Erosive duodenitis is different from other types of gastro that is accompanied by multiple erosions and small ulcers of the mucous membrane of the duodenum and stomach. Erosive form a kind of superficial gastroduodenitis. In most cases it is the background for the further development of peptic ulcer disease.
Causes of erosive gastroduodenitis
In General, allocate internal (endogenous) and external (exogenous) causes of the development of the disease this type. Among internal reasons, the greatest influence are
- the increased acid production that violate the natural regenerative processes in the mucosa
- reverse regurgitation (reflux) of the contents of the duodenum into the stomach (the lumen of the stomach). This greatly increases the degree of aggressiveness of gastric juice and causes the formation of ulcers and erosions
- the reduction of the number formed by the mucus protection of the mucosa
- diseases of the biliary tract and liver
- intestinal infection.
Cause erosive gastroduodenitis and some external factors. In particular, the consumption of very cold or hot and spicy foods, alcoholism, long-term treatment with nonsteroidal anti-inflammatory drugs and other drugs, ingestion of the bacterium Helicobacter pylori.
History of the disease with erosive gastroduodenitis
Symptoms of erosive gastroduodenitis depends on the changes that were undergone by the mucous membrane, their localization, the degree of violation of metabolic processes in the body. Common symptoms include weakness, sleep disturbances, pain in the head.
Patients complain of constant nausea, pain in the stomach area (sometimes expressed), lack of appetite and a bad taste in your mouth. Nausea may be accompanied by vomiting with blood, if the bleeding erosions quite a lot. The blood can be observed in the stool (this can be identified by the black color, which takes calories).
If erosion occasionally bleed, the patient is diagnosed with signs of anemia are fatigue, weakness, increased heart rate, dizziness,.
Only with erosive gastroduodenitis, nausea and stomach pain in the morning and in the afternoon.
Methods of diagnosis of erosive gastroduodenitis
The main method of diagnosis of erosive gastro endoscopy (full name – esophagogastroduodenoscopy). It allows to detect pathological changes of the mucosa and to determine their location. In the study of the specialist may reveal edema, hyperemia, easy fragility, friability, and mucosal bleeding in the stomach. Define multiple small hemorrhages and flat erosion with a touch of gray color and with sizes in the range 0.3-0.5 mm.
Erosive gastroduodenitis is often associated with H. pylori infection so it is very important to test this version, having examined microscopic pieces of mucosa obtained during endoscopy.
Treatment of erosive gastroduodenitis
In General, the erosive gastroduodenitis treated with the introduction of a rational diet, compliance with diet and medication. During periods of exacerbation, the doctor will prescribe sparing diet, eliminating from your diet fatty, fried and spicy foods, alcohol and carbonated drinks, rich broth. Introduces thermal and mechanical sparing of the gastric mucosa, the patient is forbidden to drink too cold or too hot food and too rough. Recommended split meals up to 6 times per day.
Medication erosive gastroduodenitis is prescribed for the detection of Helicobacter pylori infection, respectively, methods of treatment aimed at its destruction. Also with the help of medicines to suppress the production of hydrochloric acid to heal the mucous membranes, to eliminate spasms, to relieve emotional tension.
To eliminate chelicobacterial infection prescribed antibiotics, resistant to the acidic environment of the stomach. If this infection is not identified, the doctor will most often only antisecretory drugs. In the complex treatment of perhaps the appointment of reparants, cytoprotectors, antioxidants. Cytoprotector protect the mucous membrane from the negative effects of excess hydrochloric acid are forming above erosion protective film. Reparants stimulate the recovery of mucosa. Antioxidants bind reactive oxygen species formed in cells of the gastric mucosa in the presence of H. pylori infection.
Diet for erosive gastroduodenitis
To eat during treatment erosive gastroduodenitis need by following the rules to chew solid food, to prevent overeating, give up foods that irritate, to provide quality heat treatment all products.
Recommendations for proper diet will give
but in General, you should be prepared to abandon the fatty meats strong meat and fish broths, muffins, white and black bread, pickled and canned products, chocolate, beer and kvass, soda and coffee, radishes, cabbage, sorrel, onions, cucumbers, raw vegetables and fruits, pineapples and citrus.
The diet should be
- stale wheat bread (yesterday), biscuits or crackers
- lean meat, boiled sausage
- cheese, milk, cream and cheese
- vegetarian soups
- sweet fruits and berries
- green tea, juice, black tea with milk.
It is important that the diet for erosive gastroduodenitis were respected in full. Not less important to adhere to treatment and to bring it to the end this will stop the progression of the disease, avoid complications and transition of a new gastro in the acute stage.