Increased acidity of gastric symptoms
Gastritis with high acidity of gastric - this form of gastritis is observed mainly in young people, and in men more often than women.Often the occurrence of the disease is preceded by some stress factors, trauma, surgery, as well as the unfavorable conditions that induce a person to drink a lot of coffee, strong tea (or something even stronger), eat cold food to eat and swallow food almost without chewing.
early and fairly common symptom of gastritis is such a pain that usually occur on an empty stomach or after 1.5-2 hours after a meal.They are connected with the influence of hydrochloric acid on the inflamed mucosa of the stomach (gastritis with high acidity pain is usually more pronounced).Pain in the stomach area appear more likely to have aching in nature, but can be quite intense, although severe pain are more common in peptic ulcer disease.Sometimes the pain occur at night.
Along with pain can be a feeling of heaviness and fullness in the stomach.Usually, the pain decreases, and come after t
common complaint is heartburn that occurs without any apparent reason, but more often it is associated with eating, especially after eating black bread, fresh pastries, pancakes.For heartburn is characterized by the fact that it takes place after receiving alkalizing solutions (eg, soda).Sometimes heartburn becomes very agonizing character, and patients complain mainly on her.
Belching becomes a sour smell in this type of gastritis.
frequent complaints of nausea and even vomiting, but vomiting is not common, and occurs after eating some indigestible foods (eg, sausages or sausage).
next symptom is a tendency to constipation.The cause of constipation can be a diet rich in carbohydrate, low in plant fiber;and changing the motor activity of the colon it may be associated with reflex effects in the stomach.
In the period of acute patient should ensure physical and mental rest.Treatment of chronic gastritis should be comprehensive and individually tailored to the secretory function of the stomach, the morphological changes of the mucous membrane and its relationship with other bodies of the digestive system.
Clinical nutrition in the treatment of gastritis has a leading position.During exacerbation of chronic gastritis regardless of the nature of secretion adhere to the principle of conservation of the gastric mucosa and its functions.Food should be well cooked and shredded.Because the diet is necessary to exclude products and dishes with a strong sokovydelyayuschim action, as well as causing the mechanical, thermal and chemical irritation of the gastric mucosa.Meals should be a one-off 5-6.When normal and elevated secretion begin treatment with the purpose of diet number 1a, 7-10 days pass to number 16, and in the next 7-10 days - a diet № 1. The diet should be high-grade, but with the restriction of salt, carbohydrates and extractivesparticularly at elevated pH.It is forbidden the use of alcohol, beer, soda, drinks such as "Coca-Cola".Recommended intake of bicarbonate mineral water for 1 hour before meals.
From medication at elevated secretory and motor-evacuation function of the stomach holinoliticheskie prescribed drugs (atropine, platifillin, benzogeksony) in combination with antacids (Almagel, Maalox, Gustav, Rennie) and other substances.It recommends the use of sedatives (tranquilizers, sleeping pills) a course of 20-30 days for the normalization of the functional state of the higher parts of the central nervous system.To resolve dyspeptic phenomena used Reglan, motilium, metoclopramide, and to kill Helicobacter pyloric - Trichopolum, amoxicillin, tetracycline, cephalothin, etc. With increased secretory function using blockers H2 histamine receptors -. Cimetidine, ranitidine, famotidine, bismuth drugs - de-nol, vikalin and blocker "proton pump" omeprazole.In sharp pain shows the use of muscle relaxants and painkillers (no-spa, anastezin, baralgin et al.).Chronic gastritis with normal and increased secretory activity of the gastric glands often develop on the background of increased excitability of the nervous system.Therefore, the patient must be prescription drugs and other means, have a calming effect on the nervous system.Because vitamin preparations a particularly important role in the treatment of chronic gastritis with normal and elevated secretion play B vitamins, vitamins A and U. The most reasonable is a complex assignment of different groups of vitamins for 25-30 days with a repetition rate of vitamin therapy 1 time in 3-4 months.Of the funds nonspecific therapy used in the treatment of chronic gastritis, the drug should be recommended Spirulina-Sochi made from microalgae spirulina Plantex grown in environmentally friendly conditions subtropical Sochi.Due to rich composition of vitamins, minerals and other biologically active substances (more than 50), the drug has a wide range of effects on the body.Used inside a pill and a powder.Tablets are taken 20-30 minutes before meals with a glass of water;powder is used as a seasoning for dishes, in cocktails, natural fruit and vegetable juices with milk products.Dose of 2-3 g per day.The course of treatment - 4 weeks.
Vitamin U stimulates healing of damaged mucosa of the gastrointestinal tract, reduces the secretion of the stomach and has analgesic effect.The drug is prescribed inside (after eating) of 0.1 g (2 tablets) 3-5 times a day.The course of treatment 30-40 days.Vitamin A (retinol) is administered in the form of pills, tablets, oil solution (in capsules for oral administration and ampoules for intramuscular administration).
When gastralgicheskih forms of chronic gastritis, as well as accompanying perigastritah, periduodenitah, lesions of the liver, pancreas, gall bladder and intestines has a good therapeutic effect mud: silt, sapropel, peat mud used as applications on the stomach at a temperature of 38-42 °C for 10-15 minutes.Treatments are assigned in a day.On course - 10-12 procedures.
recommended and other thermal procedures: ozocerite baths, paraffin on the stomach, inductothermy for 15-20 minutes, for a course of 12-15 treatments.
patients with chronic gastritis with increased gastric secretion in remission can be carried out in a spa treatment of any somatic sanatorium.Patients with chronic gastritis occurs with symptoms geterohilii characterized by transitions from one state to another gastric acid secretion, are sent to Krainka resorts, Morshyn, Pyatigorsk, Truskavets.
Dietary regimen of patients with chronic gastritis with increased secretion and stored in much the same with the one that is prescribed for stomach ulcers and duodenal ulcers.Diet therapy in this form of chronic gastritis should be aimed at reducing the irritation of gastroduodenal zone, while maintaining physiological usefulness of the diet.The main purpose
destination diet - maximum decrease the negative impact on the gastric mucosa of acid-peptic factor (elimination of strong stimulation of gastric acid secretion, assigning mechanically sparing diet; multiplicity increase food intake, thereby allowing more prolonged antacid its effect).
During an exacerbation assigned diet number 1a, which is then replaced by a diet № 16, № 1, after diet and diet number 1a application of a diet selected individually, depending on the disease.
- after decrease in acute process and the onset of sustained remission of the patient on a diet
long term to exclude chemical activators of gastric secretion: essential oils, organic acids, extractives of meat and fish.
should avoid taking alcoholic beverages, the consumption of fatty foods, hash, fatty soup, rassolnik, soups, pork, fatty lamb, goose fat and smoked sausage and fish products, canned foods, pickles, mushrooms, corned beef, products of puff and shortcrust pastry, ice and carbonated drinks, custard.
The patient diet appropriate to include freshly prepared potato and cabbage juices.
promotes healing of ulcers and erosions, decrease inflammation in the gastric mucosa by reducing the irritation of its receptor system, repair of the normalization process, the normalization of the secretory, motor and evacuation functions of the stomach.
Diet appointed under strict bed rest.The content of protein and fat in the diet of the patient corresponds to the physiological needs of the organism.The amount of salt and carbohydrate limited.Excluded receiving products that cause chemical and mechanical irritation of the mucous membrane of the stomach and its receptor system.Limited to products, long delays in the digestive tract, and stimulate gastric secretion.
All meals diet number 1a steamed or boiled, are liquid or pasty consistency (mashed diet).
proteins intake in the daily diet of 100 g fat - 90-100 g, carbohydrate - 200 g;salt - no more than 8, the weight of a daily ration of about 2.5 kg, calories - 2000-2500 kcal.Eating fractional 6-7 times a day.The temperature of hot food should not exceed 62 ° C, cold food should not be below 15 ° C.
diet number 1a includes mucous soups of cereals (oat, rice, pearl barley, semolina) with the addition of butter, cream, egg-milk mixture, meat and fish steam souffles from low-fat varieties of meat puree (required prior removal of tendons, fascia,skin).
excluded baked goods, meals and side dishes of vegetables.Allowed 5% -s' pureed porridge of oatmeal, rice, buckwheat and semolina, with added sugar;sugar, honey, jelly and jelly of sweet varieties of fruits and berries.
can use whole milk and condensed milk, cream;fresh sour cheese, mashed with milk and sugar, cottage cheese mashed potatoes, steamed;weak tea with milk, broth hips with added sugar.
prohibited snacks and spices.Butter is added to the ready-made meals.
Sample one-day menu diet number 1a:
Sample one-day diet menu number 16:
Diet number 16
Diet number 16 helps to reduce the inflammation of the mucous membrane of the process of the upper gastrointestinal tract, in addition,it creates favorable conditions for the healing of ulcers and erosions.Therefore, a diet number 16 is assigned not only in inflammatory diseases of the upper gastrointestinal tract, but also in gastric ulcer and duodenal ulcer.
Diet number 16 normalizes the reparative processes in the gastric mucosa and duodenal ulcers, reduces irritation located here receptor system regulates secretory, motor and evacuation function of the stomach.
Diet number 16 is assigned in terms of bed rest.It contains the physiological norm of proteins and fats.The amount of salt and carbohydrate limited.In addition, limited to foods that have a chemical and mechanical irritant effect on the mucous membrane and the receptor apparatus of the upper gastrointestinal tract, strong stimulators of gastric secretion, as well as food, long linger in the stomach.Meals are prepared by boiling in water or steamed and are in shabby form.In
daily diet contains: protein - 100-110 g fat - 110 g carbohydrates - 300g Its weight is 2.5 to 3 kg, caloric - from 2600 to 3000 kcal.Common salt is given in an amount of 8-10 g per day.Eating fractional 6-7 times a day.
From bakery resolved crackers, made from the highest grade of white bread.Soups are prepared on the mucous broth with the addition of pureed cereals and egg-milk mixture.
permitted lean meats, poultry and fish.Dishes are prepared by boiling in water or steamed after the preliminary release of the fascia, tendons and skin.Meat, poultry and fish are given in the form of chopped meatballs, patties, dumplings, soufflés, etc.
from the diet excludes vegetable side dishes and pasta...Allowed dairy pureed porridge, made with semolina, buckwheat, rice or oat groats.
Boiled eggs are boiled, in the form of steam omelettes and dishes whipped proteins (snowballs, meringue).
permitted jelly, sweet berry and fruit juices (mixed with water), sugar, honey, jelly, sweet varieties of berries and fruits.
Dairy products are in the form of a solid, condensed milk, cream, non-acidic fresh grated cheese, cottage cheese soufflé.
Drinks in the patient's diet included in the form of tea with milk or cream and savory broth hips and sugar.
Sample one-day menu lipotropic diet number 16 (caloric value 2432 kcal):
Sample one-day diet menu number 1:
Diet number 1
Diet number 1 without mechanical schazheniya (neprotertye table) is recommended in the periodremission in the healing of ulcers.Meat and fish - a piece, neprotertye vegetables, cereals - friable.Such a diet enhances motor function.
Similarly diets number la and number 16 diet number 1 promotes healing of ulcers, erosions and decrease inflammation in the gastric mucosa by reducing the irritation of its receptor system and mucous membranes, the normalization process of repair and normalize the function of the stomach (secretory, motor and evacuation).
Diet number 1 satisfy the physiological needs of the organism in food products for the treatment in a hospital environment and at work, which is not related to physical activity.
The content of proteins, fats and carbohydrates in the diet corresponds to physiological norm.The amount of salt is limited.In addition, limited intake of nutrients that cause mechanical and chemical irritation of the mucous membrane of the stomach and its receptor system, as well as products for a long time lingering in the stomach.
dishes are steamed or boiled, some - by baking in the oven (without coarse crust).Not rough grades of meat and fish are allowed to cook a piece.
In the daily diet should contain: protein - 100-120 g, carbohydrates - 400-450 g, fat - 100-120 g of salt - 8-10, the weight of the daily diet - about 3 kg.Calorie - 3000-3500 kcal.The food should be taken in 5-6 doses.The temperature of food to be not higher than 62 and not less than 15 ° C.
permitted soups slimy broth with the addition of cooked mashed vegetables and cereals, cream, egg-milk mixture.poultry and fish meat should be low-fat varieties, without the skin, tendons and fascia.It can give a piece or chopped form, boiled in water or steamed.
From vegetables allowed potato, pumpkin, beets, zucchini, cauliflower, ripe tomatoes.Vegetables give boiled, mashed.Prohibited cabbage, radish, rutabaga, turnips, radish, onion, garlic, spinach, sorrel, mushrooms.
permitted pureed cereals (except millet), prepared with the addition of milk or cream, boiled pasta, pureed steamed puddings, scrambled eggs, omelets steam, dishes of whipped egg whites (snowballs, meringue).
patient can make jelly, jellies, mousses, compotes and jam from sweet varieties of fruits and berries, sweet fruit and berry juices mixed with water, honey, baked apples and pears with sugar, marmalade, marshmallow, candy.
permitted milk products in the form of solid and condensed milk, cream, fresh cheese fresh (as casseroles, cheese cakes, lazy dumplings) and fermented milk drinks.
butter is added to the ready-made meals.It is possible to use olive and sunflower oil in bulk form.
drinks, recommended broth hips with sugar, weak tea with milk or cream.Bakery products in the form of bread yesterday, wheat, dry biscuit, biscuits.
Sample one-day diet menu number 1 with moderate mechanical sparing the stomach:
Diet № 5
diet number 5 is physiologically full;