Miscellaneous

Gastritis with low acidity: treatment, diet, symptoms

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Gastritis with low acidity - a frequent kind of gastric mucosal inflammation. Under him the level of acidity of gastric juice and its volume is reduced, which causes a decrease in the ability of the stomach to digest food. In addition to improper digestion, this disease leads to even greater danger. Natural level of acidity protects the stomach against the penetration of infection into the intestinal lumen.

At low acidity arises hit probability of occurrence of intestinal infections and inflammatory processes. As with any form of this disease, gastritis with low acidity causes regular abdominal pain, and can also be transformed into a gastro, gastric cancer and peptic ulcer disease.

Causes of

Gastritis with low acidity or hypoacid - an inflammation of the gastric mucosa, wherein the gland producing hydrochloric acid was gradually atrophy. Because of this reduced gastric acidity, he can not effectively dissolve and digest food, resulting in impaired absorption and assimilation of nutrients and grow scarce state.

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Since the disease is most commonly diagnosed in the elderly, the main causes of its development It is considered to be the wrong lifestyle, overeating, alcohol and cigarettes, and decreased motor activity.

The main causes of the disease:

  1. Domestic - are less important in the development of this disease, these include: other inflammatory digestive tract diseases, endocrine disorders, formation of antibodies to the cells of the gastric mucosa.
  2. Exterior - overeating; coarse, indigestible food, the habit of eating very salty, spicy, hot food, fried and canned foods; smoking; alcohol abuse; infection Helicobacter pylori.

Adverse internal and external factors cause inflammation and damage to the gastric mucosa, the cells lose their ability to rapid regeneration gradually disrupted gland produces less hydrochloric acid and gastric juice and cells atrophy. Also disturbed motility of the stomach and intestines, going throw the contents of 12 duodenal ulcer in the stomach, causing the mucous membrane is inflamed even more.

types of diseases

Depending on the location and associated symptoms gastritis are the following types:

  1. Atrophic gastritis with low acidity. There is a thinning of the mucosa, the tissue die, lose their protective function. Divided into antral, diffuse. The strong decline in the level of acid in the stomach - the most dangerous condition, as can provoke cancer. The exact cause of its development has not yet been established, but not the last role played by overeating, eating disorders, hormonal drugs, antibiotics as self-medication.
  2. Chronic gastritis with low acidity. This disease, in turn, are divided into the compensation stage, partial compensation and decompensation. Chronic variant develops slowly at first acidity increases significantly. If you do not start treatment, the cells that produce acid, die, and it is produced is not enough. Acidity comes back to normal. With further progression begins atrophy (extinction) of the gastric mucosa, and there is a chronic disease embodiment. Chronic gastritis with decreased secretion is often caused by the bacteria H. Pylori.

The first signs

The disease is accompanied by the characteristic features of the local and general:

  • belching;
  • nausea;
  • regurgitation;
  • heaviness and pressure in the epigastric area postprandial;
  • unpleasant sensation in the oral cavity (especially in the morning);
  • heartburn;
  • burning in the epigastric.

Immediately after eating there is a pain blunt nature, in the epigastric region; wherein the pain sensation is increased in standing and walking. Very often there are intestinal dyspepsia: rumbling, flatulence. At low acidity diarrhea usually occurs, which significantly intensifies after drinking milk or fatty foods eaten.

symptoms

The more reduced the acidity, the more clearly will manifest symptoms of gastritis with low acidity:

  1. Signs of excessive growth of bacteria - rumbling, unstable chair, milk intolerance, bloating in the abdomen. If gastritis is accompanied by frequent diarrhea, the weight loss may occur, develop signs of deficiency of vitamins or minerals.
  2. Dystrophy - signs of deficiency of vitamins of group B and C, E, D, protein malnutrition (weight loss, "polished" or topped with a thick white coating tongue).
  3. Dyspepsia - poor appetite, feeling of heaviness or fullness in the stomach belching rotten food, bad breath (kokosmiya), bad taste, nausea.
  4. Stupid, worse after eating, with no clear localization, aching pain, which occur due to gastric distension.
  5. anemia due to decrease absorbability of iron and vitamin B12 (due Castle factor).

As the inflammation of the stomach and affect other parts of the digestive system, it is often hypoacid gastritis is accompanied by diseases such as enterocolitis, cholecystitis, pancreatitis.

Diagnostics

Diagnosis and treatment of gastritis with low acidity engaged gastroenterologist and endoscopist. Specialist examines the patient and conducting a series of surveys:

  • morphological studies;
  • X-rays of the stomach;
  • esophagogastroduodenoscopy;
  • endoscopic biopsy;
  • gastroscopy;
  • determination of pepsinogen level;
  • nasogastric intubation with intragastric pH-meter;
  • Study of gastric juice;
  • pylori diagnosis using ELISA feces, PCR analysis, detection of antibodies in blood and breath test on the microorganism.

The purpose of these studies - not to be confused with other pathologies of the disease and make an accurate diagnosis. According to the results of surveys gastroenterologist appoints regimen. If required, the doctor sends to a consultation with a nutritionist, which is an appropriate diet. In some cases, to eliminate the associated diseases require consultation with other professionals a narrow focus (cardiologist, therapist).

complications

With long-term inflammation in the mucous of the stomach may be atrophic gastritis with low acidity, which is characterized by a change in the structure of cells, their withering.

As a result of atrophic processes reduced the number of correctly functioning cells, which makes it difficult perform the secretion of mucus and enzymes to the extent necessary, because of what is broken mineral absorption process substances. If the disease becomes chronic, the gastric mucosa thins, food is not fully digested and absorbed.

The danger of this disease consists in the fact that often, in the absence of therapy, it goes into cancer (statistically probability of disease more than 10%). Cancerous processes can occur due to lack of antitumor protection of the mucous membrane. To avoid tumor processes and further complications, it is important to carefully examine and begin treatment at an early stage.

How to treat gastritis with low acidity?

Generally, treatment of gastritis with low acidity of a long and complex. Because this disease is characterized by problems with leakage of juice, you tend to prescribe drugs that are capable of stimulating the normal operation of this function. Also prescribe medication, reducing gastric motility.

gastritis treatment program includes:

  • suppression of active inflammatory process in the gastric mucosa - Antibiotics and antimicrobial agents, which is sensitive to the pathogen (drugs and their dosage appoint a gastroenterologist);
  • enzyme replacement therapy, and - to that end pepsin, hydrochloric acid, complex enzyme preparations (panzinorm, Festalum, mezim, enzistal);
  • restoration of the impaired motility of the digestive tract - using drugs that activate the promotion of the bolus of the gastrointestinal tract and eliminate spasm of smooth muscles of the intestine;
  • vitamin therapy - it allows you to eliminate the symptoms of patients with vitamin deficiencies;
  • compulsory component of the treatment of gastritis with low acidity becomes the use of diet.

Prior to treatment assignment is necessary to conduct comprehensive examination of the patient and determine the acidity stomach, and also to investigate the state of the mucous membrane (required execution and fibrogastroduodenoscopy fluoroscopy).

Folk remedies for the increasing acidity of the stomach

Reduced gastric acidity requires very serious attention and treatment. But often very positive results can provide a properly chosen diet.

  • Very useful drink made from the berries of sea buckthorn.
  • A very useful and tasty habit: half an hour before a meal to drink a few sips (50-70 grams) of honey water, which is necessary in warm water to dissolve half a teaspoon of honey.
  • At low acidity of the stomach very well established apricots in any form - fresh, dried (dried apricots, dried apricots) - and apricot juice.
  • A decoction or infusion of rose hips, which is also very good to drink before the meal, perfectly helps regulate the lower the acidity of the stomach.
  • Several increases acidity of gastric juice and cucumbers, if they both should be crushed (the smaller the better).
  • Useful grapes - 20 minutes before meals is recommended to eat up to 150 grams of fresh grapes.
  • It has long been used to increase the acidity of the salad from fresh turnip: fresh turnip is necessary to grate and fill with vegetable oil (salt should take the taste, but not abused).
  • It helps to improve and normalize the acidity of gastric juice beans.
  • Very useful fresh carrot juice, which should be drunk shortly before eating a quarter cup.
  • At low acidity of the stomach is universally recognized benefits of blueberries, which can be used in pies and dumplings, and compotes.
  • Prolonged and persistent increase in gastric acidity provides the use of a variety of animal food. However, it should be remembered that in all diseases of the gastrointestinal tract only meat should choose low-fat (it may be lean pork, veal, rabbit, poultry without skin).

Also, for the normalization of gastric acidity and juice broth used plantain, calamus root, watch a three-sheeted (it trifol water or trefoil), gentian, Cudweed, cranberries, St. John's wort, buckthorn, rhubarb, yarrow, mountain ash, centaury, immortelle, aloe, thyme and many other herbs, fruits and berries, which is rich in our Earth.

Diet and proper nutrition

If you have gastritis with low acidity, required a strict diet. It should include:

  • Cereals and pasta. Permission is granted to rice, buckwheat, oatmeal, semolina.
  • Soups - on lean chicken or fish broth, vegetable, vermicelli, cereal, with meatballs.
  • Lean meat (chicken, beef, rabbit, turkey). Fish (perch, hake, pollack, pike).
  • Eggs - no more than 2 units per day.
  • Seasoning sauces and - vegetable oil, salt, herbs.
  • Vegetables - beets, pumpkin, carrots, tomatoes, zucchini, cauliflower.
  • Dairy products - cheese, sour cream, mild cheese, milk, yogurt.
  • Sweet - galetnoe cookies, candy, marshmallows, jellies.
  • Fruits and fruit - in a shabby (jelly, fruit drinks, jelly, souffle).
  • Drinks - tea, broth hips, weak coffee.
  • Bakery - yesterday's white bread, crackers nesdobnye.

Exclude from the diet:

  • Cakes, sweets, fresh bread.
  • Soup with mushrooms and fatty broth.
  • Legumes, barley, maize and millet porridge.
  • Coarse-grained and coarse-skinned berries, dried fruits.
  • Hot sauces, store bought dressings, mayonnaise.
  • Fatty meats and fish.
  • Cucumber, bell pepper, cabbage, turnips, radishes, mushrooms. You can not pickles and marinades.
  • Fast food, alcohol, soft drinks, packaged juices.

It is important that the food was a fraction - 5-6 times a day. Snacking best vegetable or fruit puree or dairy products.

Diet for gastritis with low acidity quite loyal - the patient will not suffer from hunger, but at the same time and will not feel a sense of overeating. If the proposed diet to adhere to a long period of time, the symptoms of gastritis will appear less and long-term remission occurs.

Physiotherapy and spa treatment

For stimulation of acid production at a low acidity prescribed UHF electromagnetic waves or sinusoidal modulated currents.

Treatment in sanatoriums shown during remission. Doctors recommend resorts Essentuki, Truskavets, Staraya Russa, Morshyn, except where physiotherapy is desirable to use mineral water (chloride, hydro-chloride, sodium).

preventive measures

Prevention consists in the implementation of such recommendations gastroenterologist:

  • moderate exercise;
  • proper nutrition;
  • elimination of smoking and alcohol abuse;
  • timely treatment of inflammatory and infectious diseases in the digestive tract.

In addition, we should not forget the timely passage of medical examination and treatment for medical help when health problems.

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