Gastritis has worsened: what to do, how to provide first aid?

Exacerbation of gastritis is characterized by inflammation of the gastric mucosa. This disease can be acute and chronic (it occurs in waves, when phases of remission are replaced by exacerbations). It is almost impossible to cure this disease if you do not follow a diet.

Gastroenterologist Mikhail Vasilievich:
“It is known that for the treatment of the gastrointestinal tract (ulcers, gastritis, etc.) there are special drugs that are prescribed by doctors. But we will not talk about them, but about those medicines that you can use yourself and at home...” Read more >>>

Exacerbation of gastritis - symptoms

Gastritis is characterized by a feeling of heaviness in the stomach, dizziness, weakness, nausea and diarrhea. Then the symptoms of exacerbation become more and more severe, accompanied by acute abdominal pain.

There is an asymptomatic course of the disease, but after some time an exacerbation will still make itself felt with the following signs:

heaviness in the stomach;
pain in the upper abdomen;
nausea;
sour belching;
losing weight and so on.

With exacerbation of gastritis, symptoms develop inconsistently. Depending on the degree of pathology and timeliness of therapy, signs periodically appear and disappear.

Prerequisites causing the inflammatory process

The main prerequisites for the exacerbation of the pathological process in the main organ of digestion are factors favorable for its development, such as deterioration of the emotional background due to the withering of nature, lack of sunlight, sudden cold snap, and decreased immunity.

The main factor that provokes an exacerbation of the disease in the autumn is most often the usual cold snap, due to which the blood vessels contract and spasms begin in them.

In the case when a person suffers from an inflammatory process occurring in the stomach, changes in the weather have a significant impact on the secretion of gastric juice, which causes gastritis to worsen. The main reasons for this may be the following:

frequent colds and other inflammatory processes, such as tonsillitis, bronchitis, tonsillitis, which affect human bodies with the onset of damp and cold weather;
disorders associated with changes in the eating habits of office workers due to a reluctance to go out into the damp and dank streets during lunch breaks and preferring instead to eat a sandwich in front of the computer;
has an irritating effect on the gastric mucosa, thereby causing the development of an inflammatory process, as well as a negative effect on the secretion of gastric juice, and the presence of harmful habits in a person, such as addiction to smoking and alcohol abuse.

It is impossible to determine how long the inflammation of the internal surface of the main digestive organ provoked by these reasons will last, since this is due to the individual characteristics of the body, the presence of concomitant diseases in the person, the degree of development of the disease, as well as the adequacy and timeliness of the treatment measures taken.

The role of physiotherapy in exacerbation of chronic gastritis

Physiotherapy methods for chronic gastritis are widespread. If there is severe pain, against the background of exacerbation it is advisable to use:

electrophoresis with novocaine;

paraffin applications;
ozokerite applications;
mud applications;
massage.

The physiotherapy procedure lasts on average 15 minutes.

For chronic gastritis, patients are massaged with the trapezius and broad dorsal muscles, chest, solar plexus area, stomach area, and abdominal muscles. The duration of treatment for exacerbation of the disease is approximately 28-30 days. How to relieve exacerbation of gastritis? This question interests many.

But during periods of exacerbation, massage is not recommended. Bleeding, tuberculosis, oncology, gynecological diseases, pregnancy are also contraindications. In addition to physiotherapy, outside the period of exacerbation, patients are prescribed sanatorium-resort treatment. When gastritis worsens, the symptoms are extremely unpleasant. Let's figure out how to get rid of them.

Signs of a “raging” disease

Symptoms and treatment of exacerbation of gastritis are interrelated. How to recognize the disease and what to do in such a situation are the main questions that people ask when experiencing pain in the abdominal cavity. Below are the main, frequently occurring symptoms of various forms of gastritis. But only a doctor can make a more accurate diagnosis! These symptoms may also be signs of an ulcer, so you should immediately consult a specialist.

Abdominal pain. They can be permanent or repeated at certain intervals. Their intensification is usually recorded after eating or on an empty stomach.
Lack of appetite or its selectivity (suddenly suddenly craving something sour or something else).
Nausea and vomiting. There is pallor of the skin and severe weakness. Increased sweating and tachycardia may also occur.
Diarrhea and constipation.

Heartburn, unpleasant belching, nausea and vomiting (especially after eating).
Gastric bleeding (the main distinguishing feature from other types of the disease).

Atrophic chronic gastritis:

Decreased or complete absence of appetite.
Flatulence.
Belching has an unpleasant odor and an unpleasant taste in the mouth.
Diarrhea or constipation.

Traditional methods of treatment

The initial and moderate severity of the disease requires treatment with traditional methods, but in severe cases this method and diet are not enough.

For example, carrot juice is used to reduce acidity during symptoms of exacerbation of gastritis. It is prepared from ripened root vegetables and drunk freshly squeezed. This should be done on an empty stomach, 250 ml 1 hour before meals once a day. Therapy lasts approximately one and a half weeks. A break is taken for ten days, then the course is repeated.

What to take during exacerbation of gastritis?

Mint is also used to treat gastritis with high acidity. About 10 g of herb is poured with boiling water (about half a glass) and infused for half an hour. Take the infusion before meals three times a day.

Plantain is suitable for combating aggravated stomach problems. 10 g of the plant is poured with a glass of boiling water and kept on fire for 10 minutes. The decoction is drunk once a day, 15 ml on an empty stomach. With exacerbation of gastritis, symptoms vary depending on the acidity.

How does gastritis occur in the acute phase?

You need to know the following:

how long does the exacerbation last?
what symptoms are characteristic of it;
when does it most often occur;
what provokes it.

We are talking about a chronic form of inflammation of the stomach. Exacerbations are observed in both children and adults. The reasons are gastritis that has not been completely cured and non-compliance with doctor’s recommendations. Exacerbations directly depend on lifestyle and nutrition. Symptoms most often occur in spring and summer. During this period, human activity increases.

The number of exacerbations per year varies. By following a diet, abstaining from alcohol and taking medications, long-term remission can be achieved. With gastritis, exposure to any irritating factor leads to inflammation of the mucous membrane and its swelling. Stomach acidity is of no small importance. Taking even small doses of alcohol can cause an exacerbation, since ethyl alcohol increases the production of gastric juice, which contributes to damage to the mucous membrane.

Main provoking factors

With gastritis, exacerbation is due to:

drinking alcohol;
violation of diet;
stress;
burn of the mucous membrane;
repeated infection with Helicobacter bacteria;
impaired chewing function;
smoking;
development of diseases of other digestive organs;
long-term use of aggressive medications;
occupational harm.

After identifying the disease, the attending physician (gastroenterologist or therapist) prescribes medications and gives general recommendations on nutrition and lifestyle. If these instructions are not followed, the gastric mucosa becomes inflamed again. The most common cause is dietary errors. The following risk factors are identified:

eating dry food;
insufficient mechanical processing;
addiction to spices;
eating fried, pickled, smoked and salted foods.

Too hot or cold foods have a bad effect on the stomach. The cause of exacerbation may be the use of drinks prohibited by a doctor (coffee, carbonated water, strong tea, cheap juices). Exacerbation is possible with constant snacking, when a person does not have time for a full lunch. Many people eat in the morning before and after work. At the same time, dinner places the greatest burden on the stomach.

It is not right. The maximum caloric content of food should be for breakfast and lunch. Diet is of great importance. Long intervals (more than 4 hours) between meals, late dinner (after 8 pm), eating 2-3 times a day - all these are risk factors for exacerbation of gastritis. If a person has increased stomach acidity, foods that increase secretion (sweet and sour berries and fruits) are excluded from the diet. Their use can provoke an exacerbation. The method of preparing dishes is of great importance. Fried and baked foods have a bad effect on the stomach.

Exacerbation is possible in smokers. Not everyone is able to get rid of this bad habit. The components of cigarette smoke irritate the mucous membrane and impair blood supply to the organ. Often aggravated gastritis caused by taking antibiotics or NSAIDs is detected. These medications can cause not only inflammation, but also ulcers. Exacerbation is also due to internal causes (tooth loss, diabetes, pancreatitis, cirrhosis, reflux of bile from the duodenum, autoimmune disorders).

Clinical signs of exacerbation

Symptoms of exacerbation of gastritis are few. They may resemble other diseases (peptic ulcer, pancreatitis, cholecystitis). Clinical manifestations vary depending on the type of inflammation. Gastritis in the acute phase is characterized by the following symptoms:

pain in the abdomen;
heartburn;
belching;
bloating;
periodic vomiting;
increased salivation;
dry mouth;
increased or decreased appetite;
weakness;
headache;
tachycardia;
moderate fever;
dizziness;
constipation or loose stools.

Local signs of the disease are most pronounced. There may be no general symptoms. The state of health often remains unchanged. Exacerbation is always accompanied by pain. Its intensity varies. The pain can be dull, constant, and paroxysmal. It occurs soon after eating or on an empty stomach.

Each person produces juice at certain hours. If food does not enter the stomach at the appointed time, then pain appears on an empty stomach. A frequent sign of exacerbation of gastritis is a constant feeling of heaviness or pressure in the epigastric region. Some time after eating, nausea and heartburn occur when the stomach becomes inflamed.

The latter is characteristic of gastritis with high acidity. Heartburn is a burning sensation behind the breastbone associated with the reflux of acid into the esophagus. In severe cases, vomiting is observed. It comes with a sour smell and mucus. If gastritis is accompanied by diarrhea and periodic vomiting, then a decrease in blood volume is possible. This manifests itself as dry mouth and slight thirst.

Exacerbation of chronic gastritis of an autoimmune nature occurs with signs of anemia, tachycardia, tinnitus, weakness, general malaise, and dizziness. Appetite gradually decreases. A frequent symptom of exacerbation is a decrease in the patient’s body weight. Gastritis of autoimmune origin in the acute phase manifests itself with neurological signs. Atrophic gastritis is characterized by pain 15-20 minutes after eating, stool disturbances, rumbling in the abdomen, trophic disorders (brittle nails and hair), irritability, and drowsiness.

Signs of exacerbation of erosive gastritis

The most severe form of the disease is the erosive form of the disease, in which defects form in the gastric mucosa. During an exacerbation, the following symptoms appear:

heartburn;
nausea;
stool instability;
flatulence;
pain in the epigastric zone 1-2 hours after eating and on an empty stomach;
signs of bleeding (presence of blood in the stool);
vomiting with blood.

If you do not follow the doctor's instructions, bleeding may develop. It manifests itself as melena and vomiting. Exacerbation of erosive gastritis can lead to the following complications:

shock;
anemia;
dehydration.

This is observed in advanced cases. Exacerbation of chronic gastritis with signs of bleeding must be distinguished from other pathologies (peptic ulcer, polyps, esophageal varices, injuries).

How to treat gastritis with low acidity?

Folk remedies can also help fight attacks of exacerbations of gastritis with low acidity.

For example, a decoction of elecampane. To do this, take 20 g of roots and pour a glass of boiling water, boil for 30 minutes and cool. Drink 15 ml before meals three times a day.

Garden horseradish is used in the treatment of chronic gastritis in the acute stage. It is grated on a fine grater and mixed with natural honey. This mixture is taken before meals, 15 g. It is important to note the following - horseradish juice can quite easily cause copious secretion of gastric juice.

If the first symptoms of exacerbation of gastritis occur, you should not self-medicate, but should immediately contact a gastroenterologist. If the pain is unbearable, then you need to urgently call an ambulance.

Diagnosis of the disease

If any of the symptoms occur, you should definitely consult a doctor. To identify the disease, the following examination methods are usually used:

Primary palpation of the abdomen. The doctor determines which diseases are bothering the patient.
Taking blood, urine and stool tests.
Ultrasound diagnostics (ultrasound) is the examination of the abdominal organs using ultrasound beams.
Probing is an instrumental method for diagnosing the stomach area using a probe.
Fibroesophagogastroduodenoscopy (FGDS) is the most effective research method. By using it, doctors can see the number of growths in the stomach.

What diet is used for exacerbation of gastritis?

Let's consider the main rules of nutrition for this disease.

It is necessary to eat small and often, about five times a day, while making small portions, this promotes a gentle regime for the stomach. Food should be taken exclusively warm. It is better to steam the dishes and serve them in a semi-liquid, pureed, mushy form. It is necessary to completely exclude from the diet all types of vegetables that contain large amounts of coarse fiber and plant fibers, such as radishes, turnips, peas, beans, rye bread, unripe and sour fruits and berries. Under no circumstances should you consume spicy and salty foods, fried and fatty meat and fish dishes, smoked foods, cocoa, coffee, strongly brewed tea, soda, canned food and strong meat and vegetable broths.

A diet for low stomach acidity should be aimed at stimulating the secretory function of the stomach and the compensatory capabilities of other organs of the gastrointestinal tract.

In this case, doctors recommend a diet that will maintain a gentle diet, but stimulate gastric secretion. During exacerbation of gastritis, the diet should include proteins, fats and carbohydrates in the amount required by the body, and the food should also contain vitamins and a sufficient amount of salt.

A prerequisite is that the dishes are well boiled, then thoroughly wiped and served warm. The menu must have enough meat and fish broths, vegetable and mushroom broths, fruit and vegetable juices, coffee, cocoa, and tea.

Vegetables with a large amount of coarse fibers and plant fiber must be excluded from the diet. These include radishes, radishes, legumes, dates, gooseberries, and grapes. Fatty and stringy meat, lard, cartilage, chicken and fish skins have no place on the patient’s table. Rye bread, canned and smoked foods, fatty meats and fish, ice cream, baked goods, as well as mustard and horseradish are necessarily excluded. You should also not drink whole milk or eat mushrooms, buckwheat and pearl barley.

general characteristics

Acute gastritis appears suddenly when the gastric mucosa is damaged by chemicals, drugs or poor-quality food. Usually its symptoms are so pronounced that most patients immediately consult a doctor. In many cases, this form of the disease requires hospital treatment. But still, in almost half of the patients it is not possible to cure the pathology completely, and it becomes chronic.

Chronic gastritis can also develop as an independent disease. The reasons for this have not yet been clarified by scientists, but it is believed that inflammation of the mucous membrane can be triggered by stress, poor diet, bad habits, as well as infection with the Helicobacter pylori bacterium. In this case, the disease is usually accompanied by abdominal discomfort, indigestion, flatulence, and intestinal upset. Chronic gastritis can occur with low or high acidity of gastric juice. Symptoms may vary slightly.

The chronic form of the disease is characterized by the fact that the condition periodically improves, and such remission can last indefinitely. And at the initial stage of the pathology, the patient does not experience obvious discomfort.

Important: even with a slight violation of the diet or when exposed to unfavorable external factors, gastritis worsens.

Timely initiation of treatment can quickly improve the condition. But in some patients, the duration of the exacerbation can reach several weeks or even months.

With chronic gastritis, the walls of the stomach become inflamed, and there is a decrease in mucus production, which protects them from the aggressive effects of hydrochloric acid. Typically, this process is sluggish and, if you follow a diet, may not cause any symptoms. With increased acidity of gastric juice, ulcers and erosions form on the mucous membrane, which can bleed. All this leads to disruption of food digestion. In addition, the inflamed mucosa reacts sharply to any aggressive influences. An exacerbation of the disease occurs.

Inflammation of the mucous membrane can worsen for various reasons, often ulcers or erosions form on its surface

Unlike acute gastritis, an attack of its chronic form may not appear immediately after exposure to provoking factors, but after several hours. In addition, its manifestations will not always be pronounced; only a slight deterioration in the condition is possible. It is also impossible to say exactly how long the exacerbation lasts. Each patient is different.

Some people immediately change their diet and start taking the necessary medications. Sometimes in this way it is possible to stop the exacerbation in a few days. But in some patients this condition can last indefinitely.

A feature of gastritis is that exacerbation of its chronic form occurs simultaneously in many patients, regardless of behavior and diet. Therefore, they say that this disease is characterized by seasonality, because most patients have exacerbations in spring and autumn. But with a serious violation of the diet and medical recommendations, gastritis can worsen at any time. In the most severe cases, this condition lasts for years, only bringing relief for a short time.

Exacerbation of gastritis often occurs in summer and autumn, which is also recognized as a popular holiday period. Patients relax on vacation, forgetting about medical recommendations, and begin to violate their usual diet. For example, consume more vegetables and fruits than usual. Fiber, found in available southern products, often provokes acute gastritis.

Other exacerbation factors:

smoking and alcohol abuse;
immune system disorders;
binge eating;
diets for weight loss;
fatigue and nervous overload;
intestinal infections;
interseasonal cooling;
Helicobacter pylori infection;
other concomitant diseases;
taking medications with irritating effects.

Gastritis can worsen quickly, sharply or slowly, gradually, with increasing intensity of symptoms.

The chronic form of the disease is characterized by the fact that the condition periodically improves, and such remission can last indefinitely. And at the initial stage of the pathology, the patient does not experience obvious discomfort.

Symptoms of exacerbation of gastritis with low acidity

With an exacerbation of gastritis, accompanied by low acidity, a person feels a loss of strength, he constantly wants to sleep.

This type of gastritis is called atrophic and can be identified by the following signs׃

in the stomach area the patient feels a constant heaviness, which is accompanied by attacks of pain;
frequent belching;
strong bad breath;
bowel dysfunction – constipation occurs periodically or diarrhea begins;
Stomach bloating is often observed, which is accompanied by quite strong rumbling;
the person begins to sweat heavily.

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Basic rules of diet for chronic gastritis with normal and high acidity

Treatment of gastritis in the acute stage should begin with diet.

Meat for the patient is selected from low-fat varieties, non-veiny, it is better if it is beef, rabbit and poultry (without skin). By-products are also allowed: liver, tongue. Unlike meat, they do not have to be chopped and ground; they can be cut into pieces, but they cannot be fried, they must only be boiled.

The fish should also be lean: primarily river fish (not red), as well as hake, cod, and sea bass. During periods of remission, pieces of boiled fish are acceptable, but during periods of exacerbation, you need to cook steamed cutlets, meatballs, fish puree, etc. Before use, remove the skin from the fish. People with gastritis can eat pressed caviar.

It is important to include egg whites in sufficient quantities in the diet during exacerbation of chronic gastritis with normal and high acidity. In addition to soft-boiled eggs and omelettes, you can make meringues from it.

Drinking milk is beneficial for gastritis. It is as valuable for the body as meat, but does not have such a stimulating effect on gastric secretion. Milk can be consumed not only as part of dishes, but in its pure form. Fermented milk products can be eaten, but yoghurt or fermented baked milk is preferable. It is worth giving up too acidic foods (for example, kefir). Non-sour cottage cheese is suitable for the patient; it is better if it is prepared at home. Casseroles, cheesecakes, cheesecakes - all this will be very useful. Cheeses are excluded during an exacerbation period.

Cereals and legumes are recommended, but in moderation. Beans can only be eaten during periods of remission, because they are rich in fiber. And cereals are the main source of vegetable protein for a sick person.

The cereal is pre-wiped or passed through a meat grinder. Porridge can be cooked in milk. It is good to use various grains in the preparation of soups with a viscous consistency (they are especially recommended during periods of exacerbation).

Eating dried or stale bread and crackers is perfect for such gastritis. You can even eat baked goods - cheesecakes, pies, but they should be slightly limited in your diet.

Vegetable oil and butter are the main source of fat that the human body with gastritis needs. Fats coat the stomach, further protecting it, plus they affect the formation of gastric juice, regulating it.

If you have high stomach acidity, non-acidic fruits are a must. Fruit drinks, jelly, fruit purees and other sweet dishes can be prepared from them. Juices are diluted with water.

Eating potatoes, carrots, zucchini, pumpkin, cauliflower, beans, and ripe tomatoes is allowed. We’ll talk about what medications to take during exacerbation of gastritis below.

Treatment

What to do in case of exacerbations of gastritis? The most reasonable advice is to contact a gastroenterologist. You should not hope that the disease will go away on its own without specific treatment during exacerbation of gastritis; the disease will only progress and may even develop into a form that will pose a danger to the patient’s life.

Of course, an attack can happen unexpectedly, so immediate consultation with a doctor is not always possible. What to do if gastritis worsens? First aid in this situation will be like this:

Take antispasmodic tablets, which were previously recommended by your doctor. As a rule, patients with a chronic form of the disease always have painkillers on hand.

To relieve pain, it is recommended to lie on your side, pulling your knees to your chest, and try to relax. This will help relieve the spasm. You can put a cold pack on the upper abdomen - an ice pack wrapped in a towel.
You can drink chamomile tea.

But, of course, these simple measures will not be enough to treat chronic gastritis in the acute stage. The doctor must explain how to treat an attack, since the forms of the disease are different and there is no single treatment regimen for exacerbation of chronic gastritis.

Patients often ask how long will an exacerbation of gastritis last? Unfortunately, it is impossible to give an exact answer to this question. The attack may last several hours or may last several weeks.

How long an exacerbation lasts depends on the form of the disease, the degree of tissue damage, the cause of the exacerbation and other individual characteristics. To cure a relapse, the patient is prescribed complex treatment. In addition to taking medications, a diet must be prescribed, and it is also recommended to take herbs.

Medicines

What medications should be taken for exacerbation of gastritis? The answer depends on the form of the disease, so you can’t do without visiting a gastroenterologist. As a rule, it is recommended to treat an exacerbation with the following means:

First of all, patients are interested in how to relieve pain during an exacerbation. To resolve this issue, analgesics or antispasmodics are prescribed. How to relieve pain if an attack occurs unexpectedly? In this case, you need to have No-Shpa, Papaverine, Bendazole tablets on hand. For acute pain reactions, the doctor may prescribe analgesics in the form of injections - Anthropin, Platyfillin. Analgesics in tablets - Bellalgin, Gastrocepin - can also be prescribed.
Antacids. This group of drugs is prescribed for gastritis that occurs with an increased level of secretion. The drugs reduce the concentration of acid in the stomach, which relieves discomfort and pain. You can drink medications such as Maalox, Rennie, Gastal on your own during an exacerbation of gastritis, this will help significantly improve your well-being.

Antisecretory drugs are drugs that reduce the level of acid production. These are drugs such as Omez, Ranitidindine.
Prokinetics are substances that normalize the motor functions of the gastrointestinal tract. These remedies relieve nausea, eliminate belching, and reduce flatulence. This group includes medications such as Cerucal, Motilium.
Gastroprotectors, that is, substances that provide protection to the mucous membrane and enhance the production of protective natural mucus.

Only a specialist should prescribe medications during an exacerbation, since self-medication can worsen the condition. Before taking any medication, you should familiarize yourself with the list of contraindications and find out how this drug interacts with others. The fact is that not all medications can be taken at the same time. Some medications may reduce the effectiveness of other medications.

Folk remedies

As already mentioned, gastritis can worsen unexpectedly. Therefore, patients need to know what to do at home to relieve pain and other unpleasant symptoms. As a rule, treatment at home involves the use of traditional methods.

Advice! You should not assume that all folk remedies are absolutely safe. Decoctions and infusions can cause a severe allergic reaction. And some plants, if used incorrectly, are poisonous and can cause poisoning.

To avoid troubles, treatment with folk remedies should be carried out after consultation with a gastroenterologist. You should discuss with your doctor which methods will not harm you before starting treatment. In case of repeated attacks, you can use the same remedies yourself without additional consultation.

What remedies can be used if your stomach hurts? Most often, it is recommended to use:

Potato juice. You can only take freshly prepared juice, as it begins to lose its medicinal properties after 10 minutes of storage. Drink half a glass of juice on an empty stomach in the morning.
Chaga. The mulberry mushroom has a beneficial effect on the entire gastrointestinal tract. Chaga is used to prepare infusions, which are taken three times a day, always before meals.

Sea buckthorn oil. This product has powerful regenerating properties and protects the mucous membrane well. You need to take a teaspoon of oil in the mornings and evenings.
Water tincture of propolis. The product heals well and improves local immunity. You need to take half a glass daily.
Aloe juice with honey. A very good medicine that has a complex therapeutic effect on the gastrointestinal tract. It protects, heals, increases the body's protective functions.

Advice! You can prepare aloe juice at home yourself from the leaves of a plant that is at least three years old. Before preparing the juice, you need to cut off the leaves and keep them in a cool, dark place for 7 days.

Diet

A diet must be prescribed in case of exacerbation of gastritis; without changing the diet, it is impossible to cure a relapse. The diet is aimed at normalizing the functioning of the gastrointestinal tract, so the diet is made up of easily digestible food, which does not create additional stress on the inflamed stomach.

Meals should be fractional, you need to eat in small portions, but every 3 hours.

Advice! The approximate amount of food taken at one time should not exceed 200-250 grams.

While the exacerbation lasts, it is recommended to eat crushed food. Therefore, in a family where there is a patient with gastritis, it is very desirable to have a blender; this device will facilitate the cooking process.

Products need to be boiled - in water or steamed, stewed or baked in the oven without forming a crispy crust. Do not consume very cold foods (for example, ice cream) or very hot foods and drinks.

Rough food, spicy and salty foods are excluded, fatty, smoked foods and fried foods must be abandoned. At the same time, it is very important to ensure that the diet is balanced; the patient’s body must receive all the necessary microelements and other nutrients.

As a rule, in case of exacerbation of gastritis, it is necessary to follow a strict diet for 1-1.5 months. Then, as your condition improves, you can gradually expand your diet. But some restrictions in the chronic form of gastritis will need to be observed throughout life. To reduce the likelihood of an exacerbation it is necessary:

do not overeat;
eat slowly, chewing food well;
follow a diet;
to refuse from bad habits;
do not drink carbonated drinks;
give up fast food.

What can you eat during an exacerbation? Doctors recommend sticking to treatment table No. 1a in the acute period. After 3-4 days you can switch to table No. 1b, and after about 7-10 days, when the main symptoms subside, you can use table No. 1. Table No. 1a allows the consumption of the following dishes:

slimy cereal soups based on rice, semolina or oatmeal. You can season the soup with a small piece of butter or milk (if tolerated);
freshly prepared homemade cottage cheese, milk, cream (in small quantities for dressing dishes);
liquid pureed porridges from rice, oatmeal, buckwheat, semolina;
pureed meat dishes from rabbit, turkey, chicken breast;
chopped dishes from lean fish - cod, hake, etc.;
jelly, jelly;
chamomile tea, rose hip decoction, weakly brewed black or green tea.

When switching to treatment table 1b, in addition to the dishes listed above, the following products are allowed to be introduced:

white crackers in an amount of no more than 100 g. per day, crackers should be thinly sliced and not fried, but simply dried;
You can make not only purees from meat and fish, but also quenelles, meatballs, and steamed cutlets;

you can prepare sauces - milk and sour cream, but without pepper and other hot seasonings;
The list of cereals is expanding; you can eat barley and pearl barley, but in a well-cooked form;
vegetable purees are introduced into the diet - potato, carrot puree, stewed zucchini, broccoli;
You can eat eggs in limited quantities; they are boiled soft-boiled or steamed;
you can drink carrot juice.

When moving to treatment table No. 1, the diet is replenished with the following products:

unsweetened biscuit-type cookies, baked pies (infrequently, day-old baked goods with apples, cottage cheese, minced meat);
mild hard cheese;
vegetable soups, preferably puree soups, milk soups with noodles or cereals;

pasta;
sweet ripe fruits and berries - peaches, apples, raspberries, strawberries;
weak cocoa and coffee with milk;
sugar, honey, jam, jam, marshmallows - in small quantities.

What is prohibited in the diet for normal and high stomach acidity?

So, you should not use:

pork and lamb - they are quite difficult to digest;
fried meat;
smoked products;
canned food;
mushroom and meat broths;
skimmed milk.

Let's look at what else is not recommended:

radishes, turnips, garlic, radish, rhubarb, onions, mushrooms, sorrel, white cabbage;
pepper, mustard, horseradish and other seasonings;
black bread;
coffee, sparkling water, alcohol;
ice cream;
cold and hot drinks.

Salt in food should definitely be limited, especially during periods of exacerbation.

The diet for exacerbation of gastritis and the menu are presented below.

How long does an exacerbation of gastritis last? Gastritis in the acute stage: symptoms and treatment

Each organ in the human body is of great importance and performs several functions. Is it any wonder that as soon as its work changes, the entire body as a whole receives damage. The stomach is responsible for the digestion of food and the balanced receipt of all substances necessary for life. One of the most common pathologies for him is gastritis - inflammation of the mucous membrane. You can think for a long time about what to do, what to treat, how to eat properly and how long an exacerbation of gastritis lasts, but it’s better to dot all the i’s.

Basic rules of a diet for low acidity

What to take in case of exacerbation of gastritis? More on this below.

It is permissible to eat non-dairy baked goods: dried wheat bread, dry cookies, cheesecakes.

During exacerbations, vegetables need to be thoroughly boiled and served as puree. Butter is added to dishes in small quantities. One small fresh tomato is allowed.

To ensure that the body does not lack protein, you should eat soft-boiled eggs (especially whites), or a protein omelet.

Kissels or pureed compotes - only from sweet berries and fruits. You can eat baked apples or pears and jam. Non-acidic fruit juices diluted with water.

Causes of sudden exacerbation of the disease

Exacerbation of chronic gastritis is manifested by deep damage to the walls of the stomach. In this case, inflammation of the soft tissue occurs, which affects the entire organ or part of it. To return the stomach to functionality, a long course of treatment may be required.

The causes of exacerbation of gastritis may be as follows:

Hypothermia. When hypothermia occurs, vasoconstriction occurs and the blood supply to internal organs deteriorates. A decrease in the functionality of the stomach leads to the fact that food takes a long time to digest and rots. The soft tissues of the organ are involved in this process. The period of intoxication will continue until the reason why gastritis worsened is eliminated - cold.
Burn of the mucous membrane. Gastritis in adults occurs due to the consumption of alcoholic beverages, carbonated water or chemically active drugs. The consequences are always the same: severe inflammation occurs, which cannot always be relieved even with potent medications.
Bacteria entering the organ. This microorganism lives in the stomach of almost every person. Its activity is blunted by the influence of the immune system. However, when its work begins to malfunction, the Helicobacter pylori infection becomes active and begins to destroy the mucous membrane.
Mechanical disruption of the integrity of the stomach walls by foreign objects. These could be fish bones, paper clips, etc. The duration of inflammation is determined by the time it takes for stomach acid to dissolve the object that caused the irritation. In some cases, surgery may be required.
Long-term use of medications. The disease may worsen after prolonged use of medications that contain acids. They irritate the mucous membrane and destroy its composition at the molecular level.
Poor nutrition. The disease can worsen due to prolonged overeating, eating fatty, smoked and salty foods. Disturbances in the functioning of the stomach occur when a person is deprived of the opportunity to eat liquid food of high quality preparation.

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Spring and autumn exacerbation of gastritis can begin due to abundant consumption of fresh vegetables and fruits. Violation of the mucous membrane occurs due to exposure to acid and poor digestion of foods.

The question of what to do during an exacerbation of the disease should be decided immediately. But in order to know where to go and what to do, you need to know the symptoms of exacerbation of gastritis. This will help the patient quickly relieve attacks of pain and contact the right specialist in time.

Diet after an exacerbation

The disease subsides, and the person gradually switches to a normal balanced diet. But the final remission has not yet arrived, so the diet should be moderately gentle, close to full nutrition.

Grinding food is no longer necessary. Shredding or slicing will suffice. However, fractional meals must be maintained.

Some products are added to the diet - such as boiled beets and white cabbage, sweet fresh fruits and berries without peel, watermelons, fermented milk products, cottage cheese, low-fat sausage, lightly salted herring.

What are the reasons for exacerbation?

The main cause of exacerbation of gastritis is infection of the gastrointestinal tract by bacteria, which affects the mucous membrane and causes its destruction over time.

Burns of the gastric mucosa with chemical compounds can provoke gastritis; this often happens in patients who abuse alcoholic beverages. You can get burned by vinegar, acid, or alkali.

The use of anti-inflammatory drugs and antibiotics can provoke an exacerbation of the disease due to a violation of the protective properties of the stomach.

What medications should I take for exacerbation of gastritis?

How to identify an exacerbation

Only a specialist knows whether exacerbation of gastritis can be determined by the clinical picture. Symptoms of the disease are not specific, so a single survey is not enough to make a diagnosis. The following studies are required:

palpation of the abdomen;
identification of symptoms of peritoneal irritation;
stool examination;
FEGDS;
general clinical tests;
blood test for the presence of Helicobacter bacteria;
occult blood test;
biochemical research.

Ultrasound will help rule out other diseases. A biopsy is performed to determine the type of gastritis and assess the condition of the tissues. The acidity of the stomach must be measured. If alcoholic gastritis is suspected, pieces of the mucous membrane must be taken from 5 different areas. FEGDS is the main method for diagnosing the disease.

With exacerbation of gastritis, the following changes are detected:

hyperemia;
edema;
thickening or thinning of the mucosa;
presence of erosions.

Long-term inflammation with frequent exacerbations and atrophy can cause peptic ulcer disease. Because of this, it is necessary to undergo periodic examinations. A biopsy allows you to determine the type of gastritis and identify tissue changes.

Drug treatment

The following antibiotics are prescribed for exacerbation of gastritis: Tetracycline, De-Nol, Clarithromycin for a course of two weeks.
To reduce acidity: Gastrofarm, Omeprazole, Ranitidine.
To eliminate pain and dyspepsia: “Abomin”, “Pepsidil”, “Panzinorm”, “Analgin”, “Papaverine” and “No-shpa”.
For very severe pain, the Baralgina tablet will help.
Nausea and vomiting will be eliminated by "Raglan", "Cerucal".
Antacids: Maalox, Phosphalugel, Almagel, Gastal, Rennie.
“Novopassit”, “Neozepam”, “Relanium”, as well as products with motherwort will help the patient calm down.

Therapeutic measures

In the case when an exacerbation of gastritis begins in the fall, it is necessary to undergo a set of therapeutic measures aimed at removing the inflammatory process from the gastric mucosa. It is carried out with mandatory bed rest with the help of medications and a special diet.

Drug treatment of the acute phase of gastritis includes drugs that normalize the functional activity of the intestine and block gastric secretion, such as:

Tetracycline;
Clarithromycin, used for an adequate therapeutic course in conjunction with Metronidazole or Amoxicillin;
De-nol and Furazolidone or Oxacillin.

Such treatment courses last from 7 to 14 days.

All medications for treatment can only be prescribed by a gastroenterologist, based on the results of the diagnostic study.