Treatment of erosive gastritis with folk remedies: the most effective

Treatment regimen for gastritis

Over many years of practice, doctors have developed various schemes.
Over many years of practice, doctors have developed various schemes. Most often used in practice:

A triple regimen of bismuth-containing therapy - metronizadol, tetracycline and bismuth preparations, the effectiveness of treatment is almost 100%. However, side effects may develop.
One-week four-component bismuth-containing therapy - a large number of drugs are prescribed, and patients may simply confuse the time or sequence of their administration. Therefore, the effectiveness of such treatment is lower. Prescribed drugs may include antibiotics (clarithromycin, metronizadol), drugs that reduce the production of gastric juice (omeprazole or ranitidine), and bismuth drugs.

Disease prevention measures

Prevention of the disease consists of following the principles of a healthy diet, quitting smoking and alcohol, moderate physical activity, and regular monitoring by a doctor. An established work and rest schedule, lack of stress, and taking care of the immune system will have a positive effect on the health of the digestive organs.

Erosive antral gastritis is a common, easily diagnosed disease. It is quite possible to cure the disease with complex therapy consisting of medications, diet, and herbal decoctions. Prevention of gastrointestinal diseases is the surest way to maintain health for many years.

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Scheme for the treatment of patients with low acidity and chronic gastritis

It is also three-component and may include the following drugs: amoxicillin, clarithromycin or nifuratel or josamycin, bismuth preparations. Previously, it was believed that the main cause of gastritis was acidity. It was usually determined using a special test during the FGDS procedure. But with the development of medicine, it became known that acidity does not affect the development of this disease to a greater extent. Therefore, when prescribing medications, attention is paid to other factors. At home, you can only provide first aid and remove the consequences of only minimal manifestations of gastritis. Treatment will be more effective in specialized institutions, where a suitable treatment option is selected for each patient, taking into account all the nuances.

Symptomatic signs

The clinical picture of the disease is manifested by general and local disorders in the phase of exacerbation of the disease. Local disorders are characterized by dyspepsia, nausea, belching and heartburn, unpleasant taste and burning in the epigastric region. Particularly obvious symptoms are expressed in antral-erosive gastropathy due to indigestion, reflux of contents into the esophageal compartment. Symptoms can also provoke increased gastric pressure and increased gastroesophageal reflux.

The chronic type of gastropathy does not have pronounced manifestations and can only be characterized by unpleasant sensations after eating fatty foods.

In chronic gastropathy with the presence of the infectious bacterium Helicobacter pylori, signs of dyspepsia with impaired secretory function appear. Mostly symptomatic with episodic manifestations, but it becomes a provoking agent for the occurrence of irritable bowel disease.

Erosive gastritis exhibits the following symptoms:

irritability;
weakness;
arterial instability;
cardiac disorders (arrhythmia);
sweating (cold sweat);
drowsiness;
flatulence.

How to treat gastritis

The treatment plan and further observation for chronic gastritis largely depends on its cause and type (non-atrophic or atrophic). Only a doctor can select the necessary treatment regimen.

A common mistake made by patients is long-term self-medication of gastritis symptoms with drugs from the group of proton pump inhibitors, which reduce the secretion of hydrochloric acid in the stomach. On the one hand, such treatment can reduce or completely remove unpleasant sensations, but on the other hand, there may be a delay in the diagnosis of dangerous diseases, including stomach cancer. In addition, long-term therapy with proton pump inhibitors alone for chronic Helicobacter gastritis is undesirable, as it can lead to progression of the process. When acidity decreases, Helicobacter pylori actively spreads throughout the stomach, causing inflammation of its entire mucous membrane. Over time, chronic inflammation leads to the development of atrophic gastritis, which increases the risk of developing stomach cancer.

It is important to remember that if you have pain in the stomach, it is strictly forbidden to take painkillers from the group of non-steroidal anti-inflammatory drugs! These drugs can cause the development of stomach and duodenal ulcers, which are often accompanied by dangerous complications.

Many patients with stomach pain are not always able to see a doctor immediately. In such situations, to quickly relieve pain, it is recommended to take drugs from the group of non-absorbable antacids. The use of antacids does not pose a threat of the spread of Helicobacter pylori infection, which fundamentally distinguishes them from proton pump inhibitors [10, 12]. Aluminum phosphate (Phosphalugel) belongs to the group of non-absorbable antacids. It helps reduce acidity to a normal level without disturbing the digestive processes, and has a favorable safety profile. Aluminum phosphate (Phosphalugel) is the only antacid approved for use in patients of various age categories, including pregnant women, children from birth and the elderly [16].

Treatment of chronic Helicobacter pylori gastritis is aimed at the complete destruction (eradication) of Helicobacter pylori infection. Modern treatment regimens for chronic Helicobacter gastritis are a combination of three or four drugs with acid-lowering (proton pump inhibitors), antibacterial and cytoprotective (antibiotics and tripotassium bismuth dicitrate) actions. The course of treatment is usually 10-14 days. Only such multicomponent treatment regimens can achieve the destruction of bacteria, eliminate inflammation of the gastric mucosa and reduce the risk of developing stomach cancer.

Erosive-catarrhal process

Erosive-catarrhal gastritis is an inflammation of the epithelium of the cellular structure of the pyloric compartments of the gastric cavity, leading to the formation of erosive lesions on tissue of different sizes and locations. At the very beginning of the disease, single erosions are formed, which increase during development and are capable of capturing the entire stomach cavity. A fusion of erosions occurs, as a result of which extensive erosional locations appear with the destruction of blood channels and the glandular system.

This is a common disease with characteristic manifestations in acute form. Severe and advanced cases are complicated by rupture of stomach tissue, perforation of ulcers and peritonitis.

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Treatment of acute gastritis

Treatment of acute gastritis
To cleanse the stomach, it is necessary to give the patient 2-3 glasses of water and induce vomiting. In case of chemical poisoning, gastric lavage is carried out using a thick gastric tube. Washing is carried out until the wash water is clean. During the first two days, no food is taken and a water-tea diet is prescribed. Then the diet is expanded, including slimy soups and cereals, jelly, white flour crackers, and soft-boiled eggs.

To eliminate pain, antispasmodics (for example, no-spa) and antacids (for example, Gaviscon, Rennie) are used; enterosorbents are recommended; prokinetics are prescribed for vomiting. For acute toxicoinfectious gastritis, antibiotics are needed.

Treatment of chronic gastritis

In the treatment of gastritis, much attention should be paid to lifestyle changes, try to avoid stress, follow a daily routine, get rid of bad habits (smoking, drinking alcohol), and of course follow dietary recommendations:

For patients with gastritis, it is necessary to exclude fried foods, rich meat and fish broths, do not overeat, eat 5 - 6 times a day
Do not consume foods that contribute to heartburn: strong tea, coffee, chocolate, carbonated drinks, alcohol, onion, garlic, butter
Consume boiled meat, boiled fish, steamed food, pureed cereal soups (rolled oats, rice)
Eat less cabbage, legumes, milk - foods that promote flatulence

Diagnosis of the disease

Diagnosis of erosive gastric inflammation includes the following measures:

Examination by a gastroenterologist, palpation of the abdomen, determination of the area of pain.
Collecting medical history data on medications, lifestyle, diet, bad habits, chronic diseases.
Blood test for Helicobacter pylori.
Stool blood test.
Fibrogastroscopy with taking a biopsy for histology.
Ultrasound of the stomach, liver, biliary tract, pancreas.
Intragastric pH-metry.
Method of ion exchange resins when probing is impossible.

Accurate diagnosis is important for differentiation from peptic ulcers, gastroduodenitis, cholecystitis, colitis, pancreatitis, and helminthic infestations.

Treatment of chronic gastritis with medications

When stomach acidity is increased

If a patient has gastritis with increased secretory activity, gastritis therapy includes drugs that reduce gastric acidity, so-called proton pump inhibitors.
If a patient has gastritis with increased secretory activity, gastritis therapy includes drugs that reduce stomach acidity, so-called proton pump inhibitors.

They are divided into five generations:

Omeprazole (Omez)
Lansoprazole (Lanzap),
Pantoprazole (Nolpaza, Zypantol)
Rabeprazole (Pariet)
Esomeprazole (Nexium)

As well as antacid drugs (Gaviscon, Rennie, Almagel, Maalox). It is preferable to use preparations containing carbonates and not containing aluminum (Gaviscon, Rennie).

Antacids are first aid drugs if a patient has heartburn; if it is difficult to see a doctor at the moment, the patient can take an antacid on his own.

Physiotherapy

For gastritis with increased secretion, it is recommended to use amplipulse therapy and a microwave electromagnetic field. Physiotherapy is carried out only during remission.

Treatment with folk remedies

For gastritis with increased secretion, it is recommended to drink herbal decoctions that have an enveloping, protective effect. Such herbal remedies include flax seeds, burdock root, coltsfoot leaves, calendula flowers, chamomile flowers. Medicinal raw materials are infused, take 2 tbsp. l. 4 times a day 10-15 minutes before meals.

From mineral waters, you can use low-mineralized alkaline waters: Borjomi, Slavyanskaya, Smirnovskaya. It should be consumed warm (the water is heated to remove excess carbon dioxide, which stimulates the secretion of gastric juice), degassed in ¾ cup 3 times a day an hour before meals.

When stomach acidity is reduced

For gastritis with reduced secretion, the gastroprotective drug Bismuth tripotassium citrate (De-nol) is used.
For gastritis with reduced secretion, the gastroprotective drug Bismuth tripotassium citrate (De-nol) is used. Replacement therapy is also indicated: gastric juice, pepsidil, acidin pepsin, bitterness (tincture of dandelion root, tincture of wormwood herb).

Physiotherapy

Galvanization, electrophoresis of calcium and chlorine enhances the secretion of gastric juice.

Treatment with folk remedies

To increase the acidity of gastric juice, use: cabbage juice, apple juice, or grated apple, as well as grated pumpkin and raw potato juice. The goal of herbal medicine for gastritis with low acidity is to stimulate the secretion of gastric juice and also relieve inflammation.

The following medicinal plants are used: rhizomes of calamus, calendula flowers, chamomile flowers, yarrow herb, dandelion flowers, large plantain leaves. The herbs must be crushed, dosed (1 teaspoon of each herb), mixed, and the medicine prepared. Pour a tablespoon of the mixture into a glass of boiling water, heat in a water bath for 15 minutes, leave until it cools (about 45 minutes), add boiled water to the initial volume, take 2 tbsp. l. 4 times a day

You can also use tincture of wormwood herb, 15-20 drops 20 minutes before meals. This bitter tincture will stimulate the secretory function of the stomach.

For gastritis with low acidity, mineral waters are also used for treatment. In this case, there is no need to heat the water. You need to drink water slowly ¾ glass 20 minutes before meals. It is best to use “Essentuki-4”, “Essentuki-17”.

Treatment of Helicobacter pylori chronic gastritis

If tests are positive for Helicobacter pylori, a weekly triple treatment regimen, or “quadruple therapy,” is prescribed. Treatment regimens are selected for each patient by the attending physician.

A triple weekly treatment regimen includes the use of a combination of antibiotics sensitive to Helicobacter pylori, as well as proton pump inhibitors. Quadruple therapy - antibiotics, antibacterial agents, proton pump inhibitors, gastroprotectors. After a month or two, it is necessary to take a repeat test for Helicobacter pylori, and if the result is positive, decide on the issue of repeated anti-Helicobacter therapy, taking into account the patient’s complaints.

When is helicobacteriosis treated with antibiotics?

Many people, after an unpleasant encounter with a parasite, are interested in the question: is it possible to treat Helicobacter pylori without antibiotics, and, if this is not realistic, then what antibiotics should be stocked up. The victims' concerns are understandable. In addition to the fact that most drugs have a far from positive effect on the microflora of the stomach, plus some antibiotics can cause severe allergies, diarrhea and colitis.

Initially, scientists identified more than 20 drugs for Helicobacter pylori, but most of them were inactivated in the hydrochloric acid of the stomach. The Ministry of Health has put only 7 antibiotics on the approved list for the treatment of Helicobacter pylori.

Antibiotics to combat helicobacteriosis:

tetracycline;
tinidazole;
azithromycin;
clarithromycin;
metronidazole;
levofloxacin;
amoxicillin, otherwise called "flemoxin".

You should not immediately buy the listed medications. Firstly, decisions on how to cure Helicobacter pylori are made by the attending physician. Secondly, if the Helicobacter pylori bacterium present in the body does not cause concern or pain, it is not worth starting treatment with antibiotics.

About 60% of the population live with this parasite for many years, and still feel great. Moreover, authoritative gastroenterologists believe that children under eight years of age, due to their undeveloped immunity, generally do not require treatment for Helicobacter pylori with antibiotics.

Deep therapy of Helicobacter with antibiotics is necessary if a person is found to have:

atrophic gastritis;
stomach ulcer;
removal of a cancerous focus in the stomach (after gastrectomy);
relatives diagnosed with stomach cancer;
gastroesophageal reflux;
damage to the lymphatic tissue of the gastric mucosa (MALT lymphoma);
duodenal ulcer;
functional dyspepsia.

If you have the listed diseases, you need to purchase medications, but first you should study the eradication treatment regimens for Helicobacter pylori with antibiotics.

Types of pathology

Erosive gastritis, depending on the location of erosion and the phase of formation, is divided into several varieties. Acute gastritis syndrome is a rapidly developing pathology with characteristic superficial destruction of the gastric mucosa.

Acute erosive gastritis is a severe type of pathology that is rare. It can occur after eating toxic substances, concentrated acids, or chemical elements.
Hemorrhagic gastritis is a chronic erosive gastritis, which is characterized by the presence of large erosive destructions on the mucous tissue. Provoking factors for the occurrence of pathology are: improper daily routine, poor nutrition, consumption of alcohol, long-term use of medications or surgical operations on the stomach.
Erosive-antral - a pathology caused by pathogenic microorganisms (Helicobacter pylori). Pathogenic agents are localized in the lower parts of the gastric capsule, causing inflammatory processes and damage to the walls of the mucosa without the possibility of regeneration.
Erosive reflux - occurs due to the reflux of contents from the duodenum. Swelling and ulcers are observed in the tissue of the digestive system. In the final stages, the deformed tissues peel off and come out with vomit.

Erosive gastritis: treatment regimen

The treatment regimen for erosive gastritis is always complex, with a large number of medications combined with a strict diet.
If the patient suspects that he has begun to experience erosion of the gastric mucosa, he should immediately visit a gastroenterologist for diagnosis. He will prescribe adequate treatment and select the appropriate medicine. The duration of therapy depends on the stage of the disease. The treatment regimen for erosive gastritis is always complex, with a large number of medications combined with a strict diet.

Medicines are selected individually to achieve specific results:

relieve pain and spasms with the help of analgesics, no-spa or papaverine;
in the presence of a pathogenic infection, antibacterial treatment is prescribed (tetracycline, ampicillin, etc.);
inflammatory processes are stopped with the help of Omez, Ranitidine, etc.;
the normal acid balance is restored by Enterogel, Maalox, Phosphalugel;
To improve digestion, enzyme preparations are prescribed primarily Festal;
Erosion is eliminated and damaged mucous tissue is restored with Trental, aloe extract, and vitamins.

Treatment of gastritis is quite long; taking antibacterial drugs is usually limited to 1-2 weeks. Rehabilitation therapy can last more than one month.

Diet

Patients with the acute stage of erosive gastritis are treated with a special diet (often this is the best medicine). You will have to follow it until the exacerbation passes. To successfully combat the disease, the diet for erosive gastritis of the stomach must meet the following conditions:

It is better to eat often and in small portions at the same time in order to accustom the stomach to produce acid only when food arrives;
It is better to warm food slightly; you should not eat cold or too hot dishes;
You can’t talk while eating;
You can have dinner no later than 2 hours before bedtime;
Food should only be boiled or steamed to protect the stomach.

To prevent the erosive form of gastritis from re-exacerbating, nutrition according to the above rules should last for a long time. When compiling a menu, baked goods, legumes, sour or spicy fruits and vegetables are completely excluded.

Chewing gum is harmful not only to patients diagnosed with an erosive form of gastritis, but also to people with a healthy stomach and intestines

What can you eat? First of all, dairy and fermented milk products that effectively eliminate the symptoms of gastritis (milk, fermented baked milk, kefir). The menu should include lean beef, fish, rabbit or poultry. You can eat everything from porridges except pearl barley or millet. It is better to make side dishes from cauliflower, zucchini, potatoes, carrots.

Drinks include weak tea and compotes. You should not drink carbonated drinks with high sugar content. They greatly irritate the stomach, causing signs of illness to appear. The diet for gastritis can be revised after the patient’s condition improves.

Chewing gum is harmful not only to patients diagnosed with an erosive form of gastritis, but also to people with a healthy stomach and intestines. The reason is that when chewing, digestive enzymes begin to be released in the gastrointestinal tract, which irritate the mucous membrane of the digestive tract.

Erosive gastritis is an unpleasant disease, but not a death sentence. In many ways, the success of treatment will depend on the patient himself, on his attitude towards his own health. Adequate treatment of the erosive form of gastritis with medications, while simultaneously changing lifestyle and following the correct menu, allows you to count, if not on complete healing, then on a long-term stage of remission.

Causes of the disease

Barry Marshall's discovery of the bacterium Helicobacter pylori in the 1980s revolutionized gastroenterology. The previously dominant statement that the main causes of gastritis are stress and spicy, fried, fatty foods are irrevocably a thing of the past. Approximately 80% of the world's inhabitants are carriers of Helicobatera. When the protective properties of the mucous membrane decrease and the acidity of the gastric juice changes, bacteria actively multiply, causing damage to the stomach. Toxic waste products of microbes are the cause of the development of the disease.

Factors that provoke the development of conditions favorable for bacteria:

alcohol, smoking, physical inactivity;
overeating - excessive stretching of the stomach leads to decreased motility and thinning of the walls;
spicy, fried, smoked, pickled, over-salted foods that irritate the stomach;
carbonated drinks, concentrated juices with a high acid content;
irregular meals, lack of routine;
poor quality products contaminated with chemical and microbial toxins;
taking non-steroidal anti-inflammatory drugs for a long time;
the presence of other infectious diseases - sepsis, influenza, diphtheria, measles;
liver and kidney diseases associated with insufficient excretion of breakdown products;
impaired blood circulation in the walls of the stomach;
reverse reflux of bile from the duodenum;
release of glucocorticoids during stress. They reduce the secretion of protective mucus and change its composition.

A chain is formed: the provoking factor reduces the protective capabilities of the stomach, Helicobacter actively multiplies under favorable conditions, and the gastric mucosa reacts to the microbial toxin by forming erosions.