Chronic gastritis with dyspepsia syndrome - a disease that includes symptoms of chronic gastritis and gastric dyspepsia. Dyspepsia - a collection of various manifestations of disorders of digestive function. It includes complaints of discomfort, discomfort in the stomach, stomach pain, stomach, heaviness in the stomach, belching, nausea, vomiting, heartburn, blood transfusion, and gurgling, etc.
Dyspeptic symptoms may be accompanied by any other disease of the stomach or gastro-intestinal tract. Why do some patients with chronic gastritis feel almost healthy, and other diarrheal disorders occur until the end is not clear. At present, it is considered that the main cause of dyspepsia is a violation of the motor function of the stomach and intestine, slowing the evacuation of the mass of food from the stomach. In addition, patients with dyspeptic syndrome often have other functional disorders of the nervous and cardiovascular systems.
Dyspepsia is divided into
functional when the stomach no changes characteristic of chronic gastritis and gastroduodenitis
organic or ulcer, if the stomach or duodenum, they are present.
Diarrheal disorders, and specific to their complaints are very common among adults. It is believed that up to 40% of people in one way or another suffer from digestive disorders.
In chronic gastritis with dyspepsia syndrome in the stomach are inflammatory or atrophic changes, impaired gastric motility, thus there is intolerance of a few or many products, and various violations of promoting bolus through the intestines, diarrhea, constipation or less. In clinical diarrheal disorders are classified according to predominant symptoms in the disease course.
There are following options for dyspepsia:
Ulcer such an option. In this case, patients often complain of pain in the stomach, which occur on an empty stomach or at night. If you receive food or antacids such pain are reduced.
Dis kinetic option. In a patient with chronic gastritis diskineticheskih option with dyspepsia occurs early satiety and a sense of fullness, nausea, bloating in the pit of the stomach after eating.
Reflux such an option. This variant is characterized by burning pain in the sternum, xiphoid process, heartburn.
Non-specific option. When this option is not possible to distinguish the predominant symptoms.
Complaints in patients with chronic gastritis with dyspepsia remain constant over time. Diagnosis of this condition includes a large number of studies, as necessary to eliminate many diseases of the gastrointestinal tract. Appointed by common blood and urine tests, blood chemistry. Are x-ray, fibrogastroduodenoscopy with compulsory study on Helicobacter pylori, an ultrasound of the abdominal cavity.
Treatment of chronic gastritis with symptoms of dyspepsia includes many components. This, above all, change the image of the patient's life. Exclusion of stress, treatment for anxiety disorders. We recommend a diet with mechanical, thermal and chemical schazheniya gastric mucosa. Exclusion from the diet foods irritate the mucous membrane - spicy, fried, canned, acidic foods, carbonated beverages. Strong alcoholic beverages is prohibited. Limited or excluded smoking.
If the clinical picture is dominated by the pain of the disease (yazvennopodobny version), the patient is assigned to antacids (magnesium hydroxide preparations or aluminum - Maalox, Fosfalyugel, Gastal, gasterin-gel protab) and drugs that reduce gastric secretory function.
In dyskinetic form prescribed medication to regulate gastric motility - Metoclopramide (Raglan, tserukal), domperidone (motilium) koordinaks, prepulsid. If the patient's examination revealed Helicobakter pylori, obligatory in treatment of H. pylori, followed by control of the success of therapy.