Erosive gastritis - treatment, diet, symptoms

Erosive gastritis can be described as a lesion of the gastric mucosa, accompanied by the occurrence of single or multiple superficial defects on it.

You can also say that erosion is a shallow wound, affecting only the outer layer of the mucosa.

At the onset of the disease it can only be small wounds on the walls of the stomach, located mainly on the outside. These are rounded areas raised above healthy tissues and reaching up to eight millimeters.

The symptoms that a person experiences from such a disease are very unpleasant. This pain and constant discomfort in the gastric region. Therefore, treatment should begin immediately, after the discovery of symptoms.

The reasons

What it is? Acute or chronic irritation of the mucous membrane, which leads to a violation of the integrity of the mucous membrane - one of the main reasons for the development of erosive gastritis. Defects in this disease do not go deeper than the mucous layer, and in size they range from one or two to several tens of millimeters.

In erosive gastritis, there may be several scattered or several connected foci, which, when merged, cause more extensive necrosis, and often lead to bleeding from the vessels.

Lead to the development of erosive gastritis can:

  • chronic gastrointestinal disease (superficial gastritis, diseases of the esophagus);
  • excessive consumption of hot and spicy foods;
  • some medications;
  • the constant use of alcohol, and also the single use of excessively large doses.

Also the cause of the disease is the bacterium Helicobacter pylori (it also causes a stomach ulcer). It damages the gastric mucosa, after which local inflammatory processes develop.

Signs of

The first signs of erosive gastritis, depending on its type, may be as follows:

Acute form:

  • vomiting;
  • diarrhea;
  • weakness;
  • pallor of the skin;
  • upper abdominal pain;
  • the feces become dark, almost black, indicating internal bleeding.

The chronic form is much easier. The patient may appear:

  • heartburn;
  • belching appears at the end of the meal;
  • unpleasant pain in the stomach.

Sometimes this type of gastritis may be asymptomatic. But this disease is insidious, it is difficult to treat and very often causes aggravation of erosive gastritis. Erosion can exist for a very long time, up to several years.

Symptoms of erosive gastritis

Basically, erosive gastritis of the stomach develops very quickly and intensively. Small (1-3mm) flat foci of necrosis of the upper tissues that reach a certain depth appear on the gastric mucosa, and during healing, unlike ulcers, they do not form scars.

Doctors call this disease hemorrhagic gastritis and divide it into a chronic and acute form.

The symptoms of erosive and acute gastritis are similar (abdominal pain, upset stool, nausea, heartburn, vomiting, general weakness of the body, etc.). But in acute erosive gastritis, signs of gastric bleeding are added to these symptoms, such as:

  • acute pain in the abdomen immediately after eating or on an empty stomach;
  • blood clots in vomitus;
  • dark, tar-like feces.

Chronic erosive gastritis can often occur completely without symptoms, manifesting itself only in infrequent and implicit nausea, flatulence, discomfort and heaviness in the abdomen. Diagnosis of the inflammatory process in many cases is carried out in such patients only after the onset of gastric bleeding.

Often, exacerbations of chronic gastritis are seasonal. If these seemingly harmless symptoms become regular or continue at least for a week, you should consult a doctor.


In order to determine what type of gastritis the patient needs to be examined:

  1. Endoscopy. A special probe (endoscope) is introduced into the esophagus, and then into the stomach, through which a study of the gastric mucosa is carried out. Specially from the site of the sore pinch a piece of tissue, which is then sent for research, for the presence of Helicobacter pylori.
  2. General blood analysis. Anemia is also a characteristic sign of erosive gastritis.
  3. Analysis of fecal occult blood.

Chronic erosion is usually elevated above the surface of the healthy mucous, they are a spot (papule) with a slight depression inside. The bottom of the erosion may be a muscle plate. The development of gland hyperplasia at the edges of erosion is characteristic. In the cicatrization stage, granulation tissue is visible in the center of erosion, and atrophic glands are visible at the edges.

Treatment of erosive gastritis

To determine how to treat erosive gastritis, you first need to find out the reason for the formation of erosion. But since erosion is the initial degree of ulcer, the treatment scheme for erosive gastritis will be very similar to the methods of treatment of peptic ulcer.

The main place in the treatment of erosive gastritis is proper nutrition. You can not zealous with the diet, as the food should be gentle. For example, in acute forms of the disease, doctors recommend using warm boiled or stewed foods without the addition of spices.

At the same time, it is necessary to completely eliminate coffee, alcohol, strong tea (both black and green). Also, do not eat greens, broths, many juices and raw vegetables.

Medical methods

The treatment regimen for erosive gastritis will be difficult, and include many different stages and prescriptions.

  1. If the disease is caused by Helicobacter pylori bacteria, the treatment of chronic erosive gastritis is impossible without the use of antibiotics. Most often, the patient is prescribed drugs tetracycline, levofloxacin, clarithromycin, amoxicillin, which requires a long reception.
  2. Neutralization of aggressive hydrochloric acid. For these purposes, antacid agents are indicated: renny, maalox, almagel, phosphalugel, and venter. They not only eliminate excess acidity, but also form a protective film over the inflammatory mucosa and erosions. This contributes to their rapid healing.
  3. Since antacids muffle the action of gastric juice, additional enzymes are required for better digestion of food. Strengthen secretory function drugs Mezim, Digestal. Also at this stage, the doctor may prescribe an antispasmodic to the patient to eliminate stomach pain — Papaverine, No-shpa.
  4. Restoration of normal motility of the stomach and duodenum. There will be prescribed drugs that can activate the reduction of the gastrointestinal tract, and increase the tone of the stomach walls. The first-generation drugs that should be taken with this disease Reglan, Raglan, they can improve gastric motility, but are able to enter the blood and affect the nervous system.
  5. Treatment with alkaline mineral waters. It is better to conduct it in a specialized sanatorium.

If we are talking about a situation with an acute form of erosive gastritis, then it is treated in the intensive care unit. Almost always, patients can be cured with selected medications, but a small percentage still have complications.


An important point in the menu is the consistency of the food. The advantage is given to dishes prepared in semi-liquid or shabby form. Rough food especially irritates damaged gastric mucosa; cold and very hot foods should be avoided.

  1. In the acute period, as well as in the initial period of recovery, diet No. 1 is recommended. It implies the restriction of secretion stimulating products, as well as the exclusion of dishes that irritate the mucous membrane.
  2. With chronic course shown diet number 2. In this case, sparing of the gastric mucosa requires moderate. But during this period it is necessary to abandon some products.

To make the stomach comfortable, food should be warm. Portions should not be large, frequent meals are recommended to avoid the feeling of overeating.

How to treat erosive gastritis folk remedies

Treatment with folk remedies gives in most cases good results, since natural components are used for it, and people's experience has a long history.

  1. Take propolis tincture or prepare it in advance. 3 parts of propolis for 10 parts of vodka. Twenty drops of such tincture diluted in a glass of water, taken in the morning on an empty stomach in a glass. The term of treatment is 2-3 months, then a break. The course should be repeated twice a year.
  2. The most important folk remedy is sea buckthorn oil, which has a very high wound healing ability. It also soothes the inflammation of the stomach lining. Those who have sea buckthorn berries at home, can squeeze them out of their juice, put it in a jar and add an equal in volume of juice, the amount of olive oil (1: 1). Mixture insist for three days, then put in the refrigerator. Take one teaspoon on an empty stomach for at least fourteen days.

Remember that even treatment with folk remedies can be dangerous. Before you begin to try homemade recipes, you should consult with your doctor.

Watch the video: Gastro Esophageal Reflux Disease Causes, Symptoms & Treatment, Fortis Healthcare, Bangalore, India (January 2020).


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