Gastritis in pregnancy

Gastritis in pregnancy - than to treat?

There are two types of gastritis: acute, which occurs for the first time and flows violently; Chronic - occurs repeatedly, leaking with frequent relapses. Chronic gastritis can not be cured. If a person is diagnosed as such, he must accept that he will live with this disease.

The first type of gastritis is an acute inflammation of the mucous membrane of the stomach and duodenum. There are so many causes of acute gastritis. Among them are chemical, and thermal, and mechanical, and bacterial. Acute gastritis develops according to this scheme: the surface cells and glands of the gastric mucosa are damaged, in connection with which inflammatory changes develop in it. Such an inflammatory process can affect only the superficial epithelium of the mucous membrane or stomach, or spread to the whole of its thickness and even penetrate into the muscular layer of the stomach wall. Gastritis occurs due to diseases of the pancreas, gall bladder, liver, due to errors in nutrition, after the use of certain drugs, food toxic infections, food allergies (on berries, mushrooms, etc.), burns, elementary metabolic disorders. Symptoms of acute gastritis appear in a person usually in 4-8 hours after exposure to one of the above mentioned reasons. A person feels heaviness and fullness in the epigastric region, nausea, weakness, may appear dizziness, diarrhea, vomiting. The skin becomes pale, a greyish-white coating is noticeable on the tongue, there is severe dryness in the mouth or, on the contrary, drooling.

The course of chronic gastritis differs from acute gastritis. The cause of this disease are inflammatory changes in the gastric mucosa and the disturbance of the production of hydrochloric acid in it (diseases of the liver and gallbladder, pancreas). In patients, unpleasant pain sensations, gastric and intestinal disorders after eating or nervous loads, irritability, lowering of blood pressure, increased fatigue, and general general weakness are noted. As shown by numerous mass surveys, more than half of the adult population of developed (!) Countries of the world suffers from chronic gastritis; among diseases of the digestive system, it is more than 30%.

Most women with chronic gastritis have seen an exacerbation of the disease during pregnancy. These women, as a rule, develop early toxicosis, accompanied by vomiting. Toxicosis can last for as long as 14-17 weeks and proceed quite hard. But chronic gastritis is not a contraindication for pregnancy. Despite the unpleasant discomfort and poor state of health experienced by pregnant women from the aggravation of their illness, it does not affect the fetus. And yet it must be treated.

Symptoms of chronic gastritis

In chronic gastritis, pregnant women do not observe specific symptoms, because different people have different illnesses. Symptoms of the disease in most cases are pain in the epigastric region, nausea, eructation, vomiting, upset of the stool. With chronic gastritis with secretory insufficiency (low level of hydrochloric acid in gastric juice), the phenomena of gastric and intestinal dyspepsia (disorders) are more frequent. When gastritis with preserved or increased secretion of gastric juice (often occurs at a young age), the pain in the upper abdomen, which can be repeated, prevails. In the case of the last gastritis, patients complained of pain in the epigastric region, in the right hypochondrium or around the navel. Most often, pain occurs after eating, namely after taking a certain type of food. Less often the pains appear regardless of food, on an empty stomach or at night. The pain is sometimes strong, sometimes mild. With gastritis with increased secretion of the development of pain is usually strong, with a lower - weaker. If you do not want the pain to increase, do not eat up to the heap - the more the walls of the stomach are stretched, the greater the pain.

Causes of the disease

The predisposing factors of chronic gastritis are:

  • stress caused by troubles at work or in the family and leading to a disruption of the natural rhythm of life (absence full sleep due to work on the night shift);
  • food conditions (irregular, unbalanced food "on the go", food "dry", "snacks");
  • infection of the organism with bacteria Helicobacter pylori;
  • the reception in large quantities of poor-quality food or strong alcoholic beverages;
  • smoking;
  • Abuse of dishes with refined cereals and refined oil, preservatives, emulsifiers, hormones and antibiotics (animal food).

Diagnosis of gastritis in pregnancy

To clarify the diagnosis of chronic gastritis, it is not enough to study the patient's complaints and the history of the disease. It is necessary to conduct an endoscopic study - the study of gastric juice. For this, gastric sounding is performed, in which gastric juice is taken, and the acidity of gastric juice is measured. The procedure is carried out using a special device, which is lowered into the stomach (this is also called swallowing the "Japanese"). Do not worry - this is permissible during pregnancy. With its help, the level of acidity of gastric juice is determined, and this in turn will help to establish the type of gastritis (with increased or decreased acidity) and the corresponding treatment. The endoscopic method is very valuable for diagnosis. With its help determine the presence of such phenomena on the mucous membrane of the stomach, as erosion. Nevertheless, it is considered quite burdensome for a pregnant woman, so the endoscopic method is used when the preliminary treatment has not yielded results.

Treatment and nutrition

With exacerbation of gastritis, the patient is recommended bed rest and diet. The diet provides fractional meals (up to 6 times a day). The food is cooked in a semi-liquid form and is not fried, restricts the consumption of table salt and carbohydrates (sugar, jam, confectionery), broths that have a sodic effect. Recommended intake of milk, mucous or milk soups from cereals, soft-boiled eggs, meat or fish meatballs, dumplings, butter, cottage cheese, kefir, vegetable ragout, fresh fruits and vegetables. If the patient's condition improves, the diet is expanded, including boiled meat and fish, potatoes, pasta, doctor's sausage, lean ham, porridge, cheese, non-acid sour cream. When the exacerbation has passed and you can eat normally, the sick should still be excluded from the diet for their fried dishes, smoked foods, spicy seasonings - these products should generally be avoided by all pregnant women.

In the absence of edema in pregnant women with normal or high acidity of gastric juice, they are recommended to drink mineral waters: Borjomi, Smirnovskaya, Slavyanovskaya, Jermuk. Daily rate - up to 300 ml 3 times a day after 1, 5-2 hours after eating. Pregnant with a low acidity should drink water "Mirgorodskaya", "Essentuki" Й 4, 17, "Arzni".

Treatment of medicines for pregnant women suffering from chronic gastritis, has its own peculiarities. Depending on what kind of gastritis you are, the doctor (gastroenterologist) prescribes medicines. In no case do not engage in self-medication with this disease. Even medicinal water, if ignorant, can harm - cause an exacerbation and not only.

The only thing you can advise is the treatment with herbs. Chronic gastritis with normal or increased gastric secretion is treated with infusions of medicinal plants that have analgesic, anti-inflammatory, enveloping action. This is St. John's wort, chamomile, mint, oat seed, flax, yarrow, birdwort, cattail, rhizome of calamus, sedatives (valerian root, motherwort grass), celandine. Also, medicinal herbs that suppress inflammation of the gastric mucosa and stimulate its secretory function, are used to treat chronic gastritis with decreased secretion in pregnant women. Only this is another set of herbs: wormwood, plantain leaves, thyme, cumin, fennel, oregano, parsley, parsnip, mint, trifolia, St. John's wort, yarrow, others.

Not to fall ill

The best will help prevent the appearance or sharpening of the disease compliance with the diet. Eat small meals in small portions, 4-5 times a day, while chewing it well. Do not overeat (better eat more often). List of foods that irritate the gastric mucosa is better excluded from the diet. These are strong broths, canned foods, Smoked meat, spices, seasonings, strong coffee, tea, carbonated drinks. Remember: stress, smoking and alcohol abuse contribute to the development of the disease.

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