Inflammation of the inner mucous membrane of the stomach wall, which primarily causes a disturbance in the process of digestion of food, which worsens the general condition of the body and leads to fatigue and decreased performance, is called gastritis. The problem of treating gastritis worries many people, since it is one of the most common diseases - about half of the world's population suffer from gastritis.
There are two types of gastritis: acute, which occurs for the first time and proceeds rapidly, chronic - recurs, occurring with frequent relapses. Chronic gastritis cannot be cured. If a person has been given such a diagnosis, he must accept the fact that he will live with this disease.
The first type of gastritis is an acute inflammation of the mucous membrane of the stomach and duodenum. There are many causes of acute gastritis. Among them are chemical, thermal, and mechanical, and bacterial. Acute gastritis develops according to this scheme: the superficial cells and glands of the gastric mucosa are damaged, and therefore inflammatory changes develop in it. Such an inflammatory process can affect only the surface epithelium of the mucous membrane or the stomach, or spread to its entire thickness and even penetrate the muscle layer of the stomach wall. Gastritis occurs due to diseases of the pancreas, gallbladder, liver, due to errors in nutrition, after the use of certain drugs, with food toxic infections, food allergies (berries, mushrooms, etc.), burns, elementary metabolic disorders. Symptoms of acute gastritis appear in humans usually 4–8 hours after exposure to one of the above-mentioned causes. A person feels heaviness and fullness in the pit of the stomach, nausea, weakness, dizziness, diarrhea, vomiting may occur. The skin becomes pale, a grayish-white bloom is noticeable on the tongue, a strong dry mouth or, conversely, salivation is observed.
The course of chronic gastritis is different from acute. The cause of this disease are inflammatory changes in the gastric mucosa and impaired production of hydrochloric acid in it (diseases of the liver and gallbladder, pancreas). Patients have unpleasant pain, gastric and intestinal disorders after eating or nerve loads, irritability, low blood pressure, fatigue, and general weakness. As numerous mass surveys have shown, more than half of the adult population of developed (!) Countries of the world suffer from chronic gastritis, among diseases of the digestive system, it is more than 30%.
Most women suffering from chronic gastritis, the worsening of the disease during pregnancy. These women usually develop early toxicosis, accompanied by vomiting. Toxicosis can take as long as 14-17 weeks and is quite difficult to proceed. But chronic gastritis is not a contraindication for pregnancy. Despite the unpleasant discomfort and feeling unwell, experienced by pregnant women from exacerbation of their disease, it does not affect the fetus. And yet it must be treated.
Symptoms of chronic gastritis
In chronic gastritis in pregnant women, specific symptoms are not observed, because the disease is different in different people. Signs of the disease in most cases are pain in the epigastric region, nausea, belching, vomiting, and stool disorder. In chronic gastritis with secretory insufficiency (low levels of hydrochloric acid in the gastric juice), gastric and intestinal dyspepsia (disorders) occur more frequently. When gastritis with preserved or increased secretion of gastric juice (often occurs at a young age), pain in the upper abdomen predominates, which can be repeated. In the case of the last gastritis, patients complained of pain in the epigastric region, in the right hypochondrium or around the navel. Most often, pain occurs after eating, namely after taking a certain type of food. Less often, pains appear regardless of food, on an empty stomach or at night. The pain is sometimes severe, sometimes moderate. With gastritis with increased secretion of production, the pain is usually severe, with a lower one, the pain is weaker. If you do not want the pain to intensify, do not get enough to go to the blade - the more the walls of the stomach are stretched, the stronger the pain.
What is dangerous gastritis during pregnancy
Gastritis and pregnancy are compatible concepts, but if the disease develops suddenly in an acute form, it is necessary to take active measures for a speedy recovery.
Some future mothers are too frivolous about their health. They do not pay attention to the symptoms, waiting for the pain to pass by itself. When this does not happen, and the discomfort only increases, an understanding of the problem comes, panic begins.
You should know how dangerous gastritis is during pregnancy in order to prevent the development of the problem or minimize the risks if the disease is already developing in the body.
Ailment can cause the following harm:
- With strong pain, a woman takes a lot of painkillers, which hurts the fetus,
- Inflammatory processes in the stomach can go to the reproductive organs, negatively affecting the development of the embryo,
- If a bacterial infection joins, you cannot do without antibiotic treatment, which is undesirable during pregnancy,
- Because of the severe pain after eating and the inflammatory processes, the food and the nutrients it contains are not absorbed, the child does not receive the necessary nutrition.
First, you should visit a gynecologist, whose pregnant is registered. He will familiarize with a condition of the patient and will direct it to narrow experts. Further treatment will be engaged by a gastroenterologist. Often, such patients are offered therapy in a hospital setting.
You should not give up such opportunities, because you will be constantly monitored by the medical staff; experts will be able to take urgent measures in the event of a sudden exacerbation or an attack of pain, without harming the baby.
Gastritis during pregnancy develops for a number of reasons. Initially, in 90% of cases it is provoked by the Helicobacter pylori bacterium. This microorganism can develop in the body of a healthy person, but a strong immune system does not allow it to be activated.
When a pregnancy occurs, all the systems, internal organs of the woman restructure their work. Protective functions naturally weaken, so that the body does not perceive the embryo as a foreign body, and did not start the fight with it. Immunity is inhibited, it is a natural process.
There are several related causes of the disease:
- Constant stress, fatigue - often occur if the pregnant woman already has children, and she has to combine the upbringing of an older baby and the carrying of a younger one,
- Bad habits - smoking provokes gastritis, but if you have learned about pregnancy recently, you can’t give up your habitual abrupt way, it will have a negative effect on the embryo, you need to stop smoking gradually,
- Improper diet - the most important and common cause of the development of inflammatory processes in the mucous membranes of the stomach, during pregnancy, you need to radically reconsider your diet, so as not to face such problems.
Knowing why gastritis develops during pregnancy, it is possible to prevent its occurrence.
Features of the course of the disease
Statistics and experience show that if a woman first encounters the problem of gastritis during pregnancy, she is more responsible in relation to her health, hurries to the doctor and follows his recommendations. In chronic gastritis, pregnant women do not attach much importance to the next exacerbations.
Now you are responsible not only for your life, but also for the existence of an unborn baby, so you should immediately consult your doctor when the first symptoms appear, even if they have become habitual.
The disease proceeds in different ways, depending on the individual characteristics of the patient. First, there is an unpleasant nagging pain after eating. Heaviness in the stomach, feeling of stagnation in it indicates existing problems.
At this stage, drugs based on enzymes that help in the digestion of food cope well with the symptom, but during pregnancy they cannot be abused, so over time the pain only intensifies, becomes permanent.
Nausea, vomiting, dryness and unpleasant taste in the mouth are common symptoms of gastritis during pregnancy. They cannot be ignored. The main danger at this stage is complete dehydration. In this case, all the internal organs and systems are affected, the embryo does not receive the necessary nutrition, there can be serious developmental delays, natural abortion in the early stages and fetal fading in the later stages.
For any woman, this is a real tragedy, but it is in your power and interests to prevent such a negative outcome.
Gastritis in the first trimester
In more than half of the patients, gastritis develops in the first trimester. At this stage, the body is especially vulnerable, and the baby is not yet protected by the placental barrier.
The pregnant woman is sent to the hospital for a complete examination and preservation of pregnancy. An ultrasound test is required to track the development of the embryo.
Another problem in the development of gastritis in the early stages is that now a woman cannot take most of the pharmaceutical preparations. If an ordinary patient is prescribed anti-inflammatory drugs, medications that help the digestion process, then the expectant mother cannot use these drugs, because the risk of embryo development disorders is high.
Therapy consists of constant observation, symptomatic treatment of painful attacks, and a strict diet. The inflammatory processes disappear with time, the condition of the pregnant woman improves significantly.
If the acute phase is over, it is necessary to do everything possible so that the seizures do not recur. This will tell the doctor in detail. Now, until the end of the pregnancy, you will have to periodically visit a gastroenterologist to monitor the patient’s condition.
Second trimester gastritis
The development of gastritis in the second trimester is the least dangerous for the fetus. At this time, the placental protection is already working, the inflammation is not so negatively affecting the baby, and the range of approved drugs is significantly expanded. This does not mean that a pregnant woman can ignore the symptoms.
When pain, disorders of the digestion of food, stool should immediately consult a doctor. The faster he prescribes therapy, the more effective the treatment process will be. At the initial stage of development of the disease, you can get rid of it with a special diet.
Equally important is what zone of the stomach inflammation develops, and what type of gastritis has arisen - with low acidity or with high acidity. The problem is that at this stage the muscle fibers are already weakening, the body is preparing for childbirth. The esophageal sphincter is not closed enough, so the contents of the stomach are often released into the esophagus.
In this way, heartburn develops - a symptom faced by many pregnant women.
When gastritis with acidity in the stomach develops aggressive environment. Heartburn is so strong that the traditional "extinguishing" its drugs do not help, and the burning sensation in the esophagus cannot be tolerated. Only a doctor can prescribe strong drugs that struggle with excessive acidity during the development of gastritis.
Gastritis in the third trimester
If gastritis develops before childbirth, it is extremely unpleasant. At this stage, the body is already significantly rebuilt, modified, because of which there is another reason for gastritis.
A significantly enlarged uterus, inside which a baby develops, presses on all internal organs, including the stomach. This can provoke an inflammatory process.
In the interval between 30 and 40 weeks of pregnancy, a woman visits the attending physician every 1-2 weeks. Be sure to share your feelings and symptoms with a specialist. The gynecologist is obliged to refer you to a gastroenterologist.
He will offer optimal measures to eliminate the manifestations of the disease before the onset of labor. If at that time the inflammation has not yet been removed, the question arises with an emergency cesarean section, although natural childbirth is preferable. It is important that the inflammation does not pass to the reproductive organs.
Diagnosis of gastritis - a set of measures aimed at identifying the disease, making an accurate diagnosis and the subsequent determination of the treatment regimen. During pregnancy, some types of diagnostics are not available, because there is a risk of fetal death. It is undesirable to conduct gastroscopy, because this process provokes the strongest stress in a woman, there is hypertonicity of the uterus, numerous complications are possible.
During pregnancy, the blood flow in a pregnant woman changes. All arteries, veins become thin, vulnerable. When conducting gastroscopy there is a risk of injury and subsequent internal bleeding, although only this method of examination allows visualizing the inner surface of the stomach, determining the localization of the inflammatory process and collecting the contents for biochemical analyzes.
Often to identify the disease and its type help ordinary blood tests, feces. The complex of diagnostic measures is prescribed by the doctor in accordance with the condition of the patient, the period of pregnancy and the peculiarities of her development.
Features of drug treatment
In the І and ІІІ trimester pharmaceutical preparations are almost not prescribed. The patient is under the control of specialists. The only method of effective treatment remains a strict diet. In the second trimester, you can use certain medications that help relieve inflammation.
It is very important to determine which type of gastritis in a pregnant woman develops - with low or high acidity, because in these two cases different drugs are prescribed.
Antibiotics during this period are not used. Instead, probiotics are assigned that restore the microflora balance. Beneficial bacteria displace harmful microorganisms, the healing process is accelerated. There are a number of drugs that envelop the walls of the stomach and protect it from inflammation - Maalox, Fosfolyugel. They are allowed to use during pregnancy.
Folk remedies for gastritis during pregnancy
Some pregnant women refuse traditional therapy in favor of folk remedies. This is not worth doing, because the effectiveness of herbal decoctions, other non-standard measures of treatment has not been proven. You can drink chamomile anti-inflammatory tea, which is often used in this case, but together with other means that the doctor prescribed.
Features of the diet
The only safe and highly effective method for treating gastritis during pregnancy is diet. In the first days of exacerbation, it is worth refusing to eat at all so as not to injure even more the stomach wall.
After a few days you can expand the menu. The following product groups are strictly prohibited:
- Fatty, fried, spicy,
- Smoked meats, canned,
- Fatty desserts, muffins, fresh white bread,
- Some dairy products with gastritis with high acidity,
- Carbonated drinks, alcohol.
You can eat porridge, lean boiled or baked meat, lean fish, soups in vegetable broth.
Can I get pregnant with gastritis
Pregnancy with chronic gastritis is possible, but first a woman needs to undergo a comprehensive examination, take a number of measures to minimize the risks of developing exacerbations. Proper pregnancy planning allows you to get rid of numerous problems during gestation.
You can undergo prophylactic treatment before conception, consult with several specialists. Chronic gastritis is not a direct contraindication for pregnancy, this diagnosis only imposes some restrictions on the life of the future mother.
In order not to suffer from the negative consequences of this disease when carrying a baby, you must take a responsible attitude to your own health, trust the doctors and follow their recommendations.
Causes and symptoms of acute gastritis
Gastritis is an inflammation of the gastric mucosa. Its acute form arises as a result of a single influence of an unfavorable factor and, as a rule, passes without a trace. The cause of acute gastritis can be the action of chemical, toxic substances on the surface of the stomach, some pathogenic microorganisms (bacteria, viruses). Sometimes inflammation is a side effect of medications.
Symptoms of acute gastritis appear soon after a negative effect on the stomach, usually several hours later. У человека развивается слабость, головокружение, бледнеют кожные покровы, на языке образуется серый налет. Появляются нарушения пищеварения: тошнота и рвота, диарея. Проявления во многом похожи на пищевое отравление.
Причины и симптомы хронического гастрита
The mechanisms of development of chronic gastritis have been disclosed recently. Previously it was believed that gastric inflammation in most cases develops due to eating habits or the abuse of harmful foods.
Now scientists call another main cause of chronic gastritis - infection with the pathogenic bacterium Helicobacter pylori.
Its vital activity in the human stomach leads to irritation of its walls, damage to the epithelial cells and digestive glands, and in severe cases to the deeper tissues of the organ.
Other causes of chronic gastritis:
1 Reflux disease - disruption of the sphincter, while food from the intestine is thrown back into the stomach, and the contents of the stomach - into the esophagus and pharynx (accompanied by heartburn and bitterness in the mouth).
2 Autoimmune diseases - disruption of the immune system, in which it perceives the cells of the organs (in particular, the stomach) as foreign bodies, and destroys them.
Factors that increase the likelihood of developing chronic gastritis are the wrong diet (eating on the go and long breaks between meals), nervous stress, medication, harmful working conditions (contact with chemicals), helminthiasis. The mucous membrane of the stomach is more vulnerable in people with a weakened immune system, with vitamin deficiency and in violation of hormonal levels.
Chronic gastritis makes itself felt periodically, exacerbations of the disease provoke various factors.
Its symptoms are as follows:
1 Severity and feeling of fullness in the stomach, which appears after eating, pain in the epigastric region, frequent belching, nausea, feeling of unpleasant taste in the mouth.
2 If gastritis is accompanied by a decrease in the secretion of gastric juice, there are abnormal stools (diarrhea or constipation), there is a smell from the mouth, and acidification often causes heartburn.
3 Abnormalities in the work of other organ systems: cardiac arrhythmias, low blood pressure, weakness (especially after eating), insomnia, increased sweating.
At a time when a person does not feel discomfort (remission period), in fact, the mucous membrane is not restored, since irreversible changes are gradually taking place in it.
Diagnosis of chronic gastritis during pregnancy
If you suspect chronic gastritis, you should consult a doctor. He will be able to determine the diagnosis, although examination during pregnancy is complicated due to the inability to use many methods. For example, endoscopy, which makes it possible to examine the condition of the gastric mucosa, can cause discomfort in a pregnant woman. Therefore, it is used only in the case when the prescribed treatment does not bring results.
The doctor may refer urine, blood and feces for diagnosis. Research methods are also used that do not involve the introduction of any probes into the body: this is electrogastrography (to study the movements of the stomach wall) and ultrasound.
Chronic gastritis during pregnancy: treatment
Exacerbation of chronic gastritis during pregnancy requires immediate treatment, as its symptoms exhaust the body, the woman becomes less active, receives less nutrients from food. It is necessary to report the deterioration of the condition to the doctor so that he prescribes treatment.
Medicines for gastritis during pregnancy can be taken only as prescribed by the doctor, since many drugs are not recommended during the period of gestation.
In the treatment of chronic gastritis often use medicinal herbs (mint, chamomile, St. John's wort, lemon balm, oats, plantain, cumin), but when choosing this tool you also need to consult with a specialist.
It is very important to adjust the food during gastritis during pregnancy. Salty, fried and smoked dishes, fatty meat are excluded from the diet. Reduce consumption of soy broths, coffee, sweets and pastries. With increased acidity can not abuse the acidic fruits and vegetables, and juices should be diluted with water.
Chronic gastritis is also treated with the help of mineral water of a certain composition. But a pregnant woman should consult a doctor about what kind of water she needs to drink and in what quantity, the treatment rules depend on the type of chronic gastritis.
A pregnant woman should not be worried if she has chronic gastritis: the baby will not suffer from this disease. But with exacerbations, it is imperative to immediately begin treatment.
Features of gastritis
Gastritis is an inflammation of the gastric mucosa that interferes with its proper operation. As a result, the food consumed is not digested properly, and the body has to spend much more energy on this process. Therefore, a person suffering from gastritis, is experiencing constant fatigue.
People of any age are affected by this disease - both children and adults. The main reasons for its development can serve both external and internal factors. For example, in about 80% of cases the disease is provoked by the bacterium Helicobacter pylori, the other 20% are other negative circumstances: the use of alcohol, various chemicals, postoperative consequences, etc.
Gastritis occurs in different ways - in the acute form, manifested 5-7 hours after ingestion of fatty, overly salty, sour, smoked or spicy foods, or chronic, reminding of itself from time to time. It happens that years go by from a one-time attack to a subsequent deterioration. And then any provocative factor causes aggravation.
Pregnancy is just among these factors. During this period, the hormonal background in the woman's body changes, as the fetus grows, the internal organs shift. These restructuring allow gastritis to declare itself: according to statistics, about 70% of expectant mothers are faced with this problem.
Symptoms in both pregnant and other patients are about the same. Differences can occur only because of the different acidity of the stomach - depending on whether it is increased or decreased.
Symptoms characteristic of gastritis:
- toxicosis (for pregnant women - not only in the morning but also during the day),
- heaviness and pain in the stomach
- belching with an unpleasant smell of a rotten egg,
- gray bloom on the tongue
- upset stool
- bad breath,
- in some cases, fever.
If any of these symptoms occur, you should immediately contact a gastroenterologist, who will conduct an examination and make a diagnosis.
Treatment and effects
This disease does not carry a direct negative impact on the fetus. Then what is the risk of gastritis during pregnancy?
The fact is that it greatly complicates the process of carrying for the woman herself. Constant fatigue, stomach pains do not contribute to a positive attitude, and the psycho-emotional state of the future mother just has a direct bearing on the development of the crumbs.
Also, exacerbation of gastritis, entailing a disruption of the stomach, does not allow the beneficial trace elements and vitamins that are present in the mother’s diet, to fully get to the baby. This is especially dangerous in the early stages of pregnancy, when the fetus is most actively developing.
Do not ignore the symptoms and postpone the visit to the doctor for later. If a woman knows about her illness at the planning stage of pregnancy, the consultation of a gastroenterologist should be a priority.
Pregnant women are rarely prescribed gastroscopy, more often to clarify the diagnosis it is enough to study the history and examination.
Gastritis in no way is not a contraindication for pregnancy, but it is a good reason for a more careful attitude to their health.
Drug treatment of gastritis during pregnancy is practically excluded. Unauthorized medication is very dangerous for fetal development. Therefore, only a specialist should prescribe these or other drugs, after weighing the pros and cons.
To eliminate pain in the stomach can be assigned: "Maalox", "Almagel" or "Phosphalugel". In this case, the course of admission should not exceed 7 days. Painkillers, such as No-shpa or Platyfillin, are prescribed with extreme caution.
To restore the microflora of the stomach, you can take enzyme preparations - Linex or Laktovit. Not bad help and vegetable decoctions - chamomile, flax, mint.
Diet will help
Diet is the main treatment for gastritis during pregnancy. In the first week it is best to eat only liquid food - light soups on lean meat, milk porridges, oatmeal is especially effective. Fresh vegetables and fruits must be abandoned. After 7 days you can add to your diet vegetable food, preferably in baked or boiled form.
From fried foods give up completely. Fish and lean meat are very good and useful in this case. You can cook them for a couple or in the oven. Do not abuse the spices - spicy and overly salty is completely unacceptable in the diet. Pay attention to dairy products: homemade yogurts, sour cream, kefir, ryazhenka - all this is the best fit for a pregnant woman, especially if she suffers from gastritis.
Caution should be exercised with whole milk - you can boil porridge on it, but it is not recommended to use it in its pure form.
The acute form of gastritis is an unexpected inflammatory reaction of the gastric mucosa, which is influenced by the negative effects of infectious, chemical and toxic factors. The development takes place suddenly and violently, after a stimulus enters the body after a few hours, sharp cramps, pain, nausea, vomiting appear in the stomach, a grayish bloom appears on the surface of the tongue. The general condition worsens, dizzy, dry, pale skin, constipation is replaced by diarrhea. Many people confuse this condition with poisoning, and in the early stages there is no timely help. Before treating gastritis during pregnancy on your own, consider whether you will make things worse. Depending on the exacerbation of the course and the etiological factor that causes the disease itself, the treatment of gastritis in pregnant women, the course and threats during pregnancy are determined.
Chronic form of gastritis
Gastritis in chronic pregnancy is a sluggish disease, it is accompanied by pathological changes in the gastric mucosa, and the secretion of gastric juice is also disturbed. This form is distinguished by the fact that, along with the intestine, nearby organs are also involved in the process - duodenum 12, bile ducts and bladder, liver and pancreas. During pregnancy, alternation of remission and relapse occurs, but without complications. Unfortunately, if gastritis in pregnant women appears at a late period, it is almost impossible to cure later, during gestation it is necessary to visit the gastroenterologist more often to prevent and prevent the occurrence of complications that would affect the development of the fetus and the future mother's well-being as much as possible.
Causes of disease
The exact causes that influence the development of gastritis during pregnancy are identified:
- The excitement and stress that destroy the biologically determined rhythm and routine of life. In the early stages of pregnancy, mood deterioration, unreasonable apathy, and fatigue may be added to toxicosis. These processes are exacerbated
- Unbalanced nutrition. A woman should eat in view of the fact that the consumption and the load goes to two people. Therefore, it is important not to poison your body with harmful products.
- A weak body is poisoned by alcohol and smoking, various surrogates, these poisons destroy the natural environment of the intestines, allowing diseases to develop,
- It is necessary to carefully choose the ration, excludes purified cereals, preservatives, refined oils, the presence of antibiotics and hormones in meat,
- The ingestion of Helicobacter pylori type bacteria.
It is quite difficult to identify gastritis during pregnancy, what to do for this, prompt at the time of becoming registered.
Gastritis during pregnancy, the symptoms of which do not differ from the general signs:
- Aching or sharp pain in the stomach,
- Uncontrolled belching,
- Nausea, and then vomiting,
- Sour taste in the mouth, unpleasant aroma from the mouth.
You can distinguish the symptoms of gastritis from the usual toxicosis during the meal, gastritis is manifested in the process of digestion. It is necessary to immediately seek help from a specialist so that the usual “hungry” pain does not become acute, thereby causing the child to suffer. In the usual position, people provide first aid, soothing pain, during pregnancy this can not be done, because the reaction of the body is unknown. Drugs can harm the child, cause an allergic reaction, you must immediately go to the hospital if you suspect.
Heartburn is determined by the presence of heat or burning sensation in the epigastric portion. This means that the stomach begins to infect the disease, poison has hit, the secretion of gastric juice exceeds the norm, so it is released into the lower digestive tract, as a result, the gastric mucosa is affected, irritation occurs. Heartburn has never been an independent pathology, it is the main cause of gastritis reflux esophagitis, it is easiest to determine during pregnancy. The neglected form, which was not given treatment, can cause early birth, reach the most terrible - miscarriage, a threat to the life of both the mother and the child. Emotional depression with intestinal disease does not stop, while with toxicosis alternates with positive emotions. Also palpable pain in the sternum can not be a consequence of pregnancy. A woman, when becoming registered, can undergo a full examination to determine the presence of intestinal disease or to prevent the spread of symptoms and mucosal lesions.
How to recognize gastritis
During fetal development, it is very difficult to diagnose gastritis during pregnancy, but the symptoms are almost the same. Exacerbation of gastritis during pregnancy passes with painful sensations under the spoon, the heaviness in the stomach is usually also mistakenly attributed to pregnancy. A sharp decrease in appetite, nausea, belching are considered common signals to the problems encountered.
Diagnosis in determining gastritis is standard, but there are exceptions and nuances. Endoscopic diagnostics is considered the most used, it determines the condition of the mucous membrane, so a biopsy can be done in time. But experts do not recommend carrying out such a set of activities, as a woman finds it difficult to tolerate. Therefore, this is carried out with complex treatment, which does not bring the desired results.
The level of acidity in the stomach is carried out using a probe. A flexible tube is held in the esophagus for taking analysis. Internal pH-meters can also be used when the determination is carried out directly in the stomach. With the help of acidity level is determined by the nature of the disease. Laboratory tests of blood, feces and urine should be checked should be generalized, when becoming registered.
The specialist may prescribe an ultrasound study of the abdominal cavity (organs), electrogastrography, in which the pattern of movement of the gastric walls is seen.
Gastritis treatment: nutrition
A woman should be on bed rest if acute gastritis and pregnancy are taking place, treatment implies a change in diet, there should be a diet. Food passes for a certain time. It is fractional (at least 5 times a day). At the first stage of treatment, the food should be liquid, not fried, table salt and sugar with flour products should be excluded or just confined, broths and juices are better to use those that have sokogonny action. The use of dairy products (but not kefir), scrambled eggs, vegetable stews, fresh fruits and vegetables, soups and broths, natural mashed potatoes is recommended during this period. The diet is expanded with fruitful treatment, boiled fish and meat, lean ham, high-quality doctor sausage, any cereals, cheese and sour cream (non-sour) are included in the diet. After a rigid diet is removed, a pregnant woman is still advised to exclude smoked meats, salty or spicy seasonings, heavy fried foods, sweets with dyes, this can all lead to a relapse of gastritis.
It is also recommended at normal or elevated levels of acidity, provided that there are no edema, consumption of mineral water, which can be found in the pharmacy. They are consumed 3 times a day, 150–300 ml 2 hours after a meal. This time is enough to reduce the time of action on the gastric mucosa of hydrochloric acid. For patients with high acidity, there is also specialized mineral water.
When confirming the diagnosis - erosive gastritis during pregnancy, the expectant mother is examined in the hospital mode, under the control of a gastroenterologist. The first thing appointed a strict diet. Drugs are selected individually, by the method of diagnosis and testing for allergic reactions, as there is a risk that the drug treatment will have a bad impact on the life of the child and the mother. Gastritis during breastfeeding can also be treated with medication. If it is increased acidity, then the possible drugs are:
- Антациды – облегчается протекание болезни, а также нормализуется уровень кислотности.
- Спазмолитики – снижают болезненные ощущения в желудочной зоне.
- Прокинетики — назначаются с целью регулирования активности желудочных мышц.
Women who suffer from low acidity gastritis take:
- Preparations of gastric enzymes. They are selected for the individual case, the medications help to compensate for the lack of secretion.
- Medicines providing pancreatic enzymes. They improve digestion, beneficially affecting the functioning of the stomach.
- Combined drugs.
Each of these medications has a calming positive effect on the gastrointestinal tract.
Is it possible to treat gastritis in this situation?
Gastritis and pregnancy do not interfere with each other. Although the position of the pregnant woman is precarious and limited in the full-fledged treatment, it is necessary to eliminate pain and exacerbation of the disease.
Aggravated gastritis during pregnancy is very serious, the treatment is carried out so that inflammation does not pass on to other organs, this applies to the gallbladder and intestines. Chronic gastritis during pregnancy can turn to duodenal ulcer and stomach ulcers, to the development of a malignant tumor. Discomfort, as well as pathological deterioration of the state of the body of a pregnant woman leads to disruption of the functioning of the child's life. Impaired digestion affects the fetus, as it slows down the supply of vitamins, the development and growth of the child slows down, leading to early childbirth.
When planning a pregnancy, it is better to seek help from a gastroenterologist, who will talk about the risks of developing pathologies in the child against the background of gastritis.
Therefore, if we talk about the treatment of intestinal diseases, it should be carried out only taking into account the peculiarities of the course of pregnancy.
Traditional methods of treatment
If you are diagnosed with gastritis during pregnancy than a treatment by popular methods, the specialist will also prompt. Healing herbs and fees, including chamomile, mint, yarrow, flax seeds, St. John's wort, bird mountaineer, oats, restore the secretion of glands, while improving the microflora of the stomach. It is good for increased secretion.
Cumin, thyme, plantain, wormwood root, parsnip, as well as oregano, parsley, fennel - are suitable for low acidity. With medication, some herbs are allowed.
- Broth peeled potatoes allowed with high acidity.
- Strained leaves of fireweed soothe heartburn, if taken after a meal.
- Chamomile has a positive effect with low acidity. Before meals, you can drink the infusion three times a day.
Exacerbation, as well as discomfort from gastritis during pregnancy, provided that the treatment is aimed at eliminating the symptoms and normalizing the acidity, takes place in most cases in a month, without acute remissions. A pregnant woman should go to the hospital for any discomfort, as she is responsible for several lives.
What is gastritis?
Gastritis of the stomach is inflammation of the gastric mucosa, which further leads to disruption of the digestive processes.
There are two main forms of gastritis - acute and chronic.
Acute gastritis divided into:
- catarrhal or simple,
- fibrinous or diphtheritic,
- corrosive or necrotic,
Catarral form usually associated with mild nutrition or food poisoning.
Necrotic and fibrinous develop in case of poisoning with heavy metals, alkalis, acids and other highly active substances. Fibrinous can also occur in severe infectious diseases.
Phlegmonous gastritis may be caused by traumatic damage to the mucous membranes or develop as a result of stomach cancer or peptic ulcer disease.
Chronic gastritis may develop as a complication of acute or as an independent form of the disease. There are forms of chronic gastritis:
- Autoimmune - develops due to the formation of antibodies in the cells of the stomach.
Bacterial - when Helicobacter pylori is infected, this type of gastritis is the most common.
Also, gastritis is classified according to the acidity of the stomach:
- with low acidity
- with increased or normal acidity.
Gastritis. What hurts your stomach? The program "Live is great!"
In addition, there are several stages of gastritis.
Initial - the so-called superficial gastritis - a thickening of the gastric mucosa while maintaining its integrity. Digestive functions are impaired.
Gastritis in this stage can be treated successfully with early diagnosis. But often because of self-medication or neglect of treatment, he goes into a chronic stage.
With chronic stage there is an increase in leukocytes in the blood and a violation of the secretory function of the stomach. Inflammation of the mucous membranes can be diffuse, i.e. over the entire surface of the stomach, or erosive, in which small ulcers appear on the mucous membrane.
The next stage is atrophicin which there is a replacement of the inflamed areas of the mucous connective tissue that is not capable of digestion.
Features of the course of gastritis in a pregnant woman
During pregnancy, the load on all organs and systems is greatly increased, therefore, chronic diseases often make themselves felt, even those that didn’t especially bother the woman before.
One of these diseases is gastritis. What is dangerous gastritis a pregnant woman?
It is difficult for a pregnant woman to immediately recognize gastritis, as its symptoms may be similar to manifestations of toxicosisAs a result, the woman postpones the visit to the doctor and delays with treatment.
Here are the main symptoms of gastritis in a pregnant woman:
- epigastric pain, mostly on an empty stomach,
belching and heartburn - often accompanies the expectant mother in the second half of pregnancy, but may indicate a stomach disease,
nausea and even vomiting - these symptoms are easily confused with manifestations of early toxicosis, but if they appear in the second and third trimesters, you should definitely be wary,
abdominal distention (increased flatulence in the intestines),
If the expectant mother has these symptoms in the period of carrying the child, do not immediately blame everything on toxicosis, it is necessary to consult with a specialist and exclude gastritis.
Because gastric gastritis treatment during pregnancy is limited to the choice of only those methods and drugsthat do not harm the unborn child, respectively, it is desirable to begin treatment as soon as possible.
Treatment and Diet
The basis of gastritis treatment for any person is dieting. And for a pregnant woman this can be the basis of treatment, since many drugs are contraindicated to her.
During the period of exacerbation of the disease is recommended generally refuse to eat for 1-2 days, using a large amount of liquid (tea, jelly, mineral water or dogrose broth). Next, strictly adhere to the power prescribed by the doctor.
Need to give preference steamed food, as well as dishes in boiled and stewed form. It is necessary to eat in small portions and often, at least 5-6 times a day.
Therefore, a diet during pregnancy in any case will benefit both mom and baby.
Drug treatment very limited due to the possibility of harming medicines to the baby. To relieve pain, you can take No-shpu or Papaverina suppositories rectally. Due to the antispasmodic action of these drugs will have an analgesic effect.
Also during pregnancy, women can prescribe drugs that improve intestinal motility and enzymes to improve digestion. If the future mother is suffering from heartburn, antacids can be used, such as Rennie or Maalox.
But with the etiological treatment of gastritis - the elimination of Helicobacter pylori - will have to waitbecause antibacterial drugs for a pregnant woman are contraindicated, especially in the first trimester, when all functions and organs of the baby are being formed, and in the second and third trimester antibiotics can be prescribed by a doctor only when the potential risk for the mother exceeds the possible risk for the unborn child.
Today there are antibiotics, the use of which during pregnancy in the second and third trimesters is permissible, but it is still not advisable to take them, and certainly not follow them on your own.
Decision on the need to take antibiotics pregnant should take a qualified professional.
Possible treatment of gastritis and folk remedies. Broths of chamomile, flax seeds or oatmeal jelly have a beneficial effect on the stomach.
In any case, what treatment method would you choose, you must first consult with your doctor (general practitioner or gastroenterologist), to minimize the risk of negative consequences. After all, now not only your health is at stake, but also the health of your child.
The basis for the prevention of gastritis is proper nutritionwhich includes:
- Compliance with the regime and the exclusion of overeating - eat at least 4, and preferably 5-6 times in small portions.
Use only high-quality and fresh products.
In addition to food The following factors also play an important role in the prevention of gastritis:
- Regular exercise - should be moderate and meet the individual needs of the body, only then they will benefit.
Psycho-emotional background - stresses and mental overloads can provoke the development of many diseases, including and gastritis.
Limited use of drugs that have a negative effect on the stomach - first of all it refers to a nonsteroidal anti-inflammatory drug and especially to the popular Aspirin.
Therefore, do not neglect the visit to a specialist and self-medicate using the Internet. Moreover, it is contraindicated for expectant mothers. Take care of your health and the health of your baby on time.