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Treatment of exacerbation of chronic gastritis with drugs
Last reviewed: 06.07.2025

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If gastritis worsens, you should immediately consult a doctor to get a diagnosis and select the appropriate treatment. You should also switch to a gentle diet. All foods that contribute to the inflammatory process should be excluded from the diet. Fried and spicy foods, spices, sauces, and marinades are excluded. You should eat only boiled and steamed food. Gradually include soft, mashed foods in the diet.
Treatment regimen for exacerbation of gastritis
Any scheme implies, first of all, compliance with the regime. Then comes drug therapy: anti-inflammatory drugs, drugs that normalize intestinal motility and normal bile secretion are prescribed. Additionally, drugs aimed at normalizing acidity or microflora can be prescribed. Symptomatic treatment depends on concomitant pathologies and examination results. Painkillers can be used to relieve pain. Antispasmodics will help in the fight against spasm.
Vitamins
During an exacerbation of gastritis, as with any other disease, the body needs vitamins. Below is the daily norm of vitamins that a patient should receive during an exacerbation:
- Vitamin PP - 60 mg
- Vitamin H – 150 mcg
- Vitamin C – 500 mg
- Vitamin K – 360 mcg.
Physiotherapy treatment
Thermal and electrolytic procedures are used for gastritis. A common procedure is electrophoresis, in which the drug is applied to the mucous membranes. Under the influence of microcurrents, the absorption of medications occurs. The advantage of this method is that the active substance is delivered directly to the inflammation zone, where it has a direct anti-inflammatory effect. The dosage is reduced and the effectiveness of the drug is increased, the risk of side effects is minimized.
Exercise therapy for chronic gastritis during exacerbation
It is better to exclude physical activity directly at the moment of inflammation. Only light exercises, static poses, breathing exercises and relaxation techniques are allowed. If there is severe pain, nausea, it is better to refrain from doing exercises.
Stretching exercises, spinal traction and twisting exercises are shown. Today, there are many complexes that are presented in the form of video lessons. You can also contact a clinic or hospital for a full consultation with a therapeutic exercise instructor. He will help you choose individual exercises that will be effective for a given form and severity of the disease. You can attend group classes, where the instructor will monitor the correctness of the performance and determine the optimal load.
During an exacerbation, an exercise aimed at stretching the spine helps well. To do this, you need to lie on the floor, try to relax, and then begin to slowly stretch your shoulders, arms and spine to one side, and your legs and lower back to the other.
You can also do this exercise in a vertical position. To do this, you will need a regular horizontal bar or a gymnastic wall. You need to hang on the horizontal bar, tucking your legs. At the same time, you need to try to stretch your spine as much as possible: your arms and head go to one side, your legs to the opposite side.
The "child's pose" will help relieve pain. Its detailed description can be found in the complex of exercises of the "Hatha Yoga" system and yoga therapy. You need to kneel down, close your eyes, relax. Gradually lower yourself forward, lower your chest and stomach area to your knees, while trying to lower your head to the floor. Place your hands behind your back, back or stretch them forward. In this exercise, try to relax as much as possible. By an effort of will, direct all attention to the stomach area, to the place where the pain is felt. Try to mentally relax the muscles of the stomach, abdomen, internal organs, and abdominal muscles. Perform the exercise for at least 10-15 minutes.
Breathing exercises help relieve pain, spasm, eliminate discomfort and nausea. To do this, sit down and relax. Breathe with your stomach. When inhaling, move your stomach forward as much as possible, and when exhaling, press it against your spine. At the same time, imagine how a stream of light, pure force enters us with the air as we inhale, and is directed to the stomach area, to the site of inflammation. At the same time, the pain sensations decrease, and warmth spreads throughout the body. At the exit, black energy and dirt collect in the stomach area and come out as a black stream. Relax your abdominal muscles all the time, and focus all your attention on them. The same exercise can be done while standing.
Relaxation exercises are aimed at relieving tension, eliminating spasms and pain. Relaxation is especially effective in the system of complex treatment of gastritis, exacerbated by nerves. There are many meditative complexes, special relaxing music, mantras, sounds of nature, which contribute to deeper relaxation, muscle relaxation.
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Folk remedies
Gastritis can be treated with folk remedies, which should be used only after a preliminary consultation with a doctor. During an exacerbation, folk remedies should be used only as part of a complex therapy; they are ineffective on their own.
To strengthen the body and normalize metabolic processes, it is recommended to use a tonic. It also helps cleanse the body, including the digestive tract. To prepare it, take 200 grams of pitted dates, dried apples, and dried apricots. Mix everything together and mince. Add honey and ground ginger to taste. Let it brew for 3 days, then take 1 tablespoon twice a day.
To prepare a decoction that will relieve spasms and pain, take mint and nettle leaves in equal proportions and mix them together. To prepare the decoction, take 1 tablespoon of the mixture and pour boiling water (a glass). Allow to brew. Strain, add honey to taste, drink warm like tea. You can drink up to 1.5-2 liters of this decoction per day.
Rosehip decoction with nutritional components has proven itself well. To prepare, take 1 tablespoon of rose hips, pour a glass of boiling water. Allow to brew. Before use, add 10-15 drops of lemongrass extract or juice, 1 teaspoon of sea buckthorn oil. Drink like tea, warm, up to 1 liter per day. Rosehip relieves inflammation, lemongrass saturates the body with nutrients, sea buckthorn helps restore the mucous membrane, prevents the development of ulcers and erosions.
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Herbal treatment
Herbs have long been used to treat various inflammatory processes and restore the body. The herb pal-pala helps to quickly relieve inflammation and relieve pain. For a decoction, take 5-10 grams of the herb and pour boiling water over it. Allow it to brew for half an hour. Drink 1 teaspoon every 5 hours.
For a quick cure for gastritis that has flared up due to nervous tension and stress, use valerian infusion. To do this, pour 15 grams of valerian root with a glass of vodka. Infuse for 3-5 days in a dark place. Drink 1 tablespoon three times a day.
For nausea of gastric origin, use a decoction of dill. When preparing, take 5 grams of dill seeds per 500 ml of water, pour boiling water over it. Allow to brew for half an hour. Drink warm when a feeling of heaviness or nausea occurs. If nausea no longer bothers you, take 2-3 tablespoons of the decoction every 3-4 hours.
Homeopathy
Homeopathic remedies have proven themselves in the treatment of gastritis and other diseases of the stomach and intestines. Precautions should be taken before taking them. It is imperative to consult a doctor. Homeopathic remedies should be included in the complex therapy. But you just need to know at what stage it is best to do this. It is important to remember that some substances may be incompatible with each other, which will lead to numerous side effects. You should take them with caution, since many drugs have a cumulative effect: that is, they begin to act only after a certain amount has accumulated in the body. Some may begin to act even after a full course of treatment.
- Balm "Family Doctor"
It has a positive effect on the stomach, esophagus walls, normalizes acidity, relieves inflammation. The composition includes bear fat, propolis extract, meadowsweet, sage and sea buckthorn oil. Use 1 teaspoon of the product twice a day. Store in the original packaging in the refrigerator.
- "Doctor Amur"
A balm that prevents the development of ulcers, normalizes the condition of the mucous membranes and walls of the stomach and intestines. Promotes healing and restoration of the body. It should be taken for a month, 1 tablespoon 2-3 times a day. The composition of the drug includes badger fat, bee bread, licorice and St. John's wort, cedar resin.
- "Healthy Stomach"
To restore the stomach after inflammatory processes, to heal damage and erosions, use this balm one tablespoon 2-3 times a day. The composition includes bee bread, Altai mumiyo, St. John's wort, ginseng, cedar oil.
"Siberian Herbalist"
Used to prevent gastritis, in the treatment of inflammatory processes in the stomach and intestines. Normalizes intestinal motility. Take 1 tablespoon 1-2 times a day. The composition includes beeswax, milk thistle, mountain Altai honey and cedar resin.
Surgical treatment
Surgical interventions may be required only in emergency cases, for example, when bleeding begins, open ulcers, neoplasms appear. Surgical intervention may also be required if the cause of gastritis is a foreign body in the stomach or esophagus, or if the esophagus is obstructed.
Nutrition during exacerbation of gastritis
During an exacerbation of gastritis, there should be a dietary, gentle diet. On the first day, with severe pain and severity of symptoms, it is recommended to fast all day. On the second day, it is recommended to include broths, rosehip decoctions, herbal decoctions and infusions in the diet. On the third day, you can add light mashed dishes in boiled and steamed form. On the 5th day, you can gradually expand the menu, including one dish or product every day. A gentle diet should be followed from 14 to 28 days. Better 28 days, since this is a complete biochemical cycle and during this time, complete restoration and renewal of the body occurs.
Diet for exacerbation of gastritis
During the period of observance, it is necessary to follow a gentle diet that does not overload the body and does not contain harmful, irritating substances. An approximate menu for one day looks something like this:
- Breakfast
Curd mass with sour cream and sugar, berry jelly.
- Dinner
Chicken broth, barley porridge (liquid, mashed). Meat, chopped into small pieces, carrots, grated with herbs. Green tea.
- Dinner
Semi-liquid pumpkin porridge, boiled egg. Kissel.
What to eat in the first days of gastritis exacerbation?
The first day should be completely hungry. It is not recommended to take anything except pure water. On the second day, medicinal decoctions and rose hips are added. You can drink tea from various herbs. Broths and crackers are added. Only on the third day can you include liquid and pureed dishes, boiled or steamed products, low-fat ones in the diet.
What to drink during an exacerbation of gastritis?
On the first day you can drink only clean water, non-carbonated. This can be any mineral water, or boiled water at the very least.
On the second day, you can drink herbal infusions, rose hips, and weak tea.
On the third day, you can add jelly, tea with milk, and kefir.
Alcohol during exacerbation of gastritis
Any alcoholic beverages should be completely excluded, since alcohol is one of the main factors that contributes to the development of inflammation, increases pain and spasm. When drinking alcohol during an exacerbation, gastritis can develop into a peptic ulcer.
Products for exacerbation of gastritis
During an exacerbation, all products are divided into permitted and prohibited. Permitted products include lean meats and fish, vegetables. All products must be boiled or steamed. Instead of bread, there should be croutons or rusks. Instead of potatoes, it is recommended to eat cereals. Potatoes are allowed only in the form of mashed potatoes. Frying and dressing are not used. Soups should be only liquid, transparent, light broths, cottage cheese, and curds are allowed. Prohibited products include pasta, flour and confectionery products, fresh bread, fatty meat, and citrus fruits. Fat, lard, butter, spices, seasonings, sauces, and marinades are also prohibited.
- Fruits
Fruits can be eaten fresh, as well as in the form of jam, marmalade, and preserves. Jam can be added to tea. Fruit purees and salads have a positive effect on the body. Apple, banana, melon, and apricot purees are recommended. It is worth trying mashed berries with sugar. Citrus fruits and spicy fruits should be excluded from the diet. Dried fruits can be taken, figs and dried apricots are especially useful. Fruits can be seasoned with honey. They can also be consumed in the form of juices. You can drink juice with pulp. Pickled and canned fruits are not recommended. Fruits not only help normalize digestion and relieve inflammation, they also saturate the body with vitamins and remove toxins. This significantly speeds up recovery.
- Apples
Apples have a positive effect on the recovery process. They are rich in vitamins and contain iron. This helps to quickly relieve inflammation and normalize microflora. Regeneration is accelerated. They can be consumed as puree, jam, or fresh. Many people add apples to fruit salads, sweet porridges, and cottage cheese salads. You can make casseroles and charlottes from apples. Many people prefer baked apples with cinnamon or vanilla.
- Bananas
During inflammation, it is recommended to use bananas. They normalize metabolism, relieve pain, burning, and eliminate nausea. They have a calming effect on the mucous membranes and relieve inflammation. They are used in their usual form. The effect of bananas is enhanced when consumed with kefir. You can also make banana puree. They have proven themselves to be excellent as one of the components of fruit salad.
- Vegetables
During an exacerbation, you need to include more vegetables in your diet. If the pain in the stomach area increases after eating fresh vegetables, you should only use boiled, steamed or stewed vegetables. Vegetable broths and soups are recommended. You can cook vegetable stews. Boiled cauliflower, stewed cabbage, grated carrots, fresh cucumbers, tomatoes, and peppers are recommended. Eggplants and zucchini should be consumed in moderation. Stuffed vegetables are suitable. You can stew vegetables with meat. Sauces are excluded. You can drink vegetable juices and make purees. Tomato and carrot juice are especially useful for the stomach.
- Beet
Beets can be consumed boiled. They can also be added to various vegetable salads. In the second or third week, you can include a small amount of vinaigrette in your diet. It is recommended to season beets with sunflower oil. You can make a salad with beans.
- Fresh cucumber
Some people may tolerate fresh cucumbers differently. You need to look at how you feel: if the pain does not increase after eating cucumbers, you can safely include them in your diet. If nausea and pain increase, fresh cucumbers should be excluded from your diet (pickled, salted, lightly salted are also prohibited). You can add a small amount to other salads.
- Milk
During periods of exacerbation, milk is not recommended. It is permissible to include milk in small quantities in tea and chicory. You can cook milk porridge. In addition, milk is not recommended for people over 20 years old, since their body lacks the enzyme that helps break down milk. As a result, metabolism is disrupted. Milk is recommended only for children.
- Kefir
Kefir is included in the diet on about the third day of exacerbation. It helps to normalize the microflora, relieves inflammation, eliminates nausea and pain. It can be taken in small sips throughout the day to suppress pain. When consumed together with bananas or banana puree, the effect of kefir is enhanced, there is a rapid restoration of not only the digestive tract, but also the entire metabolism in the body.
- Yogurt
Around the third day of exacerbation, you can eat yogurt. It has a positive effect on intestinal motility, relieves inflammation, and restores microflora. You can eat it during the day. It eliminates pain. You can take yogurt with pieces of fruit and berries, with cereals, but without dyes.
- Cottage cheese
Around day 4-5, cottage cheese is included in the diet in small quantities. It can be eaten fresh. Salads are often made from cottage cheese, adding sour cream, pieces of fruit, berries, jam or preserves. You can make cottage cheese pancakes, cottage cheese casseroles. It goes well with kefir and yogurt. It is best eaten for dinner.
- Cheese
Cheese has a positive effect on the body during an exacerbation. It is a light, dietary product that provides the body with protein and nourishes. Cheese can be eaten in slices, and also added to various dishes and salads. During an exacerbation, you can eat any cheese except smoked and suluguni. Processed cheese and feta cheese have a positive effect on the stomach.
- Porridge
It is recommended to use various cereals. They are introduced on the third day of exacerbation. During the first week, you can only eat pureed, liquid and semi-liquid cereals. You should try to include as many different cereals in your diet as possible. It is recommended to cook cereals from buckwheat, pearl barley, barley, corn grits, rice, and wheat. Mixtures of 2-3 types of cereals have beneficial properties. For breakfast, oatmeal, Hercules, pumpkin, and semolina porridge are recommended. You can season the cereals with butter. You can add pieces of fruit and berries. Cereals are often cooked with milk.
- Buckwheat
Buckwheat quickly eliminates inflammation, cleanses the body, and removes toxins. It can be cooked as porridge or added to soup. Various dishes are prepared from buckwheat, such as grechaniki, buckwheat pancakes. Buckwheat combined with milk saturates the body with all the necessary amino acids and normalizes metabolism.
- Soups
Soups are an essential part of the diet of a person suffering from gastritis, both during an exacerbation and during remission. Soups can be cooked with or without broth. The broth can be fish, meat, vegetable, mushroom. It is recommended to have crackers or croutons with the soup instead of bread. It is necessary to include a variety of soups: vegetable, buckwheat, rice, potato, cream soup. Milk soups and soups with beans are useful. The soup should be warm. During an exacerbation, it is included in the diet on the third day of exacerbation. There is no need to fry the soup. Lean meats are used for the broth. There should be no spices, the amount of salt is reduced to a minimum.
- Honey
Honey has excellent wound-healing properties, restores damaged mucous membranes, relieves irritation and inflammation. Honey has antibacterial properties, restores microflora. It can be consumed in its pure form, especially on an empty stomach. It is also added to tea, syrups, balms, and salads.
- Kissel
Kissel is included on the second day of exacerbation. It has enveloping properties, protects the walls and mucous membranes from the damaging effects of various negative factors. Kissel reduces pain, spasm, prevents the development of ulcers. Inflammation is significantly reduced. You can use any kissels: fruit, berry, made from fruits and berries.
- Mineral water
During an exacerbation, it is necessary to drink mineral water. It must be still. You can choose special water that is intended for the treatment of gastrointestinal diseases. On the first day of exacerbation, do not eat anything, drink only mineral water. You need to drink at least 1.5-2 liters.
- Linseed oil
Flaxseed oil is used on an empty stomach, 1 teaspoon, or added to salads, porridge. It relieves inflammation and irritation, eliminates pain, softens mucous membranes, normalizes motility, stool.
- Coffee
Coffee is completely excluded from the diet, since caffeine irritates the stomach walls, increases the inflammatory process. It can lead to the development of an ulcerative form, an ulcer.
- Turkey broth
Turkey is a nutritious but not fatty meat. Turkey is rich in protein and vitamins. It can be used during exacerbations to make broth.
Menu for exacerbation of gastritis
Meals should be fractional, portions - small. You need to eat 5-6 times a day. Food should be mashed, light. It is recommended to cook boiled, steamed dishes, include vegetables and fruits, broths, kefir, dairy products.
Recipes for exacerbation of gastritis
Vegetable, meat, fish soups, broths, pureed soups, milk soups are used as hot dishes. For lunch, porridge and a boiled or steamed dish of meat or fish, vegetables are prepared. For dinner, you can prepare a casserole, omelet, sweet porridge and wash it down with dairy products or jelly.
What should you not eat during an exacerbation of gastritis?
During an exacerbation, you cannot eat fried, smoked foods, sauces, spices, marinades. You need to exclude fatty meat and fish, canned food, preserves, sausages. Kebabs, lard, grilled foods, mushrooms, alcohol are prohibited.
Sports during exacerbation of gastritis
Heavy sports and intense exercise during an exacerbation should be excluded. Light, supportive exercises are allowed. Breathing and meditative complexes, stretching exercises are useful for the stomach.