Is sick leave given for gastritis: how is it treated in the hospital, which doctor treats it, how long to stay in bed

Before asking whether sick leave is given for gastritis, you need to understand that the disease has 2 courses - acute and chronic, which manifest themselves in different ways. Gastritis is an inflammatory process in the stomach. In the chronic form, attacks occur regularly, but not often. In acute gastritis, all manifestations are vivid.

Of course, at this time a person loses his ability to work, and thoughts arise about how to cope with unpleasant sensations. At the appointment, the doctor must first of all provide the person with a sick leave certificate so that the therapy is complete. Sometimes severe cases will require hospital treatment. More often such actions are necessary during exacerbation of the disease. Therefore, you must immediately decide which doctor to contact.

Indicators for receiving sick leave

A sick leave certificate is intended to be provided to official enterprises or firms to confirm a person’s incapacity for a certain period. Any citizen has the legal opportunity to contact a health care institution to receive medical care in conditions of poor health. If the patient’s condition requires treatment in an inpatient or outpatient setting, he has the right to obtain a sick leave certificate, which confirms the patient’s temporary incapacity.

Sick leave is issued in accordance with regulations approved by the Ministry of Health. If a person has a temperature above thirty-seven degrees, then, in combination with other symptoms of illness, the patient should be given a sick leave, or in case of a serious illness, sent to an inpatient department for treatment. Sometimes the illness may not be accompanied by a rise in temperature, then the attending doctor, based on the symptoms, decides whether there is a need to issue a sick leave certificate, as well as for what time period. A certificate of incapacity for work is never issued to a patient for one day; the minimum duration of sick leave is three days.

Do you know how to eat properly if you have pancreatitis?

Pancreatitis is a very insidious disease, the first attack of which usually takes patients by surprise. The main symptom of pancreatitis is unbearable pain caused by the action of the pancreas's own enzymes on its tissue. You can protect yourself from them if the disease has already become chronic, or a proper diet for pancreatitis can prevent it.

Hunger is the chief healer

As a rule, in the first 2–3 days after an acute attack, patients are advised to completely abstain from any food and thereby give rest to the affected pancreas. And given the fact that at this time people usually don’t feel like eating at all, it’s not difficult to go hungry a little. Since the stomach is empty, the pancreas does not need to produce digestive enzymes that destroy its tissue, resulting in no cause for pain. Thus, food during pancreatitis in the first days is a factor that provokes the progression of the disease. Providing rest to the pancreas is very important not only in the treatment of acute pancreatitis or exacerbation of the chronic form of the disease, but also for prevention purposes.

It is a short-term hunger strike that is the most important condition for the onset and maximum prolongation of remission.

Features of the therapeutic diet

In most cases, doctors recommend that their patients start eating only on the fourth day after the attack. Before this, patients need to drink exclusively warm, non-carbonated mineral water, which has an alkaline reaction. In the future, you should give up all foods that increase acid formation in the stomach and thereby activate the activity of pancreatic enzymes. Diet 5 best meets these requirements, which is why it is indicated for pancreatitis. In addition, it is important to eat food only warm, in small portions, in no case overeating, that is, at least 5-6 times a day, and chewing it thoroughly. Moreover, food should not be mechanically rough. Therefore, it is best to steam or boil foods, after which they must be wiped. Ready-made dishes should have a neutral taste, that is, not be salty, sour, spicy or sweet, and it is best to minimize the amount of salt consumed.

List of permitted products

The presence of pancreatitis in no way prevents you from following the rules of a balanced diet; on the contrary, proper nutrition during pancreatitis is the key to a quick and complete recovery.

Therefore, patients are allowed to eat:

Vegetables;
Lean meat, poultry and fish;
Milk porridges, except wheat;
Stale (yesterday's) white bread;
Baked and grated apples.

It is also allowed to eat butter or vegetable oil in small quantities, but they should be added cold to ready-made dishes. In addition, you need to drink at least 2.5 liters of water per day. It would also be useful to use rosehip decoction.

Advice: for pancreatitis, it is recommended to take vitamins, since their absorption from food is difficult due to congestion in the pancreas.

Thus, you can have a rich and varied menu even while following a diet for pancreatitis. It should be sufficiently rich in proteins, contain a slightly reduced amount of carbohydrates and a minimal amount of fat, especially if a diet for pancreatitis is required for children. The main dishes are usually:

Vegetable or milk soups;
Puddings and souffles;
Steam omelettes and cottage cheese casseroles;
Stew;
Pasta dishes;
Jam or honey;
Marmalade, biscuits, marshmallows, marshmallows;
Compotes;
Kiseli;
Weak tea.

List of prohibited products

Anything that violates the principles of rational nutrition falls into the category of prohibited products:

Products of meat processing plants: sausages, sausages, smoked meats, etc.;
Carbonated drinks;
Alcohol;
Fast food;
Coffee, strong tea;
Cakes;
Spices;
Snacks, etc.

In addition, patients are prohibited from eating:

Fatty meat and broths;
Turnips, spinach, radishes, radishes, sorrel, onions;
Canned foods;
Yogurts, full-fat sour cream;
Rye bread;
Chocolate;
Candies;
Citrus and sour fruits.

Under no circumstances should you eat fried, smoked, fatty or grilled foods. Nutrition for pancreatitis is a very serious topic, since any errors in it can provoke such acute pain that the patient is unlikely to want to experiment with his own diet again.

Advice: to avoid the disease becoming chronic or to prolong remission for as long as possible, you must follow a diet for at least 8 months. Moreover, you need to exit the diet very smoothly, so as not to cause serious harm to the body.

Thus, therapeutic nutrition for pancreatitis becomes an integral part of the patient’s life, since even a small portion of a favorite but forbidden product can land a person in a hospital hospital.

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The need for sick leave depending on the course of the disease

Gastritis is a serious illness that is characterized by inflammatory processes on the surface mucous layer of the stomach. However, the disease differs significantly in its etiology and genetics, which is why there are about a dozen different subtypes of the disease in medicine. The disease often manifests itself not gradually, but in an aggravated form, and then the person simply physically cannot perform any work. Acute gastritis is manifested by pronounced painful symptoms in the stomach area, and is also characterized by diarrhea and often vomiting. In addition, a sick person often feels weak in the body, dizziness and fatigue. Such signs are the main factors that should encourage the patient to seek medical help, so that the attending doctor makes a diagnosis and prescribes the correct treatment, and also issues a certificate of incapacity for work for the critical period.

Many people also suffer from a form of the disease such as chronic gastritis. Most often, patients are aware of their diagnosis, and in order to prevent gastritis from worsening, they maintain a regulated diet, try to avoid stressful events and lead a healthy lifestyle. With chronic gastritis, exacerbations rarely occur if a person adheres to all doctor’s recommendations. However, no one can insure against relapses, and then during the period of intensification of chronic gastritis, it is also best for the patient to go to the doctor for additional advice. Most often, exacerbations occur when the doctor’s recommendations are not followed or during critical off-season periods for the disease, in autumn and spring. During these seasons, the body receives an insufficient amount of natural vitamins and microelements, and stress and blues are also possible, which characterize these periods of time. If the symptoms are pronounced, the doctor will prescribe medications and sick leave, and, if necessary, may refer you for inpatient treatment.

A certificate of incapacity for work is necessary when the patient has an acute form of the disease, which is characterized by indicators that are incompatible with a person’s normal performance. To obtain a certificate of incapacity for work, you need to contact a medical institution for help or call a doctor at home if you feel very unwell. Based on the symptoms, the specialist will decide how to treat the patient.

Since the disease is characterized by genesis of varying complexity, treatment methods and sick leave also depend on many factors. Gastritis in its primary manifestations does not require hospitalization; the patient can be treated at home, in compliance with the doctor’s instructions, on an outpatient basis. In severely advanced cases or in case of serious complications, or if the doctor has doubts about the diagnosis, he may refer you for inpatient treatment. It is worth noting that it is extremely rare to feign an illness to obtain a fake sick leave, since in doubtful cases the doctor does not prescribe treatment immediately, but sends you for tests and a full examination so that the diagnosis is as accurate as possible.

What symptoms make it dangerous to go to work?

If gastritis manifests itself as mild nausea and pain, then it does not pose any danger. There are cases when the disease provokes internal bleeding and dehydration. Then it is dangerous to go to work, you need to call an ambulance.

The following symptoms of gastritis should alert you:

dark stools (indicates the presence of blood in the stool);
loss of consciousness;
intense sharp pain in the area of the stomach;
dizziness;
frequent paroxysmal vomiting with blood;
weakness;
paleness of the skin;
rare urination;
strong thirst;
severe dryness of the epidermis;
reddish color of urine (due to blood).

If you have such unpleasant symptoms, you cannot refuse hospitalization. Internal bleeding and dehydration can be fatal.

Duration of sick leave depending on the type of gastritis and its treatment option

As already mentioned, there are several types of gastritis, which differ in symptoms and disease progression, and also have different origins. The length of sick leave depends on many factors, the main one of which is the presence of an exacerbation with painful sensations. At the same time, a person’s working capacity is radically reduced or he is absolutely unable to work during a certain period.

Important! The issue of the need for sick leave can only be resolved with the attending doctor, who directly determines the diagnosis and prescribes a treatment option: outpatient or inpatient therapy. Depending on the treatment option, the length of sick leave differs.

Outpatient therapy

Treatment of gastritis on an outpatient basis is recommended by doctors in the absence of serious anomalies of the gastrointestinal tract. In this case, the doctor prescribes a strict diet for the patient and, if necessary, medications. For outpatient treatment, sick leave may be given for a period of three to ten days. During the allotted period, the patient is obliged to follow the doctor’s recommendations, take tests at his request, and undergo other doctors and examinations if required by treatment. Periodically, as prescribed by the doctor, the patient comes for an appointment to assess his well-being and the clinical situation of the disease.

If the allotted period is not enough to improve the patient’s well-being, the doctor may refer the patient to a planned medical commission to prolong the sick leave. The commission decides on subsequent treatment methods for the patient and the continuation of the certificate of incapacity for work. The maximum period that a patient has the right to undergo outpatient treatment by decision of the medical commission is ten months. However, the patient should understand that the commission can only extend sick leave for a month at a time; after this period, a repeat procedure will be prescribed if the patient does not feel better.

Hospital treatment

Hospitalization of the patient is indicated in cases where there are significant criteria for serious pathological changes in the stomach.

Most often, inpatient treatment is prescribed for suspected cases of the following types of gastritis:

For the erosive type of gastritis, characterized by the presence of wounds on the gastric mucosa. Treatment of gastric erosion requires a special examination of the patient and more serious therapy, which is impossible without hospitalization.
With the atrophic type of gastritis, characterized by depletion of the walls of the stomach and the death of the glands responsible for the secretion of gastric juice. This type of gastritis is dangerous due to the development of tumors, which can, if treated irrationally, become the source of the evolution of stomach cancer.
For advanced gastritis, which is accompanied by stomach ulcers. Requires special treatment under the supervision of specialists.
With pathological autoimmune gastritis, which progresses against the background of thyroid diseases and is very difficult to treat. To achieve remission, an integrated approach is required both to the treatment of the thyroid gland and to pathological disorders of the digestive tract.

In the inpatient department of a medical institution, the patient will be able to undergo a full examination and receive qualified assistance from specialists. Upon hospitalization, the patient will be given a sick leave certificate for the entire period of his treatment in the hospital. Sometimes, by the decision of the attending doctor, sick leave can be extended for ten days after the patient is discharged from the hospital for further rehabilitation at home.

About registration and payment

The attending physician opens a sick note and indicates in it the cause of disability code “01” - disease. Payment is made as usual - the first 3 days are at the expense of the employer, the rest at the expense of the Social Insurance Fund, the amount varies depending on the length of service.

Most disorders of the gastrointestinal tract are diseases, as a result of which a person must be temporarily relieved from performing official duties. The duration of treatment depends on the severity of the disease. A person should contact a medical facility at their place of residence when the first symptoms appear.

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Let's sum it up

Gastritis is a very serious disease that can have serious consequences if not treated correctly. The most difficult periods for the patient are periods of exacerbation, which are characterized by severe pain, nausea and vomiting, and diarrhea. With an exacerbation of gastritis, a person almost completely loses his ability to work, feels severely unwell, weak, and dizzy. In such situations, it is not worth neglecting your health even for the sake of a highly paid or prestigious job, since health should always come first.

An aggravated form of gastritis gives the patient the right to contact a medical institution for qualified help, as well as to issue a sick leave certificate, which legally exempts the patient from work for the period of recovery.

Exacerbation of chronic gastritis

The chronic form of gastritis is an inflammation of the mucous membrane that lasts for a long time and is characterized by periods of exacerbations. Most often, an exacerbation is caused by a violation of the diet, alcohol, changes in diet, or stress.

Symptoms

When the disease worsens, the patient experiences the following symptoms:

decreased appetite;
feeling of heaviness in the upper abdomen;
heartburn;
pain in the stomach area that occurs after eating;
belching;
nausea, and in some cases vomiting.

Exacerbation of the chronic form of the pathology can sometimes occur with diarrhea or constipation. In addition, increased irritability and fatigue, mood swings, suspiciousness, or sleep disturbances may occur.

Diagnostics

If any of the above signs appear, and even if a person has been suffering from chronic gastritis for years, you should consult a doctor. After all, an advanced disease can provoke the development of dangerous consequences.

To make a diagnosis, the doctor uses the following diagnostic measures:

Fibrogastroduodenoscopy. This study allows you to accurately determine the presence of a chronic form of gastritis. And also find out whether the patient has high or low acidity.
Blood analysis.

Based on the results of a comprehensive diagnosis, the doctor prescribes effective treatment.

Delicious and healthy recipes for pancreatitis

When treating pancreatitis, nutritional standards will be quite strict. Sometimes a complete revision of the patient menu may be necessary.

A diet for pancreatitis will allow the body to recover after an attack of exacerbation and prevent further destruction of the pancreas.

For pancreatitis and cholecystitis, you need to follow the same basic principles of nutrition:

you need to eat often: you need 5-6 meals a day;
portions should be small;
Do not eat too hot or cold food;
food should be easily digested and absorbed.

For diseases of the pancreas and cholecystitis you need to eat:

potatoes;
beets;
cauliflower;
zucchini;
pumpkin;
carrot.

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The diet also allows the use of lean meats:

veal and beef;
rabbit, turkey or chicken;
some types of fish.

The meat is used to prepare cutlets (for vegetable purees) or add it to soup and casseroles.

The list of permitted food products also includes: cereals, low-fat dairy products, eggs, various types of butter, bread.

Gradually, the menu expands and may include new food products (if vegetable soups, purees or fish cutlets were allowed for consumption at the first stages of treatment, then salads, zucchini, jelly, baked goods, omelettes, meat or cottage cheese casseroles should be introduced during the stages of remission).

For drinks, preference should be given to still mineral water and weakly brewed tea. Eating oatmeal jelly will be beneficial.

Kissel is also cooked from berries, but it would be more correct to use oatmeal jelly in the menu: it is suitable for both acute periods of the disease and during remission.

By combining permitted dietary products (zucchini, potatoes, lean meat, etc.), even without spices, you can prepare delicious dishes (cream soup, casseroles, etc.).

Soups and meat

The daily menu for pancreatitis or cholecystitis, as a rule, includes: first courses (soup) and second courses (cereals or vegetable puree and meat, cutlets, and salads).

The safest thing to eat after an exacerbation is puree soup with cauliflower. To make it, you need to boil carrots, potatoes and cabbage in water and milk, mixed in equal proportions.

Vegetables are cooked until tender, after which they must be brought to the consistency of puree.

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A dietary cream soup with shrimp will also pleasantly diversify the menu. To make it, you need to take a glass of milk and water, some shrimp, 1 potato, zucchini (100 grams), salt and parsley.

Potatoes and zucchini need to be peeled and grated on a coarse grater. The shrimp are poured with boiling water for a couple of minutes, after which they are scrolled in a blender. Milk and water must be mixed and boiled.

You need to pour grated potatoes and zucchini into the milk mass.

Vegetables should cook for about 15 minutes. Add the shrimp mixture and parsley to the resulting vegetable broth and cook for a couple more minutes.

For pancreatitis and cholecystitis, experts recommend eating meat every day. You can make delicious dietary cutlets from beef meat that go perfectly with vegetable puree.

To the minced meat you need to add finely chopped onion, boiled rice, 1 egg, crackers and a little salt.

Diet cutlets and meatballs are steamed or stewed. The approximate cooking time is usually no more than half an hour.

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Poultry meat is also suitable for steamed cutlets. Turkey meat is considered healthier for pancreatitis and cholecystitis than chicken meat, as it is easier to digest.

To prepare steamed diet cutlets, you need to add bread soaked in a mixture of low-fat cottage cheese and eggs to the minced meat.

All this must be salted and mixed. These cutlets will take no more than 20 minutes to cook.

Omelette and jelly recipes by Izotov and Momotov

You need to add jelly and omelet, which are healthy for the pancreas, to your daily menu.

In case of pancreatic pathologies, an omelet will be the safest of all egg-based dishes that can be. It is especially necessary and healthy to eat an omelet made from protein or quail eggs.

The omelette needs to be steamed. For 3 eggs, take 1 glass of milk and a pinch of salt.

All components are whipped and poured into a small container. It must be placed in a bowl of boiling water.

In this case, the dish with the egg-milk mixture should not touch the water. All this must be covered with a lid on top so as not to lose steam.

This method will help you cook a steamed omelette when you don’t have a steamer. The approximate time after which the omelette will be ready is 18 minutes.

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The benefits of oatmeal jelly have already been discussed above. The use of oatmeal jelly is recommended for any diseases of the digestive system (pathologies of the pancreas, cholecystitis or gastritis).

There are several recipes for oatmeal jelly.

Firstly, this is Izotov’s jelly, the preparation of which can be divided into 4 stages:

The fermentation stage, when 100 ml of kefir and half a kilo of oatmeal are added to 3 liters of chilled boiled water. The container with the workpiece must be tightly closed and placed in a warm place for 2 days;
The filtration stage involves filtering the mixture through a colander from the formed sediment;
The stage at which the resulting filtrate settles for another 18 hours and is divided into 2 components: oat concentrate and kvass;
Direct preparation of jelly. To do this, you need to take a small amount of concentrate (to taste) and mix it with two glasses of water. The resulting solution must be brought to a boil and cooked for about 5 minutes. When finishing cooking oatmeal jelly, you should add a little salt and butter.

Secondly, this is Momotov’s recipe for jelly:

Small oat flakes (about 300 grams) should be mixed with a small amount of large flakes (four tablespoons are enough) and pour 100 grams of kefir over them. The resulting mass should be placed in a three-liter jar and the remaining space should be filled with warm water. The workpiece should be closed and placed in a warm place for two days;
The fermented liquid must be filtered from the flakes and poured into jars. The flakes also need to be washed with two liters of water and new jars filled with the resulting mixture;
If necessary, the prepared filtrates can be boiled until thickened and consumed.

Cottage cheese casserole and casserole with meat

Casserole is one of those dishes that can be prepared a thousand different ways. Casseroles can be vegetable (where potatoes and zucchini are used), meat or cottage cheese.

They come in both sweet and salty. This dietary dish gives many opportunities to realize the culinary imagination; in addition, it is healthy and tasty.

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The cottage cheese casserole, beloved by many, is prepared quite simply; to prepare it you will need:

two hundred grams of cottage cheese;
1 tablespoon each of semolina, sugar and melted butter;
one egg;
50 grams of sour cream.

You need to create a homogeneous mixture of sugar, semolina with egg and cottage cheese. The resulting dough should be placed in a baking dish, and sour cream should be applied on top.

Now all this can be put in an oven preheated to 200 degrees. The cottage cheese casserole will be ready when it turns golden (on average this takes 30 minutes).

Before use, it must be allowed to cool, and the cottage cheese casserole is served to the table, cut into portions and topped with sour cream.

A delicious dietary casserole with noodles and meat requires more ingredients:

about two glasses of thin noodles;
2 glasses of milk (0.5 l) and the same amount of water;
300 g of any lean meat;
2 chicken eggs;
a little salt;
oil to grease the baking dish.

To make the casserole, you first need to boil the meat. Chicken is cooked for about 50 minutes, and beef for at least two hours. Boiled meat is scrolled in a meat grinder twice until pureed.

At this time, you need to boil milk and water and boil vermicelli in the milk mixture. Afterwards, place the pasta on a pre-greased baking dish.

The rest of the ingredients are also added there: you need to lay out the meat and pour in the eggs, after which everything is mixed.

In the oven, this casserole should be ready in 15 minutes. The dish is served with sour cream and chopped parsley.

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Food for pancreatitis and cholecystitis should be as easily digestible as possible and not provoke secretion.

The above recipes (soups, jelly, casserole, etc.) prove that diet food can also be tasty.

And although some dishes should be eaten simply because they are healthy, others can pamper even the pickiest gourmet.