1 Causal factors of the disease

These include:

• genetic predisposition;
• frequent stressful situations;
• action of penetrating radiation;
• increased nervous excitability;
• infection with Helicobacter pyloric;
• allergy;
• pathology of the bile duct and liver;
• gastritis;
• is an unstable appetite;
• addiction to alcoholic beverages, nicotine;
• long-term use of antibiotics and other aggressive medications;
• harmful working conditions;
• abuse of seasonings, spices, fried, fatty dishes;
• monotonous food, illiterate diet;
• food intake dry, unbalanced food;
• long-term treatment with non-steroidal, steroidal anti-inflammatory drugs;
• infections of the pharynx and oral cavity;
• excess excretion in the stomach of hydrochloric acid;
• morphofunctional immaturity of the child's body.

Synthesis of hydrochloric acid, gastrin increases, because the gastric cells are affected by the products of the life of bacteria. The gastric mucosa is destroyed by the action of bacteria that neutralize hydrochloric acid.

2 Clinical picture of the disease

The symptoms of this disease vary in different ways for each person. The signs of an illness in some patients are very pronounced. Absolutely other sensations and symptoms can be experienced by other patients.

In gastroenterology, varieties of superficial gastroduodenitis are distinguished:

1. Acute or chronic course is characteristic of superficial gastroduodenitis. Persistent short-term intense pains are felt in the duodenum or in the stomach in the acute form of pathology. The secretion of gastric juice is disturbed.
2. Almost without remissions, there are regularly less pain in the chronic course of the disease. Significant inconveniences do not bring an erased symptomatic picture, so patients are rarely treated for medical help. The insidiousness of the disease lies in this circumstance, since the destruction of the gastric mucosa does not cease and leads to serious complications.
3. In the focal form of pathology, inflammation does not penetrate deep into tissues. This painful process develops in a restricted area of ​​the duodenum, the stomach. Pre-ulcer state is considered such a disease, because it often ends with a ulcer. The transition of this type of superficial gastroduodenitis to a peptic ulcer can be prevented with early diagnosis.
4. Edema of various degrees, hyperemia of the entire surface of the mucosa of the gastrointestinal tract is characteristic of the diffuse form of gastroduodenitis. The mucous stomach is affected by the inflammatory process. With endoscopic examination, this is clearly visible. Patients suffice to tolerate diffuse superficial gastroduodenitis poorly. Since the area of ​​the lesion is significant, a more intense symptomatic pattern is observed.

Symptom of the disease is characterized by a combination of different symptoms.

Asthenovegetative syndrome:

• this complex of symptoms is common in children;
• in young patients have fatigue, tearfulness, increased excitability, weakness, bad mood, emotional instability.

Dyspeptic Syndrome:

1. Esophageal motor function may be decreased. There are uncomfortable sensations in the digestive tract.
2. A high degree of gastric motility disorder is expressed. After eating, there is often a momentary urge to defecate.
3. Typical frequent urge to stool or constipation, bloating, feeling of a full stomach, feeling bitter and unpleasant taste in the mouth, belching acidic contents or air, heartburn, vomiting, nausea, loss of appetite, rumbling in the abdomen.

Pain syndrome:

1. It is usually associated with eating. Such uncomfortable sensations can be different in duration.
2. Pains provoke a lack of food in the stomach. Morning and night intense cramping pains with exacerbation of gastroduodenitis occur in the epigastric region, pyloroduodenal zone, left hypochondrium.
3. They force the patient to get up early, because they are hungry because of the increased acid-forming function of the stomach. Pain sensations temporarily go away immediately after a meal and resume after about 2-3 hours.

3 Diagnostic tests of

It is very difficult to diagnose this disease, since many patients simply do not pay attention to the initial symptoms of the initial stage of gastroduodenitis. Redness, thickening and swelling of the intestinal mucosa, stomach of varying severity are detected during endoscopic examination. The doctor with a high degree of accuracy may reveal the localization of the inflammatory process if the time of pain is analyzed.

The tactics of treatment are determined by a gastroenterologist. On the principles of an individual approach, gastroduodenitis therapy should be based. Based on the presence of concomitant pathologies, this all-round examination, the patient's age, the doctor prescribes outpatient or inpatient treatment, ward, semi-bed or bed rest. Patients who have symptoms of GI bleeding, intense pain, are usually hospitalized. Appointment of medicines by a specialist is strictly justified. Within 3-5 days a strict bed rest is necessary for exacerbation of the disease.

4 Medical therapy

Sufficiently long-term treatment is required in this pathology.

Professionals prescribe a treatment course:

1. It is necessary to include 2 or 3 antibacterial drugs for the treatment of chronic gastroduodenitis, which was caused by Helicobacter pylori infection in the digestive tract.
2. Synthetic prostaglandins and cytoprotective drugs are used to restore equilibrium between the factors of acid-peptic aggression. A good effect is observed when using Femiglandin GLK + E.Protective properties of the gastric mucosa increase misoprostol, sucralfate.
3. With prokinetics, motor-evacuation disorders are treated. The regulation of motor activity increases.
4. The synthesis of prostaglandins, inhibition of acid secretion is promoted by basic antacids, proton pump inhibitors, H2-histamin blockers, M-cholinolytics. Long-term therapy should be the drugs of this group. Preparations based on magnesium, aluminum hydroxide have the maximum therapeutic effect.
5. These drugs help to reduce the level of acidity in the stomach. They are prescribed for the treatment of superficial gastroduodenitis with high acidity. Maalox is an effective representative of the drugs of this group. Famotidine, esomeprazole, rabeprazole prescribe to children after 12 years.
6. Synthesis of hydrochloric acid for 3-4 weeks helps to normalize stimulants of gastric secretion.
7. Sedatives and adaptogens, which have a calming effect, tonic effect on the body, are prescribed for getting rid of asthenovegetative syndrome.

With superficial gastroduodenitis, physiotherapy has good efficacy. Especially widely physiotherapy procedures are used to treat children. Traditional folk remedies help to correct the patient's condition in the stage of chronic inflammation.

5 Proper dietary food

Without dieting, it is impossible to cure digestive diseases. This is the most effective tool. A variety of adequate nutrition is needed. When appointing a diet, the doctor takes into account the acidity of the gastric juice, a kind of superficial gastroduodenitis. Table №2 is appointed after relieving the exacerbation for patients with a chronic form of pathology, as they need products that do not irritate the gastric mucosa, having a sokon effect.

Cooked food must have a liquid or soft consistency, a neutral temperature. Do not tolerate a deviation from the rules of this diet. Crushed products should be preferred. The use of alcohol and smoking for the diet table number 2 are strictly prohibited. The menu can be extended at the end of the period appointed by the attending physician.

Diet No. 1 is required for increased acidity. From the diet are excluded foods that are difficult to digest, stay in the stomach for a long time, irritate its mucous membrane. The causative agents of gastric secretion are limited. This high-grade sparing diet helps to normalize the motor and secretory function of the stomach. Inflammation of the gastrointestinal mucosa decreases.

To avoid the occurrence of an ulcer, to avoid deterioration, it is necessary to detect the disease at an early stage.

At the first signs of superficial gastroduodenitis, it is required to consult an experienced gastroenterologist who will prescribe adequate treatment.