Acute and chronic gastritis - this isdiseases of the 21st century. This term refers to inflammation of the gastric mucosa. Focal atrophic gastritis is especially dangerous, it often leads to neoplasms or ulcers. Chronic gastritis develops slowly, sometimes unnoticed, and at first has no clear symptoms. Patients with this disease show inflammatory and dystrophic changes in the gastric mucosa. Restructuring of the mucosa, impaired secretion - improper release of hydrochloric acid, enzymes, mucus (protective), and also impaired motor function of the stomach. For the first time, the term "atrophic gastritis" was proposed by a German surgeon in 1948. And this term has received universal recognition and is used in the classification of chronic gastritis.
Causes of the disease
Causes of chronic gastritisenough, it is a violation of the diet, long-term alcohol consumption, long-term smoking, long-term use of drugs that contribute to the development of gastritis (reserpine, potassium chloride, sulfonamides). Long-term nervous, mental overstrain. Disorders of the endocrine system. Allergic pathologies. Chronic infectious diseases. Pathogenic bacteria (Helicobacter pylori) also contribute to the development.
Symptoms of chronic and atrophic gastritis
Often symptoms in those suffering from chronicgastritis is absent. There are asymptomatic forms. The destructive effect is detected during examination of other diseases. For example, during gastroscopy of a patient suffering from pancreatitis, duodenitis, cholecystitis, anemia (which refers to a deficiency of vitamin B 12, iron or folic acid). Characteristic clinical manifestations: dull, aching pain, increasing after eating. Dispersion syndrome (belching, nausea, heartburn, flatulence). Decreased appetite. Irregular stool. Patients often have an atrophic "polished tongue", which is coated with a white thick coating. Focal atrophic gastritis. It is a type of chronic. In some cases, the atrophic type is accompanied by enterocolitis, cholecystitis or pancreatitis. It is caused by developing atrophic changes in the mucosa and a decrease in the number of glands. Functional insufficiency of the glands progresses. The glands are not simply affected, they stop functioning, die off, and their place is taken by fibrous tissue that does not produce gastric juice. A strong thinning of the mucous tissue is established, it acquires a gray color. The size of the gastric folds decreases. The observed atrophy of individual sections of the mucous membrane in the future leads to more serious disorders. Sharply expressed atrophy is accompanied by sharp thinning and drying out. The membrane becomes easily vulnerable, and this can lead to the development of an ulcer in the future.
Treatment of atrophic gastritis
It needs to be treated.First of all, when starting treatment, you need to identify the cause that caused chronic gastritis and eliminate it. Check for Helicobacter and autoimmune chronic gastritis. Take tests. Enzyme preparations will not help here. If Helicobacter is confirmed, the doctor will prescribe special antibacterial drugs. Treatment is carried out in stages. Along with antibiotics, drugs are prescribed that reduce the secretion of hydrochloric acid. Later, pepsin and hydrochloric acid (impaired by previous treatment) are added. Treatment will not be effective if you do not follow the prescribed diet. You should, if possible, protect yourself from stress, try to get rid of bad habits.