In gastritis, the formation of enzymes often decreases, or their slow entry into the intestine. In addition, with inflammation of the stomach, the development of substances that activate their action is disrupted. This causes a disturbance in the digestive process.
Therefore, with some types of gastritis, it becomes necessary to use enzyme preparations. They help to improve digestion and eliminate the feeling of heaviness in the stomach and bloating, which significantly improves the patient's well-being.
Enzyme enzyme preparations, depending on the components included in them, can be divided into the following groups:
- extracts of the gastric mucosa, usually containing pepsin;
- pancreatic, containing amylase, lipase and trypsin( Creon, Mezim-forte);
- combined preparations containing pancreatin supplemented with hemicellulose, bile and other components( festal, panther forte, etc.);
- plant( Pepfiz, etc.), including papain, lipase, fungal amylase and other enzymes;
- combined enzymes, where pancreatin is supplemented with vitamins and plant enzymes;
- disaccharidase.
Preparations of the first group correct violations of the secretory function of the stomach, promoting the cleavage of almost all proteins. They are most often used for atrophic gastritis, accompanied by a low acidity.
Drugs containing pancreatic enzymes are used in disorders of the digestive process. These enzymes with gastritis eliminate nausea, flatulence and other disorders associated with inadequate pancreatic function.
Combination medications, in addition to Pancreatin, include bile acids, natural choleretic and other substances. Adding bile components increases the motility of the stomach and intestines, which sometimes leads to diarrhea.
These drugs are recommended for patients with hypoacid gastritis, which usually have a disruption in the gallbladder and ducts, and also reduces the work of the pancreas.
Many of the enzyme preparations include simethicone or dimethicone, which reduce the phenomenon of flatulence.
The form of enzymes from gastritis
Most of the enzyme products are available in the form of tablets the size of five mm or more, the shell of which is resistant to the action of gastric juice and dissolves in the intestines, so they do not mix with food in the stomach and almost do not participate in the digestive process.
In the treatment of chronic gastritis, modern enzyme preparations in the form of microtablets and microspheres with a diameter of up to 2 mm are recommended, placed in gelatin capsules( Pancitrat, Lacreaz and Creon).Shells of such preparations are readily soluble in the stomach, providing a rapid mixing of the contents with food and a gradual intake into the intestine. In this mode, a practically natural digestive process is simulated, in which pancreatic juice is delivered in portions in accordance with the progress of food from the stomach to the intestine.
To determine which of the enzymes should be used in your particular case, the gastroenterologist should follow the results of the survey.