Modern medicine concentrates more attention on various pathologies of the gastrointestinal tract. Leading positions among them have been inflammatory diseases for many years, especially gastritis. The urgency of the problem is determined by a large assortment of drugs on the pharmaceutical market. At the same time, it is sometimes difficult for the consumer to make the right choice of the necessary medicines.
Predisposing factors in the development of inflammation of the gastric mucosa are violations of diet, alcohol and smoking abuse, as well as chronic intoxication and stress. The main cause is an infectious agent - Helicobacter pylori. It is found in 65-90% of cases of gastritis.
Therapeutic methods of correction of inflammation of the stomach are determined primarily by the type of gastritis. For this, the classification of the disease takes into account the acidity of the gastric juice. Distinguish between the hyperacid, hypo- and anacid form of the disease. This is important, since for the treatment of each of them, sometimes medicines of different pharmacological groups are required.
Effective remedies for gastritis of the hyperacid form
Selecting the best medicines against the background of increased acidity of the gastric juice, preference is given to reducing the excess production of hydrochloric acid. Among antisecretory drugs, proton pump inhibitors( PPIs) are particularly in demand. Typical representatives of this group are omeprazole, lansoprazole, rabeprazole.
Also to the effective drugs can be attributed and blockers of H2-histamine receptors: famotidine, ranitidine, cimetidine.
Excellent results in the combined therapy of hyperacid conditions are also observed with the appointment of antacid agents. Thanks enveloping and gastroprotective action, they reduce the acidity of gastric juice. Among this group of medicines for gastritis can be identified Almagel, Maalox, Rennie, Fosfalugel, Gaviscon. The course of therapy is 2-4 weeks. If necessary, the attending physician can make corrections to it.
Similar to antacids, enterosorbents also have an effect. This is Enterosgel, Polyphepan, Polysorb. They help to reduce irritation of the gastric mucosa by Helicobacter enzymes, which creates conditions for its repair.
Effective agents for gastritis of the hypoacid form
Hypoacid conditions require completely different methods of therapeutic correction. The use of such standard antisecretory drugs against gastritis, like PPI, antacids, inhibitors of histamine receptors only worsen the situation. Moreover, it can lead to the development of an achili, which increases the risk of malignant degeneration of the cells of the gastrointestinal tract.
The best remedies for gastritis against a background of decreased gastric acidity are the drugs of substitution therapy, for example: Abomin, Pancreatin, Creon, Mezim Fort, Panzinorm, Festal. They are prescribed at the same time as food intake. However, in the case of a relapse of the disease, the use of these medicines for gastritis should be postponed until the acute inflammatory processes subsided.
Features of therapy of gastritis against helikobakterioza
For the treatment of gastritis associated with Helicobacter pylori, antibiotics can not be dispensed with. The best drugs with antimicrobial activity are Clarithromycin, Amoxicillin. They enter the first line of funds from gastritis against a background of Helicobacter pylori infection. In this case, they are combined with PPI or bismuth preparations, such as De-nol.
In case of ineffectiveness of the three-component treatment regimen, they switch to so-called quadrotherapy. In this case, the standard antimicrobial agents are replaced with Metronidazole and Tetracycline with the simultaneous administration of PPI and bismuth citrate.
Analgesics
For the treatment of algic syndrome with exacerbation of chronic gastritis and pain medication. For example, spasmolytics are widely used: No-shpa, Mebeverin, Atropine, as well as anticholinergics, in particular, Gastrotsepin.
The appearance of severe pain in the stomach is an occasion for immediate medical attention. The reason can be not only in a banal attack of gastritis. Such serious conditions as appendicitis, peritonitis, internal bleeding are not ruled out. The use of antianginal drugs against gastritis can only lubricate the clinical picture and make it difficult to differential diagnosis.
It is impossible to unequivocally answer the question, what medicines are the best. It all depends on the stage of the disease and its shape, the age of the patient and the burden of the accompanying diseases. Success in the treatment of this ailment of the stomach is determined exclusively by a professional approach to diagnosis and the appointment of adequate medication.