Gastritis with high acidity. How to treat gastritis with high acidity - treatment of gastritis

Gastritis is not a specific disease, but a collective name for a number of pathological processes occurring in the human stomach. That is why the disease can be accompanied by both low and high acidity, which will be discussed further. With this form of the disease, the inflammatory process of the walls of the stomach is accompanied by increased secretion of hydrochloric acid by its ducts. The vast majority of those diagnosed with gastritis with high acidity are in the age category from 20 to 50 years. Leaving the disease without treatment is unacceptable, since, in addition to constant pain, this will also cause the development of various precancerous conditions or even the growth of malignant neoplasms. Treatment of the disease is quite complex and includes not only taking various medications, but also diet. As an additional therapy, it is possible to use various folk remedies, but only in consultation with a doctor. Self-medication for this disease is strictly prohibited, as this will cause severe negative consequences for the body. Only a doctor will select a treatment that will help a particular patient in the shortest possible time.

Causes of gastritis with high acidity

In order for the disease to begin to develop, predisposing factors must be present. According to doctors, the main prerequisites for this type of gastritis are:

  • very frequent consumption of hot foods;
  • eating too hot food;
  • regular and severe overeating;
  • eating a lot of spices;
  • drinking large amounts of coffee;
  • alcohol abuse;
  • smoking;
  • prolonged fasting;
  • strict diets;
  • autoimmune inflammation;
  • chronic stress;
  • genetic predisposition to excessive production of hydrochloric acid;
  • disruption of metabolic processes in the body;
  • regular consumption of fast food;
  • ingestion of chemicals into the stomach.

Whatever causes gastritis with high acidity, it requires treatment and will not go away on its own. The longer a patient delays treatment for this disease, the more difficult it will be to cope with it and the more harm it will cause to health.

Types of gastritis with high acidity

Doctors divide the disease into three types according to the nature of its occurrence. This classification looks like this:

  • type A– in this case, inflammation occurs due to the fact that the body suddenly begins to perceive the cells of the gastric mucosa as harmful and begins to produce antibodies against them. The cause of the disease is exclusively an inherited genetic disorder. This form is quite difficult to treat, and even after the exacerbation is relieved, it remains in a sluggish chronic state, requiring regular medication and diet;
  • type B– inflammation affects the junction of the stomach and the duodenum, which occurs mainly due to bacterial damage or reflux of intestinal contents into the gastric area. Once the exact cause is established, treatment is relatively easy;
  • type C– the disease is caused by poisoning when the stomach lining is seriously damaged by chemicals or food toxins. Also, this form of the disease often occurs in people who abuse alcohol, since their gastric mucosa is constantly destroyed by consuming ethyl alcohol, which is harmful to it.

This division of the disease makes it easier for doctors to treat it, as it allows them to choose exactly those remedies that will be useful in a particular case.

Symptoms of gastritis with high acidity

The symptoms of this form of gastritis are quite clear, and the patient himself can understand what disease he is faced with. When the disease occurs in an acute form, its symptoms are well expressed, and in a chronic form they are more blurred. However, despite this, even chronic gastritis can be identified before the moment of exacerbation, paying attention to your well-being. The main manifestations of the disease are:

  • heartburn is one of the main symptoms that distinguishes gastritis with high acidity;
  • belching sour is also a specific symptom inherent in this particular disease;
  • aching pain in the stomach - sometimes it can turn into paroxysmal, cutting pain;
  • bloating – observed due to fermentation of food in the stomach and intestines, which causes the production of excess gases;
  • nausea and vomiting - appear in case of significant overeating or consumption of large amounts of acidic food;
  • night and hunger pains - occur due to irritation of the stomach walls with excess hydrochloric acid, which, in the absence of food, begins to digest the mucous membrane.

When the disease is in a chronic form, the following reasons cause an increase in its symptoms:

  • binge eating;
  • diet violation;
  • food poisoning;
  • alcohol consumption;
  • a significant break in meals;
  • very severe stress;
  • smoking.

If there are no factors provoking an exacerbation, then with proper nutrition, chronic gastritis with high acidity may hardly bother you.

Drug treatment of gastritis

Today, when treating gastritis with high acidity, the doctor prescribes a whole range of drugs that relieve pain, neutralize excess acid, improve digestion, eliminate excessive secretion of hydrochloric acid and destroy pathogenic bacteria. The list of drugs may vary depending on what caused the disease. So, if gastritis is caused by exposure to a chemical substance, there is no point in using antibacterial therapy to eliminate it.

To relieve pain, antispasmodic drugs are prescribed, since they have a gentler effect on the body than analgesics, and at the same time give excellent results. The main ones are:

  • drotaverine;
  • no-shpa;
  • hydrochloride

In addition to these medications, Almagel A, which contains a local anesthetic, may also be prescribed.

In order to neutralize excess acid in the stomach, antacids are prescribed. The main drugs from this group are:

  • phosphalugel;
  • gasterin;
  • Maalox;
  • palmagel;
  • gastracid;
  • topalkan;
  • gaviscon;
  • rutacid;
  • gastal.

Their use gives a pronounced result in a short time and allows you to urgently relieve a pain attack.

In order to reduce the production of excess hydrochloric acid, medications are used that block the functioning of the proton pump. Most often prescribed:

  • omeprazole;
  • lansoprazole;
  • rabeprazole

Preparations based on these drugs can also be used if in their pure form they are poorly tolerated by the body.

If there are serious digestive disorders, then taking medications containing enzymes that improve this process is indicated. In the vast majority of cases, the following are prescribed:

  • pangrol;
  • smecta;
  • neosmectin.

When the disease is the cause of bacterial damage to the stomach, the drug de-nol and antibiotics are prescribed:

  • amoxicillin;
  • clarithromycin;
  • Trichopolum.

All these means eliminate the bacteria that cause the inflammatory process in the gastric mucosa.

Self-prescribing the medications listed above, even if you have all the symptoms of gastritis with high acidity, is strictly prohibited, as this can lead to extremely negative consequences. Only a qualified doctor can accurately determine which of the remedies will be most effective for a particular patient and which of them will have the least side effects on the body.

Diet for gastritis with high acidity

Without following a diet, it is simply impossible to successfully treat gastritis with high acidity. During the period of illness and recovery after it, the stomach should not receive overload, as well as foods that can irritate its mucous membrane, again and again causing an inflammatory process. Since the level of acidity in the stomach is already elevated, the consumption of acidic foods is naturally prohibited, since they only worsen the condition, causing heartburn, as well as attacks of nausea and vomiting. However, this is not enough for recovery. In addition to reviewing the range of foods you eat, you should also change your diet rules. General recommendations for a healthy diet that is gentle on the stomach include:

  • eating small portions - the stomach should not be full after eating. You should eat 8 times a day, in small portions. Eating food 3 times a day, habitual for many, is a big challenge for the stomach;
  • meals should be taken at the same time, since in this case the activity of gastric juice production will occur precisely at the moment when it is required for digestion;
  • limiting the amount of salt to? teaspoon per day;
  • complete refusal of spices;
  • refusal to eat cold food;
  • refusal to eat hot food;
  • high-quality chewing of food - if this is not done, then foods that are not sufficiently processed with saliva cause severe irritation of the walls of the stomach;
  • refusal to replace meals with tea;
  • rest after eating - in order to make it easier for the stomach to cope with the load, after eating you need to rest in a lying or reclining position for 15 minutes.

All these actions can significantly facilitate the work of the stomach, which is why its damaged mucous membranes can recover faster.

In addition to acidic foods, when compiling a menu for patients with gastritis with high acidity, it is also necessary to include excluded:

  • meat broth;
  • goose meat;
  • duck;
  • fatty red meat;
  • fatty fish;
  • fish broth;
  • mushrooms;
  • garlic;
  • cabbage;
  • radish;
  • turnip;
  • cucumbers;
  • pearl barley porridge;
  • millet porridge;
  • puff pastry;
  • baked goods;
  • fresh bread;
  • dairy products;
  • spicy cheese;
  • boiled eggs;
  • ice cream;
  • chocolate;
  • sour berries;
  • citrus;
  • coffee;
  • Black tea;
  • carbonated drinks;
  • alcohol.

All of these products will not be beneficial for a sick stomach, since some require an additional volume of hydrochloric acid to absorb, while others remain in the stomach for a long time, severely irritating its walls. Of course, if the patient violates the ban on such food once and does not greatly, nothing terrible will happen and, most likely, there will not even be an exacerbation of gastritis. If eating without prohibitions is constant, then the gastric mucosa will begin to be so damaged that erosions form on it, which over time easily degenerate into cancerous tumors.

For products that allowed for gastritis with high acidity, include:

  • lean steamed meat;
  • lean steamed fish;
  • potato;
  • cauliflower;
  • semolina;
  • oatmeal;
  • pasta;
  • yesterday's bread made from high-quality flour;
  • milk;
  • cottage cheese;
  • steam omelette;
  • non-sour jam;
  • jelly;
  • sweet juices;
  • sweet compotes;
  • fruit puree;
  • green tea.

In addition to these products, taking into account the patient’s condition, the doctor can adjust the diet, adding something to it and excluding something. General nutritional recommendations can be applied to most patients, but not to all, since cases of gastritis being combined with other diseases are not uncommon.

Folk remedies for gastritis with high acidity

All folk therapy is only complementary and cannot be used as the main treatment.

  • Potato juice– an excellent remedy for improving the condition: you need to take half a glass of freshly squeezed juice daily on an empty stomach. You can eat after this in 15 minutes. The duration of the course is 10 days, after which a break of 5 days is required. Already on the first day, most patients note a decrease in pain and discomfort.
  • Mint infusion also useful for eliminating pain: infuse a tablespoon of herb in a glass of boiling water for 1 hour. After filtering, the drug is taken one tablespoon up to 10 times a day. The maximum duration of therapy is a month, after which a break of several days is necessary.

Prevention of gastritis with high acidity

Prevention is very important in case of predisposition to diseases of the stomach and intestines. You can reduce the risk of developing gastritis by:

  • proper nutrition;
  • sufficient physical activity;
  • to give up smoking;
  • giving up alcohol;
  • complete treatment of food poisoning;
  • prevention of stressful situations;
  • teaching children from an early age to eat properly.

Gastritis is much easier to prevent than to treat, and this should not be forgotten. Any discomfort in the stomach that does not go away within several days or is repeated regularly is a reason to consult a doctor, since the earlier the disease is detected, the easier it is to treat.

Gastritis with high acidity is an inflammatory disease of the stomach, which has certain differences in comparison with the lack of secretory function in the body. The pathology is determined by its characteristic symptoms and appropriate treatment is prescribed in a complex of various rehabilitation measures.

The definition of hyperacidity gastritis is characterized by inflammation of the stomach walls due to excessive production of hydrochloric acid. Statistics show that the disease most often occurs in men and women aged 20–60 years.

The development of gastritis is caused by various unfavorable factors that indicate disruption of the digestive system (poor diet, bad habits, long-term use of medications).

Depending on the course of the disease, a specific treatment regimen is prescribed, including diet and elimination of all acute signs of gastritis. The pathology may subside for a while, and then suddenly develop with more severe symptoms.

What does the disease look like in a photograph?

The photo below shows a view of the natural gastric mucosa and a lesion in the form of a noticeable change in the outer layer of the organ. Redness and swelling gradually lead to deformation and a chronic form of the disease.

Gastritis in a chronic form can be treated, but requires constant adherence to preventive measures, since malnutrition or exposure to other negative factors may aggravate and worsen the course of the disease.

Causes

The causes of high acidity are divided into external (exogenous) and internal (endogenous) factors.

External factors include:

  • Poorly chewed food;
  • Eating very cold or hot foods;
  • Products or dishes of a stale nature that are prepared in violation of technology;
  • Drinking alcoholic beverages;
  • Smoking;
  • Long-term use of antibiotics and other potent chemical drugs;
  • Foreign bodies accidentally entering the stomach.

Of no small importance is the presence of a proper ecological environment in the place of residence, compliance with sanitary standards and the exclusion of toxic substances, soil particles, and waste products of small insects from entering the body.

Etiological (internal) factors in the development of gastritis with high acidity:

  • Presence of a genetic predisposition;
  • Avitaminosis;
  • Metabolic disease;
  • Disturbances in the circulatory system;
  • Inflammatory processes in the gastrointestinal tract and other body systems;
  • Food allergies.

Helicobacter pylori, which is well adapted to survive in the stomach environment, has a great influence on the development of gastritis. The bacterium produces special derivatives:

  • The presence of urease helps eliminate the effects of hydrochloric acid;
  • Catalase suppresses the body's immune function.

The favorable development of bacteria is triggered by the following processes in the body:

  • Presence of toxic enzymes;
  • Changes in the structure of the stomach;
  • Enzymes of toxic effects.

Helicobacter pylori produces cytotoxin, which leads to the death of epithelial cells. The spread of bacteria is influenced by the following factors:


A clear classification of gastritis does not have distinct divisions, therefore three types of the disease with high acidity are distinguished.

Gastritis category A

Autoimmune gastritis of type A with high acidity is quite rare and is marked by minor lesions in the antrum.

Statistics show that about 90% of patients' blood serum contains the corresponding antibodies. With this gastritis, the following phenomena are observed:

  • Violation of hydrochloric acid production;
  • Changes in the absorption process of B vitamins (development of anemia, death of nerve cells);
  • Neuralgic disorders;
  • Anemia of megaregional type.

Symptoms of the disease manifest themselves in the following signs:

  • Dull pain;
  • Heaviness after eating food;
  • Unpleasant taste in the mouth;
  • Belching and nausea;
  • Diarrhea;
  • The phenomenon of dyspepsia.

As the disease progresses, drowsiness, constant fatigue, burning in the mouth, numbness of the arms and legs, pale skin, gait disturbance, and loss of vibration sensitivity are noted.

Gastritis category B

This disease is the most common form of chronic gastritis and is divided into antral, exogenous and caused by the development of Helicobacter pylori.

Gastritis of the antral type is classified as a superficial disease affecting the mucous membrane in the antrum of the stomach. Most often, inflammation occurs due to the development of bacteria, which is accompanied by immune disorders or a decrease in gastrin in the blood.

If left untreated over the next 10–15 years, the form progresses to extensive gastric damage. The cause of the disease is external factors (malnutrition, alcohol, cigarettes, ecology, taking medications).

Long-term development of Helicobacter pylori in the body causes the formation of deep atrophic gastritis with a large affected area and acute symptoms. This type of disease is difficult to treat and requires immediate surgical intervention.

The symptoms of type B gastritis are similar to those of a stomach ulcer:

  • Hunger pain in the stomach, mainly at night;
  • Vomiting, constant attacks of nausea;
  • Belching with a sour taste, heartburn;
  • The occurrence of constipation.

If the disease is asymptomatic, the diagnosis is made after endoscopy and other laboratory tests.

Gastritis category C

Gastritis type C (reflux) is characterized by focal lesions of the stomach and duodenum. As a result, there is a disruption in the process of throwing food in and most often the disease is diagnosed after partial resection of the stomach.

Reflux gastritis can form under long-term use of chemical medications, alcohol and cigarettes. The disease can occur without pronounced symptoms or manifest itself in acute symptoms:

  • Severe pain after eating food;
  • Heartburn, vomiting, nausea;
  • Bloating.

Differences between gastritis with high and low acidity

The process of digesting food in the stomach is based on the production of hydrochloric acid, which promotes the breakdown of substances and eliminates all bacteria that have entered the body. If there are disorders in the digestive system, disruptions in the body are observed, which contributes to the formation of gastritis.

If there is a reduced production of hydrochloric acid in the stomach, then the incoming food is poorly digested and provokes rotting processes. This condition allows for the progression of toxins. As a result, the body's immune function weakens, and inflammation occurs on the walls of the stomach.

Increased production of hydrochloric acid also has complications for the body. After the process of digesting food, the remaining gastric juice corrodes the mucous membranes, which leads to the formation of ulcers and erosions.

In order to correctly determine acidity for gastritis, it is necessary to carry out some manipulations. One of the defining techniques is the use of litmus paper. Testing is carried out using saliva, and after application the paper changes color after a while, indicating the level of acidity in the body.

Internal use of soda solution in the morning on an empty stomach. These methods do not give accurate results, so the following methods are necessary for determination:

  • pH-metry (daily measurement of acidity);
  • Endoscopy (swallowing probe);
  • Express methods that are carried out in laboratory conditions.

A symptom of increased acidity during gastritis is heartburn, which occurs suddenly. Unpleasant sensations begin immediately after eating and last for several hours. To prevent discomfort, you can use a soda solution as a temporary remedy. In general, proper treatment and diet are required.

There are additional signs of increased stomach acidity:

  • White-gray coating on the tongue;
  • Sour or bitter taste in the mouth;
  • Constant apathy;
  • Having chronic fatigue;
  • Loss of appetite;
  • Increased irritability;
  • Dyspepsia (vomiting, nausea);
  • Headache.

With low acidity, there is a lack of the compound, which is noted in the body’s need to consume acidic foods (pickled vegetables, fermented milk products).

Looking at the comparative differences between acid production determines several important factors:

  • Belching with a taste of rotten eggs;
  • Dull pain in the navel area;
  • Feeling of fullness in the stomach;
  • Acne on the skin of the face;
  • Development of various fungi;
  • Hair loss, brittle nails;
  • Excessive dryness of hands.

The above symptoms often develop with a lack of hydrochloric acid, and weak protection against bacteria ensures the rapid development of the inflammatory process. Precise methods for determining the level of acidity are prescribed by the attending physician and carried out in laboratory conditions.

Main symptoms and signs

Gastritis with high acidity has characteristic symptoms with pronounced signs indicating the development of the disease:

  • Unpleasant pain in the navel area on the left side in the hypochondrium;
  • The appearance of constant heartburn, which significantly worsens the general condition of the patient;
  • Belching with a sour taste indicates increased acidity;
  • The presence of a white coating on the tongue;
  • Nausea with vomiting may indicate the development of an erosive process on the gastric mucosa;
  • Flatulence (bloating and increased gas formation);
  • Loss of appetite or overeating, as eating food can significantly reduce acidity levels;
  • Pain that occurs on an empty stomach, mainly at night.

The chronic form of gastritis implies the appearance of the above symptoms only after the occurrence of such factors:

  • Eating food in large quantities;
  • Excessive intake of alcoholic beverages;
  • Food poisoning;
  • Constant stress and nervous disorders;
  • Excessive consumption of pickled, fried, spicy, very cold or hot foods.

In the chronic form, the formation of gastritis occurs for a long time without pronounced symptoms, and then an exacerbation occurs, requiring accurate diagnosis. In most cases, the disease develops due to poor diet and abuse of bad habits.

Diagnostics

Diagnosis of gastritis with high acidity is based on an initial examination by a gastroenterologist and identification of all complaints about the manifestation of the disease. In accordance with the obtained clinical picture, the following types of studies are prescribed:

  • General and biochemical blood test to study changes in basic indicators;
  • Urine examination to determine the normal functionality of the excretory system;
  • Endoscopy (examination of the stomach using a special device allows you to accurately determine the location of the lesion and the level of acidity);
  • X-ray to determine the general condition of the abdominal organs;
  • Gastroduodenoscopy (studying the condition of the gastric mucosa and taking biological material for further research).

In most cases, only instrumental diagnostics make it possible to establish an accurate diagnosis for further prescription of adequate therapy. The speed of rehabilitation and the elimination of all unpleasant symptoms of the pathology depend on the correct determination of the type of treatment.

Treatment method

Treatment of gastritis with high acidity depends on the diagnosis and the degree of damage to the gastric mucosa. The main therapy is the use of medications with mandatory adherence to a strict diet.

List of effective medications that are prescribed for the treatment of gastritis:


The above drugs are effective in complex combination when taken in strictly prescribed dosages. At the same time, it is necessary to change the diet and follow a therapeutic diet until a stable condition occurs.

An important aspect of treatment is the intake of prebiotics and probiotics, which normalize the intestinal microflora and help eliminate harmful bacteria. During the course of therapy, it is recommended to take immunostimulating drugs (Hilak Forte in drops) to strengthen the general condition of the body.

Detoxification of the body is best done by taking enterosorbents (Activated Carbon, Enterosgel, Polyphepan). For gastritis with high acidity, doctors prohibit self-treatment, since improper therapy can lead to the development of unwanted complications.

Folk remedies

Treatment of gastritis with high acidity using folk remedies gives the desired effect in combination with complex therapy. Experts offer a large selection of appropriate recipes containing herbal preparations and natural ingredients.

Herbal infusions

The combination of medicinal herbs with natural ingredients allows you to provide the body with all the necessary substances to maintain general condition. When treating gastritis with high acidity, the following plants are most effective:

  • Dry chamomile;
  • Mint (stems, leaves);
  • Blackberries;
  • Fennel;
  • St. John's wort;
  • Centaury;
  • Angelica;
  • Agrimony;
  • Calamus root.

The above herbs have side effects and can cause allergic reactions if consumed in excess. Therefore, the direct use of medicinal plants must be agreed with the attending physician.

Using tinctures

An effective method of treating gastritis with high acidity using folk remedies is the correct use of tinctures based on various medicinal herbs, which have restorative properties for healing damaged gastric mucosa.

Mint

Mint represents a number of effective medicinal agents that are used to heal wounds. The plant is used for rinsing the mouth, normalizes blood pressure and eliminates painful spasms and reduces the level of acidity during gastritis.

Use in the treatment of disease:

  • Drinking mint tea daily with the addition of a few leaves of the plant;
  • The maximum amount of tea per day is no more than two cups;
  • Constant consumption of mint tea can eliminate severe heartburn and pain during the development of gastritis.

Excessive consumption of mint may worsen the course of gastritis, since the plant contains a considerable number of essential oils that adversely affect the healing process of damaged gastric mucosa.

Chamomile is a plant containing natural ingredients and has a considerable number of beneficial properties:

  • Quick relief of swelling;
  • Treatment of inflammatory processes;
  • Accelerating the healing of ulcers and erosions on the gastric mucosa;
  • Reducing pain during gastritis.

The resulting infusion is taken in a certain dosage, which is prescribed by the attending physician in accordance with the general course of the disease.

Yarrow

Yarrow is widely used in the treatment of gastritis with high acidity, as it has pronounced properties that have a beneficial effect on the digestion process in the body. Experts give recommendations on the use of the plant:

  • Reducing the frequency of vomiting and nausea. To eliminate the unpleasant symptom, you need to take a few teaspoons of tincture;
  • Possibility of use in combination with other medicinal herbs;
  • Long-term use of the tincture can increase acidity in the stomach.

Fennel

Fennel has a large number of beneficial properties that have a beneficial effect on the functioning of the gastrointestinal tract. When using the plant you can get a considerable number of positive effects:

  • Improved digestion;
  • Reducing severe pain due to gastritis;
  • Decreased acidity in the stomach.

Milk thistle

The use of milk thistle as an effective folk remedy in the treatment of gastritis with high acidity is the most effective remedy for eliminating the negative symptoms of the disease.

With constant use of the plant, it is possible to prevent the development of an ulcerative form of gastritis. It is important to take the drug according to the prescribed regimen in a strictly specified dosage.

Honey

Honey is a natural remedy and has many beneficial properties. The product is used to improve the general condition, and it is effective in the treatment of gastritis:

  • Combined use of honey with other medicinal products while simultaneously observing the basics of proper nutrition;
  • Daily use of a solution containing honey in the ratio (1 tbsp. spoon of product per 200 ml of water);
  • Use the prepared product 2 hours before the first meal to normalize the digestive system;
  • Avoid using honey in its pure form, as the product can cause additional complications during gastritis.

When preparing the drink, you can use warm milk instead of water, as it has an antacid effect against high acidity.

Application of chaga

Chaga is a birch growth of fungal origin, which is used to treat diseases of the gastrointestinal tract. For the manufacture of medicinal products, a properly prepared product is used according to a certain scheme:

  • Availability of a thermos with a capacity of 1000 ml;
  • Adding a few pieces of birch sap;
  • Pouring hot water into the thermos;
  • Infusion of the decoction during the day;
  • Diluting the finished solution with water until a light shade is obtained;
  • Drink 125 ml of the finished product once a day 30 minutes before meals.

Treatment of gastritis with high acidity involves the use of the following high-impact recipes:


Massage to eliminate high stomach acidity

Increased acidity in the stomach slows down the digestion process and worsens the symptoms of gastritis. One of the effective treatment methods is special types of massage:

  • Spinal massage is performed when the patient is in a sitting position;
  • Massage of the abdomen in the stomach area is accompanied by rubbing, patting, pressing fingers in the affected area;
  • Massage of the abdominal muscles according to the appropriate algorithm.

When choosing this treatment method, there are contraindications that are taken into account by the attending physician. The procedure is not performed during an exacerbation of gastritis. Stopping the massage is indicated if any unpleasant sensations occur (pain in the left side, heartburn).

Prevention and therapeutic diet

Prevention of gastritis with high acidity is based on compliance with the recommendations below:

  • A balanced diet with a predominance of natural products in the diet;
  • Moderate physical activity;
  • Quitting bad habits (drinking alcohol, cigarettes);
  • Timely treatment of food poisoning and infectious diseases;
  • Preventing the development of stressful situations;
  • Teaching young children a proper diet from a young age.

A therapeutic diet for gastritis is an essential condition for successful treatment of the disease. When eating on a limited diet, the following rules must be observed:

  • Small meals up to 8 times a day every 2–3 hours to normalize the digestion process in the stomach;
  • Eating warm food at the same time, since very cold or hot food can aggravate the general course of gastritis;
  • Maximum limitation of daily salt intake (no more than 1 teaspoon per day);
  • Good chewing of food, since careless grinding contributes to excessive irritation of the mucous membrane;
  • Ensuring rest for 15 minutes after eating;
  • Exclusion from the general diet of spicy dishes.

For progressive gastritis with high acidity, the following products are prohibited:


To reduce acidity levels and restore damaged mucous membranes, it is recommended to consume the following products:

  • Lean meat and fish;
  • Cauliflower;
  • Potato;
  • Rice, oatmeal, semolina;
  • Wholemeal bread fresh from yesterday;
  • Low-fat cottage cheese, milk;
  • Steamed omelette;
  • Acid-free jam;
  • Sweet juices, compotes;
  • Kissel;
  • Green tea.

Weekly menu

The use of a therapeutic diet in practice is discussed in detail in the table below for a week.

Day of the week Breakfast Lunch Dinner Afternoon snack Dinner
Monday Oatmeal, glass of milk Cheesecake with jelly Boiled potatoes with steamed cutlets Green tea with toast and jam Steamed stewed cauliflower and lean fish
Tuesday Semolina porridge with milk, weak tea Cottage cheese with compote Boiled rice with lean meat stew Bran bread with butter and jelly Stewed vegetables with fish
Wednesday Steamed omelette, dried fruit compote without sourness Curd cheesecakes, milk Oatmeal, steamed meat Baked green apple, weak tea Baked potatoes, steamed fish
Thursday Steamed cauliflower, jelly Milk, toast with low-fat cheese Boiled rice with vegetables, baked fish Green tea,

Sweet fruits

Potatoes with herbs, steamed chicken cutlets
Friday Cottage cheese with fruit, weak tea Sweet compote, yesterday's fresh whole grain bun Stewed vegetables, potatoes, steamed turkey Sweet yogurt without sourness, biscuits Boiled cauliflower, steamed low-fat fish
Saturday Oatmeal milk soup, glass of alkaline mineral water Omelet, green tea Boiled pasta, steamed rabbit cutlets A glass of milk with honey and soda Boiled rice, beef stroganoff
Resurrection Semolina porridge with dried fruits, weak tea Baked apple, cottage cheese Fish with vegetables, boiled buckwheat A small handful of nuts or dried fruits Steamed fish cutlets, baked potatoes

Delicious recipes

A therapeutic diet for gastritis is not a death sentence, and a wide variety of delicious recipes can be prepared from the permitted products.

Cauliflower soup helps ease the stomach and contains essential nutrients for the body.

List of ingredients:

  • Cauliflower;
  • Water;
  • Milk in the amount of 200 ml;
  • Flour 20 grams;
  • Egg;
  • Sour cream 20 grams;
  • One pinch of salt.

The cabbage is washed in hot water and divided into individual inflorescences, and then boiled until fully cooked in salted water. The finished vegetable is pureed, sour cream, egg, flour, milk, and sugar are added. The finished mixture is poured into a pan of water and brought to a boil. You can add greens to the prepared dish if desired.

Rice soup

Rice is a healthy grain for gastritis, as it helps improve digestion and reduces high levels of acidity in the stomach. To prepare the soup, the cereal is pre-soaked overnight in water. And then boiled in salted water.

The finished rice is thoroughly ground through a sieve, and a glass of milk with a mixed egg is added to the resulting puree. The prepared dish is consumed warm with a small addition of butter during the period of remission of gastritis.

Lazy dumplings

This dish is ideal for breakfast.

Required ingredients:

  • Flour 200 grams;
  • Low-fat cottage cheese 150 grams;
  • Egg;
  • Sugar 50 grams;
  • A pinch of salt.

Mix the cottage cheese, egg, sugar and salt thoroughly, add flour and knead a moderately stiff dough. Next, they give it the shape of a sausage and cut into small cubes, which are boiled in salted water. You can add a small amount of butter to the finished dish.

When treating gastritis, you can also eat cabbage soup with white cabbage or Brussels sprouts.

List of ingredients:

  • White cabbage or Brussels sprouts 200 g;
  • Carrots 1 piece;
  • Onion 1 piece;
  • Tomato to improve taste;
  • A small pinch of salt.

All vegetables are chopped and then boiled in salted water. The tomato is peeled and pureed in a blender. You can add greens and a small amount of not very acidic sour cream to the finished dish.

Oatmeal soup

Making oatmeal soup requires the following ingredients:

  • Oatmeal 80 grams;
  • Potatoes 100 grams;
  • Carrots 1 piece;
  • Onion 1 piece;
  • A small pinch of salt.

Potatoes, onions, carrots are finely chopped and boiled in boiling water until half cooked. Next, add oatmeal and cook for a few more minutes. You can add a small piece of butter and herbs to the finished soup to taste.

While following a therapeutic diet for the treatment of hyperacidity gastritis, it is necessary to consume salads from boiled vegetables. For example, prepare a vinaigrette without adding sour cucumbers, boiled beets with nuts.

In most cases, pregnant women face a problem such as high or low acidity while carrying a child. Such exacerbations are directly related to changes in hormonal levels and the pressure of the developing fetus on the digestive organs.

Doctors recommend following a therapeutic diet in case of severe exacerbation and aggravation of general symptoms. But at the same time, balance the maximum intake of nutrients that are necessary for the successful development of the unborn child.

Increased acidity is manifested by the following symptoms:

  • Burning and heaviness in the stomach;
  • Unpleasant sensations in the sternum;
  • Heartburn with belching and an unpleasant odor;
  • Constant headaches due to general intoxication of the body.

A strong increase in acidity is caused by excessive production of mucus, which corrodes the walls of the stomach and can subsequently lead to erosive gastritis. If you have a question about what to do about an illness that has arisen during pregnancy, it is best to contact your personal gynecologist.

If a woman experiences increased acidity during pregnancy, it is advisable to exclude the following foods from the general diet:

  • Sweet carbonated drinks;
  • Black bread;
  • Freshly baked pastries;
  • Pickled or salted vegetables;
  • Fruits with sourness;
  • Smoked meat or sausages;
  • Fatty soups and broths;
  • Products containing artificial flavors and substitutes.

The diet should consist of light foods with a balanced content of nutrients, proteins, fats and carbohydrates:

  • Cereal porridge;
  • Cream soups;
  • Lean varieties of meat, fish;
  • Sweet tea;
  • Juices, compotes, jelly;
  • Fruits and vegetables that do not contain large amounts of natural acid.

If the question arises about the use of drug therapy, doctors try to protect the pregnant woman from unnecessary exposure to drugs of chemical origin. This treatment is prescribed for severe exacerbation and the need to quickly restore general condition in emergency conditions.

According to statistics, all pregnant women suffer from various digestive problems, as the body undergoes significant changes and hormonal disruptions. It is important to ensure maximum protection measures and protect yourself from unwanted consequences.

The use of traditional medicine to reduce acidity during pregnancy is undesirable for a woman, since it is unknown how such therapy can affect the development of the unborn baby.

The phenomenon of increased acidity during pregnancy is physiological, so fresh milk, carrot, potato and pumpkin juice can be used to eliminate the discomfort.

Baking soda can be used as an antacid only in emergency cases, since its regular use can lead to the development of trophic gastritis. This remedy is ineffective in combination with rose hips and natural honey.

Prevention of high acidity during pregnancy consists of the following recommendations:

  • Long walks in the fresh air;
  • Special gymnastics for pregnant women;
  • Mandatory elimination of bad habits;
  • Refusal of heavily fried foods, strong tea, coffee;
  • Drinking alkaline water (if there is no predisposition to severe swelling);
  • Providing fractional meals up to 7 times a day every 2–3 hours.

There are few things that can cause a person more discomfort than stomach pain. If this kind of ailment occurs frequently, then you should not put off visiting a doctor: with the help of a competently prescribed treatment regimen, you can quickly get rid of the manifestations of the disease. Find out what groups of drugs are used for this.

How to treat gastritis with high acidity

This disease manifests itself with many unpleasant symptoms: pain in the stomach, an unpleasant sour taste in the mouth, heartburn, and sometimes nausea, vomiting, and constipation. To choose the most effective method of treating gastritis with high acidity, it is necessary to establish the cause of this disease. In most cases, it is caused by the bacteria Helicobacter Pylori, which lives in the pylorus of the stomach (pylorus), the part of the organ where it passes into the duodenum. When multiplying, these microorganisms have a detrimental effect on stomach cells, causing inflammation.

If the test data confirms the presence of the pathogen, then antibiotics will definitely be included in the medications for gastritis with high acidity. The importance of timely elimination of the infection is that without the proper full range of treatment, the patient’s risk of developing a stomach ulcer and cancer of this organ increases significantly.

Acute gastritis

This disease, accompanied by severe pain, cannot be left to chance; it must be treated under the supervision of a professional gastroenterologist. The diagnosis prescribed by the doctor will reveal the extent to which the secretory function of the glands that produce hydrochloric acid and the glands that produce mucus to protect the walls of the stomach from the acid produced is impaired.

After the examination, a course of therapy will be individually selected. The general treatment regimen for the disease includes the following sequential stages:

  • elimination of factors that provoked the development of the disease;
  • stimulation of regeneration of the gastric mucosa;
  • To prevent possible exacerbations, it is imperative to follow a certain diet.

Chronic inflammation of the gastric mucosa

Often, the patient feels the manifestations of this form of the disease when, along with a feeling of hunger, pain in the stomach comes, and after eating, discomfort is felt in this organ and in the intestines: rumbling, cramping, bloating. The treatment regimen in this case is based on eliminating the cause of the disease and regulating the process of hydrochloric acid production, which will reduce the acidity of gastric juice. The patient will need to adhere to a diet, maintain a gentle regime of work and rest.

How to treat gastritis of the stomach

What medications do doctors indicate in their prescriptions to cure gastritis with high acidity? You need to know that there is no universal cure for gastritis. A specialist should prescribe drugs, taking into account an integrated approach, the expected effect on the cause of the disease and the patient’s sensitivity to such substances. Familiarize yourself with the mechanism of action and the names of medications that help cure the disease.

Treatment of gastritis with high acidity with medications

One of the main medical methods of combating such a disease is eradication therapy - a set of measures aimed at eliminating the bacteria that cause the disease. In this case, two types of antibacterial drugs are prescribed. For example, a patient needs to take Amoxicillin - 1 g (or Metronidazole - 500 mg) and Clarithromycin - 500 mg twice a day for two weeks.

It must be remembered that although antibiotics are quickly absorbed from the blood into the gastric mucosa, effectively eliminating the infection there, they can also have a negative effect. Often such drugs cause nausea, diarrhea, and skin rashes, so it is important to undergo treatment under the supervision of a specialist. At the same time, the doctor will prescribe other medications that will reduce the production of hydrochloric acid, neutralize its effect on the gastric mucosa, and will protectively coat the inner surface of the organ and relieve its spasms.

Proton pump inhibitors

This group of drugs is an effective cure for gastritis with high acidity, because their use reduces the production of hydrochloric acid in the stomach. As a result, damage to the mucous membrane of the organ is stopped, but such substances can also cause side effects - headaches, defecation disorders, skin rashes. As a cure for gastritis of the stomach, patients are often prescribed a weekly course of the following proton pump inhibitors (taken twice a day):

  • Esomeprazole, Omeprazole – 20 mg each;
  • Lansoprazole – 30 mg;
  • Pantoprazole should be taken 40 mg.

Antacids for gastritis with high acidity

Drugs from this group of medications will create a protective film on the inner surface of the stomach, compensating for the insufficient protection of the organ from acid and relieving the exacerbation of gastritis, but when prescribing, their possible side effects must be taken into account. Thus, medications containing bismuth salts: Vikalin, De-Nol, Gastro-Norm, etc. - can cause nausea in the patient, and sometimes there is a urge to have frequent bowel movements. These drugs have contraindications for use: childhood, pregnancy, lactation, kidney failure.

Pharmacies offer antacids in the form of suspensions, gels, capsules, and tablets with a pleasant taste. Drink them after meals and before bed. The following drugs are often used as a cure for ulcers and gastritis:

  • Maalox, Almagel - contain a combination of aluminum and magnesium hydroxides to provide maximum therapeutic effect;
  • Phosphalugel - contains aluminum phosphate.

Find out which is better and more effective.

Histamine receptor blockers

How do these medications help against gastritis with high acidity? The active ingredients of such medications stop the spread of hydrochloric acid, which helps restore the gastric mucosa and reduces pain. Compared to proton pump inhibitors, this group of drugs is less effective, and the course of treatment is longer: from 2 to 4 weeks, 2 tablets per day. These medications include:

  • Ranitidine;
  • Telfast;
  • Cesera et al.

Antispasmodic tablets for gastritis of the stomach

Such drugs affect the smooth muscle tissue of this organ and improve blood flow in its walls. As a component of the treatment regimen, they are recommended because of their ability to quickly relieve an attack of pain, but you should not drink such tablets uncontrollably - this can even cause cardiac arrest and nervous system disorders. Antispasmodics that help with gastritis include:

  • myotropic drugs acting on the muscles of the stomach: No-shpa, Drotaverine, Papaverine, etc.;
  • neurotropic drugs or anticholinergics, relieve spasms and reduce acidity: Aprofen, Difacil, Buscopan, etc.

Folk remedies for gastritis with high acidity

Often at home, sodium bicarbonate - baking soda - is used as a medicine for the stomach. After taking it, the acid in the stomach is quickly neutralized, but the effect of this drug is short-lived, and frequent use will be harmful. It is better to use medicinal plants or other natural pharmacy products to eliminate the unpleasant symptoms of the disease.

Herbs for gastritis

Many medicinal plants are used as a cure for gastritis with high acidity. Herbal teas, infusions and decoctions are prepared from them, which are then taken to mitigate the inflammatory process. The use of the following herbs for gastritis gives good results:

  • chamomile;
  • St. John's wort;
  • calendula;
  • nettle;
  • celandine (taken in small doses - the plant is poisonous!).

Traditional medicine recipes

Is it possible to alleviate and eliminate the manifestations of the disease with the help of such means? Try these simple remedies to cure gastritis with high acidity:

  • drink 1 tsp on an empty stomach and before bedtime. flaxseed, olive or sea buckthorn oil, washed down with 0.5 tbsp. warm water;
  • Half an hour before meals, drink 0.5 tbsp. freshly squeezed potato juice - three times a day;
  • pour flax seeds (2 tsp) with a glass of boiling water, leave overnight, then divide the infusion into 3 servings and drink during the day before meals.

Find out folk remedies and medications.

Video: honey for gastritis with high acidity

Gastritis is an inflammation of the stomach wall. Symptoms of gastritis can vary depending on the individual characteristics of each person’s body, and sometimes in many people the disease is asymptomatic.

However, the most common symptoms that accompany gastritis are nausea, vomiting, a burning sensation in the stomach at night or between meals, a feeling of fullness in the upper abdomen after eating, indigestion, heartburn, abdominal pain, dark stools, bloating and loss appetite.

This disease can result from infection of the stomach lining caused by Helicobacter pylori bacteria, excessive use of painkillers or certain other anti-inflammatory medications, and consumption of sour and spicy drinks and foods.

Even the wrong diet can lead to gastritis. Let's learn more about the treatment of gastritis with high acidity in this article.

Introduction

Stress and viral or fungal infections may be other causative factors that trigger gastritis.

In some cases, the symptoms of acute gastritis with high acidity can be relieved within a few days.

The patient has the option of trying a few simple home remedies along with diet and lifestyle changes to bring the serious symptoms of the disease under control and prevent complications from developing.

However, if a person suffers from chronic gastritis and experiences too much discomfort, he should consult a doctor because this type of disease can lead to the formation of ulcers.

Consultation with a doctor and timely treatment are extremely important for the patient, as exacerbation of gastritis may occur. At the same time, you can use some traditional methods of treating gastritis.

How to treat gastritis: folk remedies

When a patient develops gastritis with high acidity, folk remedies can help him significantly relieve stomach pain and reduce the intensity of other symptomatic manifestations.

The use of various natural products and remedies, as well as a proper healthy diet will help improve the patient's condition.

In traditional medicine, honey is not only a food product, but also has an antibacterial effect and treats gastritis.

Honey contains glucose, fruit sugar and high levels of vitamin B1, vitamin B2, vitamin B6, vitamin E.

The vitamins in honey can help stimulate efficient metabolism. Potassium and magnesium (in normalized form) can stimulate appetite by increasing organic acid levels and improving digestion.

The pollen seed in honey can also boost the immune system. For the stomach, honey can reduce the acid secretion of gastritis, and relieve painful symptoms better than any medicine.

This product is also one of the most effective home remedies for the treatment of erosive gastritis with high acidity in the stomach, which patients should not ignore.

Grapefruit leaves have an antiseptic effect and the essential oil of grapefruit extracted from the leaves can cure influenza, fever, cough, headache, nasal congestion, runny nose, and symptoms associated with gastritis with high acidity. Recipes with this product are quite varied.

The patient just needs to use 50g grapefruit leaves, 20g bamboo leaves, 20g basil leaves and 20g lemon grass.

For all types of leaves mentioned, you need to place them in a pot of water, bring to a boil and inhale the vapors released from the pot of infusion.

Elderly patients who have a high fever and excessive sweating should not undergo this procedure.

Dried grapefruit peel can help cure indigestion, gastritis, bloating, abdominal pain, cough due to wind, cold and cough due to flu.

The patient needs to mix 12 g of grapefruit peel, 12 g of dry tangerine peel and 3 pieces of fresh ginger. Then add 300 ml of water to these ingredients and boil for 10-15 minutes.

After the solution has cooled, it can be taken in the amount of 100 ml before meals.

Every day, people with gastritis should also drink at least 1000 ml of cabbage juice.

The patient can add sugar or salt to this juice according to his preference to make it more palatable for consumption.

Cabbage juice does not cause complications, so it is possible to combine it with other medications to treat gastritis with high acidity and stomach ulcers.

According to several studies, aloe vera can also help treat gastritis and other stomach diseases without causing side effects after use.

The juice of the aloe vera plant contains some chemicals that can stimulate the digestive system and relieve stomach pain that accompanies gastritis.

In addition, they have a laxative effect and can suppress hydrochloric acid, preventing mucus secretion that can cause stomach ulcers or gastritis.

Treatment of gastritis with folk remedies using aloe vera is quite simple.

It can be easily done at home: you just need to peel 10 g of aloe vera and boil it, after which you can take the cooled decoction throughout the day.

Eating regular carrots can also help avoid constipation due to gastritis, as carrots are a natural laxative.

Treatment with folk remedies for an ailment such as gastritis can also be carried out through the consumption of fermented milk products, for example, yogurt.

This product contains probiotics that can protect the stomach wall from the negative effects of various bacteria and foods that irritate it.

Additionally, it can boost the immune system, allowing the body to fight infection more effectively. It should be noted that there are two ways to use yogurt to treat gastritis with high acidity.

The first method is very simple. The patient simply needs to drink 2 or 3 cups of the above remedy every day.

You can choose the most ordinary yogurt to get good results. It is recommended to drink yogurt until your stomach condition improves.

The second way to cure gastritis is to make a smoothie consisting of yogurt, banana and honey.

You need to mix a banana with one cup of plain yogurt and honey. It is recommended to drink this cocktail 2 or 3 times a day. It is advisable to do this every day until the condition improves noticeably.

Chamomile tea is also a good option for treating gastritis with high acidity at home.

It contains essential oil, which can be very beneficial for the digestive system.

This remedy can soothe the intestinal wall, eliminate increased gas formation, relieve sudden pain during gastritis, and heal gastritis itself over time.

In addition, chamomile tea reduces stomach inflammation. There are numerous recipes for this natural remedy.

To prepare this tea according to the classic recipe, a person needs to do the following:

  1. First take one or two teaspoons of dried chamomile flower.
  2. Then add them to a cup of boiling water.
  3. Next, cover them with a lid and leave for 5-10 minutes.
  4. After this, strain the liquid.
  5. Add a little honey.
  6. Finally, drink this tea several times a day as needed.
  7. Make this remedy again in a week.

It is worth noting that the patient does not need to boil this herb, because this action will destroy its active compounds.

When it comes to treating gastritis with high acidity with folk remedies, mint should also be mentioned.

Thanks to its antibacterial, antispasmodic, soothing and anti-inflammatory properties, peppermint can reduce inflammatory processes in the inflamed stomach wall during gastritis.

In addition, it can reduce indigestion, heartburn and nausea. In this regard, when using peppermint, the patient should choose one of the following methods.

First of all, the treatment can be done by taking peppermint tablets. It is enough to take 1 tablet of this type two or three times a day.

If a person wants to get the best result, he should first consult a doctor who will tell you whether this treatment is correct.

There is also the option of consuming (chewing) peppermint leaves. Additionally, you can add mint to smoothies, soups, and salads.

Ripe apples also help with chronic gastritis. This fruit is usually difficult to digest due to its tough skin.

Therefore, they must first be cleaned and then grated on a fine grater or crushed with a knife. It is necessary to use apples in this form as often as possible.

You should not eat anything 5 hours before eating this fruit. For this reason, performing the procedure only once a day is the correct therapy option.

Gradually, you can start eating apples 2 times. Bright green fruits are the most beneficial. It has been proven that they contain the greatest amount of useful substances compared to apples of other colors.

The medicinal components of St. John's wort also have a great influence on many health disorders in the human body. In particular, St. John's wort is used for gastritis with high acidity.

Treatment of gastritis is carried out using St. John's wort infusion. It is prepared at the rate of 1 tablespoon of the product per one cup of boiling water. It is enough to brew it for 10-12 minutes.

You can infuse this drink longer. After infusion, it must be thoroughly strained and drunk throughout the day.

In most cases, uncomplicated forms of gastritis with high acidity respond well to certain actions on the part of the patient.

  1. Do not eat quickly within 24 hours after the onset of gastritis with high acidity. The patient should drink exclusively water and soft drinks. The next day, you can start eating small meals consisting of light foods such as rice, toast, cooked vegetables and applesauce, which should not irritate the stomach.
  2. Lead a healthy lifestyle. The patient must follow a diet; gastritis is cured faster by consuming healthy foods (fruits, vegetables, cereals, etc.)
  3. Avoid taking any type of anti-inflammatory medication. Pain relief medications, such as Aspirin, Ibuprofen, Naproxen, or other medications (called NSAIDs), can be hard on the stomach and cause additional gastrointestinal problems.
  4. Take over-the-counter antacids or acetaminophen (an effective medication) to relieve stomach pain. You should follow your doctor's instructions or the directions on the medicine label.
  5. Quit smoking and abstain from excessive alcohol and coffee as long as you have symptoms. Gastritis is aggravated if a person smokes and drinks alcohol. Therefore, it is very important to follow this point of recommendations.

Treatment of gastritis using folk methods is very common. In addition, there are certain preventive measures to combat gastritis at home. They are described below.

In particular it is necessary:

  1. Monitor your medication intake. If a person must take a medicine that ends up irritating the stomach, one should ask the treating doctor to change it to another medicine. For example, enteric medications in tablet form have a special coating that allows them to pass undissolved directly from the stomach into the small intestine. In some cases, this may help prevent symptoms of acid gastritis.
  2. Keep a so-called food diary. Diet and proper nutrition imply the exclusion of spicy, fatty or fried foods, which can trigger the appearance of a disease such as gastritis. It is recommended to reduce or exclude them from the diet during treatment of the disease.
  3. Eat often, but in small, fractional portions. Diet is not only about eating the right foods, but also about eating slowly. It can help reduce excessive acid buildup in the stomach.
  4. Quit bad habits, reduce or eliminate alcohol consumption altogether. These are two common causes of acute and chronic gastritis due to high acidity.
  5. Try to minimize stress. If the latter is the cause of gastritis, it is advisable to find out what is causing stress in a person's life and what changes he can make to reduce it.

The main reason that a person develops gastritis is a disruption of the normal diet.

In this regard, it is possible to prevent the onset of the disease if you pay close attention to your diet and use popular folk methods of treatment.

Therefore, if serious symptoms are detected, it is necessary to promptly seek medical help from a doctor and treat the disease so that it does not worsen over time.

The doctor will determine the cause of the disease, prescribe medications to the patient to treat the disease, and also suggest which diet will be acceptable to the patient’s body and will contribute to a speedy recovery from such a serious illness.

Useful video

All inflammatory conditions are called gastritis. The process is localized on the mucous membrane and occurs as acute or chronic inflammation. As a result of prolonged, poorly treated gastritis, the cells are destroyed and the organ ceases to participate in digestion. refers to pre-ulcerative conditions of the stomach.

The disease has many varieties. The ability to examine the mucosa using fibrogastroscopy contributes to an accurate diagnosis. Classifications have appeared taking into account the type and location of inflammation. However, for practitioners, one of the main fundamental distinguishing principles remains the ability of the stomach to produce juice.

The main component of gastric juice is hydrochloric acid. Depending on its level, gastritis is distinguished with high or low acidity. We will look at the connection between inflammation and increased acidity, and the clinical signs of these disorders.

Where is acid produced and what affects it?

The body of the stomach contains the main secreting glandular cells. Among them there are “main” (40%), which synthesize enzymes. Pepsinogen is of greatest importance. Others, parietal (account for 12%), secrete chloride salts and a substance called intrinsic Castle factor. It ensures the absorption of vitamin B 12 in the small intestine.

Chlorides combine with hydrogen ions in the lumen of the glands, resulting in the formation of hydrochloric acid. Role of acid:

  • activate pepsinogen so that it turns into pepsin;
  • maintain an optimal level of acidity (in diagnostics it is called pH) for the functioning of the enzyme systems of the stomach;
  • provide initial chemical processing of food;
  • using a bactericidal effect, protect the gastric mucosa from pathological microorganisms.

The glands of the lower stomach (antrum) produce an alkaline secretion. It is designed to prevent acid from entering the duodenum.

Normal fluctuations in acidity throughout the day are ensured by the coordinated work of the antral and fundic glands

In order for acidity to increase, one of the conditions is necessary: ​​either a sharp increase in the production of gastric juice in the body, or blocking the alkalization process. Normally, the balance is controlled by the nervous and endocrine systems (hypothalamus, pituitary gland). This explains the influence of stress and nervous tension on the secretion mechanism in the stomach.

Gastrin is considered one of the main hormones. It is produced by G cells and is capable of both stimulating and blocking digestion. In practice, its ability to activate the activity of parietal cells and increase acidity is important.

Some scientists reject the existence of hyperacid gastritis. Their main argument: an inflamed stomach cannot function stronger than a healthy one.

Others explain the mechanism by damage to the antrum by irritation of G-cells, an increase in secreted gastrin and subsequent stimulation of the secretion of hydrochloric acid in the unaffected fundus. Even if the inflammation of the fundus of the stomach is captured by inflammation, the decrease in acidity begins only when the process reaches the submucosal layer.

Causes

The following reasons are important for the development of gastritis with high acidity:

  • external (exogenous);
  • internal (endogenous);
  • hereditary-constitutional.

The external group includes:

  • violation of the regime and quality of nutrition, long breaks in food, starvation diets, overeating heavy foods, refined foods (sweets), which reduce the binding of excess hydrochloric acid in the gastric juice;
  • hard work, stress;
  • taking medications with a negative effect on the stomach (salicylic acid derivatives, non-steroidal anti-inflammatory drugs, antibiotics, sulfonamides);
  • lack of substances in food that ensure the restoration of damaged cells of the gastric mucosa and glandular epithelium (vitamins, iron, protein, microelements).

Studies have shown that in areas with unfavorable environmental conditions, 3 times more pathologies of the stomach and duodenum are detected. Among internal factors, the main importance is given to mechanisms for:

  • neuro-reflex effect on the gastric mucosa of other pathologically altered organs of the digestive system (liver, gall bladder, pancreas, intestines), this leads to a breakdown in control of secretory activity and gastric motility;
  • increased production of histamine;
  • disruption of microcirculation of blood flow in the stomach area up to chronic thrombohemorrhagic syndrome.

This is possible with long-term smoking, alcoholism, and endocrine diseases. As a separate reason, we present opinions regarding Helicobacter pylori infection. Inflammation occurs even with normal acidity. Regenerative processes are blocked, and the urease enzyme creates a protective layer around the bacterium itself.


Helicobacter penetrates the mucus layer, attaches to epithelial cells, and moves inside the crypts and glands of the stomach. In this way, the protective layer is destroyed and free access of hydrochloric acid to the tissues is opened.

Some researchers do not recognize the leading role of Helicobacter infection. More than 140 strains with varying degrees of infectivity and sensitivity to antibacterial agents have already been isolated. Scientists believe that combinations of infectious agents are possible.

What types of gastritis are known, accompanied by increased acidity?

One of the classifications proposes to distinguish gastritis by type and type, depending on the causes, and include them in the formulation of the diagnosis. This applies to any inflammation of the stomach, regardless of acidity.

Fundal (type A) - affects the body of the stomach, most often caused by a genetic predisposition and the production of autoantibodies. The glands of the fundus atrophy, so there is no increase in acidity.

Antral (type B), bacterial - caused by infection, including Helicobacter, inflammation overirritates G-cells, they increase gastrin synthesis. In response, the “healthy” fundus produces an increased volume of hydrochloric acid, and acidity increases. In the later stages, stomach cells become depleted and acidity drops.

Chemotoxic (type C) - diagnosed if the provoking factors were medications, alcohol, or ingestion of toxic substances. Divided by:

  • reflux gastritis - formed due to impaired motility and inflammation of the gallbladder or duodenum, reflux of bile acids into the stomach occurs, which is tantamount to a chemical burn of the mucous membrane;
  • medicinal.

Often there is a mixed form of the disease. In addition, acute and chronic forms are distinguished. The acute form of the disease usually begins suddenly after exposure of the stomach to extremely strong irritants (infected foods, chemicals).

Chronic gastritis with high acidity develops over a long period of time and is more associated with disruption of the processes of restoration of damaged epithelium and overirritation of the glands. Many authors agree that increased secretion is the first phase of the development of a more common form - gastritis with low acidity and mucosal atrophy. Inflammation occurs with periods of exacerbation and remission.

The acute form, according to the conclusion of fibrogastroscopy, is classified into four types:

  • catarrhal or superficial - most typical for dietary errors;
  • diphtheria or fibrosis - usually caused by chemicals;
  • corrosive (toxic-chemical, necrotic) - severe inflammation due to exposure to concentrated acids and alkalis, causing necrosis of the gastric mucosa;
  • phlegmonous - melting of the stomach wall occurs, pus spreads to all layers, more often observed in complicated cases of cancer, ulcers, and in people with low immunity.


One of the classifications tries to combine the conclusion of fibrogastroscopy with the severity of atrophy processes

Depending on the location of inflammation, there are:

  • pyloroduodenitis (damage to the antral zone) of the stomach;
  • fundic gastritis (body);
  • pangastritis (involves the entire organ).

How do the main symptoms appear?

Symptoms of gastritis with high acidity have common symptoms of all gastritis and their own specific characteristics. Doctors “recognize” them if the patient complains of:

  • a feeling of heaviness, fullness in the stomach 20–30 minutes after eating, pain of a dull or aching nature, intensifies on an empty stomach, with a long break in food, when the stomach is empty;
  • belching with sour contents;
  • heartburn - caused by the backflow of gastric juice into the lower part of the esophagus;
  • tendency to constipation;
  • short-term colic along the intestines;
  • nausea after eating;
  • sometimes vomiting with sour contents, which improves the general condition;
  • change in appetite - a decrease is due to fear of pain, and an increase is due to an improvement in the condition when binding acid with food.

Upon examination, the doctor discovers: a bright red tongue with a white or gray coating, moderate pain in the epigastrium in the superficial form and severe in the case of severe disease; patients usually do not lose weight. Patients experience astheno-neurotic syndrome.


Patients are bothered by constant bloating

These are signs of damage to nervous regulation: emotional instability, laughter is replaced by anxiety, crying, increased irritability, a tendency to lower blood pressure, bradycardia (lower heart rate), arrhythmias, increased sweating; when running a blunt spatula over the skin, the doctor sees the appearance of red stripes (red dermographism - a sign of impaired vascular tone).

How does chronic gastritis differ from acute gastritis?

Gastroenterologists at the present stage of diagnosis do not focus on patient complaints, data on the secretory function of the stomach and fluoroscopy. Objective signs of gastritis with high acidity are accurately characterized only after studying a biopsy of the mucous membrane.

Among the morphological changes, the following should be identified: a reduced or preserved number of glandular cells in the corresponding part of the stomach, round cell infiltration, epithelial degeneration, replacement of gastric gland tissue with intestinal epithelium (metaplasia), areas of scar tissue.

Until the results of endoscopic and histological studies are received, international associations of gastroenterologists recommend using the term “non-ulcer dyspepsia.”

What examination needs to be done?

In clinical tests, no specific changes should be expected; only confirmation of the presence of an inflammatory process in the body (slight increase in leukocytes, ESR) is possible. Biochemical tests indicate concomitant damage to the liver and pancreas.

If erosions appear on the gastric mucosa, bleeding can be detected by the reaction of feces to occult blood (Gregersen). To identify Helicobacter, the following are carried out: urease breath test, enzyme-linked immunosorbent assay, polymerase chain reaction method.

Bacteria can be seen when examining biopsy material. The esophagus, all parts of the stomach and the duodenum are examined using a fibrogastroscopic method. The diagnosis includes a type of inflammation. pH-metry - stands for hyperacidity when the value is less than 1.5.


There are several ways to measure gastric pH

To measure pressure fluctuations in the stomach cavity and the possibility of reflux from the duodenum, electrogastroenterography is indicated. Ultrasound and computed tomography are auxiliary methods for diagnosing diseases of other abdominal organs with possible secondary inflammation of the stomach.

How to treat gastritis with high acidity?

Treatment of gastritis with high acidity requires compliance with the following basic goals:

  • normalize acidity;
  • relieve the patient’s stomach from the effects of Helicobacter pylori;
  • carrying out optimal anti-inflammatory therapy;
  • restoring the ability of cells to regenerate;
  • strengthening immune defense.

In case of acute catarrhal form and mild exacerbation of chronic gastritis, patients can be treated on an outpatient basis. In the case of more complex types, protracted course, hospitalization in a specialized department is recommended. Smoking, drinking alcohol, and carbonated water are strictly prohibited.

Diet

The treatment regimen must include dietary nutrition. Food for patients should be prepared only steamed or boiled or stewed. Frying methods are excluded. The feeding schedule becomes more frequent up to 5–6 times. This is necessary for the constant binding of hydrochloric acid. The total volume for each meal is reduced.

Dietary table No. 1 is assigned. The patient should not cook spicy, smoked, or highly salty foods. Pickled vegetables, sour fruit and berry juices, fermented milk products, legumes, mushrooms, cabbage, onions and garlic, other hot seasonings, cucumbers, and radishes are excluded.

You cannot eat nuts, cakes with cream, sweets (jam), sour apples, lemon. Sweet fruits are allowed fresh and in juice (grapes, peeled apples, melon). All dishes should be well-cooked and chopped as much as possible in order to relieve the stomach.

Boiled porridges (rice, buckwheat, oatmeal) are recommended. Patients benefit from porridge with pumpkin and pumpkin juice. Pearl barley, wheat and barley are prohibited. You can cook pasta. A liquid puree is prepared from potatoes, stewed together with carrots and zucchini.


Broccoli allowed

Soups made from meat and fish should not be rich. Canned meat and fish, and fatty pork are prohibited. Recommended are chicken, skinless turkey, beef in the form of meatballs, steam cutlets, slimy soups with boiled oatmeal. If tolerated well, you can drink whole milk, coffee with milk, weak black and green tea, and rosehip decoction.

It is recommended to use sweet berry jelly, compotes, and oatmeal jelly. It is better to refrain from eating pears and plums. Pears have a strengthening effect, plums weaken. They contain coarse fiber, which is not good for the stomach during the inflammation stage.

Butter or olive oil is added to main courses, puree soups, and is recommended to be taken on an empty stomach. How long to follow a diet for acute gastritis should be decided with your doctor. Chronic patients will have to adhere to restrictions throughout their lives.

Treatment with medications

Drug treatment includes drugs from different groups. For the treatment of acute gastritis, antispasmodics (No-shpu, Drotaverine, Papaverine) are used to reduce pain. Antibiotics are prescribed for obvious bacterial infection.

Enveloping agents (Almagel A, Gastroceptin) are more suitable for patients with a chronic course of the disease.

Antacids are a group of drugs that can neutralize stomach acid. They use combinations of magnesium, aluminum, calcium, silicon salts (Maalox, Phosphalugel, Gastracid, Altacid, Palmagel, Topalcan, Gaviscon, Rutacid, Gastal).


The effect does not occur immediately, but lasts a long time

Proton pump blockers act directly on the glands of the mucous membrane that produce hydrochloric acid (Omez, Omeprazole, Rabeprazole). H2-histamine receptor blockers act by reducing tissue sensitivity to histamine (Ranitidine, Famotidine). They have an anti-inflammatory effect.

If the disease is associated with Helicobacter infection, a course of treatment with antibiotics (Amoxicillin and Clarithromycin) in combination with Denol and Trichopolum is used. Often patients need sedatives and normalization of sleep.

Physiotherapeutic methods are used to enhance healing:

  • electrophoresis;
  • applications of paraffin and ozokerite;
  • magnetotherapy.

Among the popular recommendations for the use of herbal medicine, the most advice is on the use of herbal infusions and teas with mint leaves and chamomile flowers. Careful use of St. John's wort is required. Its undesirable carcinogenic properties have been discovered.

You can use natural honey from beekeeping products (add a little to porridge, tea, decoction). Propolis tincture is diluted with milk or warm water. It has a healing effect on inflammation of the stomach and has a negative effect on Helicobacter.

Prognosis of cure and preventive measures

If treatment is started on time and carried out in full accordance with the scheme and proper courses, the prognosis is quite favorable. If the patient refuses to give up bad habits, alcohol consumption, or follow a diet, one should expect the disease to progress to gastric and duodenal ulcers.

For the purpose of prevention it is necessary:

  • monitor the regularity of nutrition, do not allow any diets without the consent of a doctor;
  • Reduce coffee consumption to two cups per day;
  • do not drink sparkling water;
  • diversify your food with fruits and vegetables, give up fast food;
  • observe personal hygiene requirements;
  • take medications only if truly necessary.

Your doctor will tell you how to properly treat hyperacid gastritis at your appointment. This species is not considered as dangerous as the hypoacid species. But in the absence of therapy, peptic ulcer disease with all subsequent problems becomes a complication. Therefore, you should take full advantage of the chance of cure.



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