic gastritis.

In the event that there is not even medicine at hand, you can proceed as follows:

flush the stomach;
lie on your side and pull your legs bent at the knees to your chest - this position relaxes the muscles, the spasm is relieved and the pain goes away;
drink soda dissolved in water - half a teaspoon is diluted in a glass of water and slowly drunk 2-3 sips, but this method only helps for a short time;
boil rice and drink a slimy broth - it envelops the stomach, relieving pain well;
you can put 4-5 grains of coarse sea salt on your tongue, dissolve them, and then swallow salted saliva;
a cold heating pad on the abdomen helps relieve pain;
if you are worried about very strong vomiting, then you can suck on a lemon.

It is necessary to visit a gastroenterologist as soon as possible. Only a specialist will be able to prescribe the correct treatment, select the required dosage of drugs, and monitor the progress of recovery. In addition, exacerbation of chronic gastritis is a serious reason to think about lifestyle: nutrition, stress, bad habits.

Useful video about gastritis

Chronic gastritis is a common disease in our century, since in most cases it appears due to poor nutrition, stress and other ailments. It is characterized by a course during which periods of remission and exacerbation occur. Acute gastritis occurs during the spring and summer months, when many people start consuming a lot of fiber from fresh vegetables and fruits. This is what provokes an exacerbation, which has to be treated urgently.

Symptoms of acute gastritis cannot go unnoticed, since they are of high intensity and cause significant discomfort. The difficulty lies in the fact that they can be confused with severe poisoning or pancreatitis, which have similar symptoms.

1. Regular or paroxysmal abdominal pain. It gets much stronger after eating.

2. Nausea and vomiting, which have a sour odor and yellow impurities.

3. Increased salivation due to disruption of the gastrointestinal tract. On the contrary, dry mouth may occur if there is vomiting.

4. Heartburn and sour belching, most often appearing after eating.

5. Violation of the stool.

6. Tachycardia, weakness, migraine, fever, fainting and dizziness.

7. Decreased appetite and rapid weight loss.

8. Bloating, flatulence.

These symptoms of exacerbation of gastritis can be differently expressed in each patient. They can be present both all at once, or only a few, but the main ones (abdominal pain, attacks of nausea and heartburn) are always present. The stronger the discomfort, the worse the degree of the inflammatory process. In any case, it is necessary to consult a doctor, since the ailment should not be allowed to take its course. This will lead either to complications or to problems with other organs. You can find more information about this in.

What to do if an exacerbation occurs?

First of all, you need to stop worrying, as nervous tension will only worsen the situation. If acute gastritis occurs in a child, then you should immediately call a doctor in order to prevent dire consequences. An adult needs to understand the intensity of symptoms before going to the hospital. If they are poorly expressed, then the problem can be solved at home by following a certain diet and taking folk remedies. However, if the exacerbation of chronic gastritis is strongly pronounced and significantly affects a person's condition, a doctor's consultation will be needed.

As for the diet, everything is pretty simple. The following foods will need to be excluded from the diet:

food with high acidity (grapes, alcohol, coffee, cabbage, smoked sausage and meat);
carbonated drinks, spicy foods, marinades, spices, fatty meat and fish;
dishes that take a long time to digest (pancakes, rice, rye bread, rolls).

The first time, when the symptoms are too intense, you should completely refuse to eat. This is especially true for children whose stomachs are still weak. When the exacerbation has passed, you can start using:

dairy products with a low percentage of fat;
fruit juices and compotes from non-acidic fruits;
various cereals, except for rice;
mineral waters without gas;
lean meat and fish that can be steamed or baked without oil;
vegetable soups.

The answer to the question of what to do during an exacerbation, if the condition worsens every hour or day, is the same: you need to call an ambulance for immediate hospitalization.

How Traditional Medicine Can Help

The doctor prescribes antibacterial drugs or antacids with an increased level of acidity, for example, Maalox, Gastal, Almagel. If the disease is of zero acidity, then agents that positively affect the production of hydrochloric acid can be recommended. In some cases, gastritis is treated with hormonal drugs if the cause is autoimmune. Diet is considered an important part of therapy, which must be strictly followed. Thanks to her, it is possible to slow down the development of the disease and eliminate the symptoms. It should not be violated, as this can lead to an exacerbation. It is important not to drink alcohol while dieting.

Effective recipes

Treatment with folk remedies is considered quite effective and at the same time safe, since it does not have a negative effect on other organs. It can be prescribed by a doctor together with a medication, or separately. There are effective recipes to help ease the symptoms of chronic gastritis.

1. Herbal decoction.

For him you need to take:

Calamus rhizome - 5 g;
plantain leaves - 20;
mint leaves - 5;
mustard seed powder - 10;
yarrow - 7;
bird highlander - 10;
St. John's wort - 20;
caraway fruits - 3;
centaury - 10 g.

All these ingredients will need to be mixed in a bowl and filled with 2 liters of boiling water. You need to insist for about a day, tightly covering with a lid, and then strain. Drink 100-200 ml one hour after eating.

2. Tincture of calamus root.

It is helpful in treating zero acid gastritis. Ingredients for cooking:

calamus rhizome - 10 g;
mustard seeds - 5;
watch - 5;
centaury - 10;
dried orange peel - 15;
bitter wormwood - 5.

2 tbsp. tablespoons of a mixture of these ingredients will need to be scalded with a glass of boiling water and heated in a water bath (do this for about half an hour). Then the broth must be allowed to cool, and then strain it. The resulting tincture is diluted with 200 ml of water. For adults, drink about 100 ml 3 times a day, and for children - 30-50 ml. The best effect can be achieved if you follow a diet along the way.

3. A decoction of St. John's wort.

This remedy is great for treating exacerbated gastritis at home. The broth can be taken by both adults and children.

Ingredients:

St. John's wort - 15 g;
mustard seed powder - 7;
dioecious nettle - 10;
chamomile flowers - 5;
plantain leaves - 7.

The resulting mixture must be taken 3-4 tbsp. spoons and boil them in a liter of boiling water. You need to insist for about 5 hours in a warm place, and then strain. Drink a glass a day, do it 2-3 times after meals, the course of treatment is about a week.

4. Tincture of mustard seeds.

Among the folk methods of treating gastritis, this method is considered one of the best. For him you need to take:

mustard seed powder - 15 g;
smokehouse - 3-4;
yellow gentian - 2;
yarrow - 2;
chicory root - 3-4.

All ingredients must be mixed and filled with a liter of cold water for a day. After that, boil the whole mass at home over low heat. Insist broth and strain with gauze. Drink a glass before meals and several times after.

General Tips

When an exacerbation occurs, it is strongly recommended that you visit your doctor right away in order to establish an accurate diagnosis and prescribe the correct treatment. This can be done with tests and other medical procedures.

It is important to follow a diet, as well as to use not only pharmaceutical preparations, but also folk remedies. They need to be drunk regularly to achieve recovery. Children and pregnant women should consult a doctor before taking pills. This will help avoid unwanted and even life-threatening outcomes.

Gastritis is an inflammatory process in the stomach, which is accompanied by painful sensations, and occurs at least once in every person's life.

This disease appears due to the consumption of large amounts of junk food, the presence of habitual intoxications, the wrong daily regimen and frequent stressful situations. How to relieve gastritis pain and what to take?

Diagnosing gastritis

Gastritis does not always have certain symptoms. Sometimes the disease goes away absolutely without any manifestations.

But if there are the following symptoms, then you need to pay attention and get diagnosed:

Nausea after eating or even vomiting.
Pain in the stomach.
Feelings of discomfort after eating.

If these manifestations of gastritis do not stop after 7 days, then you need to contact the clinic for help from a specialist.

The reason may be if droplets of blood appear in the vomit or feces.

Also, the cause of the appearance of gastritis can be the presence of drugs, a side effect of which may be the formation of gastritis.

How can you relieve painful sensations at home?

Diet food.
Take food often, but in small portions.
Taking medications prescribed by your doctor.
Pay attention to the pills that the patient takes to treat other diseases. It is necessary to read the instructions and make sure that the drugs cannot contribute to the onset of gastritis.
Reception of folk remedies, tinctures, compresses and medicinal decoctions.

What pills to use? What drugs help relieve pain?

Pain medications. For the best effect, it is recommended to use them intramuscularly. For example, it can be Spazmalgon, Analgin, Papaverin, Baralgin. But you need to remember that drugs such as Ibuprofen, Naproxen and Aspirin can cause gastritis.
Drugs that help remove toxins from the body. It can be Activated Carbon or Enterosorb.
Taking antibiotics. One of the causes of gastritis is the presence of the bacteria Helicobacter Pylori. It is necessary to take a full course of antibiotic use, even if the symptoms have passed earlier. The most effective antibiotics are considered to be Amoxillin, Clarithromycin, Metronidazole. It should be understood that these drugs must be prescribed by a specialist.
Antacid tablets to lower acidity. They are used for gastritis with high acidity. Thus, they help to reduce irritation of the stomach lining. No accumulation is needed for their action. They act after entering the stomach. You can buy them in the presence of an exacerbation in any pharmacy, even without a doctor's prescription. A side effect of using such a medication is the presence of diarrhea or constipation.
Preparations for the elimination of diarrhea. This is Diosmectite, Smecta.
Preparations for blocking histamine receptors. They are able to reduce acid secretion, are a good prevention of ulcers and erosions in the walls of the stomach. These include Famotidine, Nizatidine, Ranitidine, Cimetidine. They are released even without a prescription, during an exacerbation.

It is necessary to contact a specialist who can establish a diagnosis. During an exacerbation, it is advisable to go on a diet, take food at room temperature.

It is also important to consume plenty of water per day. A small amount of time should pass between meals.

Pain with exacerbation of gastritis

To eliminate pain during exacerbation of gastritis, if the disease is not very neglected, a simple bowel cleansing will help.

Taking a few glasses of warm water or with a little soda and artificially induce vomiting can help (these methods should not be abused).

If the situation is running, then it is necessary to take emergency measures. For this patient, it is advisable to be hospitalized in a hospital and a stomach cleansing is performed there.

Depending on the severity of the situation, it is recommended to completely refuse to eat during the first two days. You can use warm water with soda, the use of unsweetened tea and rosehip broth.

If the pain during exacerbation is dull and exhausting for several days, then it is necessary to take drugs that are capable of enveloping the walls of the stomach.

Additionally, it is advisable to take No-shpa. Such an exercise will help get rid of pain: you need to lie on your right side, pull your legs to your stomach and lie there until the pain disappears completely.

A cold heating pad on the stomach will help relieve pain during exacerbation of gastritis. Additionally, you can use a decoction of rice, add a little sugar beforehand.

The effect of the use of a decoction, if there is an aggravation, lies in its enveloping action.

Rules for eliminating an attack of pain

The following rules will help relieve an attack of exacerbation with gastritis:

It is necessary to avoid hunger pains with gastritis by changing the diet. To do this, a person should eat often, but in small portions. There should be no more than three hours between meals. But each meal must be cut down significantly. There should be small snacks between breakfast, lunch and dinner.
Do not eat fatty, fried or smoked foods. You can not use chips, crackers and other preservatives.
It is advisable to stop drinking alcoholic beverages.
Reduce the impact of stress on the human body. This could be sports, meditation, yoga, or outside support.

Folk remedies for gastritis

Potatoes and cabbage. It is necessary to prepare the juice from raw vegetables. You need to drink a glass of juice before eating.

If the acidity in gastritis is low, then if there is an exacerbation, it is necessary to take alkaline water. To do this, you need to dissolve 1 teaspoon of baking soda in 1 glass of warm water.

You can use this method sometimes, but not every day. This treatment is used not only in the presence of an exacerbation, but also in case of heartburn.

With increased acidity with gastritis, it is necessary to use flax seeds. They envelop the walls of the stomach and reduce the negative effects of hydrochloric acid.

To do this, take 2 teaspoons of flax seeds and pour hot boiled water. The broth should be consumed before each meal.

To relieve intense pain during an attack of exacerbation of gastritis, you can use aloe juice. You need to take 1 tablespoon of aloe juice or take a leaf and peel it.

You can change the leaves of aloe to Kalanchoe.

Can be used to eliminate exacerbation - honey. He is a good helper and gastritis with high acidity and low.

For prevention, it should be consumed with warm water in the morning on an empty stomach or added to tea. Additionally, it is necessary to combine honey with plantain and boil for half an hour.

Eliminate the pain, if there is an exacerbation of gastritis, it is necessary to have a rosehip infusion. It contains a large amount of vitamins and helps to restore the functioning of the gastrointestinal tract.

Herbs such as rose hips, chamomile, oak bark, and yarrow will help to eliminate pain during an exacerbation.

In order to reduce pain, it is necessary to take an infusion of currant leaves. It helps with anti-inflammatory, hemostatic action and very quickly helps to eliminate pain.

You can also take honey with milk. If a person has an allergic reaction to honey, then it can be replaced with chamomile.

It is necessary to insist half a teaspoon of chamomile in hot boiled milk. Take a glass with an attack.

You can quickly and effectively eliminate pain with gastritis with the help of a decoction, which was prepared by rosehip and lemon juice. You can take a decoction of sauerkraut and plantain.

But only there is pancreatitis, that is, an inflammatory process in the pancreas, then this method cannot be used.

If the pain persists at home within a week, it is recommended to consult a doctor. Intense pain can also be a reason for hospitalization. The attack is stopped by medications.