> Gastritis: what are the symptoms, causes and how to treat it

Introduction

the term Gastritis describes a series of conditions in the gastric mucosa that have in common inflammation of the lining of the stomach.

this Is disorders that can occur sporadically and have a short duration or, on the contrary, continue in time.

inflammation of The gastric mucosa, può also be caused by an infection from Helicobacter pylori, or from prolonged intake of anti-inflammatory drugs (NSAIDS). Other causes of gastritis can be identified in the styles of life, such as diet, alcohol intake, smoking or stress conditions.

The gastritis is a disorder that is very widespread, può be sudden (acute gastritis) or with a gradual progression in time (chronic gastritis). Even if it is a problem passenger, the news is good not to neglect to inflammation of the gastric mucosa that, in some cases, può lead to the formation of gastric ulcers, or, more rarely, cancer of the stomach.

Normally, the gastritis improves rapidly with treatment, prevention is accomplished by avoiding the causes that generated the pathological condition.

Sintomi

The gastritis you can; manifest with the following symptoms:

    the

  • heartburn (heartburn or gastric). It is a pain that can; arise after a meal, but also to fasting. The heartburn is felt in the upper part of the abdomen;
  • the

  • Nausea
  • the

  • Vomiting
  • the

  • abdominal Bloating, feeling of fullness after a meal;
  • the

  • Loss of appetite;
  • the

  • Halitosis
  • the

  • Dysphagia
  • the

  • Flatulence
  • the

  • Bloating
  • the

  • Dyspepsia.

Not always the gastritis reveals its presence with symptoms, there are cases, also asymptomatic

Complicanze

If the gastritis is neglected, can occur

    the

  • Ulcers of the stomach;
  • the

  • Bleeding from the stomach;
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  • In rare cases, some forms of chronic gastritis may raise the risk of stomach cancer.

Indigestion, or irritation of the stomach are disorders are quite common, usually characterized by short duration and that do not require specific treatments. However, if symptoms of gastritis persist for more than a few days will be good to go to the doctor.

Cause

gastritis is an inflammation of the gastric wall that occurs when the mucous that protects the stomach weakens. In this condition, the gastric juices irritate the stomach wall, giving rise to inflammation.

risk Factors

The factors that increase the risk of gastritis include:

    the

  • the Alcohol. The excessive intake of alcohol, può be irritating (corrosive action) to the walls of the stomach. The irritation makes più weak the gastric mucosa, facilitating the damaging action of gastric juices. The abuse of alcohol is one of the causes, more likely to an attack of acute gastritis.
  • Smoking and abuse of caffè.
  • the

  • the bacterial Infection. Infection by Helicobacter pylori is one of the infections more common which is not always the cause of the gastritis. Not c’è still certainty about the reasons, however, only a minority of people who have contracted the bacterium develops gastritis. Some advance the hypothesis that the sensitivityà the Helicobacter pylori can be caused by lifestyle (stress, smoking, alcohol), or hereditary factors.
  • the

  • the stress. It is conditions of stress, such as after a major surgery, trauma, severe infections, which can cause acute gastritis. Not to be overlooked, not even the conditions of emotional stress which can affect the digestive processes.
  • the

  • the long-term Use of pain medication. In particular, anti-inflammatory drugs (NSAIDS). This is one of the causes of the più frequent, that may give rise to both gastritis chronic and acute. The abuse può to reduce the presence of a key substance that plays an active role in preserving the protective coating of the stomach.
  • the

  • età advanced. the risk of gastritis è più high in older people becauseé the coating that protects the stomach tends to thin with the passing of the years. In addition, compared to the people in più young people, adults è più high probability; of H. pylori infection or autoimmune diseases.

  • the

  • autoimmune Disease. It is an immune reaction that occurs when the body attacks the cells that make up the lining of the stomach. The reaction of the immune system, thins così the protective barrier of the gastric wall. It is a rare disease that takes the name of autoimmune gastritis (chronic atrophic gastritis autoimmune) and is typically present in subjects who già suffer from other autoimmune diseases (e.g. type 1 diabetes). The deficiency of vitamin B-12 is another of the factors associated with the disease.
  • the

  • the Other medical conditions. Pathological conditions such as HIV / AIDS, Crohn’s disease and parasitic infections may be associated with the Gastritis.
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  • the Power supply. Poor nutrition is one of the causes of the più popular for gastroesophageal reflux, a condition that triggers the typical heartburn. The excess food of slow digestion and junk foods raises the risk. Equally harmful is to eat in a hurry or skip meals or take meals in the evening.
  • the

  • the Sedentarietà. The lack of movement può negatively interfere in the processes of the stomach or bowel (peristalsis).

Diagnosi

In general, the description of the symptoms is enough to diagnose gastritis. However, the doctor può have specific tests to establish the true cause of the disease:

    the

  • the Helicobacter pylori. To detect a possible infection by the bacterium H. pylori, there are several tools: breath Test, which analyzes a sample of air blown by the patient into a bag; blood test that detects the presence of antibodies to H. pylori (but not è said that the infection is active); examination of the feces, can detect if the bacterial infection is in progress.
  • the

  • Gastroscopy (or EGDS: Esophagogastroduodenoscopy). It is an exam that uses an endoscope, a slim probe that allows observation of the upper digestive tract (the stomach, esophagus and duodenum). The tube is equipped with a micro-camera and a light fiber. The endoscope is inserted through the mouth, through the esophagus to the stoma and to the small intestine. The instrument allows for an examination is very detailed and direct thanks to the images that are reproduced on a screen. In the course of the examination the doctor can; focusing on the areas that are suspicious and remove samples of tissue (biopsy) for further investigation. In summary, it is a useful examination to identify the causes of many symptoms (swallowing difficult and painful, bleeding, abdominal pain, heartburn, etc). It is an exam invasive, but of short duration (a few minutes) and safe. You need to be fasting for at least 12 hours. To facilitate the execution and to avoid discomfort to the patient, può be used as an anesthetic, which is sprayed in the throat and a light conscious sedation.
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  • the x-ray of the digestive system upper. Uses X-rays and typically, you run after ingesting a liquid contrast (barium). The instrument produces images of the esophagus, stomach and small intestine.

Cura

The gastritis is treatment depending on the causes that have given rise to the disease. When the cause resides in a prolonged intake of anti-inflammatory drugs or alcohol, or other substances which may have damaged the gastric mucosa, the symptoms are reduced, in general, discontinuing use of. In general, the treatments for gastritis are intended to facilitate the process of healing from the inflammation of the lining of the stomach. Thereò può be done when they are eliminated the root causes, either with drugs or by changing style of power, of life or with other remedies.

In cases of chronic gastritis caused by an H. pylori infection, require the administration of antibiotics with the aim of eliminating the bacteria.

However, it should be remembered that not always the presence of H. pylori because the symptoms of gastritis.

in general, in the majority of cases, pharmacological treatment consists in taking drugs that will fight the acidità of the stomach.

    the

  • the Drugs, antibiotics against the H. pylori. The doctor can; prescribe a combination of antibiotics to kill the bacteria (for example, clarithromycin and amoxicillin or metronidazole). Typically, the treatment lasts for between 10 and 14 days, and is sometimes associated with inhibitors of proton pump (IPP), and/or drugs gastroprotettori.
  • the

  • the proton pump Inhibitors (IPP). They are drugs that reduce the production of acidità of gastric juices (for a duration ranging from 18 to 24 hours per dose). The inhibition of acid secretion, which attacks the gastric wall, facilitates the healing. Are medicines used for the cure of dyspepsia, ulcer, gastro-duodenal ulcer, Zollinger-Ellison syndrome, gastroesophageal reflux. Are also used even in cases of long-term intake of acetylsalicylic acid (aspirin), NSAIDS, and in the eradication of Helicobacter Pylori (associated with antibiotic treatment). These drugs are normally well tolerated and any side effects are negligible and transient. In the case of headache, diarrhea, flatulence, dizziness, abdominal pain, heart palpitations, usually is enough to stop treatment. However, those described here represent a minority of the total of the side effects. After a period of prolonged and high dose intake of proton pump inhibitors può happen a effect osteoporotico. Thereò può increase the risk of fractures of the neck of the femur, of the hip, spine, and wrist. It is therefore important to see your doctor for a possible calcium supplement.
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  • the Drugs H2 antagonists. these drugs can block the action of histamine on the parietal cells of the stomach, thereò produces a reduced release of hydrochloric acid in relieving pain and promoting healing. Are drugs used in the treatment of gastric ulcer, gastritis and dyspepsia, though its use is now superseded by the introduction of inhibitors of proton pump (IPP). This class of medications include ranitidine, famotidine, cimetidine and nizatidine.
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  • the Antacids, protectors of the gastric mucosa,. Are medicines that neutralize the acidità of the stomach. Antacids are mainly salts of calcium, aluminum, magnesium, and sodium, which neutralize the action of the hydrochloric acid. It is drugs that treat the symptoms, not the causes of the disease. With the intake you get a quick relief, but may not be used as a cure. Depending on the composition, you may experience side effects such as constipation or diarrhoea.

Remedies and life-styles

regardless of the type of pharmacological treatment used for gastritis, the following are home remedies which you can adopt to reduce the symptoms:

    the

  • the Food. Do not eat foods that are irritating to the gastric mucosa, avoid foods such as for example, coffee is, tea, pepper, hot pepper, alcohol, fried foods and foods that are too fatty. Eat instead of mashed potatoes, cream of rice, pasta, dressing, chicken or turkey, lean fish, and dry food like crackers.
  • the

  • the Amount;. When c’è heartburn is understandable, a loss of appetite, however, è necessary to introduce foods to rebalance both the amount; that the acidità of gastric juices. A solution is to eat little and often, introducing small amounts and categories of food.
  • the

  • Liquids. Do not drink alcohol, and carbonated beverages.
  • do Not smoke.
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  • the Medicines. If you are taking medication for pain, ask the doctor if the acetaminophen può still be a viable alternative.
  • the

  • the Stress. Psychological stress can; aggravate the symptoms of gastritis. It is important to learn to manage stress, certainly what più easy to say than done. However, it is possible to identify the activities; that can lead to relaxation such as yoga or meditation.

IN ARGOMENTO:

gastroesophageal Reflux: symptoms, causes and treatment

gastric Disorders, acid reflux gastro esophageal. Fucus, or seaweed.

November 21, 2016

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