Acute gastritis – treatment of disease. Symptoms and prevention of the disease acute gastritis

Acute gastritis – What is this disease? Acute gastritis – for the first time caused the inflammatory process, flowing with the primary defeat of gastric mucosa (sometimes – deeper layers of stomach wall).

Acute gastritis – The cause of the

On the jetiologicheskomu mechanism of occurrence of endogenous and exogenous, emit the acute gastritis.

Development of acute gastritis associated with endogenous infection, present in the body. Most often, the etiological agent supports spiral bacteria Helicobacter pylori, which is detected at 80% patients with acute gastritis. Helikobakterii secrete different toxins and enzymes (ureazu, etc.), under the influence of gastric mucosa which develop inflammatory reactions. Pylori infection is also contributes to the development of gastric ulcer.

Less likely to cause endogenous acute gastritis serve streptococci, Proteus, staphylococci, Escherichia coli, cytomegalovirus, pathogens fungal infections (candidiasis, gistoplazmoza, etc.) and etc. Morphological and functional prerequisites for the development of acute gastritis occur when flu, scarlet fever, peel, Diphtheria, viral gepatite, pneumonia. In rare cases, secondary acute gastritis develops in disseminirovannom TB, secondary syphilis.

Etiological factors of severe exogenous gastritis, primarily, serve food agents-thermal, mechanical, chemical. Irritation of the stomach lining is too hot, sharp or rough foods can cause the development of acute gastritis. Adverse povrejdatee effect on gastric mucosa has tobacco, alcohol, drinking strong coffee.

Among the exogenous causes of acute gastritis also often serve food poisoning, caused by eating food, infected with salmonella, şigellami, iersinijami, klebsiellami. Besides, irritation and damage to the stomach lining can be caused by prolonged taking some pharmacological drugs are salicylates, glюkokortikoidov, bromides, iron supplementation, sulfonamides, antibiotics. Acute gastritis may develop against the background of radiation therapy for cancer of the stomach (radiation gastritis), intentional or accidental hit in stomach chemicals (acetic, nitric, salt, sulfuric, acids; is, liquid ammonia, caustic soda, ethylene glycol, methyl alcohol; iodine compounds, arsenic, acetone, phosphorus et al.). At high concentrations or large quantities of toxic substances burn can occur or perforation of the wall of the stomach and esophagus.

Acute allergic gastritis develops when you are hypersensitive to certain foods and is usually accompanied by other allergic manifestations – krapivnicej, angioedema, attack of bronchial asthma, etc.

Symptoms of acute gastritis

Manifestations of acute gastritis usually develop later 6-12 hours after the etiological factor. The most pronounced despepsiceskie disorders: loss of appetite, discomfort and severity of epigastrii, moderate pain, bad taste in mouth, belching, nausea, vomiting food eaten with admixtures of mucus and bile. When food infections noted frequent loose stools, flatulence, fever. Repeated vomiting and diarrhea in acute gastroenteritis can cause dehydration, that manifested the weakness, dizziness, headache.

Acute gastritis – Diagnostics

In clarifying the disease focus on food, medicinal history, co-morbidity. Objective status in acute gastritis characterized by paleness and dryness of the skin, epigastric pain by palpation. When inspecting the mouth tongue lined with grayish bloom, defines a bad breath.

In the most severe cases with acute gastritis is marked oliguria; in the study of general analysis of urine taped albuminurija, Urata. Changes in peripheral blood include moderate Leukocytosis neitrofilny, increase in the number of erythrocytes and hemoglobin; When bleeding-anemia. To detect signs of latent bleeding explores the faecal occult blood test.

Acute gastritis – Types of disease

In acute gastritis in gastric mucosa can develop various changes, Depending on where the disease Bluetongue (simple), fibrinoznoj, necrotic (korrozivnoj) or flegmonoznoj (purulent) form.

Acute gastritis – Actions of the patient

When you see the symptoms described, consult a doctor immediately.

Treatment of acute gastritis

The basic principles of treatment of acute gastritis are addressing the causes of the disease and prevention of complications. In acute gastritis in the first 12-24 hours shown fasting, then assigned to sparing diet. When a food or chemical poisoning produced gastric lavage. A non-admission of irritating the stomach drugs, smoking and alcohol.

For relieving pain in acute gastritis apply atropine, platifillin, papaverine; When vomit shows appointment prokinetics-cerukala, reglana, motiliuma. When expressed dehydration takes place saline infusion therapy solutions.

Treatment of acute flegmonoznogo gastritis is done surgically: in this case shows the gastrotomija, drainage of purulent; in some cases, resection of the stomach or gastrectomy.

Acute gastritis – Complications

Serious forecast indicated in acute flegmonoznom gastritis, where not excluded the development of gastric perforation, purulent peritonitis, empiema pleura, mediastinitis, liver abscess, poddiafragmal'nogo abscess, Sepsis.

Prevention of acute gastritis

Prophylaxis of acute gastritis requires nutritional causes of exceptions, refusal of alcohol and tobacco abuse, cautious use of drugs, adequate treatment of endogenous infections.