To begin treatment of a patient with hemorrhagic gastritis, a doctor can only after making an accurate diagnosis and excluding malignant changes in the cells of the stomach. Based on the patient's condition, the question of placing him in a hospital or appointing an appropriate outpatient treatment is decided. The presence of signs of gastrointestinal bleeding is the unconditional reason for hospitalization of the patient.
Begin treatment with diet therapy and prescription of drugs that solve the problem in several ways:
- Control of gastric juice production.
- antisecretory drugs:
- blockers of H2-histamine receptors ("Famotidine", "Ranitidine")
- proton pump inhibitors ("Omez", "Omeprazole")
- antacids (Maalox, Almagel).
- Protection of the gastric mucosa from the influence of aggressive factors - enveloping agents, preparations with astringent effect ("De-nol", "Flokarbin")
- Stop and prevent bleeding (haemostatic therapy). Treatment is carried out by intravenous drip of aminocaproic acid together with epinephrine plus iv or IM injecting drugs "Vikasol", "Dicinon", "Etamsilat".
In cases of severe bleeding and severe symptoms of anemia (hemorrhagic shock), blood transfusion or infusion of blood-substituting formulations with anti-shock effect may be required.
After stopping bleeding, it is customary to prescribe iron preparations.
- Normalization of digestion with the help of enzyme preparations ("Festal", "Creon", "Pancreatin").
- Fighting bacterial infection (if Helicobacter Pylori was detected in a diagnostic study) with antibiotics given on a special two- or three-component scheme.
- Restorative therapy:
- the intake of vitamins and vitamin-mineral complexes to fill the deficiency of nutrients in the body, formed due to digestion and loss of blood.
- strengthening of blood vessels (preparations "Detraleks," Venarus ")
- healing of erosion and regeneration of tissues with the help of vegetable oils (sea buckthorn, rosehip).
To surgical treatment of hemorrhagic gastritis doctors resort extremely rarely, as surgical intervention very often resulted in death of the patient. And they did not guarantee complete cure. According to medical statistics, about 25-30 percent of patients who successfully underwent surgery were faced with the fact that after a while the disease gave relapses in the form of bleeding.
The best results are nevertheless endoscopic treatment of hemorrhagic gastritis, which includes:
- rubbing the affected area with a mixture of alcohol and adrenaline,
- treatment of the affected area with blood-resurfacing solutions,
- electrocoagulation of the source of bleeding,
- hemostasis of long-term action (barium-thrombin composition is used).
Physiotherapeutic treatment of hemorrhagic gastritis is carried out mainly with chronic course during remission. Effective methods of physiotherapy include sanatorium treatment with the intake of mineral water directly at the source, mud treatment, galvanization, ultrasound.
Popular drugs for the treatment of hemorrhagic gastritis
Since gastritis is considered one of the most common diagnoses, the pharmaceutical industry is concerned about releasing ever new and effective drugs that can have a positive effect on both the gastric mucosa and the whole digestive process. Nevertheless, practicing physicians are not all inclined to experiment, so in the treatment of gastritis, including hemorrhagic, equally new drugs and already time-tested drugs remain in demand.
For example, the old and kind "Famotidine", which is used to treat erosive and ulcerative gastrointestinal lesions, including reflux disease. It helps to normalize the acidity of the stomach and prevents relapses of gastrointestinal bleeding.
The drug belongs to the group of histamine H 2 -receptor blockers . Usually it is prescribed to take 1 or 2 times a day for 1-2 tablets. The course of treatment is 1-1.5 months, with reflux disease the therapeutic course can be increased to 12 weeks.
The drug is fairly well perceived by all groups of patients. Contraindications to its use can serve only the period of pregnancy and breastfeeding, younger children (from 0 to 3 years), hypersensitivity to the components of the drug.
Taking the drug may be accompanied by the following side effects: nausea and vomiting, a feeling of drying of the oral mucosa, abdominal pain, stool disorders, headaches, sleep disorders, depressive state, drowsiness, arrhythmia and pressure decrease, allergic reactions, etc.
"Creon" is a newer drug with an enzyme composition close to that produced by the human body. It is used to improve digestion and facilitate the work of the stomach in any pathology of the gastrointestinal tract.
Method of application and dosage. The preparation in the form of capsules is taken during each main meal, with a sufficient amount of water.
Dosage is appointed by the attending physician depending on the individual needs of the organism for a certain degree of severity of the pathology. Usually single dose ranges from 20 thousand to 80 thousand units. And depends on the quality of the food. If the food does not contain heavy components for digestion, it is sufficient to take half the prescribed dose.
The drug has no contraindications, except for hypersensitivity to its constituents, but not rid of some side effects. Most often it is abdominal pain, dyspeptic phenomena, less often - allergic reactions.
"De-nol" - an innovative drug, the effect of which is incredibly significant in hemorrhagic gastritis, accompanied by erosive lesions of the mucosa. After all, this drug is just designed to protect the damaged gastric mucosa from additional irritation. It is also considered effective in combating bacterial infection.
The drug is used in the phase of exacerbation to reduce the unpleasant symptoms of gastritis. The daily dosage of the drug is 4 tablets, which are divided into 2 or 4 doses. Take the drug for half an hour before meals or at night. For children, the daily dose, depending on the weight, is 1-2 tablets.
The therapeutic course can range from 4 to 8 weeks.
Do not use this drug during pregnancy and lactation, with kidney failure in the stage of decomposition, hypersensitivity to the drug, as well as in pediatrics for the treatment of children younger than 4 years.
"Detralex" is a drug designed to strengthen blood vessels, because with hemorrhagic gastritis it is primarily about circulatory disturbances in small vessels of the stomach, which subsequently flow into bleeding erosions due to rupture of these very vessels.
The drug is effective as a component of restorative and strengthening therapy. Take it 1 or 2 times a day. The recommended daily dose is 2 tablets.
With ruptures of small stomach vessels and bleeding ulcers, the dose can be increased to 6 tablets per day (in 2 divided doses). After 3 days, the dosage is reduced to 4 tablets per day with the same frequency of administration. After 3 more days, they return to the maintenance dose.
The course of treatment with the drug is long (up to 1 year) with possible repetitions as prescribed by the doctor.
Contraindications to taking the drug are hypersensitivity to it and breastfeeding. Side effects are not so many, and mostly they concern the gastrointestinal tract: diarrhea and various dyspeptic phenomena. Less often there are pain in the abdomen and head, dizziness, skin rashes.
Diet with hemorrhagic gastritis
That's what for any pathology of the gastrointestinal tract should pay special attention, so this diet. If you do not order food intake and do not control its quality and quantity, you can nullify even the most effective treatment.
Hemorrhagic gastritis, as one of the hardest pathologies, requires an integrated approach to treatment, in which the predominant place is taken by medication and diet. And to develop a diet for hemorrhagic gastritis with the danger of gastric bleeding specialists came very carefully.
The requirement of fractional nutrition (small portions 5-6 times a day), known to many who have gastrointestinal pathologies, remains as relevant for hemorrhagic gastritis. But the food should be easily digestible and not irritate the stomach mucosa.
Vegetables can only be eaten in cooked or baked form, with the exception of cabbage, which in hemorrhagic gastritis can not be used in any form. From legumes (beans, beans, peas), fatty varieties of meat and fish, spicy spices will have to be abandoned altogether. Under the ban are also coffee and chocolate products, carbonated drinks (you can mineral water without gas), grapes (because of possible fermentation in the stomach). And, of course, you can not eat smoked food, sharp, fatty or fried dishes, preserving.
Bread can only be eaten yesterday (it's better from bran), it's necessary to forget about fresh baking and cakes with butter cream. However, as well as about fresh milk, which contributes to increase the acidity of the stomach, cheese or fatty sour cream.
But low-fat sour-milk products, jelly, non-acid compotes, low-fat broth in the ration of the patient should be necessary. Dishes on the table should be as liquid as possible or in the form of mashed potatoes. Meat and fish are better for boiling or steaming.
Kashi can be consumed all but the pearl barley, which increases acidity. Especially useful are viscous porridges, easily assimilated and protecting the gastric mucosa from damage. But alcohol with its aggressive effect on the stomach with hemorrhagic gastritis, on the contrary, contributes to the deterioration of the situation.
And most importantly, food and drinks should be warm, but not hot, capable of provoking capillary ruptures and bleeding. It does not contribute to the normalization of digestion and the use of cold food.
Consider an exemplary menu for hemorrhagic gastritis :
1 Breakfast :
- Manna porridge (oatmeal with honey, casserole from cottage cheese with berries, pudding from cereals, lazy varenichki, etc.)
- Egg boiled soft (steam omelet, colostrum)
- Green tea with breadcrumbs or drying (herbal tea, cereal drinks)
2 Breakfast :
- Mashed potatoes (rice or buckwheat porridge, braised cabbage)
- Steam cutlet from chicken meat (meatballs from low-fat steamed meat)
- Non-acidic berry jelly
- Vegetable soup, cooked on broth from beef meat (beetroot, rice or tomato soup)
- Low-fat steam fish (steam meatballs, boiled lean meat, vegetable casserole)
- Broth of wild rose (herbal or green tea, non-acidic fruit compote
- Apple (fruit souffle, pear, banana)
- Kissel (not strong tea, herbal decoction)
- Cottage cheese (1 packet) with sour cream or honey (casserole from meat and vegetables, fish pudding, buckwheat porridge, etc.)
- Fruit and berry jelly (soufflé from berries, jelly)
- Non-acid compote or herbal decoction
- Baked apple or a glass of yogurt (fermented baked milk, yoghurt).
As you can see, with all the restrictions, the choice of foods and dishes for the patient's diet with hemorrhagic gastritis is large enough to ensure that the food remains full and varied.
There are not so many diseases, in the treatment of which non-traditional medicine has not yet made its feasible contribution. So in the case of hemorrhagic gastritis. Alternative treatment significantly alleviates the condition of patients and contributes to the normalization of metabolic processes in the body.
For the treatment of hemorrhagic gastritis, oils from medicinal plants are used (raw materials are fruits of sea buckthorn or dog rose), as well as carotene oil, which can be purchased at any pharmacy. Take the oil you need 1 hour before meals 3 times a day for a month.
To normalize the acidity, as usual, you can use potato juice, which is drunk on an empty stomach for 1 glass. After 10 days of treatment, take a break for 2 weeks.
It is impossible not to note the benefit of wheat germ. It must be grinded and taken in raw or cooked form for 1 tbsp. Three times a day.
And, of course, do not forget about the products of beekeeping. Propolis in the form of tincture (an hour before meals three times a day in the amount of 20 drops) or just a small piece (chew for a month for a long time) will help effectively remove inflammation and other unpleasant symptoms of gastritis.
It is practiced with hemorrhagic gastritis and herbal treatment. Aloe vera juice, lettuce infusion, chamomile, sage, yarrow, thyme will be useful.
When there is an inflammatory process in the stomach and the mucous membrane is covered with painful erosions, it is natural to keep it from the additional irritation that occurs when the synthetic preparations are taken orally. Homeopathy is a section of nontraditional medicine, whose drugs have a more gentle effect on the body, although they are rarely inferior to medications with the same effect.
This is the reason for the great popularity of the treatment of gastritis, including hemorrhagic, homeopathic remedies, the only drawback of which is the long duration of treatment.
It is clear that if the symptoms indicate an acute gastritis, accompanied by gastric bleeding, then you need to go to the hospital, and not to register for an appointment with a homeopath. But if the acute attack was stopped, then to continue treatment and prevent relapses of the disease it is appropriate to use homeopathic drugs.
So, potassium bromicum in 3 and 6 dilutions is shown in the erosive-inflammatory process in the stomach, which is accompanied by abundant mucus secretion and vomiting with an admixture of blood.
With a superficial hemorrhagic gastritis with bloody vomiting, Ipukuan is taken in a 3-dilution procedure that relieves the symptoms of nausea and vomiting.
An effective gastric antiseptic is also considered Arsenicum Albumum in 3 or 6 dilutions. It helps to quickly remove inflammation and severe pain in hemorrhagic gastritis.
With reflux gastritis, a homeopathic doctor can prescribe Colchicum in 3 dilutions. A Bismuth in 2 dilutions is shown in any variety of gastritis, accompanied by inflammation and severe pain, regardless of their cause.