Acute and chronic ulcerative gastritis: treatment with drugs and folk remedies

Inflammatory diseases of the gastrointestinal tract are widespread, becoming increasingly relevant and widespread. They are becoming a major problem that requires a prompt and thorough solution. Diseases significantly limit a person's ability to work, lead to disability. In many cases, they are fatal. Gastritis tends to rejuvenate, more and more young people are subject to it. If earlier the disease was found mainly in large cities, megalopolises, now it also affects residents of villages, towns, small towns on the outskirts. Ulcer gastritis can have severe consequences and complications, is difficult to treat.

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Epidemiology

Ulcer gastritis most often affects people over 60 years of age. Women make up 65%, men – 78%. Ulcer gastritis does not develop in children, gastritis occurs. It develops into an ulcerative form after 16 years, under the influence of various unfavorable factors. Gastritis occurs in about 30% of cases. About 50% of people suffer from chronic forms of gastritis. 80% of people have had at least one case of the disease.

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Causes ulcerative gastritis

Gastritis has many different causes. The main causes can be divided into two groups: those related to dietary habits and those related to lifestyle. Gastritis occurs as a result of poor nutrition and failure to follow a diet. It can be provoked by stale food, poorly prepared food, excessive amounts of food additives, dyes, preservatives, flavorings, and even spices. Gastritis can be promoted by constantly eating too cold or too hot dishes. Marinades, sauces, and dressings also have a negative effect on the stomach.

Stressful situations, a busy work schedule, constant snacking, lack of proper nutrition, systematic refusal of hot (first) courses. The cause may be smoking, alcohol abuse. Constant use of medications, especially antibiotics and non-steroidal drugs, contributes to damage to the mucous membrane, resulting in its inflammation. Often the cause is infection with the bacterium Helicobacter pylori.

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Risk factors

The risk group primarily includes people who do not follow the daily routine and diet. This is usually associated with stressful work, a tight work schedule. Smoking, alcohol, constant use of drugs, especially aspirin and its derivatives, are important risk factors.

People who abuse fast food and snack on sandwiches should pay close attention to their health. People who drink a lot of coffee are more susceptible to the risk of developing gastritis. If people avoid eating hot dishes, first courses, they can also be included in the risk group.

The disease may occur as a result of prolonged exposure to stress. If a person is constantly exposed to nervous and physical overload, then the risk of developing gastritis increases significantly. Also, a person is more susceptible to gastritis if he has recently suffered from infectious, inflammatory diseases. Risk factors include microflora disorders, Helicobacter pylori infection.

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Pathogenesis

Pathogenesis is associated with morphological and functional disorders of the gastric mucosa. Ulcer gastritis is accompanied by an increase in the amount of hydrochloric acid and its penetration into the lower, deeper layers of the stomach. Thus, an ulcer is formed. An inflammatory process is formed around this area, which spreads to both deep and superficial layers.

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Symptoms ulcerative gastritis

Ulcer gastritis is considered a rather serious pathology of the stomach, during which there is a rapid, rapid development of the disease. The first signs make themselves known after 5-6 hours, after the mucous membrane of the stomach has been exposed to an irritating effect. At first, severe pain in the stomach area appears. The person loses appetite, general well-being worsens, the temperature rises. Then nausea, profuse vomiting with admixtures of blood, bile joins. A persistent unpleasant taste remains in the mouth. An unpleasant odor from the mouth appears.

Severe symptoms appear somewhat later. Constant severe pain in the stomach area, incessant vomiting, belching, flatulence, bloating. Vomit contains blood, mucus, and also consists of undigested food residues. Painful sensations are observed when touched. There may be spasms, less often - profuse salivation.

First signs

The initial stage of the disease manifests itself in the form of severe pain in the stomach area. Most often, the pain is sharp, cutting. Also, all areas around are painful. All this is accompanied by nausea and vomiting. Unpleasant sensations in the mouth are also added. As soon as you have the first signs of the disease, you should immediately consult a doctor for a timely diagnosis and taking all necessary measures.

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Stages

There are three known stages of the disease.

At the first stage, hemorrhage and acute inflammation of the stomach lining occur. The mucous membrane undergoes changes, microscopic changes occur on it. Small erosions gradually form, which then develop into ulcers. The first lesions affect the antral section. Hyperemia and edema increase. Peristalsis is sharply weakened.

At the second stage, acute ulceration occurs. Erosions merge with each other, forming a massive ulcer. Usually, the ulcer has an irregular shape. The bottom is uneven, constantly increasing in size.

At the third stage, a scarring process is observed, in which the folds converge towards the edges of the ulcer.

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Forms

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Acute ulcerative gastritis

Acute gastritis is not common. The chronic form is predominant. The acute form is usually formed as a result of toxic substances, chemicals, and strong medications getting on the mucous membrane. It is often a consequence of the action of toxins and poisons. This is the main consequence of poisoning. Usually, acute ulcerative gastritis ends with recovery, which occurs a few days after the action of irritants has been eliminated. Indirectly, acute gastritis can be caused by a violation of the daily routine, overload of the intestines and stomach. People with low acidity of gastric juice are most susceptible to the acute form.

The disease develops quickly, rapidly. First of all, the entire superficial layer is affected. The deep layers remain untouched. The inflammatory process lasts no more than 14 days, after which the resulting erosions and ulcers begin to heal and scar.

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Chronic ulcerative gastritis

The chronic form has its own characteristics. With this form, there are fewer injuries and associated pathologies. It is characterized by a slow, measured course. Frequent relapses are observed. The entire gastrointestinal tract is affected, vomiting and nausea are observed. There are often blood impurities. Exacerbation occurs in the fall and spring. It is necessary to carefully follow preventive measures, follow a diet. It is necessary to conduct preventive examinations during the period of exacerbation, undergo the necessary procedures, courses of treatment. The causes are all the same reasons that cause the acute form. In addition, it can be a consequence of repeated acute gastritis. Nutritional culture has no less an impact. An irresponsible attitude to the choice of food, low quality of food products, poor quality of cooking have a negative effect. Abuse of alcohol and tobacco can cause gastritis.

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Erosive ulcerative gastritis

It is one of the forms of acute gastritis, in which the normal functioning of the gastric mucosa is disrupted. The tissues located much deeper are affected. This form has its own specific features. For example, it is accompanied by the formation of numerous erosions, which gradually merge with each other, forming erosions. Erosions damage the superficial layers of the mucosa. They are much smaller in size than ulcers. Ulcers are also located deeper. The first stage is the formation of erosions, in the second stage, erosions turn into ulcers.

Stress, poor nutrition, and tension can contribute to the development of this form, as well as any other. This form can be a concomitant form with heart and circulatory system lesions. There is a high probability of this form becoming chronic.

The symptoms are more reminiscent of the acute form, which appears 7-8 hours after the mucous membrane has been exposed to an irritant. This is all accompanied by fever and intense vomiting. It often appears after stress.

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Complications and consequences

Gastritis tends to develop into a stomach ulcer. This is the main complication, in which the mucous membrane is corroded, then this process affects the deep layers. The walls of the stomach are corroded by hydrochloric acid, which is part of the gastric juice. The danger is that perforation can form. This is a hole in the wall of the stomach. Heavy bleeding can form. Such pathology occurs unexpectedly, against the background of relatively normal health, without exacerbations.

A perforated ulcer is a dangerous pathology that is considered life-threatening. It is difficult to treat and practically does not scar. Bleeding is dangerous and is almost impossible to stop.

Another dangerous complication is a tumor, which can be either malignant or benign.

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Diagnostics ulcerative gastritis

Diagnosis is based on a clinical examination, as well as on the results of laboratory and instrumental studies. During the examination, the person's medical history is first studied, then he is questioned and examined. The main method is palpation, in which the stomach is felt. It is important to check for pain, neoplasms, and lumps in the stomach. The muscle tone of the stomach and the general condition of the gastrointestinal tract are assessed. However, this data alone is not enough to make a diagnosis, so additional studies are carried out.

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Tests

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 condition of the stomach, the general condition of the body. A general blood test shows current inflammatory and infectious processes. Shows the number of formed elements of the blood, leukocytes. Important information can be provided by the blood sedimentation rate - ESR.

A biochemical blood test provides information about the chemical composition of the blood and can be used for differential diagnostics. Thus, a reduced level of enzymes may indicate pancreatitis. If protein appears in the blood, we can talk about autoimmune gastritis.

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

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Instrumental diagnostics

The most effective diagnostic tool in gastroenterology is gastroscopy. This is a method in which a special probe is inserted into the stomach, with the help of which the digestive tract is examined. It is used to examine the upper sections of the gastrointestinal tract: the esophagus, stomach, and duodenum. If necessary, photographs are taken, with the help of which the image is displayed on the screen. During the work, photographs can be taken. It is also possible to take biological material for research.

A pH-metry 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 acidity indicators, it is possible to determine the nature of the pathology. Based on the available data, it is also possible to differentiate gastritis from peptic ulcer disease. Also, knowing the acidity, you can know exactly what type of gastritis is developing. With erosive gastritis and with nonerosive gastritis, the acidity is very different.

If necessary, daily pH-metry is performed. To do this, a thin probe containing electrodes that react with the gastric environment is inserted through the nose into the gastrointestinal tract. A sensor that records acidity levels is attached to the patient's belt.

An improved method has been developed and is being tested in many clinics. A person swallows a mini-capsule, after which it transmits acidity readings to a computer. It remains attached to the stomach wall for some time. Then, after some time, it is excreted with natural secretions.

Sometimes there is a need to determine the amount of Helicobacter pylori in the gastrointestinal tract, as well as to determine the state of the microflora. For this purpose, feces, stomach contents, and tissues taken during a biopsy are examined.

A respiratory test can be used. The patient drinks juice in which urea is dissolved. With a high content of Helicobacter pylori in the gastrointestinal tract, urea is broken down. In this case, a large amount of carbon dioxide is formed. The gas is released through the respiratory tract. The concentration of gas in the exhaled air can determine the nature of the pathology, as well as the quantitative indicators of Helicobacter.

Gastritis can also be diagnosed using the X-ray method. However, the effectiveness of this method is significantly lower than the information content of gastroscopy. It is less informative and not accurate enough. It is performed using a contrast agent. However, it can be used to assess the relief of the stomach and its tone. The diagnosis can be confirmed or refuted. Tumors are clearly visible on X-rays. If a person has gastritis, it is difficult not to notice it, since the mucous membrane changes significantly. In order to finally confirm the diagnosis, it is recommended to conduct the study repeatedly and monitor the results over time.

With the help of ultrasound of the abdominal cavity, gastritis can be diagnosed. Most often, this method is used to determine chronic gastritis.

To make a diagnosis, it is often enough to conduct a gastroscopy and ultrasound. If these methods are not enough, only then do they resort to other methods, such as X-ray, pH-metry, biopsy.

Endoscopic picture

In order to determine the presence of pathology, we need to know the normal values from which we proceed.

Normally, the mucous membrane is pink and shiny. Light falling from the device is reflected. The surface is folded, the thickness reaches 0.5-0.8 cm. If air is pumped into the cavity, the folds straighten out. In the outlet section, the folds have a pale shade, their number is insignificant. In the area of the pylorus, the folds are subject to compaction, have a rounded shape. As a variant of the norm, a yellow color of the membrane is allowed.

If a person has superficial gastritis, the mucous membrane acquires a pink tint. Hyperemia and edema are clearly expressed. The antral section is most often affected. The vascular pattern is clearly visible. The walls may contain foamy mucus. The folds are tortuous and do not straighten out when inflated with air.

If a person has ulcerative gastritis, erosions and ulcers of various sizes are visible 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. Hyperemia, hyperplasia, edema are widespread.

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Differential diagnosis

First of all, it is necessary to differentiate gastritis from ulcer disease, as they have a number of similar qualities. It is also necessary to refute the usual functional disorder of the stomach, for example: pancreatitis, cholecystitis, stomach cancer.

A distinctive feature is that functional disorders can be latent. Therefore, they are not easy to detect. Basically, functional disorders are accompanied by dyspeptic disorders and severe pain. But these pains are quite long-lasting, aching. Unlike gastritis, in which the pains are sharp, they occur suddenly and unexpectedly. In addition, functional disorders are accompanied by neurotic disorders. They are the ones that predominate in the clinical picture of the disease. A person quickly and excessively gets tired, his irritability and weakness increase sharply. Mood changes often, sweating appears. It is possible to clearly determine when exactly the pain appears, what its intensity depends on. For example, pain can be determined when eating a certain product. These are the main distinctive features of functional disorders that are not observed in gastritis.

Functional stomach disorders may be accompanied by vomiting, which develops as a conditioned reflex and brings significant relief to the patient. In gastritis, vomiting does not bring relief, but only worsens the condition, increases pain and worsens overall well-being.

The main method by which functional disorders are determined is gastroscopy.

Stomach cancer is sometimes difficult to distinguish from gastritis with reduced secretory function. It can be quite difficult to diagnose cancer based on clinical signs, so special studies are necessary. It is especially difficult to distinguish these diseases in patients who have suffered from chronic gastritis for a long time. The main sign of cancer is the appearance of persistent pain, which occurs regardless of food intake. It is accompanied by extreme weakness, exhaustion, appetite perversion and progressive weight loss. In the early stages, the tumor cannot be detected by palpation. It begins to be palpated already in the later stages. Laboratory studies reveal an intense decrease in hydrochloric acid in the composition of gastric juice, the appearance of atypical cells, and hidden blood in the feces.

A targeted biopsy for gastritis reveals atrophy of the mucous membrane and structural reorganization of the stomach. In gastric cancer, filling defects, absence of mucous membrane folds, changes in the nature of the mucous membrane, and absence of peristalsis are detected. Endoscopy can detect a cancerous tumor at an early stage. Surgical treatment is successful in 90%.

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Differential diagnostics of gastritis and peptic ulcer disease

In order to choose the right treatment, it is important to differentiate ulcerative gastritis from gastric ulcer and duodenal ulcer. Ulcer disease is characterized by intense pain that appears periodically, at a certain time. Most often after eating, at night, on an empty stomach. There is significant relief after vomiting.

Gastroscopy and X-ray are used for differential diagnostics. Gastroscopy gives the most accurate results, X-ray is an auxiliary tool. Using 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 peptic ulcer disease affects the submucosa.

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Treatment ulcerative gastritis

Ulcer gastritis is treated exclusively by complex measures. Self-medication is extremely dangerous and 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, folk remedies, physiotherapy procedures, and exercise therapy. A mandatory element of treatment is strict adherence to the recommended diet.

In the first days of exacerbation, complete fasting is necessary. This allows the digestive tract to reduce the degree of irritability and return to normal functionality. You can drink only warm herbal infusions and weak tea. It is allowed to drink mineral water, still. Carbonated water is prohibited. When choosing water, you need to pay attention to the fact that it is intended for use in diseases of the gastrointestinal tract and corresponds to the increased type of acidity.

From the second day, it is recommended to include warm, mashed food in the diet. It should be boiled and thoroughly cooked. Mucous soups and milk porridges have a good effect on the gastrointestinal tract.

During periods of exacerbation, herbal decoctions and folk remedies are used to relieve symptoms and pain. They are also effective during remission for preventive purposes.

Medicines

In the treatment of gastritis, various drugs and groups of medicines are used. To reduce spasms and pain, antispasmodics and painkillers are prescribed, such as no-shchpa, spazmolgon, papaverine. With increased acidity, drugs that block acids and alkalis are prescribed, for example, gastrocepin. Antacids are effective - almagel, maalox, rennie. With low acidity, on the contrary, it is increased, which makes it possible to achieve the correct functioning of the gastrointestinal tract. With severe and frequent vomiting, antiemetic drugs are used, such as motilium. For digestive and stool disorders, smecta (for diarrhea), duphalac (for constipation) are used. With flatulence, carminatives are important, such as espumisan. With gastritis of bacterial etiology, antibiotics are necessary. They are prescribed depending on the pathogen that caused the disease and the degree of contamination of the gastrointestinal tract with bacteria. If necessary, enzyme preparations (festal, mezim), antihistamines (suprastin, diazoloin, cetrin) are prescribed. In exceptional cases, hormonal agents may be required.

If the patient has a mild bleeding, hemostatic therapy is necessary, which allows for the correction of hemostasis. For this, 100 ml of a 5% epsilonaminocaproic acid solution is used. The solution should be drunk in small sips for 2 hours.

In case of decreased secretion of gastric juice, peritol is used in the form of syrup. For this, 10-15 ml of solution is used every 4-6 hours.

In cases of severe dehydration, exhaustion, and when it is necessary to maintain the body at a stable level, mafusol is used. It also has additional effects: it eliminates metabolic disorders, normalizes the main processes in the mucous membrane, eliminates the symptoms of endotoxicosis and replenishes blood loss. 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 for 5-7 days.

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

Vitamins

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

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

Physiotherapy treatment

In ulcerative gastritis, cold is used to reduce pain, relieve spasms, and stop bleeding. In some cases, warming up may be indicated. Electrophoresis is used to improve the absorption of medications. Reflexology and acupuncture may have a positive effect.

Folk remedies

Folk remedies have proven themselves well in the complex treatment of ulcerative gastritis. They are used to reduce pain and eliminate symptoms. They are also indicated for preventive purposes during remission. They make it possible to significantly extend this period. Folk remedies are relatively safe. But they can also have side effects and contraindications. Thus, when taking some remedies, pain may increase, or bleeding may occur. Therefore, it is important to take precautions. Before you start using any folk remedy, you should consult a doctor who will recommend how best to include it in the complex therapy.

Sea buckthorn has a positive effect on any ulcerative gastritis. It promotes healing of wounds and erosions. It promotes recovery processes. It is used in the form of fruit pulp and oil. It is used internally, 5 ml, three times a day. It is recommended to use before meals.

Cranberry juice helps reduce pain, promotes healing of mucous membranes, and prevents inflammation. With regular use, acidity increases significantly. It is recommended to take 15-20 ml three times a day, before meals. Cranberry syrup can also be added to tea.

For increased acidity and heartburn, take potato tubers juice. It is effective when taken half a glass twice a day. It is recommended to take before meals.

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Herbal treatment

Flax seeds have long been used to treat gastritis. To do this, take a tablespoon of flax seeds and pour a glass of boiling water over them. Infuse for an hour. You need to drink the decoction within 24 hours.

Peppermint also has a positive effect. It can be drunk as a decoction in small sips throughout the day. Cases of overdose are unknown. It is used when discomfort occurs, such as nausea, pain. Mint can also be included in tea and drunk throughout the day.

Chamomile has a good anti-inflammatory effect. It also reduces pain and spasms. In addition, it has a calming effect on the body. Chamomile is brewed as a decoction. About 10-15 g of chamomile is poured with 2-3 glasses of boiling water and drunk during the day. You can also drink chamomile as part of tea.

Homeopathy

Homeopathic remedies are effective in treating gastritis. They are most effective when used in combination. They have virtually no side effects. It is important to remember that many of them have a cumulative effect, and therefore their effect may only appear some time after taking them, or after completing the full course of treatment. Precautions - it is imperative to consult a doctor, as incompatibility with some drugs is possible.

• Collection No. 1. For pain in the stomach area

Take chamomile, yarrow and three-part Bidens. Mix them together in equal parts. Make a decoction. Pour about 2-3 glasses of boiling water. It is recommended to drink 3-4 times a day, half a glass. It reduces pain well, eliminates spasms. It can be used after gastric lavage to restore normal microflora, relieve inflammation.

• Collection No. 2. For lack of appetite

It is recommended to prepare a decoction of wormwood and bogbean. Take the plants in equal parts and pour boiling water over them. Use about 15 ml before each meal.

• Collection No. 3. For ulcerative gastritis

It is necessary to prepare a mixture of calamus roots, marsh cudweed and medicinal fumitory. Take the indicated plants in equal parts. Prepare a decoction, which is taken 1 tbsp before meals. An infusion of the indicated herbs has also proven itself well. To prepare an infusion, the herbs are poured with vodka or alcohol, infused for 5-7 days, and consumed in the same way as a decoction.

• Collection No. 4. For chronic gastritis

To prepare the decoction, take St. John's wort, centaury, knotweed and peppermint in equal parts. Prepare the decoction, which after straining is drunk half a glass 3-4 times a day.

Surgical treatment

In acute necrotic processes, operations are performed to remove part of the stomach. Vascular operations may be required. If there are tumors or neoplasms, they are removed.

Diet for ulcerative gastritis

Treatment of gastritis is necessarily accompanied by the need to adhere to a proper diet, to follow a diet. It is necessary to eat small portions, approximately 5-6 times a day. It is on such fractional treatment that most principles of treatment of the gastrointestinal tract are based. When treating gastritis, it is necessary to follow the treatment table No. 1 and diet No. 5.

It is recommended to include boiled and stewed dishes in the diet. Fried, smoked, baked5 should be excluded completely. Food should be warm. In no case should you eat either hot or cold food. Any harmful products: fast food, smoked meats, pickles, sweets, pastries, sandwiches, should be completely abandoned. Semi-finished products and canned goods should also not be used.

It is necessary to include fermented milk products, yoghurts, cottage cheese in the diet. Only dietary, boiled meat is allowed, for example: chicken breast, turkey, rabbit. You need to use a variety of porridges, liquid, even pureed. Oatmeal, which envelops the walls of the stomach, has a good effect on the mucous membrane of the gastrointestinal tract. It is necessary to eat liquid soups daily, without frying. Boiled fish, steamed cutlets, boiled eggs, vegetable dishes are recommended. Weak tea, herbal decoctions, jelly, compotes are recommended. It is advisable to dilute juices with water. Rosehip decoction has a positive effect.

Flour products, mushrooms and mushroom dishes, pasta, raw vegetables and fruits, and spicy dishes should be excluded from the diet. Sauces, marinades, spices, and seasonings should never be consumed. Coffee, kvass, cocoa, and strong tea are also harmful.

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Dishes for ulcerative gastritis

With ulcerative gastritis, despite numerous restrictions, food can be quite varied. From those products that can be eaten and using acceptable methods of cooking products, the following dishes can be prepared:

• chicken / idemka / rabbit broth
• broth with dumplings
• broth with herbs
• boiled / stewed fish
• steamed fish cutlets
• fish meatballs
• fish ball soup
• jellied fish
• beef / chicken / turkey / rabbit boiled / stewed
• steamed cutlets
• meatballs
• soup with meatballs
• sautéed vegetables with meat
• vegetable stew
• vegetable soup
• borscht without sour ingredients and tomato
• buckwheat / rice / wheat / millet soup
• semolina / oatmeal / pumpkin porridge
• buckwheat / rice / millet / wheat / barley porridge
• mashed potatoes
• salad of boiled grated beetroot
• grated carrot salad
• stewed cabbage
• stewed eggplants, zucchini, peppers
• peppers stuffed with dietary meat, stewed
• eggplants/zucchini stuffed with stewed meat
• peppers stuffed with stewed vegetables
• omelette, cottage cheese pancakes, syrniki
• soft-boiled eggs / hard-boiled / stuffed
• milk and fermented milk products
• cottage cheese with sour cream
• fruit puree / soufflé
• kvass, jelly, compote, juice, fruit drink.

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Menu for ulcerative gastritis

The menu looks something like this:

• Breakfast - omelette, jelly
• Second breakfast – semolina or oatmeal porridge, strained porridge, liquid soups. Tea (compote, kvass).
• Lunch – soup, borscht, broth. Tea / compote / juice.
• Second lunch – porridge or mashed potatoes, side dish – vegetable, meat, fish. It is recommended to wash it down with a drink of thick, enveloping consistency – jelly, etc.
• Dinner – oatmeal/pumpkin/semolina porridge, boiled eggs, compote/tea.
• Second dinner – omelette / cheesecakes / cottage cheese / fruit puree, tea / jelly / dairy products.

Prevention

The main means of preventing gastritis is proper nutrition. In this case, meals should be fractional. It is also necessary to follow a diet. Food should be warm. Too hot and too cold food is a traumatic factor. Food should be chewed thoroughly. Fasting and overeating should not be allowed. Methods of processing should be gentle: boiling, baking, stewing, steaming.

It is necessary to minimize stress, nervous and mental overstrain. Eliminate bad habits. Drinking alcohol and smoking after gastritis is contraindicated. A sufficient level of physical activity is important.

It is important to prevent dysbacteriosis, treat and prevent bacterial, viral and parasitic infections. It is also important to prevent concomitant diseases.

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Forecast

Conservative treatment is effective in 77-80% of cases. Thus, out of 200 patients, successful treatment is noted in 177 patients, which is 84.5%, and 23 people (11.3%) develop complications, bleeding. This requires additional surgical intervention. Surgical intervention is effective in 90% of cases

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