Acute and chronic erosive-hemorrhagic gastritis: antral, fundamental, focal gastritis

Digestive diseases are one of the most common and numerous groups of pathologies that humanity suffers from. Most gastrointestinal pathologies are inflammatory in nature. Take, for example, the same gastritis, which is diagnosed in every 2nd adult (according to some data, this figure is much higher, if we also take into account that not everyone seeks help from doctors) and in 10-15% of children and adolescents. And this is not surprising, because in fact, gastritis is a generalized concept that unites pathologies characterized by an inflammatory process in the stomach. Some types of gastritis are quite mild for the time being, but there are those that, according to doctors, are severe and even life-threatening pathologies. This is exactly what hemorrhagic gastritis is, which will be discussed in this article.

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Epidemiology

As already noted, gastritis is considered one of the most "popular" diseases of our time. And if earlier doctors diagnosed mainly mild forms of the disease, then in the last decade there has been a significant increase in the incidence of such dangerous pathologies as hemorrhagic gastritis and gastric ulcer. Moreover, the incidence of hemorrhagic gastritis has increased almost 10 times, which is a side effect of progress.

Most often, the pathology is diagnosed in those who take NSAIDs and corticosteroids, as well as in people suffering from alcoholism. In these population groups, hemorrhagic gastritis is detected in half of the cases.

Hemorrhagic gastritis affects both women and men equally. In children, this pathology is detected only in isolated cases.

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Causes hemorrhagic gastritis

Gastroenterologists consider hemorrhagic gastritis as a polyetiological disease that has not yet been sufficiently studied. Scientists have not yet been able to accurately determine the cause that is most likely to be responsible for the occurrence of pathological changes in microcirculation in the vessels of the stomach. However, they still identify several risk factors that can provoke the development of pathology.

The following factors can be attributed to such factors with a high percentage of coincidences (the impact of a pathogenic factor – the appearance of symptoms of hemorrhagic gastritis):

• Negative impact of acids and alkalis on the stomach due to uncontrolled and irresponsible use of certain groups of medications without taking into account their side effects. In particular, long-term use of non-steroidal anti-inflammatory drugs and analgesics, use of corticosteroid hormones and long-term antibiotic therapy.
• Chronic alcohol abuse.
• An incorrect approach to nutrition, in particular the consumption of overly hot dishes, excessive passion for salty, smoked, spicy and fried foods, which irritates the walls of the stomach and negatively affects the condition of the blood vessels in them.
• Consumption of low-quality products containing heavy metal salts added as flavor additives or for other purposes by manufacturers of these products who do not consider it necessary to care about the health of consumers. Such products include all kinds of seasonings and spices, hot store-bought sauces and preserves, low-quality smoked products.
• Frequent cases of viral diseases that weaken the body.
• The presence of a bacterial infection in the body, especially if it is the notorious cause of most gastrointestinal diseases Helicobacter pylori.

In addition, mechanical damage to the stomach, Crohn's disease, characterized by a severe inflammatory process affecting the gastrointestinal tract, stressful situations and emotional stress, metabolic disorders in the body's cells, and vascular pathologies associated with impaired capillary permeability can lead to the development of a pathological process.

Most often, hemorrhagic gastritis develops against the background of weakened immunity, which is unable to respond to the negative impact of pathogenic factors.

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Pathogenesis

So, hemorrhagic gastritis is one of the most severe types of inflammation of the gastric mucosa. It is characterized not only by inflammation of the stomach walls, but also by the appearance of bleeding erosions and small ulcers on them. This is what makes it similar to the erosive form of gastritis, which is why hemorrhagic gastritis is often called erosive or erosive-hemorrhagic.

In fact, these are two completely different diseases with somewhat similar symptoms, but with different development mechanisms. Thus, with erosive gastritis, inflammation of the mucous membrane precedes the appearance of erosions on it, which can be provoked by coarse food, anti-inflammatory drugs, the irritating effect of alcoholic beverages, and a bacterial factor.

The pathogenesis of hemorrhagic gastritis seems to go the opposite way. First, flat ulcers and superficial erosions appear on the mucosa, which appeared as a result of microcirculatory vascular disorders in the subcutaneous (or rather submucosal) layer, and then symptoms of inflammation appear, associated with both damage to the mucosa and the impact of the bacterial factor on them, and with the vascular disorders themselves.

Hemorrhagic gastritis is so named because it is characterized by the appearance of small bleeding foci on the mucous membrane of the stomach and inflamed areas around them. As a result of microcirculatory disorders in small vessels of the stomach, blood clots can form in them, which makes the pathology even more dangerous.

In other words, the pathology manifests itself as if from within, despite the fact that the factors causing it can be both internal and external.

The main role in the development of hemorrhagic gastritis is given to the violation of the permeability of blood vessels and blood circulation in them. Of no small importance in this regard is the violation of metabolic processes in cells, leading to the development of degenerative processes in them. The cause of such changes is considered to be a long-term or constant impact on the tissues of the stomach and the body as a whole of negative factors, which will be discussed below.

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Symptoms hemorrhagic gastritis

The disease often begins with symptoms similar to indigestion. In other words, the first signs of hemorrhagic gastritis are characteristic of most gastrointestinal pathologies.

Patients most often complain about:

• unpleasant sensations in the stomach,
• dull pain localized in the epigastric region, which becomes stronger after eating or if you press lightly on the stomach.
• symptoms of dyspepsia: a feeling of heaviness in the abdomen and bloating due to increased gas production, nausea, sometimes accompanied by belching with a sour taste and vomiting,
• the appearance of a metallic taste in the mouth.

There are frequent cases when hemorrhagic gastritis began immediately with gastric bleeding. Then patients note the presence of traces of blood in vomit and feces, which acquire a black tint.

Many patients report a noticeable loss of appetite, the appearance of a whitish coating on the tongue, bowel movements (alternating cases of diarrhea and constipation), vomiting with elements of undigested food, weakness and dizziness due to blood loss.

As the disease progresses, the symptoms increasingly resemble those of gastric bleeding. Vomit changes color to black, somewhat reminiscent of coffee grounds, stool becomes liquid and tarry. The skin becomes noticeably pale, and sometimes loss of consciousness is noted against the background of severe bleeding.

When examining a patient, the doctor pays attention to the unnaturally pale color of the skin and mucous membranes, rapid pulse and relatively low blood pressure. If the inflammatory process is acute, tension in the abdominal muscles associated with noticeable pain is felt upon palpation.

In chronic cases of the pathology, patients complain of headaches, general weakness and excessive fatigue, and dizziness. At the same time, some symptoms of iron deficiency anemia are noted, such as a pale shade and noticeable dryness of the skin, brittle nails and the absence of their usual healthy shine.

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Forms

Hemorrhagic gastritis is usually classified according to three indicators: the nature of the course, the underlying cause of the pathology and the localization of the affected area.

Based on the underlying cause of the disease, there are two types of hemorrhagic gastritis:

• primary, if the pathology is diagnosed in an initially healthy person and its cause is one or more external pathogenic factors,
• secondary, if gastritis develops against the background of existing diseases of the gastrointestinal tract, and the stomach in particular.

It is the underlying cause of the disease that causes some differences in patients' complaints, since in the second case there are overlapping symptoms of other diseases, which makes diagnosis a little more difficult. But the symptoms may change slightly depending on the stage of development of the pathological process.

Based on the nature of the course of the disease, we can also distinguish 2 types of pathology, which would be fair to call forms of hemorrhagic gastritis:

• acute form of the disease,
• its chronic form.

The acute course of the disease is characterized by focal location of erosions, which makes it possible to cope with the disease in a short time (up to 10 days). The chronic form of the pathology, as usual, is much more difficult to treat, and the danger of internal bleeding haunts a person for many years.

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Acute hemorrhagic gastritis

Most often, the acute course of the disease is observed at the beginning of its development. But there are cases when acute attacks begin relapses in the chronic form of the pathology.

Acute gastritis is characterized by high severity of symptoms of the inflammatory process. The most common causes of the pathology are:

• poor quality and downright harmful food products,
• burn of the gastric mucosa when it comes into contact with chemicals, poisons, heavy metal salts,
• intoxication of the body due to previous illnesses,
• blunt mechanical abdominal trauma,
• damage to the gastric mucosa due to unqualified diagnostic tests,

The development of pathology in this case is not associated with a violation of the secretion of gastric juice or an increased content of hydrochloric acid in it.

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Chronic hemorrhagic gastritis

This form of the disease is characterized by some blurring of symptoms. It is characterized by periods of remission and exacerbations. For some time after treatment, the disease may not manifest itself in any way, but under the influence of irritants it can flare up again, sometimes even in an acute form.

Based on the location of the inflammation foci in the stomach, the following types of disease are distinguished:

• Hemorrhagic antral gastritis. This diagnosis indicates that the location of vascular changes on the gastric mucosa is its initial section - the antrum. This is one of the most common types of the disease.

The pathology can occur in both acute and chronic forms.

The acute form is characterized by: rapid development of the disease and the presence of blood in vomit and feces.

In the chronic form, symptoms characteristic of any type of gastritis can be observed: pain in the stomach, especially after eating, nausea/vomiting, loss of appetite, change in taste, appearance of a whitish coating on the tongue, frequent attacks of weakness and dizziness.

• Proximal hemorrhagic gastritis. This form of pathology can be classified as both gastritis and a type of bulbitis (inflammation of the initial section of the duodenum, adjacent directly to the stomach) with symptoms characteristic of both pathologies.

Among other things, this pathology can be caused by a violation of intestinal motility and stagnation in it.

• Hemorrhagic focal gastritis. The very name of the pathology suggests that vascular disorders in the submucosal layer of the stomach, which subsequently appear in the form of erosions and thrombi, do not cover the entire internal surface of the organ, but represent lesions of varying sizes. The localization of such lesions can also be different.

Most often, the disease occurs in an acute form and is accompanied by frequent headaches, attacks of stomach pain, various dyspeptic symptoms, and weight loss.

Chronic gastritis may also cause other unpleasant symptoms associated with digestive disorders. These include episodes of numbness in the arms or legs, deterioration of the hair, nails and teeth, and noticeable paleness of the skin.

Hemorrhagic reflux gastritis can be distinguished as a separate type of pathology, in which the appearance of edema and erosions on the mucous membrane is associated with the reflux of the contents of the duodenum back into the stomach.

As for the stage of development of the disease, here we can consider the superficial and erosive forms of pathology.

Doctors diagnose superficial hemorrhagic gastritis when vascular changes in the form of small hemorrhages are already noticeable on the gastric mucosa, but a strong inflammatory process and sufficiently deep bleeding erosions affecting large blood vessels are not yet observed. Calling this form of gastritis mild means sinning against the truth, because any negative impact on the lesions can cause the disease to progress to a more severe stage. And then we will talk about erosive-hemorrhagic gastritis with its characteristic erosive-ulcerative lesions of the mucosa, inflammation and the release of blood into the stomach cavity.

The likelihood of bleeding in this case depends on the location of a large erosion (or several smaller, fairly deep lesions). If the mucosal damage is located on the anterior or posterior wall of the stomach, as well as on its bottom, the risk of bleeding remains small.

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Complications and consequences

Hemorrhagic gastritis, like other forms and types of gastritis, cannot but affect the general well-being and health of the patient, especially if left without proper treatment. Starting with a superficial form under the influence of various irritants, hemorrhagic gastritis acquires increasingly severe forms.

The danger is also that acute gastritis, if the treatment is insufficient or absent, threatens to become chronic, which, as we know, is much more difficult to treat and constantly threatens to remind us of itself again with painful and rather dangerous relapses.

Dangerous consequences of the disease development include its development into a stomach ulcer or stomach cancer. Hemorrhagic gastritis is especially close to a stomach ulcer, because erosions can increase in size over time and go deeper, affecting not only the mucous membrane, but also the muscle tissue of the main digestive organ. Proximal hemorrhagic gastritis is very likely to develop into an ulcer of the stomach and duodenum.

As for complications of the disease, most often hemorrhagic gastritis, especially its acute form, is accompanied by symptoms of anemia. This is due to blood loss when erosions begin to bleed.

However, it is not so much the anemia itself that poses a greater danger to life, but rather severe gastric bleeding with erosive-hemorrhagic gastritis, if large blood vessels are involved in the process.

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Diagnostics hemorrhagic gastritis

As we can see, hemorrhagic gastritis is not a harmless stomach disease, in which case it is especially important to recognize the disease in time and begin its effective treatment, preventing disastrous consequences.

The diagnostic plan depends on the patient's condition. If possible, the diagnosis of hemorrhagic gastritis begins with an external examination and a study of the symptoms of the disease from the patient's words. At the same time, attention is paid to the localization of pain, the time of its appearance and dependence on food intake, the color and composition of vomit, the color of feces (subjective assessment of the patient).

During external examination, one may note paleness and dryness of the skin, the presence of a coating on the tongue. Measuring the pulse and blood pressure may indicate tachycardia and low blood pressure, as a sign of bleeding.

Palpation (feeling) of the abdomen is mandatory. In hemorrhagic gastritis, this procedure is painful in the vast majority of cases.

Among the laboratory tests, the following analyses are mandatory:

• complete blood count,
• biochemical blood test,
• general urine analysis,
• stool analysis for blood content.

The main method of instrumental diagnostics for hemorrhagic gastritis is rightly considered to be esophagogastroduodenoscopy, which makes it possible to visually assess the condition of the gastric mucosa, see the pathological changes occurring in it, the location of the lesions, their number and size, and the source of bleeding.

During this procedure, a sample of material (a small area of the mucous membrane) is taken for microscopic examination to identify altered cells. A targeted biopsy is considered appropriate in this case, since there remains a small chance that the disease will develop into oncology.

To detect a bacterial infection in the body (the infamous Helicobacter Pylori), a urease breath test and PCR diagnostics are performed. And the results of pH-metry provide sufficient information about the acidity of the stomach.

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Differential diagnosis

Differential diagnostics are carried out with such pathologies as erosive gastritis, gastric ulcer and duodenal ulcer, stomach cancer.

Treatment hemorrhagic gastritis

A doctor can start treating a patient with hemorrhagic gastritis only after making an accurate diagnosis and ruling out malignant changes in the stomach cells. Based on the patient's condition, the question of placing him in a hospital or prescribing appropriate outpatient treatment is decided. The presence of signs of gastrointestinal bleeding is an unconditional reason for hospitalizing the patient.

Treatment begins with diet therapy and the prescription of medications that solve the problem in several directions:

• Control of gastric juice production.
  • antisecretory drugs:
    • _H2 -histamine receptor blockers (Famotidine, Ranitidine)
    • proton pump inhibitors (Omez, Omeprazole)
    • antacids (Maalox, Almagel).
• Protection of the gastric mucosa from the influence of aggressive factors - enveloping agents, drugs with an astringent effect (De-nol, Flocarbin)
• Stopping and preventing bleeding (hemostatic therapy). Treatment is carried out using intravenous drip administration of aminocaproic acid together with adrenaline plus intravenous or intramuscular injection of the drugs "Vikasol", "Dicynone", "Etamzilat".

In case of severe bleeding and pronounced symptoms of anemia (hemorrhagic shock), a blood transfusion or infusion of blood substitutes with an anti-shock effect may be required.

After the bleeding has stopped, it is customary to additionally prescribe iron preparations.

• Normalization of digestion with the help of enzyme preparations (Festal, Creon, Pancreatin).
• Fighting bacterial infection (if Helicobacter Pylori was detected during diagnostic testing) with antibiotics prescribed according to a special two- or three-component regimen.
• Restorative therapy:
  • taking vitamins and vitamin-mineral complexes to replenish the deficiency of nutrients in the body caused by digestive disorders and blood loss.
  • strengthening of blood vessels (drugs "Detralex", "Venarus")
  • healing of erosions and tissue regeneration using vegetable oils (sea buckthorn, rose hips).

Doctors resort to surgical treatment of hemorrhagic gastritis extremely rarely, since surgical intervention very often ended in the death of the patient. And they did not guarantee a complete cure. According to medical statistics, about 25-30 percent of patients who successfully underwent surgery faced the fact that after some time the disease relapsed in the form of bleeding.

The best results are still achieved by endoscopic treatment of hemorrhagic gastritis, which includes:

• injecting the affected area with a mixture of alcohol and adrenaline,
• treatment of the affected area with hemostatic solutions,
• electrocoagulation of the bleeding source,
• long-acting hemostasis (barium-thrombin composition is used).

Physiotherapeutic treatment of hemorrhagic gastritis is carried out mainly in its chronic course during the remission period. Effective methods of physiotherapy include spa treatment with mineral water intake directly at the source, mud therapy, galvanization, and ultrasound exposure.

Popular drugs for the treatment of hemorrhagic gastritis

Since gastritis is considered one of the most common diagnoses, the pharmaceutical industry is concerned with the release of more and more effective drugs that can have a positive effect on both the gastric mucosa and the entire digestion process as a whole. However, not all practicing doctors are inclined to experiment, so in the treatment of gastritis, including hemorrhagic, both new drugs and time-tested drugs remain equally in demand.

For example, the good old "Famotidine", which is used to treat erosive and ulcerative lesions of the gastrointestinal tract, including reflux disease. It helps normalize stomach acidity and prevents recurrence of gastrointestinal bleeding.

The drug belongs to the group of histamine H2 _- receptor blockers. It is usually prescribed to take 1 or 2 times a day, 1-2 tablets. The course of treatment is 1-1.5 months, in case of reflux disease the therapeutic course can be increased to 12 weeks.

The drug is quite well accepted by all groups of patients. Contraindications to its use may only be the period of pregnancy and breastfeeding, early childhood (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 dry mouth, abdominal pain, bowel disturbances, headaches, sleep disturbances, depression, drowsiness, arrhythmia and decreased blood pressure, 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 ease the work of the stomach in any pathologies of the gastrointestinal tract.

Method of administration and dosage. The drug in capsule form is taken during each main meal, washed down with a sufficient amount of water.

The dosage is prescribed by the attending physician depending on the individual needs of the body at a certain severity of the pathology. Usually, a single dose ranges from 20 thousand to 80 thousand units and depends on the quality of the food consumed. If the food does not contain components that are difficult to digest, it is enough to take half of the prescribed dose.

The drug has no contraindications, except for hypersensitivity to its components, but is not free from some side effects. Most often, these are abdominal pain, dyspeptic symptoms, and less often, allergic reactions.

"De-nol" is an innovative drug, the effect of which is incredibly significant in hemorrhagic gastritis, accompanied by erosive damage to the mucous membrane. After all, this drug is designed to protect the damaged gastric mucosa from additional irritation. It is also considered effective in combating bacterial infections.

The drug is used in the acute phase to reduce the unpleasant symptoms of gastritis. The daily dosage of the drug is 4 tablets, which are divided into 2 or 4 doses. The drug is taken half an hour before meals or at night. For children, the daily dose, depending on weight, is 1-2 tablets.

The therapeutic course can range from 4 to 8 weeks.

This drug is not used during pregnancy and lactation, in case of renal failure in the stage of decompensation, hypersensitivity to the drug, as well as in pediatrics for the treatment of children under 4 years of age.

"Detralex" is a drug designed to strengthen blood vessels, because with hemorrhagic gastritis we are primarily talking about circulatory disorders in the small vessels of the stomach, which subsequently result in bleeding erosions due to the rupture of these same vessels.

The drug is effective as a component of restorative and strengthening therapy. It is taken 1 or 2 times a day. The recommended daily dose is 2 tablets.

In case of ruptures of small vessels of the stomach and bleeding ulcers, the dose can be increased to 6 tablets per day (in 2 doses). After 3 days, the dosage is reduced to 4 tablets per day with the same frequency of administration. After another 3 days, 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 include hypersensitivity to it and breastfeeding. There are not many side effects, and they mainly concern the gastrointestinal tract: diarrhea and various dyspeptic symptoms. Less common are abdominal and head pain, dizziness, and skin rashes.

Diet for hemorrhagic gastritis

What you need to pay special attention to with any gastrointestinal pathology is your diet. If you do not organize your food intake and do not control its quality and quantity, you can nullify any, even the most effective, treatment.

Hemorrhagic gastritis, as one of the most severe pathologies, requires a comprehensive approach to treatment, in which the main places are occupied by taking medications and diet. Moreover, specialists approached the development of a diet for hemorrhagic gastritis with the risk of gastric bleeding especially carefully.

The requirement for fractional nutrition (small portions 5-6 times a day), known to many who have been diagnosed with gastrointestinal pathologies, remains relevant in hemorrhagic gastritis. But the food should be easily digestible and not irritate the gastric mucosa.

Vegetables can only be eaten boiled or baked, with the exception of cabbage, which should not be eaten in any form with hemorrhagic gastritis. Legumes (beans, peas), fatty meats and fish, and spicy spices should be avoided altogether. Coffee and chocolate products, carbonated drinks (mineral water without gas is allowed), and grapes (due to possible fermentation in the stomach) are also prohibited. And, of course, smoked, spicy, fatty, or fried foods and canned goods should not be consumed.

You can only eat yesterday's bread (preferably bran), you will have to forget about fresh pastries and cakes with butter cream. However, as well as about fresh milk, which contributes to increased stomach acidity, cheese or fatty sour cream.

But low-fat dairy products, jelly, non-acidic compotes, low-fat broths should be a must in the patient's diet. Dishes on the table should be liquid or pureed if possible. It is better to boil or steam meat and fish.

You can eat all types of porridge, except pearl barley, which increases acidity. Viscous porridges are especially useful, as they are easily digestible and protect the gastric mucosa from damage. But alcohol, with its aggressive effect on the stomach during hemorrhagic gastritis, on the contrary, contributes to the deterioration of the situation.

And most importantly, food and drinks should be warm, but not hot, which can provoke capillary ruptures and bleeding. Eating cold food does not help normalize digestion.

Let's look at an example menu for hemorrhagic gastritis:

1 breakfast:

• Semolina porridge (oatmeal with honey, cottage cheese casserole with berries, cereal pudding, lazy dumplings, etc.)
• Soft-boiled egg (steam omelette, colostrum)
• Green tea with a rusk or pretzel (herbal tea, grain drinks)

2 breakfast:

• Mashed potatoes (rice or buckwheat porridge, stewed cabbage)

• Steamed chicken cutlet (steamed lean meatballs)
• Non-sour berry jelly

Dinner:

• Vegetable soup cooked in beef broth (beetroot soup, rice or tomato soup)
• Low-fat steamed fish (steamed meatballs, boiled lean meat, vegetable casserole)
• Rosehip decoction (herbal or green tea, non-acidic fruit compote

Afternoon snack:

• Apple (fruit soufflé, pear, banana)
• Kissel (weak tea, herbal decoction)

Dinner:

• Cottage cheese (1 pack) with sour cream or honey (meat and vegetable casserole, fish pudding, buckwheat porridge, etc.)
• Fruit and berry jelly (berry soufflé, kissel)
• Non-acidic compote or herbal decoction

2 dinner:

• Baked apple or a glass of kefir (fermented baked milk, yogurt).

As we can see, despite all the restrictions, the choice of products and dishes for the diet of a patient with hemorrhagic gastritis is large enough to ensure that the diet remains complete and varied.

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Folk remedies

There are not many diseases in the treatment of which alternative medicine has not yet made its contribution. The same is true for hemorrhagic gastritis. Traditional medicine significantly alleviates the condition of patients and contributes to the normalization of metabolic processes in the body.

To treat hemorrhagic gastritis, oils from medicinal plants are used (sea buckthorn or rose hips are used as raw materials), as well as carotene oil, which can be purchased at any pharmacy. Oils should be taken 1 hour before meals 3 times a day for a month.

To normalize acidity, as usual, you can use potato juice, which is drunk on an empty stomach, 1 glass at a time. After 10 days of treatment, take a break for 2 weeks.

It is impossible not to note the benefits of sprouted wheat. It must be crushed and taken raw or boiled, 1 tablespoon three times a day.

And, of course, we must not forget about bee products. Propolis in the form of a tincture (an hour before meals three times a day in the amount of 20 drops) or just a small piece of it (chew for a long time during the month) will help effectively relieve inflammation and other unpleasant symptoms of gastritis.

Herbal treatment is also used for hemorrhagic gastritis. Aloe juice, lettuce infusion, chamomile infusion, sage, yarrow, and thyme will be helpful.

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Homeopathy

When there is an inflammatory process in the stomach and the mucous membrane is covered with painful erosions, it is natural to want to protect it from additional irritation, which is observed with oral administration of synthetic drugs. Homeopathy is a section of alternative medicine, the drugs of which have a more gentle effect on the body, although in terms of effectiveness they are rarely inferior to medications with the same effect.

This is precisely what explains the great popularity of treating gastritis, including hemorrhagic gastritis, with homeopathic remedies, the only drawback of which is the long duration of the treatment course.

It is clear that if the symptoms indicate acute gastritis, accompanied by gastric bleeding, then you need to go to the hospital, and not make an appointment with a homeopath. But if the acute attack has been stopped, then it is quite appropriate to use homeopathic medicines to continue treatment and prevent relapses of the disease.

Thus, potassium bromide in 3 and 6 dilutions is indicated for erosive-inflammatory processes in the stomach, which are accompanied by abundant mucus secretion and vomiting with blood.

For superficial hemorrhagic gastritis with bloody vomiting, the drug Ipekuana in 3 dilutions is indicated, which relieves the symptoms of nausea and vomiting.

Arsenicum album in 3 or 6 dilutions is also considered an effective gastric antiseptic. It helps to quickly relieve inflammation and severe pain in hemorrhagic gastritis.

For reflux gastritis, a homeopathic doctor may prescribe Colchicum in 3 dilution. And Bismuth in 2 dilution is indicated for any type of gastritis accompanied by inflammation and severe pain, regardless of their cause.

Prevention

The best way to protect yourself from the dangerous consequences of the disease is, of course, its prevention. As usual, a healthy lifestyle and proper healthy nutrition come to the forefront, covering the body's need for vitamins, minerals, useful amino acids, etc. Do not forget about giving up bad habits, such as alcohol and smoking, which often provoke gastrointestinal pathologies.

Preventive medical examinations and visiting a doctor when the first signs of hemorrhagic gastritis or other gastrointestinal pathologies appear will help prevent the development of the disease by identifying it at an early stage.

Up to a certain point, our health is only in our hands, and whether such an unpleasant pathology as hemorrhagic gastritis will make itself known also depends only on us.

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Forecast

If we talk about hemorrhagic gastritis, then this is a pathology with a controversial prognosis. If you follow a diet and take the courses of drug treatment prescribed by the doctor, the patient's life will not be threatened by the disease. Another thing is that this insidious pathology is more prone to relapses than others, which cannot be prevented even by surgery.

The prognosis of surgical treatment, despite all the efforts of doctors, remains unfavorable in many cases due to the high risk of bleeding, both during and after the procedure. Therefore, without trying other methods of treatment, you should not agree to surgery.

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