Erosive gastritis, acute erosion of the stomach. Distal erosive gastritis symptoms. Erosive antral gastritis

Erosive gastritis– one of the most common diseases of the gastrointestinal tract, which is characterized by the occurrence of erosions on the gastric mucosa. The main difference between this type of disease and ordinary gastritis is the presence of a large number of mucosal areas susceptible to erosion, a change in its color, severe redness and inflammation.

It can occur in acute or chronic form. In the first case, unpleasant symptoms are caused by poor quality food entering the stomach or toxic substances, and the second form occurs when the normal functioning of the digestive system organs is disrupted.

In addition, the erosive type also differs from other types of gastritis in that it lasts a long time and requires more time to treat it. As they spread, erosive neoplasms can cover all parts of the gastric mucosa and thereby cause intense symptoms. The most common is chronic or erosive antral gastritis.

What it is?

Erosive gastritis is an inflammatory lesion of the gastric mucosa, in which single or multiple erosive defects form on its walls against the background of minimal activity of the inflammatory process. It is often accompanied by bleeding and hemorrhagic imbibition of the affected mucous membrane.

Reasons for development

Erosive gastritis, also known as bulbitis, is an inflammatory disease of the gastrointestinal tract that causes the development of erosions (wounds) on the gastric mucosa. Timely detection of the disease is the key to a quick recovery.

The most common causes of erosive gastritis are:

Long-term use medications(non-steroidal anti-inflammatory drugs, hormonal (corticosteroids), veroshpiron, nitrofuran drugs, ethacrynic acid).
Unfavorable working and living conditions.
Stress and nervous exhaustion are also common causes of gastritis.
Disease endocrine system(diseases thyroid gland, diabetes).
Severe chronic diseases (renal, cardiac, liver failure, diseases of the blood and respiratory system).
Unbalanced diet of processed foods and fast food.
Alcohol intoxication.

Depending on the causes of this disease, there are:

primary erosive gastritis - occurs in young, practically healthy people, as a result of psychological trauma or unfavorable social living conditions;
secondary erosive gastritis - occurs as a result of severe chronic diseases body.

Medical scientists do not deny the influence of the following provoking factors:

presence of the bacterium Helicobacter pylori;
gastroduodenal reflux (throwing of hydrochloric acid and stomach contents);
decreased or absent properties of the gastric mucous gel;
poor circulation in the gastric mucosa;
disruption of the immune and hormonal levels in the body.

Classification

Depending on what factors became the causative agents, erosive gastritis can be:

primary – manifests itself in practically healthy middle-aged people. Manifests itself due to psychological trauma, living in cities with polluted air or near factories;
secondary – formed against the background of chronic human diseases.

There are several types in which this disease can be expressed:

Acute gastritis - the disease develops rapidly and is characterized by shallow, superficial lesions on the entire surface of the gastric mucosa. Acute erosive gastritis of the stomach is the most severe form of the disease, but it is rare in patients. The disease can be detected after accidental or intentional consumption of poisons, chemicals, concentrated acids.
Hemorrhagic or chronic erosive gastritis occurs most often in patients. The disease is characterized by the presence of large erosions (from 3 to 7 mm) on the gastric mucosa, inflammation of the internal lining of the digestive organ. Most often, the cause of chronic erosive gastritis is an unhealthy lifestyle (poor diet, alcohol abuse), long-term use of non-steroidal anti-inflammatory drugs, as well as surgical interventions on the stomach.
Erosive antral gastritis caused by the bacteria Helicobacter pylori is also very common. Microorganisms live in the lower part of the stomach, under the mucus in an alkaline environment. Bacteria cause inflammation of the gastric mucosa, and the damaged tissue is practically unable to regenerate.
Another type of disease is erosive reflux gastritis. The disease develops due to the abandonment of contents duodenum into the stomach. Swelling may be observed in the mucous membrane of the stomach, ulcers gradually appear, which rapidly increase in size. In the last stage of gastritis, destroyed stomach tissue can flake off and come out with vomiting.

Symptoms of erosive gastritis

It is extremely difficult to suspect the erosive form of gastritis only based on the patient’s symptoms and complaints. The exception is those cases when gastric bleeding occurs against the background of confirmed gastritis.

The development of the disease can occur with or without pain in the stomach. Pain can occur both on an empty stomach and after eating. The degree of intensity of pain depends on the stage of the disease and its extent, as well as on the location of the source of the disease and individual characteristics body, and may require the need to take potent painkillers.

Acute erosive gastritis can manifest itself with the following symptoms:

heartburn;
feeling of heaviness in the stomach after eating;
nausea;
vomiting, sometimes with blood;
unstable stool, most often mixed with blood;
dull pain in the stomach, which intensifies after eating.

In acute erosive gastritis, symptoms appear suddenly, the patient's condition deteriorates sharply, so the disease cannot be ignored.

If we are talking about the acute form of erosive gastritis, then the symptoms described above are often added to:

vomiting, sometimes with bloody impurities;
the consistency of the stool is disrupted - blood appears in the stool, it takes on a dark shade.
Pain from the epigastric region often radiates to the spinal column. At the same time, in young people the pain is usually aching and dull, while in older people it is cramping.

Complications

If such a disease is incompletely or untimely eliminated, there is a possibility of developing complications such as:

decreased red blood cell levels;
state of shock;
formation of gastric ulcers;
deformation of the mucosa;
infection by microorganisms;
extensive hidden hemorrhages, which can cause the patient’s death.

Diagnostics

Identification of erosive gastropathy is based on the collection of anamnesis, a combination of laboratory and instrumental research methods. Anamnesis collection includes information about complaints about the gastrointestinal tract, episodes of vomiting, attacks of pain, bleeding from the esophagus, medications taken, consumption of alcohol, and psychotropic substances. Diagnostic procedures are very informative:

When diagnosing erosive gastritis in the acute stage, with heavy bleeding, endoscopic methods and contrast radiography are not used - there is a high risk of aggravating the situation. After waiting (1–2 days) and stabilization of the condition, EGD is allowed to be performed.

How to treat erosive gastritis?

Treatment of the disease is usually conservative; surgical treatment of erosive gastritis is resorted to only in particularly severe cases. Diet for erosive gastritis is an essential condition for a speedy recovery.

Drug treatment of erosive gastritis is implemented in two main areas:

eradication (destruction) of Helicobacter pylori;
eliminating the impact of aggressive factors, relieving symptoms, stimulating the healing processes of the gastric mucosa.

Eradication therapy is carried out using three- or four-component regimens [proton pump inhibitors or H2-histamine blockers, gastroprotectors, antibacterial drugs (macrolides, semisynthetic penicillins or antimicrobials)].

In order to relieve symptoms and stimulate the healing of defects in erosive gastritis, the following groups of drugs are used:

antacids;
repartees;
antioxidant drugs;
antispasmodics;
sedatives.

In addition to pharmacotherapeutic treatment of erosive gastritis, thermo- or electrocoagulation can be used in complex therapy in the presence of bleeding, laser coagulation, application of staples, endoscopic stitching, injections of adrenaline, sclerosants.

Diet for gastritis

Acute and chronic erosive gastritis in the acute stage cannot be cured without following certain dietary recommendations. They must be followed to prevent the disease. In the active stage of the inflammatory process, diet No. 1 is prescribed. As it subsides, the patient is gradually transferred to the fifth dietary table. Their general characteristics are as follows:

You should not eat food that increases gastric secretion and irritates the mucous membrane (spices, smoked foods, fried and fatty foods);
Products must be fresh, steamed or boiled;
Small and frequent meals. Small portions are preferred;
Cooked dishes should be warm, preferably in liquid or mushy form. Tall and low temperatures equally dangerous for inflamed and eroded mucous membranes.
As for specific products and an indicative menu, they should be as follows:
Prohibited products: fresh bread and buns made from butter flour, cookies, chocolate candies, fatty foods animal origin (pork, lard, blood, homemade sausage with spices);
Allowed products: stale white and black bread, crackers, bran, potatoes in the form of mashed potatoes or as part of soup, various porridges from any cereals with the exception of wheat and barley, butter and other a large number of vegetable oil, dietary meat (rabbit, chicken, fresh young beef), fish, fermented milk dishes.

Approximate daily menu and the correct distribution of dishes should look like this:

1st breakfast	Baked cottage cheese dish, cocoa drink
2nd breakfast	Weak sweet tea and an insipid yesterday-baked bun with butter
Dinner	Any liquid dish based on meat broth, steamed vegetables with fish, fruit broth or compote
Afternoon snack	Crackers or butter cookies with jelly
Dinner	Baked vegetables with pieces of meat, fruit broth (rose hips)
Second dinner	Kefir, fermented baked milk or yogurt

Folk remedies

Traditional methods of treating gastropathy with erosions include herbal medicine, treatment with juices, and sea buckthorn oil. Prescriptions should be used after approval by your attending physician and only in combination. Popular recipes:

St. John's wort infusion - 5 g of raw material, pour 200 ml of boiling water, leave for 10–15 minutes, add raspberry juice or honey to taste, drink in the evenings; the course of treatment is not limited in time;
regular intake sea buckthorn oil helps speed up the healing process of damaged stomach tissue; the oil is drunk after acute symptoms are removed, 10 ml in the morning before meals, the course is up to a month;
freshly squeezed juice from white cabbage - the best remedy from ulcers and erosions in the stomach cavity; the juice is useful for hemorrhagic gastritis due to its powerful hemostatic effect, it is drunk 100 ml before meals, half diluted with boiled water, the course lasts 28 days;
due to its mucous consistency, flax seed infusion envelops the mucous membrane, protecting and restoring it; To prepare, 10 g of dry flaxseed is steamed with 200 ml of water at a temperature of 50°, left overnight, and in the morning the drink is taken on an empty stomach; the course lasts until the condition improves permanently.

Rejection of bad habits

Treatment of erosive gastritis of the stomach should begin with a revision of one’s attitude towards bad habits. Alcohol and smoking have a detrimental effect not only on the stomach, but on the entire body. Having abandoned them, after some time, your body will feel an improvement in its condition, both in general and in its specific organs.

Alcoholic drinks greatly irritate the gastric mucosa, not to mention when taken on an empty stomach. And nicotine, in turn, constricts blood vessels, which means an insufficient supply of blood to organs, including the stomach.

Prevention and prognosis

With timely initiation of treatment, the prognosis for erosive gastritis is favorable. It should be remembered that acute erosive gastritis that is not diagnosed in time can develop into chronic form. If gastric bleeding occurs for the first time, the source cannot be identified, an infectious genesis of erosive gastritis is suspected - hospitalization of the patient is recommended surgery department. If the patient's condition is stable, there are no signs of bleeding, and there is a low risk of relapse, a complete cure is possible even on an outpatient basis.

Prevention of erosive gastritis includes anti-epidemic measures, maintaining a healthy lifestyle, proper nutrition. If the patient has risk factors for the development of secondary stress erosive gastritis (against the background of severe somatic or surgical pathology, with extensive injuries, burns, etc.), specific prevention is carried out in the form of administration of antacids, H2-blockers of histamine receptors, sucralfate, misoprostol to the stomach in order to increasing pH gastric juice, inactivation of pepsin.

What symptom of erosive gastritis manifests itself in a person first? If you do not have this information, we will answer this question in detail in this article. In addition, we will tell you about what types of this disease exist, as well as how they are diagnosed and treated.

General information about the disease

What are the signs of erosive gastritis? The symptoms of this disease will be presented below. Now I would like to tell you about what the mentioned disease actually is.

Erosive gastritis is a very common disorder characterized by destruction of the gastric mucosa. IN initial stage disease lesions can be small and localized only on the outer shell of the digestive organ. But as the disease progresses, erosion can spread to large area, which will ultimately contribute to the appearance of pronounced symptoms of gastritis.

Main types

It is very important to know which symptom of erosive gastritis appears first. After all, timely treatment of this disease contributes to the rapid and painless healing of all internal lesions.

IN medical practice Gastritis is usually classified into several types. Their defining feature is the localization of the lesions, as well as the stage of development of the disease. Let us consider the types of diseases mentioned in more detail.

Acute gastritis

Acute gastritis is the most severe form of the disease. Fortunately, it is very rare in patients. With this disease, the entire gastric mucosa is covered with shallow (superficial) lesions. As a rule, such a disease is discovered after intentional or accidental consumption of chemicals, poisons or any concentrated acids. How does erosive gastritis worsen? The symptoms of this deviation appear sharply.

Chronic or hemorrhagic erosive gastritis

What is chronic erosive gastritis? The symptoms of this disease are often experienced by people who lead an unhealthy lifestyle (alcohol abuse, poor diet, long-term use of non-steroidal anti-inflammatory drugs). This disease is characterized by the presence of large erosions ranging in size from 3 to 7 millimeters, as well as inflammation of the internal lining of the main digestive organ.

Erosive antral gastritis

Why does the symptoms develop which appear in severe pain in the epigastric region? This disease is caused by the bacteria Helicobacter pylori. Such microorganisms live in an alkaline environment, mainly in the lower part of the stomach, under the mucus. Bacteria can cause quite severe inflammation of the gastric mucosa. In this case, the damaged tissue takes a very long time to regenerate.

Erosive reflux gastritis

This disease develops due to the reflux of the contents of the duodenum into the stomach. In this case, severe swelling and ulcers may be observed on the mucous membrane of the main digestive organ, which quickly increase in size. Main symptom erosive gastritis (reflux) - bloody vomiting. Its appearance is caused by the fact that the destroyed tissues of the stomach begin to gradually exfoliate and come out.

Erosive gastritis: symptoms and treatment

Depending on the type, its symptoms may vary markedly. For acute illness The following signs are characteristic:

heartburn;
vomiting (may be mixed with blood);
feeling of nausea;
unstable stool (may be mixed with blood);
a feeling of heaviness (and sometimes pain) in the stomach after eating;
which is especially often worse after eating.

As a rule, they appear suddenly. In this case, the patient's condition sharply worsens. In this regard, the disease is difficult to miss.

What symptom of erosive gastritis appears first when it comes to chronic stage? In this case, the disease proceeds differently. Very often it develops without any symptoms. And only at the last stage of the disease can a person observe blood in his stool or vomiting. As for it, the following signs may indicate it:

flatulence;
heaviness and discomfort in the stomach;
nausea;
loss of appetite.

How is it diagnosed?

Now you know why erosive gastritis develops and what signs (symptoms) it has. Diet for this type of disease is the main method of treatment. We will talk about it in detail below. After all, before starting treatment for a disease, its presence should be identified and its stage of development should be determined. To do this, we recommend that you contact a gastroenterologist or therapist. After interviewing and examining the patient, the doctor is required to prescribe a series of tests and examinations.

As a rule, patients with signs of erosive gastritis are first recommended to undergo an FGDS. During this procedure, a special device - an endoscope - is inserted into the stomach. It is a tube with a camera at the end. Using this device, a specialist (endoscopist) carefully examines the surface of the mucous membrane, identifying erosive ulcers that are located on it.

During the procedure described, the doctor may perform a biopsy. To do this, a piece of inflamed tissue is taken and then examined for Helicobacter pylori or other abnormalities (for example, the presence of a malignant tumor, etc.).

In view of discomfort While undergoing FGDS, many people refuse this procedure. This is a big mistake. After all, this is the only way to establish the real reason the occurrence of the strongest and assess the degree of damage to the gastric mucosa.

If the doctor cannot make the correct diagnosis, then he will not be able to prescribe necessary treatment. And this is fraught with very serious consequences.

Blood test (general). The presence of anemia very often indicates bleeding during exacerbation of gastritis.
A stool test that detects occult blood.
Undergo an X-ray examination (prescribed very rarely).

The process of drug treatment of erosive gastritis

The first stage of treatment after diagnosis is to eliminate the cause of gastritis. If the disease is caused by Helicobacter pylori bacteria, then therapy cannot be carried out without the use of antibiotic drugs. Most often, the patient is prescribed the following drugs: Tetracycline, Levofloxacin, Clarithromycin, Amoxicillin. These medications require long-term use. If the course of antibiotics is unjustifiably interrupted, the harmful microorganisms will resume their reproduction.

The second stage of treatment is the normalization of the acidity of gastric juice. The mucous membrane of the main digestive organ, affected by erosion, must be protected from irritants. For this, the patient may be prescribed antacids and acid blockers.

Since the mentioned drugs muffle the effect of stomach juice, additional enzymes are needed for better digestion of food. Such products as Mezim, Creon or Digestal enhance the secretory function well.

The third stage of treatment is the restoration of the mucosa. The medications Iberogast and Trental cope well with this task. These products supply the affected tissues well with oxygen and promote rapid regeneration.

Is it possible to treat on your own?

Now you know how to treat and what signs (symptoms) erosive gastritis has. Treatment with folk remedies is not recommended if you have no idea how to do it. After all, using unconventional methods, you can aggravate the patient’s already difficult condition. That is why, at the first signs of the disease, you should consult an experienced gastroenterologist.

Diet for gastritis

As mentioned above, diet is the key to successful and quick treatment of any erosive gastritis. Doctors recommend that the patient completely avoid fried and pickled foods. It is also necessary to exclude various spices, canned foods, smoked foods and pickles. In addition, you should not consume sweets, including baked goods, chocolate, coffee, strong tea, alcohol, carbonated drinks, natural freshly squeezed juices, lemons and other citrus fruits.

The diet of a patient diagnosed with erosive gastritis should consist only of light soups. They must be prepared from vegetables with the addition of a small amount of lean meat (for example, chicken breasts, veal, turkey). Also recommends using rolled oats, pearl barley and buckwheat porridge without butter. Sometimes you can treat yourself to mashed potatoes, vegetable stew and other dietary products.

In addition to all the listed dishes, a person with erosive gastritis is also prescribed fermented milk ingredients such as cottage cheese, sour cream, kefir, etc. However, they should not have high fat content and be too sour. By the way, it is better to exclude milk from your diet, as it causes flatulence.

Boiled fish (low-fat) and steamed eggs in the form of an omelet can be a source of protein during the diet.

Also Special attention should be given to diet. The patient should sit at the dinner table 5 times a day. At the same time, food portions should be small. Products should be chewed thoroughly so that rough and stringy pieces do not injure the walls of the digestive organ.

Erosive gastritis is a fairly common disease of the digestive system. The disease provokes a violation of the integrity of the mucous membrane of the stomach walls, causing painful sensations.

Without adequate treatment, this pathology can worsen and develop into a peptic ulcer. Therefore, if appropriate symptoms occur, you must see a doctor.

Features of the disease, reasons for its occurrence

Erosion is damage to the integrity of the gastric lining. Its occurrence can be provoked by an irritating factor, for example, a drug or high acidity. First, it destroys the mucous barrier, and then the cells of the mucous membrane. If treatment is not carried out, the erosions will deepen, gastritis can develop into an ulcer..

Features:

Availability, and inflammatory process. They can occur in all parts of the stomach walls, and the symptoms of the disease will clearly appear.
There is a tendency for the flow to last for a long time. It is more difficult to treat than ordinary gastritis.
A third of all sick people experience bleeding. This situation is possible for any severity of the disease. Hemorrhage sometimes occurs simultaneously from all erosions located in the digestive organ. It can even be fatal.

As medical statistics show, this stomach pathology occurs in representatives of the stronger sex several times more often than in women. It is extremely rare in childhood.

The disease occurs due to various provoking factors:

long-term treatment with certain medications that have an aggressive effect on the gastric mucosa;
prolonged exposure to stress;
the presence of Helicobacter pylori in the stomach, as well as other pathogenic microflora;
unbalanced diet and junk food;
addiction to alcoholic drinks;
intoxication of the body with narcotic drugs;
unfavorable living or working conditions;
disrupted hormonal levels;
diabetes mellitus;
thyroid dysfunction;
reflux;
the occurrence of cancer in the digestive organ;
chronic illness of others internal organs and systems;
disturbances in the blood supply to the walls of the stomach.

Disorders of secretory processes can develop for various reasons. As a result, the gastric mucosa suffers, an inflammatory process begins on it, and this contributes to the occurrence of erosions.

The cause of acute erosive gastritis can be stress. This happens during burns, large-area injuries, and strokes. Due to stressful situations, the proper blood supply to the epithelium of the stomach is disrupted, and erosions occur.

Types and classification

When a disease occurs, the condition of the stomach is assessed using various examinations. This disease has several forms:

Spicy. Pronounced symptoms occur against the background of a strong inflammatory process in the walls of the stomach.
Chronic. Destruction of the mucous membranes of the digestive organ, damage in the following order: the walls of the stomach become inflamed, pancreatic dysfunction occurs, and the production of hydrochloric acid is disrupted.

Surface. The upper layer of the mucous membrane suffers. This is the beginning of the development of chronic erosive gastritis. The surface epithelium decreases in size. Local inflammation occurs. Acidity with this type of gastritis is usually increased.
Antral. The location of the erosive areas is in the lower (antral) part of the digestive organ. Doctors note this form of the disease as the most common. The disease is caused by pathogenic microflora.
Reflux is the most severe form of the disease. With it, large erosions are formed. If the pathology is advanced, then detached fragments of the mucous membrane may come out with vomiting.
Erosive-hemorrhagic. This is a form in which hemorrhages occur. They come in varying intensities, and some can cause death.
Ulcerative. One of the varieties acute form. Due to dysfunction of the mucous membrane, erosions occur with their further transformation into ulcers.

Focal erosive gastritis can occur in the acute form of any type of this disease. It manifests itself in several lesions. It can easily be confused with cancer Therefore, the patient should be diagnosed with the utmost care.

The disease can manifest itself in different ways and carry various risks to health and life..

Symptoms

Based on the symptoms, it is not easy to conclude that we are talking about this type of gastritis. External signs are very similar to the symptoms of other types of this disease. The only difference is the possible appearance of blood fragments in the vomit and waste of a sick person.

All other symptoms are common to its other types:

Paroxysmal pain in the stomach. At first, this may manifest itself to a minor extent, but then a larger number of erosions occur, and accordingly, the pain is felt more strongly.
The occurrence of severe heartburn. It may not be related to food intake.
Noticeable reduction in a person's weight.
Discomfort in digestive system: constipation gives way to diarrhea and vice versa, heaviness in the digestive organ, unpleasant belching.
Bitterness in the mouth, as well as a feeling of dryness.
Increasing pain before or after eating.
Lack of or decreased appetite.

Chronic erosive gastritis with low acidity is distinguished by the presence of morning sickness, lack of desire to eat, belching, and indigestion. A person with an increased concentration of acid will be bothered by such signs of illness as constipation, pain in the epigastric region at night.

During an exacerbation, the patient’s health condition is quite complex. The first sign of this particular disease is the presence of blood fragments in the contents of the digestive organ or in the feces.

The disease can have pronounced or vague symptoms, and treatment should correspond to the severity, form and type of the disease.

Establishing a diagnosis

If the above symptoms occur, you should immediately see a doctor. He first examines you and then sends you for examination.

If you suspect a disease, then this is a reason to immediately undergo diagnostics. To confirm or refute this disease, the following research methods are necessary:

EGDS. Allows you to assess the condition of the gastric mucosa: determine the degree of its inflammation and the areas where erosion is located.
Biopsy. Taking a fragment of epithelium along the edge of erosions. It is examined under a microscope.
Biochemical study of blood serum. This analysis will determine the concentration of vitamin B12 in the human body.
Urease breath test to detect the bacteria Helicobacter pylori in the digestive organ (with high acidity).
During an exacerbation, a stool test is also performed to determine the content of blood fragments in it.

After conducting all the necessary studies and tests, the gastroenterologist makes a diagnosis. If it is erosive gastritis, then it determines its shape and appearance.

Treatment methods

Therapy begins as soon as possible after diagnosis. The need for hospitalization depends on the severity of the disease.

Exacerbation often occurs in spring and autumn. Therefore, during this period, every patient suffering from erosive gastritis should analyze his well-being. If it leaves much to be desired, then you should be treated in a hospital.

Treatment must be carried out comprehensively. To quickly improve your health, you first need to establish a healthy lifestyle, as well as eat properly and in a timely manner. And only in this case will there be positive results from drug therapy. They can also help folk remedies, you should not give up the healing gifts of nature.

Drug treatment

There is a treatment regimen, and it is aimed at eliminating the symptoms of the disease. For therapy with this disease Doctors use types of drugs such as:

if, during examination of the patient, the pathogenic microorganism Helicobacter pylori was detected. This type of medication is taken in full until the microbe disappears. If you stop taking these medications halfway through, there is a risk of relapse. The group of antibacterial drugs includes: amoxicillin, clarithromycin, ornidazole, de-nol, clatinol, metronidazole.
Painkillers. To alleviate the condition, doctors use No-shpa and papaverine.
Prevention of excess production of gastric juice. These are proton pump or histamine receptor blockers. The following medications are used: quamatel, famotidine, controloc, ranitidine, omez.
Preparations for extinguishing excess hydrochloric acid in gastric juice. The group of this type of medicine contains such drugs as Maalox, Almagel, Rennie, Nizatidine and others.
Enzymatic agents that help normalize food digestion. These are Creon, Pangrol, Mezim, Festal.
Medicines that regenerate the walls of the digestive organ. They cover eroded areas with a protective film. These are Trental, Iberogast, Sucralfate.
Hemostatic agents. They are needed for erosive-hemorrhagic gastritis. Intramuscular or intravenous injections are given with drugs such as Dicinone, Thioctic acid, Vikasol.

A gastroenterologist individually prescribes medication depending on the results of tests and examination.

Acute erosive gastritis is such a dangerous form of the disease that treatment often occurs in the intensive care unit. Most of these patients recover completely, but occasionally, even with adequate treatment, heavy bleeding. Sometimes it ends in death.

If hemorrhage occurs, doctors give a blood transfusion, prescribe antacids that neutralize the acid, and give strong antiulcer agents.

To stop severe bleeding, electrocoagulation is performed. In rare cases, this method may not work, then the entire digestive organ is surgically removed, which prevents blood loss and is the only way to save the patient’s life.

Help from traditional medicine

Our grandmothers knew how to treat the disease. And now many people effectively use folk remedies. Most of the patients who tried them on themselves noted positive results.

The following oils have been successfully used:

pumpkin;
sea buckthorn;
linen;
olive

During therapy, only unrefined vegetable oils are used. They relieve inflammation, heal erosions, and eliminate pain. Of the above remedies, sea buckthorn oil has the most pronounced effect.

Herbs also always come to the aid of people. To achieve greater efficiency, you need to prepare a decoction from more than one type of plant, but use a collection that has the necessary properties. Each herb will increase the healing power of the drug.

Here is a list of plants that have a healing effect:

chamomile;
fennel;
medicinal plantain;
horsetail;
swamp cudweed;
calendula;
Calamus common.

If you make herbal decoctions, drink them regularly and in the right dosage, then relief will come very soon.

How else can this stomach pathology be treated? Beekeeping products. They are used along with oils and plants. They contain a large amount of biologically active substances, a wide variety of vitamins and minerals.

Honey is most often used to treat gastritis. It strengthens immune system body, eliminates the inflammatory process, has a healing effect on erosions and ulcers. There are many effective recipes for treatments based on honey. It is especially good in combination with aloe leaves.

With diligent therapy, folk remedies will definitely give positive result, but you should undergo medication and follow a diet.

The role of diet in treatment

It should be remembered that gastritis can be effectively cured only by adhering to proper and timely nutrition. It must be rational and fractional. There is a list of foods and dishes that doctors have forbidden their patients to consume:

fried and pickled foods;
conservation;
smoked meats and pickles;
spices and spicy dishes;
baking, chocolate;
strong tea and coffee;
soda;
alcohol;
fresh juices;
berries and citrus fruits.

The patient's menu should include only light soups. They need to be cooked with a small amount of lean meat. It could be chicken, turkey, rabbit, veal. Porridges that coat the walls of the stomach, such as oatmeal, are very useful in a patient’s diet. You can also eat pearl barley and buckwheat. Sometimes they prepare mashed potatoes, vegetable stew, as well as boiled fish and omelet.

Gastroenterologists advise patients with pathology to eat dairy products, but milk is not recommended, because it can cause flatulence.

It is very important to get used to dietary dishes, and then it will be much easier to stick to the diet.

Do they take you into the army?

Today, many are interested in whether guys with this type of gastritis are taken into the army. This depends on the severity of the disease. Each case is subject to individual consideration.

There are a number of signs, the presence of which will not allow you to join the army with gastritis:

When relapses of the disease occur regularly (more than 2 times a year).
If during the calendar year the guy stayed in the hospital for 2 months or longer in total.
When a person is clearly thin, when the weight index is less than 18%.
If an FGDS examination showed dysfunction of the digestive system.
When, during conscription, a young man has an attack of illness and there is a disturbance in the functioning of the gastrointestinal tract. This may be a relapse of the disease.
After surgical intervention. The guy is given a deferment until the next draft.

It is important that all young people monitor their health and nutrition. If there bad habits, then you need to get rid of them.

Such serious illness requires careful examination and therapy under the supervision of medical staff. Maintaining a healthy lifestyle and following the rules rational nutrition will help avoid illness.

Erosive gastritis has several fundamental differences from classical gastritis:

the gastric mucosa swells and becomes inflamed; numerous small erosions (ulcers) are visible in large areas of it;
the disease can be acute if spoiled foods, toxins, or bile enter the stomach (reflux gastritis);
in case of violation of the secretory and motor functions of the organ, chronic erosive gastritis develops;
In most cases main reason diseases are the penetration into the stomach and the reproduction there of pathogenic microorganisms, in particular the bacteria Helicobacter pylori (antral gastritis);
no matter how you treat erosive gastritis, the disease is in no hurry to go away (the course is protracted);
treatment of erosive gastritis is a long and labor-intensive process;
A characteristic feature of the disease is the likelihood of severe gastric bleeding, which can lead to the death of the patient.

Development mechanisms

Erosive gastritis can develop in two ways:

Acute gastritis is characterized by a so-called “burn” of the gastric mucosa, severe inflammation and swelling. All these symptoms occur due to contact with medications, poor-quality food, and harmful chemical compounds.
Chronic erosive gastritis develops due to a violation of the body's secretory functions, which, in turn, arise due to malfunctions of the organ or poor nutrition. Accompanied chronic course diseases of impaired microcirculation in the cells of the mucous membranes of the stomach and weakening of local blood flow with increased acidity of gastric secretions.

Symptoms

The signs of all types of gastritis are similar to each other, and it is possible to diagnose the erosive form only after an appropriate examination of the walls of the stomach or in the presence of gastric bleeding (a characteristic feature of the erosive type of disease). Symptoms of erosive gastritis:

pain in the upper central part of the peritoneum (in the projection of the stomach) of moderate intensity, difficult to relieve with painkillers;
heartburn (a calling card of reflux gastritis and the chronic type of erosive gastritis);
feeling of heaviness in the stomach;
belching with a sour taste;
diarrhea;
bitterness in the mouth;
dry tongue;
if the stomach for a long time empty, pain intensifies;
pain syndrome occurs after eating particularly aggressive food (fatty, spicy or fried).

Diagnosis

Diagnosis of erosive gastritis should include the following methods:

Fibrogastroduodenoscopy (visual assessment of the condition of the gastric walls).
Biopsy of detected erosions and ulcers.
Microscopic examination of the collected material for the detection of pathogens.
Assessing the acidity of gastric juice.
Assessment of the secretory function of the organ.

Erosive-hemorrhagic form of the disease

One of the most serious complications of the disease is the development of erosive-hemorrhagic gastritis, characteristic feature which is stomach bleeding. Extensive erosions and small ulcers located in groups bleed much more often. Single lesions rarely bleed. In order for erosive gastritis to progress to hemorrhagic stage, erosion should deepen down to the vessels and veins. Due to the individual characteristics of the structure of the vascular network, people with the same diagnosis have a different likelihood of developing bleeding. The risk group for the development of bleeding with gastritis includes:

patients with arterial hypertension;
patients with diseases associated with poor blood clotting;
people who regularly take the following medications:
1. anticoagulant agents (aspirin and its derivatives);
2. non-steroidal painkillers;
3. anti-inflammatory drugs.

The following symptoms indicate the development of gastric bleeding against the background of erosive gastritis:

decrease pain(the easier it became, the more serious the blood loss);
vomiting with the presence of blood (fresh scarlet blood means ongoing bleeding; brown, coagulated blood means that the attack has been temporarily stopped);
signs of anemia that has developed against the background of large blood loss:
1. pale skin;
2. low blood pressure;
3. dizziness;
4. weakness;
5. fainting state;
6. increased heart rate.
Dark-colored stool in the absence of vomiting indicates scanty but constant bleeding in the stomach.

How to treat erosive gastritis

Treatment of the disease at home is possible only with the permission of the doctor after a complete examination of the patient. Hospitalization is indicated for patients with hemorrhagic gastritis. Treatment regimen for erosive gastritis:

Goal of treatment	Medications
1. Decreased secretory function of the organ	· Drugs that block histamine receptors (Famotidine, Quamatel, Ranitidine). · Proton pump blockers (Proxium, Omez, Lansoprazole).
2. Neutralization of hydrochloric acid in the stomach (partial), protection of erosions from its effects by forming a protective film	Antacid medications (Phosphalugel, Rennie, Maalox)
3. Facilitating the process of digesting food	Enzymes (Mezim, Festal, Panzinorm)
4. Restoration of gastrointestinal motility	Motilium, Cerucal, Metoclopramide
5. Stop bleeding (in case of erosive-hemorrhagic form of the disease)	Hemostatic agents (in injection form): Vikasol, Dicynon, Etamzilat
6. Getting rid of the bacteria Helicobacter pylori	Antibacterial agents (Metronidazole, Clarithromycin, Amoxicillin)

After stopping attacks of the disease and transferring it into remission, for the speedy healing of erosions, doctors may advise a course of treatment with mineral waters (with high alkaline index) in a sanatorium setting.

Diet of a patient with erosive gastritis

Treatment of acute, chronic and hemorrhagic forms of erosive gastritis implies mandatory adherence to a specialized diet No. 5 for patients. The nutritional principles described below should also be followed for preventive purposes. Basic principles of diet No. 5:
1. It is forbidden to eat food that can increase the secretion of gastric secretions: fatty foods, spicy and smoked foods, fried foods and seasonings;
2. food must be freshly prepared;
3. methods of preparing food: in a double boiler, stewing, baking, boiling;
4. eating in small portions (food should fit in a saucer or on the palm of your hand) up to 7 times a day;
5. stop eating 3 hours before going to bed;
6. Ready-made food should be served slightly warm; eating/drinking cold and hot is prohibited: this can irritate the healing gastric mucosa;
7. It is undesirable to eat solid foods; it is recommended to consume mainly liquid and puree foods, slimy porridges;
8. A patient with erosive gastritis is strictly prohibited from eating:

freshly baked bread (stale white bread is ok);
baked goods;
cookies, cakes and pastries with rich pastry cream;
cocoa, chocolates, coffee;
fatty meat, lard, smoked meats;
fried foods;
fatty fish;
carbonated drinks;
alcohol;
fresh fruits;
all kinds of snacks (chips, crackers, corn).

9. what should form the basis of the patient’s diet:

yesterday's bread (white and gray, black - limited);
croutons (from soft dough);
wheat or oat bran (you can add them to kefir or yogurt, bake bread or diet cookies with them);
chicken or meat soups (from lean meats);
boiled, baked potatoes;
chicken, beef, rabbit;
milk and water porridges (barley and wheat are prohibited);
butter and vegetable oil in small quantities;
low-fat varieties of fish (fatty fish - herring, salmon, etc. - in limited quantities);
low-fat dairy products (kefir, yogurt, fermented baked milk, cottage cheese, milk);
dried fruit compotes with the addition of a small amount of sugar and honey.

Types of pain with gastritis

The most characteristic signs of one of the most common stomach diseases are gastritis pain, heartburn and nausea. In addition, other symptoms may be observed: bad breath, heaviness in the stomach, periodic vomiting, belching, bloating, as well as alternating loose stools and constipation. When several of them are combined, the clinical picture becomes less clear and the search for the cause may lead astray; the patient will not receive proper treatment on time.

Gastritis is an inflammation of the gastric mucosa, accompanied by a host of signs by which the disease can be suspected. Symptoms are not always specific; diseases of other organs of the same localization may resemble gastritis, and only additional diagnostic methods can confirm or refute the diagnosis.

Classification

According to the nature of the course, gastritis can be divided into 2 stages:

Acute - characterized by a sudden inflammatory reaction in the mucous membrane, often occurring with damage to the surface layer of the mucosa.
Chronic - lasts a long time, often the result of transformation of the acute form, or prolonged exposure to unfavorable factors that cause damage to the epithelial layer.

According to localization, pathology can be divided into:

gastritis of the antrum (exit) section;
gastritis of the body of the stomach;
damage to all parts of the organ - pangastritis.

According to the presence of an infectious factor:

Infectious gastritis caused by colonization of the mucous membrane by Helicobacter pylori bacteria.
Non-infectious, resulting from exposure to aggressive substances (alcohol, drugs, chemical agents). This category also includes autoimmune and post-resection gastritis, which occurs after removal of part of the stomach.

According to the functional activity of secreting cells of the gastric epithelium:

with normal secretory activity;
with increased;
with a reduced

Separately, atrophic gastritis is distinguished, which can combine several characteristics from the above classification.

Symptoms

The symptoms of all forms of the disease are often very similar, but sometimes, based on certain signs, as well as medical history, a specific pathology can be suspected.

So, for example, if a patient is often bothered by the taste of bile in the mouth, it can be assumed that the damage to the stomach will most likely be localized in the outlet section. If heartburn comes to the fore, then most likely there is increased acidity, that is, gaperacid gastritis is observed and the entire body of the stomach is probably affected.

Accurately diagnose gastritis and distinguish it from other organ diseases abdominal cavity For example, additional instrumental studies will allow you to exclude an attack of pancreatitis or cholecystitis.

Most often from diagnostic procedures the patient is prescribed gastroscopy with sampling of material to determine the presence of the bacterium Helicobacter pylori, ultrasound of the abdominal cavity, urease breath test, colonoscopy for differential diagnosis with intestinal diseases, if there is flatulence and stool disorders. As a rule, this is enough to make an accurate diagnosis.

Often it is pain due to gastritis that forces the patient to consult a specialist. Probably, at first a person will independently search for information on how to relieve pain; most likely, he will try to prescribe for himself medications, and it is quite possible that he will succeed. However, often with self-medication or improper therapy, the disease soon returns and complications arise.

Nature of pain

How does the stomach hurt with gastritis? The nature of the pain can be completely different: from moderate and tolerable to intense, requiring emergency hospitalization.

Acute gastritis usually manifests itself as severe, cutting and piercing pain in the navel area or just above, intensifying when eating or changing body position.

In chronic gastritis, the pain syndrome is somewhat smoothed out, the pain is nagging, dull, aching, exhausting. Sometimes the pain can manifest itself as a feeling of heaviness or fullness in the stomach.

Often the pain can be localized behind the sternum and feel like a burning sensation. These are already signs of reflux esophagitis, which often accompanies gastritis.

Increasing long-term pain syndrome may mean the appearance of a complication such as a stomach ulcer. When complete destruction stomach wall ulcer, we can talk about penetration into the pancreas, if the tissue of the organ becomes the bottom of the ulcer, or about perforation, if a hole is formed through all layers of the stomach wall. In the first case, the symptoms will resemble an attack of pancreatitis, in the second, peritonitis will develop.

Pain relief

The first thing a person thinks about during an exacerbation of chronic gastritis or when acute gastritis occurs is what will relieve pain.

Many medications that are good for eliminating other types of pain are extremely harmful to take for stomach diseases; they can only aggravate the problem and lead to complications. This applies mainly to all groups of non-steroidal anti-inflammatory drugs. Their use is unacceptable in the case of inflammatory diseases upper sections digestive tract.

Treatment of gastritis must begin, first of all, with diet. It often happens that only correction of nutrition, elimination of certain food products leads to a decrease in pain, a gradual subsidence of inflammation, and epithelization of defects in the gastric mucosa.

For emergency relief of pain, it is worth taking drugs that coat the gastric mucosa and neutralize hydrochloric acid. For severe spasms, you can take antispasmodic drugs, both in the form of tablets and in the form of injections.

To ensure long-term remission, it is necessary to use several groups of drugs: drugs that reduce the production of hydrochloric acid, normalize gastric motility, and enzyme preparations.

If an infectious agent is detected, it is necessary to eradicate Helicobacter pylori antibacterial drugs in combination with the above groups of drugs. It is this approach that will contribute complete cure patient.

Gastroenterologists often advise using herbal remedies in therapy, for example, chamomile tea, which has anti-inflammatory and antispasmodic properties.

After a course of treatment, it is advisable to undergo a repeat endoscopic examination of the stomach to ensure that the therapy was effective and the necessary medications were selected. If the result of treatment does not satisfy the doctor, then the drugs are changed to others, after which the treatment is again monitored.

When faced with a diagnosis of gastritis, a person, as a rule, begins to pay more attention to his diet and lifestyle, since the symptoms of gastritis have never improved anyone’s existence.

Chronic erosive gastritis - features

Chronic erosive gastritis - also known as erosive, hemorrhagic - is a fairly common disease.

As it develops, focal lesions form on the gastric mucosa (focal means localized in a relatively small separate area). The walls of blood vessels in the area affected by inflammation become extremely thin and permeable.

Characteristic gastropathy is usually detected during FGDS - fibrogastroduodenoscopic examination.

Typical causes of erosive gastritis

The disease can be either type A (autoimmune in origin) or type B (bacterial in origin, namely the action of Helicobacter pylori bacteria). Sometimes it is caused by liver problems or kidney failure.

Sometimes erosions form after injuries (surgical operations on the gastrointestinal tract, internal burns). The cause of the disease is often also an elementary negligent attitude towards one’s own health, namely dry food, long breaks between meals, and alcoholism.

Frequent excitement also plays a role. Let us note that people who tend to worry about trifles generally very easily acquire a bunch of various diseases.

Description of the disease

Interestingly, chronic erosive gastritis worries patients mainly during the transitional seasons - from September to December and from May to June.

True, exacerbations due to eating disorders are in no way determined by the time of year.

Secretory function in chronic erosive gastritis can be either increased or decreased. IN in some cases it remains at the acceptable level.

The most typical signs of the disease

discomfort in the upper abdomen, especially after eating food harmful to the vulnerable stomach;
weight loss associated with loss of taste for food;
nausea and sometimes vomiting;
heartburn;
bloating;
heaviness in the stomach;
regurgitation, belching;
presence of blood in stool or vomit.

The main danger that is usually associated with the occurrence of erosions in the stomach is the risk of internal bleeding. Blood may come out in the stool, making it dark, or in the vomit.

Hemorrhagic gastritis: treatment

The affected areas of the mucous membrane are gradually restored or, on the contrary, the inflammation worsens (if the recommendations of the attending physician are not followed). Conscientious treatment, begun at an early stage of erosive gastritis, gives a chance for almost complete recovery.

The patient should be on a special diet. It is recommended to refuse baked goods, sweets, and not eat fried foods, giving preference to broths and dishes made from ground ingredients.

In the fight against the disease, primarily medicinal treatment methods are used - see the link for information on specific drugs for the treatment of hemorrhagic gastritis. Inhibitors are used - medications that regulate the secretion of gastric juice and adjust its composition.

It is important to remember that with this disease it is not advisable to take certain types of tablets intended to combat the flu or colds(even seemingly harmless aspirin can cause stomach pain).

forms of gastritis chronic gastritis

Masks and complications of GERD - description
Peptic ulcer of the esophagus - causes, signs, treatment
Surgery for reflux disease - indications, techniques
Therapy of GERD in children - regimen correction, choice of medications
Drugs for GERD - selection features

Inflammation of the mucous membrane of the gastrointestinal tract can over time develop into deformation of its areas. Erosive gastritis of the stomach is dangerous due to the formation of defects on the walls of the organ, which gradually destroy it, contributing to the opening of bleeding, the appearance of ulcers and tumors. Diagnosis in the early stages is difficult. The treatment regimen for gastritis includes diet, vitamins, folk remedies, antibiotic therapy and other medications. The prognosis is favorable only with timely detection and proper treatment.

Causes of inflammation with erosive defects

Failure of the natural defense mechanism mucous membrane stomach from aggressive elements of digestive juices occurs as a result of exposure to a variety of internal and external unfavorable factors for a long time. Blood circulation and secretion processes are disrupted, affecting the surface layer of the mucosa. Gradually, defects form on the inflamed walls of the organ - erosions, which over time penetrate deeper into the gastric tissue and contribute to the formation of ulcers and bleeding. The disease is more common in men; it is rarely diagnosed in women and children. Causes of erosive and ulcerative lesions of the gastric mucosa:

Uncontrolled use of medications irritates the mucous membranes.

direct exposure to chemicals, burns, injuries;
long periods of taking medications;
alcohol and drug abuse;
chronic stress;
unfavorable living conditions;
poor quality and irrational nutrition;
problems with the thyroid gland;
chronic diseases of the respiratory system, kidneys, liver, heart and blood vessels;
diabetes;
the influence of the microorganism Helicobacter pylori or other bacterial or viral infections;
stomach cancer;
pyloric dysfunction, provoking duodeno-gastric reflux.

Types of disease

Gastritis has various forms of manifestation depending on the location of the defect, the extent of the pathological process and the depth of the lesion. Erosion on the walls of the gastrointestinal tract, which appears in healthy people under the influence of traumatic environmental factors, is classified as the primary form of the disease. Erosive and ulcerative lesions formed against the background chronic illnesses, are called secondary.

Types of erosive gastritis according to clinical picture

View	Peculiarities
Spicy	Symptoms are caused by direct contact with harsh chemicals, burns, injuries
Spicy	Occurs with pronounced symptoms
Chronic	Large erosion defect
	Cyclic alternation of exacerbations and remissions
	Often complicated by bleeding
	On endoscopy, the mucous layer will appear inflamed with multiple small cracks
Erosive antral gastritis	Covers distal section stomach
	Focal lesions caused by Helicobacter pylori infection
	Is the most common type
Erosive reflux gastritis	The course is severe, often against the background of esophagitis with the formation of large ulcers and peeling of damaged tissues

What symptoms reveal the disease?

After eating, heaviness and bloating appear.

The manifestations of the disease are determined by its form. Acute erosive gastritis is rare and is characterized by an abrupt onset with severe symptoms. Chronic bulbitis develops gradually, and the first periodic symptoms can be mistaken for dyspepsia or ordinary superficial gastritis. There is also an erased picture of gastritis, in which the disease manifests itself in an advanced stage, when blood impurities appear in the stool and vomit. Erosive gastritis is manifested by the following symptoms:

spastic or aching sensations in the epigastrium, also the stomach hurts 3-4 hours after eating;
heartburn;
feeling of heaviness in the stomach;
poor appetite;
sudden weight loss;
belching with a rotten or sour taste;
bitterness and dryness in the mouth;
nausea;
vomiting streaked with blood;
loose stool mixed with blood looks like tar - melena.

The cessation of pain due to gastritis may be a signal of the onset of complications, since erosion, penetrating deep into the tissues of the stomach, destroys the receptors.

List of diagnostic procedures

Black impurities in stool occur when there is bleeding.

Identify erosive gastritis on early stages very difficult, since similar symptoms accompany any gastropathy in children and adults. Characteristic signs- melena and bloody vomiting indicate a complicated form of the disease. The doctor will have to differentiate with such pathologies as esophageal varicose veins, chemical burns, ulcers, stomach cancer. Careful collection and analysis of anamnesis is important for diagnosis. FGDS - the integument of the esophagus, stomach and duodenum, will allow you to see the damaged area, assess its location, size, the presence of bleeding in the eroded area and take a tissue sample for histological analysis. The doctor also refers the patient to other instrumental and laboratory tests:

blood test for biochemistry;
detection of hidden blood in stool;
bacterial culture of vomit and feces;
tests for the presence of Helicobacter pylori colonies in the antrum of the stomach;
radiography with contrast.

Treatment of gastritis with erosions

The complexity of the disease requires complex diagnosis and therapy.

Therapy is prescribed by a gastroenterologist after an examination has been carried out and an accurate diagnosis has been made. Erosive gastritis is treated comprehensively with the use of medication courses and mandatory strict adherence to a diet. Recipes to help relieve symptoms alternative medicine based on natural remedies. It takes a long time to treat gastritis, and after the end of therapy the patient will have to make lifestyle adjustments and follow the doctor’s recommendations in order to prolong the remission phase. rarely treated with surgery.

What medications are included in the treatment course?

The selection of medications is carried out by the doctor based on the cause, complexity of the disease, severity, level of acidity of gastric juice, accompanying pathologies. Treatment of erosive gastritis with drugs is aimed at protecting the gastric mucosa from irritation, normalizing acid levels, accelerating the regeneration of damage, and preventing complications. The most effective medications used to treat erosive and ulcerative gastritis:

Antibiotics are indicated for bacterial pathologies; tablets and injections of Tetracycline, Levofloxacin, and De-Nol are prescribed.
Antacids will help with esophagitis and heartburn - “Phosphalugel”, “Almagel”, “Maalox”.
Antisecretory agents for gastritis with high acidity envelop the walls of the stomach, protecting them from irritation - “Ranitidine”, “Omez”.
Enzyme products - “Festal”, “Pangrol”.
Prokinetics - “Cerucal”, “Motillium”.
Medicines that accelerate the regeneration of the gastric mucosa - Iberogast, Trental.
Antispasmodics for gastritis will help you quickly get rid of pain - “No-shpa”, “Papaverine”.
Means to stop bleeding - in case of complicated hemorrhagic erosive gastritis, an injection into a muscle or vein of such drugs as “Vikasol”, “Etamzilat”, “Ditsinon” is given.

You cannot abruptly stop antibiotic therapy, as the remaining colonies of Helicobacter pylori will begin to multiply with renewed vigor.