Acute and chronic gastric ulcer gastritis: treatment with drugs and alternative means

Inflammatory diseases of the gastrointestinal tract are ubiquitous, becoming increasingly relevant and prevalent. They become the most important problem, which requires an early and thorough solution. Diseases significantly limit the ability to work, lead to disability. In many cases, they have a lethal outcome. Gastritis tends to rejuvenate, it affects more and more young people. If the disease previously occurred mainly in large cities, megacities, now it affects the inhabitants of villages, villages, small towns on the periphery. Ulcerative gastritis can have serious consequences and complications, it is hard to treat.

[1], [2], [3]

Epidemiology

Ulcerative gastritis most often affects people over the age of 60 years. At the same time, women make up 65%, men - 78%. In children, gastric ulcer does not develop, gastritis occurs. In the ulcerative form, it overgrows after 16 years, under the influence of various adverse factors. Gastritis occurs in about 30% of cases. Approximately 50% of people suffer from chronic forms of gastritis. 80% of the people had at least one case of the disease.

[4], [5], [6], [7], [8], [9], [10],

Causes of the ulcerative gastritis

Gastritis has many different causes. The main reasons can be conditionally divided into two groups: those that are related to the characteristics of nutrition, and associated with lifestyle. Gastritis occurs as a result of malnutrition, non-compliance with diet. It can provoke stale foods, poorly prepared food, excessive content of food additives, dyes, preservatives, flavors and even spices. Gastritis can contribute to the constant use of too cold or too hot dishes. Negatively affect the stomach and marinades, sauces, dressings.

Stressful situations, busy schedule, constant snacks, lack of adequate nutrition, systematic refusal of hot (first) dishes. The cause may be smoking, alcohol abuse. The constant intake of medicines, especially antibiotics and non-steroid preparations, contributes to damage to the mucosa, resulting in the development of its inflammation. Often the cause is the infection of Helicobacter pylori bacteria.

[11], [12], [13]

Risk factors

In the risk group, first of all, people who do not observe the regime of the day and nutrition get to it. This is usually associated with hard work, a tight work schedule. Smoking, alcohol, the constant use of medicines, especially aspirin, and its derivatives, is an important risk factor.

Attention to their health should be treated by people who abuse fast food, snacking sandwiches. People who drink large amounts of coffee are more at risk of developing gastritis. If people avoid the use of hot, first courses, you can also refer them to the risk group.

The disease can arise as a consequence of a long stay in a stressful situation. If a person is constantly subjected to nervous and physical overload, the risk of developing gastritis increases significantly. Also, a person is more susceptible to gastritis if he has recently had an infectious, inflammatory disease. To risk factors include disorders of microflora, infection Helicobacter pylori.

[14], [15], [16], [17], [18],

Pathogenesis

Pathogenesis is associated with morphological and functional disorders of the gastric mucosa. Ulcerative gastritis is accompanied by an increase in the amount of hydrochloric acid and its penetration into the lower, deeper layers of the stomach. Thus, ulcers are formed. An inflammatory process is formed around this site, which extends to both deep and surface layers.

[19], [20]

Symptoms of the ulcerative gastritis

Ulcerative gastritis is regarded as a serious enough pathology of the stomach, during which rapid, rapid development of the disease occurs. The first signs make themselves felt after 5-6 hours, after the mucous membrane of the stomach has been exposed to irritating effects. First, there is severe pain in the stomach. At the person the appetite disappears, the general state of health worsens, the temperature raises. Then, nausea, vomiting with blood, bile is added. A persistent unpleasant aftertaste remains in the mouth. There is an unpleasant smell from the mouth.

Severe symptoms appear later. Constant strong pain in the stomach, constant vomiting, belching, flatulence, bloating. Vomit contains impurities of blood, mucus, and also consist of undigested food residues. When touched, painful sensations are observed. There may be spasms, less often - salivarily salivating.

First signs

The initial stage of the disease manifests itself in the form of severe pain in the stomach. Most often, the pain is sharp, cutting. Also painful are all areas around. All this against a background of nausea, vomiting. Also, unpleasant sensations in the mouth are added. As soon as you have the first signs of the disease, you should immediately consult a doctor to make a timely diagnosis and take all the necessary measures.

[21], [22]

Stages

There are three stages of the disease.

At the first stage there is hemorrhage, acute inflammation of the gastric membrane. The mucous membrane undergoes changes, microscopic changes take place on it. Gradually, small erosions are formed, which then develop into ulcers. The first defeat affects the antral department. There is an increase in hyperemia, edema. Peristalsis is sharply weakened.

In the second stage, acute ulceration occurs. Erosions merge, forming a massive ulcer. Usually the ulcer is irregular in shape. The bottom is uneven, constantly increasing in size.

At the third stage, there is a process of scarring, in which the convergence of the folds to the edges of the ulcer occurs.

[23], [24], [25], [26], [27]

Forms

[28], [29], [30]

Acute gastric ulcer

An acute form of gastritis is not common. Mainly the chronic form prevails. The acute form is usually formed as a result of the ingestion of toxic substances, chemical preparations, strong medications on the mucous membrane. Often it is a consequence of the action of toxins, poisons. This is the main consequence of poisoning. Usually acute ulcerative gastritis results in recovery, which occurs a few days after the action of irritants has been eliminated. Indirectly to an acute gastritis can result or bring disturbance of a regimen of day, an overload of an intestine and a stomach. The acute form is most susceptible to people whose acidity of gastric juice is low.

The disease develops rapidly, rapidly. First of all, the surface layer is completely affected. In this case the deep layers remain intact. Inflammatory process lasts no more than 14 days, after which the erosions and ulcers begin to heal, to cicatrize.

[31], [32]

Chronic ulcerative gastritis

The chronic form has its own characteristics. With this form, there are fewer lesions and associated pathologies. Characterized by a slow, measured flow. There are frequent relapses. The whole GI tract is affected, vomiting, nausea. Often there are bloody impurities. The aggravation occurs in autumn and spring. It is necessary to carefully follow preventive measures, to follow a diet. It is necessary to conduct preventive examinations during the period of exacerbation, undergo the necessary procedures, treatment courses. Causes are all the same causes that cause and acute form. In addition, it can be a consequence of repeatedly occurring acute gastritis. The culture of nutrition has no less influence. Negatively affects the irresponsible attitude to the choice of food, low quality food products, poor-quality cooking. Abuse of alcohol and tobacco can cause gastritis.

[33], [34], [35], [36], [37],

Erosive-ulcerative gastritis

It is one of the forms of acute gastritis, in which the normal functioning of the gastric mucosa is disturbed. There is a defeat of tissues, which are located much deeper. This form has its own specific features. For example, it is accompanied by the formation of numerous erosions, which gradually merge, forming erosion. Erosions damage the surface layers of the mucosa. They are much smaller in size than ulcers. Also ulcers are located more deeply. The first stage is the formation of erosion, in the second stage of erosion pass into ulcers.

To promote the development of this form, like any other, can stress, malnutrition, stress. This form can be a concomitant form in the defeat of the heart, circulatory system. The probability of the transition of this form to a chronic form is high.

Symptoms are more like a sharp form, which manifests itself 7-8 hours after the stimulus began to act on the mucous membrane. It is accompanied by a temperature and intense vomiting. It often manifests itself after a stressful effect.

[38], [39], [40]

Complications and consequences

Gastritis tends to become a stomach ulcer. This is the main complication, in which the mucous membrane corrodes, then this process affects the deep layers. Corroded stomach walls with hydrochloric acid, which is part of the gastric juice. The danger is that perforation can form. This hole in the wall of the stomach. Much bleeding can occur. This pathology arises unexpectedly, against a background of relatively normal well-being, without exacerbations.

The perforated ulcer is a dangerous pathology that is considered to be life-threatening. It is difficult to treat, almost does not cure. Danger of bleeding, which is almost impossible to stop.

Another dangerous complication is a tumor, which can be both malignant and benign.

[41], [42], [43], [44]

Diagnostics of the ulcerative gastritis

Diagnosis is based on a clinical examination, as well as on the results of laboratory and instrumental studies. On examination, the person's history is studied first, then they are interrogated, and the examination is performed. The main method is palpation, in which the stomach is felt. It is important to check soreness, neoplasm, and compaction in the stomach. The muscle tone of the stomach, the general condition of the gastrointestinal tract is assessed. However, only this data is not enough to make a diagnosis, so carry out additional studies.

[45], [46]

Analyzes

In order to detect gastritis and diagnose it, it is necessary to conduct numerous studies. A clinical and biochemical blood test is performed, which can provide important information about the state of the stomach, the general state of the body. A general blood test shows the current inflammatory and infectious processes. Shows the number of blood cells, leukocytes. Important information can give the rate of blood sedimentation - ESR.

Biochemical blood analysis provides information on the chemical composition of the blood, can be used for differential diagnosis. Thus, a lower level of enzymes may indicate pancreatitis. If the protein appears in the blood, you can talk about autoimmune gastritis.

After that, blood samples taken from the gastric mucosa during the biopsy are examined. In addition, 2-3 tests are performed to identify the pathogen - Helicobacter pylori. Cytological and histological examination of biological material is carried out.

[47], [48], [49]

Instrumental diagnostics

Gastroscopy is the most effective diagnostic tool in gastroenterology. This is the method by which a special probe is inserted into the stomach, by means of which the digestive tract is inspected. It is used for examination of the upper sections of the digestive tract: esophagus, stomach, duodenum. If necessary, take photographs, which help to display the image on the screen. In the process of work, you can take photographs. There is also the possibility of taking biological material for research.

A pH meter can be performed. This is a relatively new procedure. During this procedure, the acidity of the gastric environment is determined. This has an important diagnostic value, since having indicators of acidity, you can determine the nature of the pathology. Based on the available data, it is also possible to differentiate gastritis from peptic ulcer. Also knowing the acidity, you can know exactly what type of gastritis develops. With erosive gastritis and with non-erosive gastritis, acidity sharply differs.

If necessary, conduct a daily pH-metry. To do this, a thin probe is inserted through the nose into the gastrointestinal tract, which contains electrodes that react with the gastric environment. A sensor is attached to the waist of the patient, which records the acidity.

An improved methodology has been developed and tested in many clinics. A person swallows a mini-capsule, after which it passes acidity indicators to the computer. For some time it remains attached to the wall of the stomach. Then, after a while, it is excreted outward with natural secretions.

Sometimes there is a need to determine the amount of Helicobacter pylori in the digestive tract, as well as in determining the state of microflora. To do this, examine the stool, stomach contents, tissues taken during a biopsy.

A respiratory test may be used. The patient drinks the juice in which urea is dissolved. With a high content Helicobacter pylori in the digestive tract, urea is split. This produces a large amount of carbon dioxide. The gas is released to the outside through the respiratory tract. By the gas concentration in the exhaled air, one can determine the nature of the pathology, as well as the quantitative parameters of Helicobacter.

Using the X-ray method, gastritis can also be diagnosed. But the effectiveness of this method is significantly lower than the informativeness of gastroscopy. It is less informative, inadequate. It is carried out with the use of contrast medium. However, with its help you can appreciate the relief of the stomach, its tone. You can confirm the diagnosis, or refute. On the x-ray, tumors are clearly visible. If a person has gastritis, it is difficult not to notice it, since the mucosa changes significantly. In order to finally confirm the diagnosis, it is recommended to conduct the test repeatedly, to track the results in dynamics.

With the help of ultrasound of the abdominal cavity it is possible to diagnose gastritis. Most often this method is used to determine chronic gastritis.

To diagnose it is enough to have a gastroscopy and ultrasound. If these methods are not enough, then only resort to other methods, such as X-ray, pH-metry, biopsy.

Endoscopic picture

In order to determine the presence of pathology, it is necessary to know the indices of the norm from which we proceed.

Normally, the mucosa of a pink hue, has a shine. The light that is falling from the apparatus is reflected. The surface is folded, the thickness reaches 0.5-0.8 cm. If the cavity begins to puff air, the folds straighten. In the output section, folds have a pale shade, their number is insignificant. In the area of the pylorus the folds are densified and round. As a variant of the norm, yellow color of the shell is allowed.

If a person has superficial gastritis, the mucosa becomes pink. Well expressed hyperemia, edema. Most often affects the antrum department. A vascular pattern is clearly visible. The walls can contain foamy mucus. The folds are tortuous, they do not straighten when inflated with air.

If a person has ulcerative gastritis, there are erosions and ulcers of various sizes on the mucous membrane. Erosions can merge with each other, forming ulcers. The edges of the ulcer have an uneven shade, bleeding of the edges is observed. Widespread hyperemia, hyperplasia, edema.

[50], [51], [52], [53]

Differential diagnosis

First of all, it is necessary to differentiate gastritis from peptic ulcer, as they have a number of similar qualities. Also it is necessary to refute the usual functional disturbance of the stomach, for example: paknreatit, cholecystitis, stomach cancer.

A distinctive feature is that functional disorders can be hidden. In this regard, they are not easy to identify. In general, functional disorders are accompanied by dyspeptic disorders and severe pain. But these pains are quite long-lasting, noisy. In contrast to gastritis, in which the pain is acute, there are sharp, unexpected. In addition, functional disorders are accompanied by neurotic disorders. They are the ones that predominate in the clinic of the disease. Man quickly and excessively fatigued, his irritability, weakness greatly increases. Often the mood changes, sweating appears. You can clearly determine when exactly pain occurs, on which its intensity depends. For example, pain can be determined by the use of a certain product. These are the main distinguishing features of functional disorders that are not observed in gastritis.

Functional disorders of the stomach can be accompanied by vomiting, which develops according to the type of conditioned reflex and brings significant relief to the patient. With gastritis, vomiting does not bring relief, but only aggravates the condition, intensifies the pain and worsens the overall well-being.

The main method by which to determine functional disorders is gastroscopy.

Gastric cancer is sometimes difficult to distinguish from gastritis with a decreased secretory function. On the basis of clinical signs, it is difficult to diagnose cancer, so special studies should be carried out. It is especially difficult to distinguish these diseases in those patients who suffer from chronic gastritis for a long time. The main symptom of cancer is the appearance of persistent pain, which appears regardless of food intake. It is accompanied by excessive weakness, exhaustion, a perversion of appetite and a progressive decrease in body weight. In the early stages of palpation, the tumor can not be detected. It begins to feel in the late stages. In laboratory studies, an intensive reduction of hydrochloric acid in the composition of gastric juice, the appearance of atypical cells, and latent blood in the stool are found.

With a targeted biopsy with gastritis, mucosal atrophy and structural restructuring of the stomach are noted. With gastric cancer, filling defects are found, there are no folds of the mucous membrane, a change in the nature of the mucosa, the absence of peristalsis. With endoscopy, you can identify a cancerous tumor at an early stage. Surgical treatment in 90% ends successfully.

[54], [55], [56], [57], [58], [59]

Differential diagnosis of gastritis and peptic ulcer disease

In order to choose the right treatment, it is important to differentiate ulcerative gastritis from peptic ulcer of the stomach and duodenum. The peptic ulcer is characterized by intense pains that appear periodically, at a certain time. Most often after eating, at night, on an empty stomach. There is a significant relief after vomiting.

Gastroscopy and X-ray are used for differential diagnosis . The most accurate results are given by gastroscopy, X-ray is an auxiliary tool. With the help of these methods, it is possible to determine not only the localization of lesions, but also to assess the stage of the disease. The main difference is that gastritis affects the mucous membrane, and in case of peptic ulcer - the submucosa.

[60], [61]

Treatment of the ulcerative gastritis

Ulcerative gastritis is treated exclusively with complex measures. Self-medication is extremely dangerous, can lead to serious complications and consequences. Usually, self-medication not only does not bring relief, but also provokes other, complex diseases, which quite often have a fatal outcome.

Complex therapy is a combination of drug treatment, alternative drugs, physiotherapy procedures, exercise therapy. A mandatory element of treatment is strict adherence to the recommended diet.

In the first days of exacerbation, complete starvation is necessary. This allows the digestive tract to reduce the degree of irritability, to come into a functional norm. You can drink only warm herbal decoctions and loose tea. It is allowed to use mineral water, non-carbonated. Carbonated water is prohibited. When choosing water, you should pay attention to the fact that it was intended for use in diseases of the gastrointestinal tract and corresponded to an increased type of acidity.

From the second day it is recommended to include in the diet of mashed warm food. It should be boiled, sufficiently cooked. Good on the gastrointestinal tract mucous soups and milk porridge.

During periods of exacerbations, to ease symptoms and pain, herbal decoctions, alternative remedies, are used. They are also effective in the period of remission with a preventive purpose.

Medications

In the treatment of gastritis, various drugs and groups of drugs are used. To reduce spasm and pain, antispasmodics and painkillers such as no-chpa, spasmolgon, papaverine are prescribed. With increased acidity, prescribe drugs that block acids and alkalis, for example, gastrocepin. Effective antatsidy - Almagel, maaloks, renni. With reduced acidity, it is on the contrary increased, which makes it possible to achieve the correct functioning of the digestive tract. With strong and frequent vomiting, antiemetics such as motilium are used. In disorders of digestion and stool apply smectic (for diarrhea), dufalac (with constipation). In meteorism, carminative agents such as espumizan are important. At a gastritis of a bacterial etiology antibiotics are necessary. They are prescribed depending on which causative agent was the cause of the disease, and on the degree of contamination of the gastrointestinal tract with bacteria. If necessary, prescribe enzyme preparations (festal, mezim), antihistamines (suprastin, diazolone, cetrin). In exceptional cases, hormonal agents may be required.

If the patient bleeds in an easy degree, hemostatic therapy is needed, which makes it possible to adjust hemostasis. To do this, apply 100 ml of a solution of 5% epsilonaminocaproic acid. The solution should be drunk in small sips for 2 hours.

With reduced secretion of gastric juice, peritol is used as a syrup. To do this, apply 10-15 ml of solution every 4-6 hours.

With severe dehydration, depletion, and also when it is necessary to maintain the body at a stable level, use mafusol. It also has additional effects: it eliminates metabolic disturbances, normalizes the basic processes in the mucosa, eliminates the symptoms of endotoxicosis and replenishes the loss of blood. It is used for intravenous infusions in the amount of 800-1200 ml per day.

To increase local immunity, reduce the degree of ulceration of the gastric mucosa, use histodil 200 mg 3 times a day. The drug is administered intramuscularly, 5-7 days.

To stabilize cell membranes and increase the protective-regenerative potential of the body, intravenous administration of ascorbic acid, 70-200 ml of a 5% solution is recommended.

Vitamins

To maintain the normal functioning of the body, vitamins are used. It is recommended to take the following vitamins (indicated daily dosage):

• Vitamin PP - 60 mg
• vitamin H - 150 mcg
• vitamin D - 45 mcg
• vitamin K - 360 mcg.

Physiotherapeutic treatment

With ulcerative gastritis, cold is used to reduce pain, relieve spasms, stop bleeding. In some cases, heating may be indicated. To improve the assimilation of drugs, electrophoresis is used. Positive effects may have reflexotherapy, acupuncture.

Alternative treatment

In the complex treatment of ulcerative gastritis, alternative remedies have proven themselves well. They are used to reduce pain, eliminate symptoms. Also shown with a prophylactic goal in the period of remission. They give an opportunity to significantly extend this period. Alternative means are relatively safe. But they too can have side effects and contraindications. So, with the reception of some means of pain may increase, or open bleeding. Therefore, it is important to observe precautions. Before you start using any alternative remedy, you need to consult a doctor who will recommend how best to include it in the complex therapy.

With any ulcerative gastritis, the sea buckthorn has a positive effect. It promotes wound healing, erosion. Promotes recovery processes. It is used in the form of fruit pulp and oil. It is administered orally 5 ml, three times a day. It is recommended to apply before meals.

Cranberry juice makes it possible to reduce pain, promotes healing of mucous membranes, prevents inflammation. With regular intake of significantly increased acidity. It is recommended to take 15-20 ml three times a day, before meals. Also, cranberry syrup can be added to tea.

With high acidity and heartburn take the juice from the potato tubers. It is effective when taking half a glass twice a day. It is recommended to take before meals.

[62], [63], [64], [65], [66]

Herbal Treatment

When treating gastritis for a long time, flax seeds are used. To do this, take a tablespoon of flax seeds and pour them a glass of boiling water. Insist for an hour. You need to drink a decoction during the day.

Peppermint also has a positive effect. It can be drunk in the form of broth in small sips during the day. Cases of overdose are unknown. Applied at the onset of discomfort, such as nausea, pain. Also mint can be included in the composition of tea and drink during the day.

A good anti-inflammatory effect is provided by chamomile. It also reduces pain, spasms. In addition, it has a calming effect on the body. Chamomile is brewed in the form of a decoction. Approximately 10-15 grams of chamomile fill 2-3 cups of boiling water and drink during the day. You can also drink chamomile in the tea.

Homeopathy

Homeopathic remedies are effective in the treatment of gastritis. The maximum their effectiveness is manifested when using complex treatment. There are practically no side effects. It must be remembered that many of them have accumulative effects, and therefore their effect may appear only after some time after administration, or after the completion of the full course of treatment. Precautions - it is always necessary to consult a doctor, since incompatibility with certain drugs is possible.

• Collection number 1. With pain in the stomach

They take chamomile, a yarrow, and a three-dividing line. Mix with each other in equal parts. Prepare a decoction. Pour about 2-3 glasses of boiling water. Drink recommended 3-4 times a day, half the glass. It reduces pain painfully, eliminates spasms. It can be used after washing the stomach to restore normal microflora, removing the inflammatory process.

• Gathering №2. In the absence of appetite

It is recommended to prepare a decoction of bitter wormwood and a three-part watch. Take the plants in equal parts, pour boiling water. Apply about 15 ml before each meal.

• Collection number 3. With ulcerative gastritis

It is necessary to prepare a mixture from the roots of ayr, marshweed and mushrooms medicinal. Take these plants in equal parts. Prepare a decoction that takes 1 tbsp before eating. An infusion of these herbs also proved to be very good. To prepare the herb, pour the herbs with vodka or alcohol, insist for 5-7 days, use the same as a decoction.

• Collection number 4. With chronic gastritis

To prepare the broth, it is necessary to take the herb of St. John's wort, a thousand-acres, a mountaineer of poultry and peppermint in equal parts. Prepare a decoction, which after percolation is drunk half the glass 3-4 times a day.

Operative treatment

In acute necrotic processes, operations are carried out to remove part of the stomach. Vascular surgery may be required. In the presence of tumors, neoplasms produce their removal.

Diet with ulcerative gastritis

Treatment of gastritis is necessarily accompanied by the need to adhere to the correct diet, observe a diet. It is necessary to eat small portions, approximately 5-6 times a day. It is on this fractional treatment that most of the principles of GIT treatment are based. When treating gastritis, you must follow the treatment table number 1 and diet number 5.

In the diet it is recommended to include boiled, stewed dishes. Fried, smoked, baked 5 should be excluded completely. The food should be warm. Do not use hot or cold food. From any harmful products: fast food, smoked products, pickles, sweets, baked goods, sandwiches, should be completely abandoned. You can not also use semi-finished products and canned food.

It is necessary to include in the diet sour-milk products, yoghurts, cottage cheese. Meat is allowed only diet, boiled, for example: chicken breast, turkey, rabbit. Porridges need to be used a variety of, liquid, you can even rubbed. Good effect on the mucosa of the gastrointestinal tract oatmeal, which envelops the walls of the stomach. Be sure to eat daily soups without frying. Recommended boiled fish, steam cutlets, boiled eggs, vegetable dishes. Shows not strong tea, herbal infusions, kissels, compotes. It is desirable to dilute the juices with water. Positively affects the broth of dogrose.

Exclude from the diet should be flour products, mushrooms and mushroom dishes, pasta, vegetables and fruits in raw form, spicy dishes. Do not use sauces, marinades, spices, spices. Coffee, kvass, cocoa and strong tea are also harmful.

[67], [68]

Dishes with ulcerative gastritis

With ulcerative gastritis, despite numerous restrictions, food can be quite diverse. Of the products that can be eaten, and using the acceptable ways of cooking food products, you can prepare the following dishes:

• broth from chicken / ideas / rabbit
• broth with dumplings
• broth with herbs
• fish boiled / braised
• cutlets, fish, steam
• meatballs fish
• soup with fish balls
• fish pouring
• Beef / chicken / turkey / rabbit boiled / stewed meat
• chopped steak
• meatballs meat
• soup with meat balls
• sauté from stewed vegetables with meat
• ragout of vegetables
• vegetable soup
• borsch without acidic components and tomato
• Buckwheat / rice / wheat / millet soup
• porridge semolina / oatmeal / pumpkin
• porridge buckwheat / rice / millet / wheat / barley
• mashed potatoes
• salad from boiled grated beets
• salad of grated carrots
• braised cabbage
• stewed eggplant, zucchini, pepper
• pepper stuffed with dietary meat, stewed
• eggplant / zucchini stuffed with stews
• pepper stuffed with stewed vegetables
• omelet, curd, cheese cakes
• boiled boiled eggs / steep / stuffed
• dairy and sour-milk products
• cottage cheese with sour cream
• fruit puree / soufflé
• kvass, jelly, compote, juice, mors.

Menu with ulcerative gastritis

The menu looks something like this:

• Breakfast - scrambled eggs, kissel
• The second breakfast - semolina, or oatmeal porridge, mashed porridge, liquid soups. Tea (compote, kvass).
• Lunch - soup, borsch, broth. Tea / juice / juice.
• The second lunch - porridge or mashed potatoes, garnish - dishes from vegetables, meat, fish. It is recommended to drink a thick, enveloping consistency with a drink - jelly, etc.
• Supper - oatmeal porridge / pumpkin / semolina, eggs boiled, compote / tea.
• The second dinner - omelet / cheese cake / cottage cheese / fruit puree, tea / kissel / dairy products.

Prevention

The main means of preventing gastritis is proper nutrition. At the same time, the power supply must be fractional. Also it is necessary to observe a diet. The food should be warm. Too hot and too cold food is a traumatic factor. Food should be chewed thoroughly. It is impossible to tolerate starvation, overeating. Methods of treatment should be gentle: cooking, baking, stewing, steaming.

It is necessary to minimize stress, neuropsychic overstrain. Eliminate bad habits. The use of alcohol and smoking after a previous gastritis is contraindicated. A sufficient level of motor activity is important.

It is important not to allow dysbiosis, to heal and provide prevention of bacterial, viral and parasitic infection. It is also important to prevent the concomitant diseases.

[69], [70], [71], [72], [73], [74], [75], [76]

Forecast

Conservative treatment is effective in 77-80% of cases. Thus, out of 200 patients successful treatment is observed in 177 patients, which is 84, 5%, and in 23 people (11.3%) complications develop, bleeding. This requires additional surgical intervention. Surgical intervention is effective in 90% of cases

[77], [78], [79]