Gastritis

Gastritis is an inflammation of the mucous membrane of the stomach. The clinical course gastritis divided into acute and chronic, and etiological sign - on exogenous and endogenous.
Acute gastritis is one of the most common diseases of the stomach. Can occur at any age.
Etiology. Irritation of mucous membrane stomach rich, rude, spicy, fatty, too hot or cold food; strong alcoholic beverages; products of decay and fermentation; microbes and their toxins. Acute gastritis develops when taking certain medications (such as salicylates, iodine, phenylbutazone, digitalis, cortisone, sulfonamides) because of the increased sensitivity to them. Predisposing conditions (mental stress, illness) often have the leading role in the origin of gastritis. Sometimes acute gastritis is an aggravation hidden flowing chronic gastritis. Functional and even morphological changes of the stomach may occur in acute infections.
Pathological anatomy. Diffuse lesions of the gastric mucosa, most sharply expressed in privratnika region. The mucous membrane is swollen, red-blooded; can be bleeding and erosion on its surface.
The clinical picture and diagnosis. Depending on the strength of the stimulus, the duration of its validity and responsiveness of the nervous system acute gastritis may be asymptomatic, with minor diarrhoeal disorders or more difficult.
The inflammatory process begins to develop within two hours after administration of substandard food, but the first clinical symptoms usually appear within 6 - 12 hours or more. The patient loses appetite, feels weakness, unpleasant taste in the mouth, heaviness and pain in the stomach, usually not very strong, then appear nausea, salivation, belching and, finally, vomiting food masses. The temperature may be low grade and febrile. Patient pale, pulse Ochsen tongue coated grey tinge; mouth odor, pain in podlojecna area. First, find the acidity of gastric contents, changing its reduction. Motor function of the stomach is suppressed. Relatively heavy state lasts from several hours to one or two days. Weakness and loss of appetite may remain for several days.
To differentiate acute gastritis should diseases, accompanied by vomiting reflex (appendicitis, cholecystitis, peptic ulcer disease , and others), as well as with acute infectious diseases.
Treatment. Assign several glasses of warm alkaline waters (Borjomi, Essentuki № 20), which contributes to repeated vomiting, and removal of food and mucus. Rarely washed stomach through the thick probe 0.5% solution of sodium bicarbonate. The patient must stay in bed.
If you suspect gastroenteritis (simultaneous inflammation of the stomach and small intestine) or gastroenterocolitis (simultaneous inflammation of the stomach, small intestine, large intestine) purgation of laxatives (30 g of magnesium sulfate dissolved in 1/2 glass of warm water). The first 1-2 days is recommended hunger. Only drink small amounts of cool tea, drinks. If dehydration due to profuse vomiting injected subcutaneously isotonic solution of sodium chloride 0.5 to 1 L. On the 2nd or 3rd day of the disease designate liquid food - tea, coffee, yogurt, low-fat broth, mucous soups. With the advent of appetite - liquid porridge, jelly (except cranberry), jelly, mashed potatoes, grated meat, boiled eggs, biscuits. Diet gradually expand in 10-12 days.
Prevention includes all activities sanitary supervisiondesigned to protect the population from consumption of poor-quality products. In the presence of diseases of other organs of digestion - treatment.

changes in the mucous membrane of the stomach in various forms of gastritis
Changes in the mucous membrane of the stomach in various forms of gastritis. Fig. 1. Atrophic gastritis. Fig. 2. Hypertrophic gastritis. Fig. 3. Gastritis with diseases. Fig. 4. Diphtheria gastritis. Fig. 5. Phlegmonously gastritis. Fig. 6. Necrotic gastritis with scarlet fever.