Chronic gastroduodenitis is a dangerous disease that can significantly reduce the quality of life. About the chronic form speak when manifestations persist for 6 months, and sometimes longer.
The concept of the disease
In chronic gastroduodenitis, there is an overall inflammation of the mucous surfaces of the stomach and the gut region. The disease is found among the adult population, and among children.
A feature of the chronic form is that the lesion of the mucosa leads to a disorder of the pancreas, vegetative disorders. Therapeutic tactics implies the mandatory addition of a vitamin B treatment regimen.
According to ICD-10, the disease belongs to the XI class diseases. Block number K20-K31, code K29.9.
Species
All chronic gastroduodenitis is divided into several species:
- Etiology: primary or associated species.
- Mucosal changes: superficial, erosive, atrophic, hyperplastic.
- Histology: with varying degrees of inflammation, with atrophy, tissue transformation.
- Clinical picture in the stage of exacerbation, remission.
More often it is about the following forms:
- Atrophic. Develops against a background of reduced acidity. It is found in people with a genetic predisposition.
- Helicobacter pylori. Characteristic for people with high acidity. It develops due to getting into the stomach Helicobacter pylori.
- Superficial. Inflammation affects only the mucous membrane.
- Erosive. Characterized by the formation of a large number of small ulcers on the mucosa.
- Hypertrophic. Is a dangerous disease. It is a benign tumor.
Reasons for
Various agents lead to pathology. Endogenous refers to the failure of the immune system. In this case, the development of antibodies, which affect their own tissues, begins actively. Lead to chronic form can hormonal disorders.
Because of them, the protective function of the mucosa decreases. Endogenous factors include stresses, disorders in the nervous system. They cause a stomach spasm. The result is the creation of favorable conditions for the development of inflammation.
There are also exogenous factors:
- Infectious pathogens. They can reproduce in any, including in an acidic environment. This leads to the development of an inflammatory process.
- Overeating. To the same reason is overeating, poor chewing food.
- The use of products that stimulate the production of gastric juice. It can be fatty, fried, spicy food and smoked meat.
- Alcohol abuse. Particular harm is caused by inexpensive varieties of wine and beer.
Symptoms of pathology
Chronic gastroduodenitis results in:
- Feeling of heaviness and discomfort in the abdomen.
- Severe pain, which is worse when eating food.
- Constant nausea.
- Periodic attacks of vomiting.
These symptoms are combined with a lack of appetite, belching and constipation, as well as with sleep disturbances. There may appear a white coating on the mucosa. A person with this form of disease does not always feel bad. A terrible state of health gives way to periods of remission.
Chronic gastroduodenitis in children
In recent years, there has been a steady trend towards the growth of gastroduodenitis.
Gastroduodenitis in chronic form often occurs in children who have a genetic predisposition or have suffered serious physical illnesses.
Symptoms in children are similar to those seen in adults. There is weakness, sleep disturbance, headaches.
Vegeto-vascular dystonia is often noted. Pain syndrome is accompanied by a feeling of raspiraniya and severity in the stomach. Sometimes vegetative crises occur according to the type of dumping syndrome. Then there is drowsiness, weakness. There may be irregular heart rhythm.
Diagnostics
Laboratory and instrumental examination is carried out. Gastroduodenoscopy with biopsy is compulsory.
Using a special tube, the doctor examines the condition of the mucosa. Then pieces of cloth are taken from some areas. If necessary, repeat the test several times. Become prominent inflamed and atrophied organ walls.
To determine the presence of Helicobacter Pylori, a respiratory HELIC test is used. First, the patient is given a special solution. Then, after 30 minutes, breathe into the tube, which is connected to a special device. This is one of the most optimal methods for detecting bacteria, but because of the high cost of equipment there is only in some hospitals.
In laboratory methods, a general blood test with a leukocyte formula is examined. With elevated leukocytes, there is evidence of an inflammatory process. If eosinophils predominate, then, most likely, there are worms. This is an important indicator for differential diagnosis.
Treatment of the disease
Treatment of the chronic form can last from several months to 2 years. All this time, you must adhere to the rules of healthy eating. In the acute period, bed rest is required for 7-8 days. If you do not adhere to these rules, then it is unlikely to reduce the frequency and severity of pain syndromes.
Preparations
Treatment is carried out immediately in several directions:
- Anti-inflammatory and immunomodulatory therapy.
- Normalization of secretory functions of the digestive system.
- Optimization of bile production.
- Restoration of the balance of the nervous system of the digestive tract.
Thanks to modern methods of treatment, you can not only eliminate symptoms, but also restore the health of the digestive tract, normalize digestion and digestion of food. Treatment is often performed against the background of elimination of concomitant diseases.
If chronic gastroduodenitis is caused by a bacterium, then antibiotic preparations must necessarily be included in the treatment regimen.
For a disease with increased or normal acidity, proton pump inhibitors are used. These include Omeprazole, Rabeprazole, Neximum. There are other drugs that reduce the production of hydrochloric acid, reducing the acidity of gastric juice. Usually one medicine is chosen for treatment.
If reduced acidity, instead of antisecretory drugs, which are directed to the production of hydrochloric acid. Regardless of the form, antacids are prescribed: Phosphalugel, Almagel, Maalox. When vomiting and flatulence prokinetics are prescribed( Cerucal, Motilium).They restore the progress of the food lump, eliminating painful symptoms.
Folk remedies
Among folk methods that can get rid of a chronic disease, you can use a collection of viburnum, chaga, aloe and honey.
Propolis is also effective. It has a pronounced anti-inflammatory effect. For a speedy recovery drink juices. Including sea buckthorn, cabbage. But even the most effective means of traditional medicine do not lead to a lasting effect. Therefore, they are used as an additional treatment.
Diet
Under prohibition are too hot, cold, salty, spicy dishes. Food should be divided, chewed carefully. It is recommended to diversify the menu with dried soups on low-fat broths. Positive effect on the work of the gastrointestinal tract fish, lean meat, dishes from eggs. Possible use of cream, cheese, kefir.
The first dishes should be well ground to reduce the damaging effect on the mucous membrane. If you want to pamper yourself with juices, they should be diluted with water in a 1: 1 ratio. Do not allow a strong feeling of hunger or overeating.
Disease in the acute stage: symptoms and treatment
During an exacerbation of a chronic gastroduodenitis symptoms, inherent in an acute form, may appear. These include:
- dizziness,
- vomiting,
- general malaise,
- severe pain in the stomach area.
Heartburn and eructations, as well as stool disorders, are often the satellites of this phase. When these signs appear, you need to see a doctor quickly.children develop symptoms of endogenous intoxication in the acute stage. These include emotional lability, headaches and fatigue.
Treatment necessarily consists of a diet. In the menu should be vitamins B1, B2, PP, C. Food intake should be 5-6 times a day. The appointment of De-nol, Metronidazole is prescribed for 1-2 weeks. Omepazol, Clarithromycin is drunk for 7 days. To correct treatment, you may need to consult a gastroenterologist again.
For prevention of recurrences, spa and balneotherapy, various physiotherapeutic measures are often prescribed.
Do you take in the army with chronic gastroduodenitis?
The question is solved after the diagnostic measures. According to category "B" of the rules of conscription, a disease with rare exacerbations a young person can be limited to fit for service.