gastritis sick in our country, children of preschool and school-age youth, adults, the elderly and the elderly.But it is not an epidemic, but the result of the neglect of his health or of misunderstanding and lack of knowledge in this area.
Some people do not trust the doctors and believe that they are only waiting for the opportunity to treat someone, to torment, because they, the doctors, the only thing that they can do, in their opinion.
Others do not trust doctors, no books, no one, believing that better themselves in illness to understand no one can ... How to cure this disease folk remedies, see here.
others do not think about their health.
fourth simply no time to walk around the clinics, but this match is not very desirable.Here is the information for them.
I. The form:
1. Simple (trivial, catarrhal).
II.According etilogicheskim factors:
1. Exogenous (external).
2. The endogenous (internal).
There are several different classificatio
I. By etiology:
1. Associated with Helicobacter.
3. Chemical-induced toxicity.
5. A special form (eosinophilic, granulomatous).
II.According to the location of defeat:
1. pangastrit (common).
2. Gastritis antrum (piloroduodenit).
3. Gastritis gastric body.
III.According to the severity of morphological manifestations
1. No change.
2. weakly expressed.
4. Severe changes.
IV.By endoscopy (morphological changes)
1. Eritomatozny exudative.
2. Flat erosive.
V. The nature of gastric leakage of juice:
1. With a saved or increased secretion.
2. With secretory deficiency.
Acute gastritis - inflammatory disorder of the gastric mucosa, which is accompanied by violation of motility and secretion and occurs due to many reasons, this is what is commonly referred to as poisoning or acute inflammation of the stomach lining.First, there is usually a feeling of pressure and heaviness in the stomach, combined with nausea, salivation, an unpleasant taste in the mouth.At the same time, pain in the upper abdomen, which are characterized by spasms.There is vomiting, usually repetitive, and in severe cases, it becomes invincible.Vomit early consist of food debris from the fluid and then with mucus and bile.This vomiting is very dangerous, as can occur dehydration.
But vomiting is a symptom not only of acute gastritis.For example, appendicitis, cholecystitis (gallbladder inflammation), pancreatitis (inflammation of the pancreas) can also be vomiting.However, the pain in these diseases are of a different nature: for example, pancreatitis as if they surround the trunk - also apply to the abdomen and back (more than in the upper abdomen), and cholecystitis and appendicitis pain more pronounced in the right half of the abdomen.
However, if you firmly connect the occurrence of gastritis with taking something substandard, it is best to wash out the stomach, and immediately.In mild cases, flushing may be limited to drinking water, followed by vomiting (water can add salt - teaspoon of ordinary salt to 1 cup of warm water).In severe cases it is necessary to call a doctor and a stomach wash with plenty of water with a probe.
Despite the multiplicity and variety, causes inflammation of the stomach, can be grouped into two major groups:
1. Exogenous, or irritative (gastritis develops in response to external factors).
2. Endogenous or hematogenous associated with the internal effects on the gastric mucosa pathological stimuli emanating from the organism (acute infections, metabolic disorders, breakdown of proteins of the organism in case of burns and irradiation, some mental and neuropathological disorders, and so on. D.).
Among the main external causes of gastritis include:.. Receive poor-quality food, overeating, eating very spicy, fatty, too hot or too cold, indigestible food, alcoholic beverages, etc. Gastritis, developing as a result of the impact of these factors iscalled "nutritional gastritis."
Each of us knows the expression "fill the stomach" and the unpleasant feeling of heaviness and discomfort in the epigastric region, which occurs after a quick, hasty meal.Here you have one of the causes of gastritis.From this perspective, we understand the wisdom of Tibetan lamas, affecting our longevity and extremely long-term youth - they chew even normal drinking water!
For good chewing need strong, healthy teeth.Hence the need for careful care of them, regular dental visits and timely prosthetics that in our difficult time of economic instability, alas, it is not always and not all available.
cause of gastritis may be a violation of the diet (eating, especially after a long interval between meals) and food dry rations.Alcohol abuse and smoking can also cause inflammation of the stomach.
Among the causes of gastritis particular note are receiving poor quality, contaminated food, so-called foodborne diseases: coli infection, salmonella, botulism, staphylococcal poisoning, yersiniosis, etc.
Severe inflammatory damage to gastric mucosa can be triggered by prolonged use of a number.drugs.Among such drugs may be mentioned salicylic drugs, quinine, digitalis, atofan, arsenic, sulfonamides, antibiotics, iodine, bromine, steroid hormones, phenylbutazone, insulin, and others.
Severe allergic gastritis arise in individual sensitivity to certain tablets, powders, medicines and so on. d.
it must be stressed that the individual immunity of the gastric mucosa plays an important role in the genesis of gastritis.A well-known fact of the existence of so-called tinned stomachs can digest any writing.Along with them there are stomachs are sensitive to the most common dishes, such as milk, eggs, strawberries, smoked fish, melons, tomatoes, eggs, mushrooms and so on. D.
All these external factors cause gastritis through direct contact with the gastric mucosaor in contact with irritants in the mucous membrane through the circulatory system.In the latter case, first stimulus enters the bloodstream, within which it is delivered to the gastric mucosa, and it causes inflammation.
Among the exogenous causes, causes severe corrosive gastritis, poisoning should be emphasized by some poisonous substances.Among them - a strong acid (sulfuric, hydrochloric, nitric, chromic acid, acetic acid, phosphoric acid, carbolic, formic, and others.), Caustic alkali (ammonia, caustic soda, potassium hydroxide, sodium hydroxide), mercuric chloride, cyanide, arsenic,chloroform, lysol, high alcohol concentration, and large doses of medication.These substances can be taken by mistake.The above toxic substances not only cause severe irritation of the mucous membrane of the stomach, but at a certain concentration have a pronounced necrotizing (deadening of tissue) action.When exposed to concentrated acids developing cortical degeneration of the tissues of gastric mucosa;in contact with caustic alkali tissue necrosis occurs the formation of a loose cake.The extent of lesion and thus depend on the concentration and residence time in the stomach poison.In mild cases, the mucosa can regenerate, coarse scar changes develop in severe cases.
When endogenous gastritis as a toxic substance, and improper metabolism products have a damaging effect on the gastric mucosa.
In healthy people, the immunity of the gastric mucosa to the action of toxic substances is very high.It even exceeds the resistance of the skin.Under the influence of a number of predisposing factors that reduce the immunity of the patient, gastric mucosal resistance to irritating chemical or protein compounds significantly reduced.Among these factors are the following: neuro-psychological and physical exhaustion, lack of proper rest, occupational hazards, physical development and hereditary characteristics of an organism, as well as past illnesses.
The causes of gastritis include acute and chronic infectious diseases (measles, scarlet fever, diphtheria, typhoid, influenza, typhus, lung abscess, tuberculosis, and so on. D.).The occurrence of this group gastritis leading role played by hematogenous drift into the wall of the stomach germs and emissions of toxic substances.Furthermore, in infectious diseases, a considerable amount of protein for the body of harmful metabolic products of microorganisms.These harmful substances together with bacterial toxins enter the blood in the stomach wall and cause its inflammation.
cause of gastritis may appear uremia (absorption of urine in the blood), burns, frostbite.These pathological states are accompanied by serious circulatory disorders, hypoxia gastric mucosa and entering the bloodstream of toxic substances, which is the pathogenetic basis for the development of gastritis with these diseases.
Among the endogenous factors of gastric inflammation, a prominent place is occupied by diseases of the endocrine glands and metabolic disorders:. Diabetes, gout, hyperthyroidism, etc., in which also holds thrombogenic pathological effects of toxic substances (metabolic products) on the mucousthe stomach.
in the development of gastritis, arising under the influence of mental health, negative emotions and conditions of prolonged exposure to psychological discomfort, the leading role played by poor circulation in the stomach.This leads to a lack of supply of gastric mucosa of oxygen and some other functional disorders.For example, to a breach of the excretory function of the gastric glands and the contractile function of stomach muscles.
Decreased appetite observed in some patients, most often caused by stagnation and reverse peristalsis of the stomach muscles and decrease its secretory function.
insufficient secretion of pepsin (a digestive enzyme that breaks down proteins) and hydrochloric acid glands of the stomach, as well as excessive peristaltic activity due to increased contractions of the stomach muscles, lie at the heart of pain or discomfort in the epigastric region.All this is also characteristic of inflammation of the stomach.
Difficulties in swallowing lead to reflux (having thrown) into the esophagus acidic contents of the stomach, causing irritation of the nerve endings mainly distal (exit) esophagus.As a result, patients have heartburn, t. E. A burning sensation behind the breastbone.
Gastritis is often accompanied by such a clinical symptom as belching - sudden, involuntary stepping through the mouth of gases from the stomach into the esophagus.Its origin is related to the stresses and easy anastaltic movement of the esophagus and stomach.This is accompanied by short-term or long-term symptoms of difficulty swallowing.
Slow removal of digested food from the stomach is the result of its inflammation.And it can lead to regurgitation - throw in the throat or mouth of a small number of esophageal or gastric contents.At the same time the mass ejected from the stomach contains hydrochloric acid, to give them a sour taste.
Underlying diarrhea, frequently observed in gastritis, is a violation intestinal motility and malabsorption of food and water, as well as inflammation of the intestinal wall.This prevents the full digestion of food and the natural formation of feces in the intestine.
common symptom of gastritis - nausea (the unpleasant feeling in the abdomen, which may be accompanied by nausea, salivation, pale skin, sweating, dizziness and even faint and dizzy).It vomiting caused by irritation of the vagus and splanchnic nerves, followed by transfer of momentum in the vomiting center in the opposite direction, provoking embarrassment patency of the upper digestive tract.
Vomiting gastritis is slozhnoreflektorny act associated with irritation located in the medulla oblongata of the emetic center pathological impulses emanating from the receptor apparatus of the mucous membrane inflammation of the stomach, and toxic substances entered into the bloodstream.Stimulation of the vomiting center is the nerve impulses that cause the development of a number of sequential processes: the omission of the diaphragm, the closure of the glottis, the reduction of certain parts of the stomach, gastric relaxation of the body and the cardiac sphincter, the occurrence anastaltic waves.Due to the contraction of the diaphragm and abdominal muscles increases intra-abdominal and intragastric pressure.The result of these processes is the rapid release of stomach contents into the mouth through the esophagus.
of pain in acute gastritis due to the mechanical irritation of the stomach contents stretched pathologically sensitive receptors located in its mucosa.Inflamed hyperemic gastric mucosa becomes a source of pain already for any mechanical stimulation, being deprived of the protective mucus, for example, under the influence of the rich caustic action of hydrochloric acid gastric juice.
Symptoms of the disease appear after 4-8 hours after a meal (poor-quality food, spirits, abundant, rich food, too hot or too cold food, etc.).
disease develops rapidly or slowly, depending on the nature, extent and duration of exposure to the etiological factor, as well as on the individual sensitivity of the patient body.
Appear increasing general weakness unpleasant taste in the mouth, nausea, belching stagnant, decayed food.Concerned about a feeling of heaviness, distension and pain in the epigastric region, headache.Sometimes, as a result of spasm in the stomach appear cramping abdominal pain.Appetite is absent.There may be a need for selective salty, sour or cold (water, ice chips) food.
soon joins vomiting eaten food.Most vomiting is repeated in nature, accompanied by abdominal pain and bring temporary relief.Vomit have an unpleasant sour smell.They contain undigested food particles, mucus and bile.Sometimes the vomit blood is present.After repeated vomiting and stomach emptying of the contents in the vomit appears mixed with bile viscous mucus.Vomiting is usually accompanied by pale skin, sweating, severe weakness, decreased blood pressure.
Some patients general condition suffers a little, while others - is suffering overall.
marked pallor of the skin, the skin moist.Tongue coated gray or grayish-yellow.There is an unpleasant smell from the mouth of the patient.There may be herpes (like herpes) lesions on the lips.Bloating (flatulence), palpation it is painful, especially in the stomach area.In some patients the body temperature rises.Sometimes diarrhea occurs.
marked aversion to food, the mere mention of which can cause the patient's nausea and vomiting.
In some cases, especially when the nature of the allergic disease, gastritis becomes severe course, often accompanied by the formation of multiple superficial erosions in the gastric mucosa.