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Erythematous gastropathy: focal, diffuse, erosive, antral part of the stomach
Last reviewed: 23.04.2024
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Causes of the erythematous gastropathy
Most often, the cause of this condition is an improper diet - the use of products that negatively affect the gastric mucosa. In addition, the great influence is what mode you work and rest, and also how much your body is resistant to stress.
Negative effects on the gastric mucosa may be caused by pathogenic microorganisms and fungi that disrupt the functioning of the stomach.
Another reason for the appearance of such symptoms is a disruption in the metabolism process. Negative effects on the mucosa (irritating it) can also some drugs.
Erythematous gastropathy can be hereditary - if someone from the next of kin was diagnosed with a similar diagnosis, it increases the risk of its development and you. Another reason - the presence of bad habits, as they contribute to the occurrence of gastrointestinal pathologies.
Certain diseases of the digestive system, such as cholecystitis, colitis, enteritis, pancreatitis, can also become etiologic factors of erythematous gastropathy.
Risk factors
The risk factors for the appearance of erythematous gastropathy are: prolonged use of certain medications (for example, NSAIDs), drinking alcohol and smoking, and in addition some chronic diseases.
Symptoms of the erythematous gastropathy
Erythematous gastropathy looks like redness on the gastric mucosa, it is usually a sign of gastritis.
A similar pathology may be accompanied by symptoms such as nausea, pain and heaviness in the stomach, vomiting, and a worsening of appetite. Decreased appetite provokes general lethargy and weakness, as well as weight loss. In some cases, patients experience increased fatigue and anxiety. Thus, if you feel such symptoms, you should undergo the procedure of endoscopy. If her results showed a lesion (which looks like redness) on the mucosa, this confirms the diagnosis.
Redness is a sign of inflammation in the gastrointestinal tract. To prevent the disease from developing into a chronic one, you should pay attention to these symptoms as early as possible and begin treatment.
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Where does it hurt?
What's bothering you?
Stages
The stage of inflammation depends on the degree of neglect of the disease. There are 1 and 2 stages of this process.
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Forms
There are 2 types of erythematous gastropathy:
- A common (or diffuse) form, in which redness covers most of the surface of the mucosa. Sometimes, hyperemia affects different areas of the stomach;
- Focal form, in which case the foci of hyperemia are found only on one (usually small) of the mucous areas.
Erythematous gastropathy of the antrum
The antral section is located at the bottom of the stomach, and its function is to mix food products, and in addition to maintaining the acid-base balance in the stomach contents. As a result of the defeat of this area, the process of moving food through the pyloric sphincter into the duodenum slows down, resulting in stagnation of undigested food, which undergoes a fermentation process.
This pathology, if not treated, can be transformed into a serious chronic gastrointestinal disease (including stomach cancer).
Erythematous erosive gastropathy
With this type of pathology, there is hyperemia accompanied by superficial erosions detected by endoscopy. Emerging erosions can be divided into 2 types - acute, and also chronic. The first usually have a size of not more than 2 mm and, if the cause that caused their appearance is eliminated, they heal after a week. But the latter can reach up to 7 mm in diameter.
The erosive form of gastropathy develops due to trauma, burns, stress, due to diabetes, alcohol abuse, cardiac, renal or hepatic insufficiency, sepsis, the use of drugs such as aspirin or prednisolone. Its appearance is accompanied by worsening circulation in the mucosa due to excessive production of hydrochloric acid. Erosion also causes intestinal reflux into the gastric lumen, and besides this, the penetration of Helicobacter pylori bacteria into the digestive tract.
Symptoms of the pathology are heartburn, a feeling of heaviness under the right rib, sour eructation, pain, bloating. In the process of treatment, the causative agent is eliminated - antibacterial drugs, drugs that improve blood flow, PPI, as well as cytoprotectors and antacid preparations are used.
Congestive erythematous gastropathy
With a similar type of gastropathy, there is a disruption in the functioning of the digestive tract. Usually its signs are not obvious and they are not noticed against the background of the underlying disease. Among the factors that provoke the appearance of this pathology - ulcer, alcohol abuse, smoking, and the emergence of microbes Helicobacter pylori.
Symptoms of congestive gastropathy are erosive and ulcerative wounds on the gastric mucosa in the gastroduodenal region. It usually arises because of the weakening of the protective properties of mucus, as well as the worsening of the process of blood flow.
Stagnancy is demonstrated by such symptoms as multiple acute lesions of the mucosa, with complete absence of pain, local inflammation, and symptoms of dyspepsia. In some cases, the disease manifests itself in the form of eructations, heartburn, severity after eating, and nausea.
Congestive erythematous gastropathy often develops on the background of liver or kidney disease, pancreatic tumors, regional enteritis, portal hypertension, and besides severe burns and severe injuries.
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Complications and consequences
Among the possible complications of this disease - such pathologies as a stomach ulcer or gastritis, rarely develops stomach cancer.
Diagnostics of the erythematous gastropathy
To detect the presence of this pathology, you need to undergo the procedure of endoscopy, during which a special endoscopic probe is inserted into the patient's stomach through the mouth. It is a flexible tube, to one end of which is attached a small chamber, with which you can see the inner surface of the duodenal ulcer, as well as the stomach.
What do need to examine?
How to examine?
Who to contact?
Treatment of the erythematous gastropathy
If erythematous gastropathy arose as a symptom of gastritis in chronic form, it is treated during the treatment of the underlying disease. See treatment of chronic gastritis
The main method of eliminating pathology is to observe the prescribed diet, which includes products that have a beneficial effect on the gastric mucosa. In this case, portions of food should not be too large, and meals are recommended to be done at intervals of 2-3 hours.
It is also important to completely abandon the use of alcohol and smoking. Do not follow the medication alone without doctor's prescription, which can cause hyperemia of the mucosa.
Medications
The drugs that are prescribed for this disease are Gastrofarm and Gastrotsepin. These drugs help restore the gastric mucosa.
Tablets Gastrofarm should be taken before meals (for half an hour) - chew and drink with water or crushed, mixed with warm boiled water and drink a solution. In the treatment of gastritis in acute or chronic form, as well as with an increased level of acidity of gastric juice, the following dosages are recommended: for adults 1-2 pcs., For children 3-12 years - 0.5 pcs., At the age of 12-18 - 1 PC. Drink 3 r. / Day. For 30 days. If, in the case of acute gastritis, the desired effect is not obtained, it is permitted to double the daily dosage. The effect of therapy usually begins to manifest at the end of the 1 st week of treatment.
When treating gastric ulcers or ulcers of the duodenum for adults, the dosage is 3-4 units. Three times a day for 30 days.
As a means of preventing the pill you need to drink three times a day for 1-2 pcs. For 15 days. If you abuse tobacco or alcohol: 1-2 pcs. 2-3 rubles / day.
Gastrotsepin need to take 2 r. / Day. Before meals (for half an hour). The daily dosage is 50-150 mg, and the average one-time dose is 50 mg. The course of treatment should last 1-1.5 months. Medicinal solution must be administered intramuscularly or intravenously 2 r. / Day. The single dose is 2 ml. Among the side effects of the drug: headaches, allergies, a feeling of dry mouth, dilated pupils, constipation, urinary retention, a disorder of accommodation, and tachycardia. Among the contraindications: hypertrophy of the prostate and glaucoma.
Alternative treatment and herbal treatment
For the treatment of erythematous gastropathy, it is recommended to drink infusions and herbal extracts often - as a separate drink, or as an additive to a weak tea. Therapy should be done by preparing the decoctions in accordance with recipes designed specifically for the elimination of gastritis. It is necessary to take into account the level of acidity of gastric juice - increased or decreased.
If the acidity is lowered, the most effective means is cabbage juice - it should be fresh, and drink it should be heated. Sometimes after taking fresh juice can vomit - in this case it is necessary to drink it 4 hours after spinning. It is recommended to drink 0.5 stacks each. 2 rubles / day. Daily. Ready juice can be stored in the refrigerator for 1.5 days, without losing its medicinal properties.
If acidity is increased and severe heartburn is observed, the best remedy is tincture from the bark of the birch. She needs to grind, take 2 tablespoons. Ingredient, pour them 2 stacks. Water (temperature 60 degrees). Further insist for 3 hours, then strain and drink 0.5 stack. 3 rubles / day. After 15 minutes after consuming the tincture you need to eat 1 tbsp. Melted warm creamy oil, and after another 15 minutes you can start eating. Therapeutic course lasts 3 weeks.
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Operative treatment
Operative treatment is the most extreme measure. Compared with surgery, a more gentle method is resection. To perform it, through the mouth into the stomach cavity a narrow long tube is inserted, equipped with a video camera, a light source and other equipment necessary for the procedure. Using this tube, the doctor removes patches of pathologically altered gastric mucosa.
Diet in erythematous gastropathy
Having identified the presence of symptoms of erythematous gastropathy, it is very important not to overeat during the recovery period. Overload your stomach with food can not, should eat often, but in small portions.
Every day there are foods that restore the mucous and do not irritate the stomach. For example, you should use jelly, various cereals, as well as chicken broth. Remember that food should not be very hot (such dishes are strictly forbidden) - the temperature should be comfortable, warm.
Instead of strong black tea and coffee, you must drink either herbal tea or plain clean water. Also, you must definitely give up alcohol (with any percentage of alcohol content), as well as smoking.
This diet allows you to make faster the process of restoring the gastric mucosa, and also prevents the transformation of erythematous gastropathy into gastritis in chronic form or gastric ulcer.
Prevention
To reduce the risk of recurrence of gastropathy, as well as prevent further development of it, you need to get rid of the factors that contribute to the appearance of pathology. Patients need to listen to the doctor's recommendations, get rid of bad habits and excess weight, eat right.