How to cure gastritis with low acidity. Atrophic gastritis with low acidity: diagnosis and treatment. with reduced acidity

Gastritis with low acidity is characterized by inflammation of the gastric mucosa, which leads to a decrease in the acidity of gastric juice, a decrease in its quantity and ability to break down food. This type of gastritis is common among people of the middle age group, as well as among the elderly, lovers of fatty, spicy foods and drinkers.

The leading role in the diagnosis of this pathology is played by endoscopy with a biopsy of the gastric mucosa and intragastric pH-metry. The main directions of therapy for gastritis with low acidity are the prevention of the progression of atrophic processes, the restoration of gastric secretion, and the normalization of the functioning of other organs of the digestive tract.

In this article, we will look at all the nuances of gastritis with low acidity, its symptoms and treatment, and also talk about the recommended diet.

Causes

Why does gastritis with low acidity occur, and what is it? The causes of the development of the disease can be both internal and external factors.

Most often, the disease develops due to such conditions:

  • disturbed diet, excessive consumption of hot, spicy, coarse food;
  • circulatory disorders due to heart disease;
  • reduced oxygen supply to the body due to pulmonary diseases;
  • the use of strong alcoholic beverages in large quantities;
  • autoimmune disorders;
  • metabolic disorders and related diseases: metabolic disorders,;
  • , enteritis and other concomitant diseases of the gastrointestinal tract;
  • endocrine diseases.

Long-term persistent Helicobacter pylori infection most often leads to atrophy of the gastric mucosa in gastritis with low acidity. Microorganisms initiate an inflammatory process in the epithelium, causing damage to the parietal cells. The same structural changes occur when the stomach membranes are exposed to antibodies that are formed in the body when the immune system fails.

Atrophic gastritis with low acidity

There is a thinning of the mucosa, tissues die off, lose their protective function. It is subdivided into antral, diffuse. A severe decrease in the level of acid in the stomach is the most dangerous condition, since it can provoke cancer. T

The exact cause of its development has not yet been established, but not the last role is played by overeating, eating disorders, taking hormonal drugs, antibiotics as self-medication.

Chronic gastritis with low acidity

Inflammation of the gastric mucosa with inhibition of cellular metabolism (metabolic-dystrophic disorders) and the work of the glands that produce hydrochloric acid. The lack of hydrochloric acid also leads to a decrease in the enzymatic function of the stomach (hydrochloric acid activates digestive enzymes).

As a result, food is digested incorrectly and a long-term and sluggish inflammatory process develops. Often in the initial stages of the disease, gastritis occurs with high acidity, and then the glands that produce hydrochloric acid atrophy and the acidity decreases.

Symptoms of gastritis with low acidity

In the case of gastritis of the stomach with low acidity, the symptoms are very diverse, and change with the course of the disease.

First there is heaviness and dull pain in the epigastric region. There is rumbling in the stomach and its swelling, an unpleasant taste in the mouth, nausea and frequent belching. Language in the central part. With the further course of the disease, without adequate treatment, symptoms of metabolic disorders join:

  • dryness and brittle hair;
  • dry skin;
  • plaque on the tongue;
  • weight loss
  • fatigue, headaches, decreased performance and sleep disturbances.

Chronic gastritis with low acidity also has secondary symptoms:

  • weakness;
  • palpitations after eating;
  • dizziness may occur;
  • milk intolerance.

Sometimes heartburn may occur. It is caused by organic acids, which, having accumulated in the stomach, are thrown into the esophagus. In this case, patients may experience an unpleasant "metallic" taste in the mouth, accompanied by increased salivation. After taking one of the enzyme preparations, such as Mezim, Festal, or Enzistal, the symptoms may go away for a while.

Diagnostics

Diagnosis of gastritis with low acidity is carried out using methods such as:

  • palpation of the epigastric region;
  • endoscopic examination of the stomach;
  • determination of the composition of gastric juice;
  • presence tests;
  • blood test for enzymes;
  • study of feces;
  • Ultrasound scan.

After a comprehensive examination, the doctor determines the causes, form and stage of gastritis with low acidity and, based on this, will tell you how to treat low acidity in gastritis.

Treatment of gastritis with low acidity

In the case of diagnosing gastritis with low acidity, treatment is always carried out in a complex manner. It usually combines several types of drug therapy and diet therapy.

The choice of the most optimal treatment regimen directly depends on the nature of the detected violations of gastric secretion. Most often, with gastritis with low acidity, the following is prescribed:

  1. Diet therapy - in the treatment of gastritis with low acidity, food should stimulate the secretion of gastric juice without irritating the gastric mucosa.
  2. Stimulant Therapy(Treatment focuses on increasing the production of hydrochloric acid, drugs such as pentagastrin, calcium gluconate, cytochrome, etc. are often prescribed);
  3. Replacement therapy performed with secretory insufficiency. It is prescribed for the ineffectiveness of stimulant drugs. It includes the following medicines: diluted hydrochloric acid, pepsin, abomin, panzinorm forte and panzinorm.
  4. vitamin therapy(usually included in the general medical treatment of any form of hypoacid gastritis to strengthen immunity and prevent the development of hypovitaminosis in patients).
  5. Antibiotic therapy- if Helicobacter pylori is detected in the stomach, treatment is carried out with a complex of antibiotics: ampicillin, doxycycline, metronidazole or tinadazole. The course of treatment is determined individually and is 7-10 days;
  6. Symptomatic therapy- to reduce clinical manifestations, cerucal, raglan or antispasmodics are prescribed: no-shpu, spasmol, venter and others.

Treatment of gastritis with low acidity should be carried out for a long time and comprehensively, and the patient will have to adhere to the principles of proper nutrition all his life, this is the only way to avoid the development of complications and maintain his health.

Diet

As mentioned earlier, it is the diet that is the most important for any form of gastritis, including this one, therefore, for a full-fledged treatment, you need to eat right and follow a number of recommendations.

Among the products that should become the basis of the diet of a patient with low acidity, it is necessary to highlight:

  • boiled meat and fish of low-fat varieties;
  • steamed meat and fish;
  • durum wheat noodles;
  • mashed potatoes;
  • mineral water without gas;
  • weak tea;
  • dairy;
  • heavily boiled porridge.

Excluded from the diet:

  • alcohol,
  • fried food,
  • salty, spicy,
  • smoked,
  • mushrooms,
  • stringy meat,
  • grape juice.

The main goal of the diet is to create normal conditions for increasing the level of acidity of gastric juice, as well as the use of those foods that could be digested as easily as possible, minimizing the negative consequences in the form of exacerbation of the above symptoms.

How to treat folk remedies?

Today, there are many recipes for the treatment of gastritis, which have been passed down from generation to generation for several centuries. The most effective folk remedies may well replace or supplement therapy with medicines:

  • Common lingonberries normalize gastric acidity; for this, a tincture is prepared from it. To prepare it, it is necessary to brew berries in a glass of boiling water, take half an hour before meals. You can eat fresh berries at night.
  • Butter and honey will help normalize the acidity of gastric juice. Mix in equal amounts, eat a tablespoon 3 times a day 30-60 minutes before meals.
  • Walnut. It is used in the treatment of gastritis of the stomach with low acidity. Alcoholic tincture of unripe walnuts very well increases acidity. Cut 15 walnuts into small pieces and pour 0.5 liters of vodka. It is recommended to insist at room temperature, in a glass jar, for 15 days. The tincture has a pleasant smell and is stored for a long time.
  • A remedy based on burdock root is effective, for this you need to take a root - a teaspoon, 400 ml of boiling water, leave for a day. Drink half an hour before meals.
  • Grains of sowing oats. Wash thoroughly, pour 20 g of oats with a glass of boiling water. Insist 2-3 hours. Drink at least 2 glasses per day 15 minutes before meals.
  • Take gooseberries for pain and as a laxative. One tablespoon of gooseberries is poured with one glass of boiling water, and boil for 15 minutes. 1/3 cup 3 times a day.

Physiotherapy and spa treatment

To stimulate the production of acid with low acidity, decimeter electromagnetic waves or sinusoidal modulated currents are prescribed.

Treatment in a sanatorium is indicated during the remission of the disease. Doctors recommend resorts: Essentuki, Truskavets, Staraya Russa, Morshin, where, in addition to physiotherapy, it is desirable to use mineral water (chloride, bicarbonate-chloride, sodium).

Inflammation in the gastric mucosa, accompanied by a low level of hydrochloric acid in the gastric juice, is called gastritis with low acidity. This disease occurs both in adults and in children, and equally needs complex therapy. The inflammatory process on the gastric mucosa with low acidity carries an increased danger to human health, which is why it is advisable to start treatment immediately after the first signs of the disease appear.

What is characterized?

One of the varieties of the chronic form of the described disease is gastritis with reduced secretion of hydrochloric acid in gastric juice. In general, gastritis is a process of inflammation on the mucous membrane of the walls of the stomach, which as a result leads to disturbances in the functioning of the organ, in particular, to a malfunction of the secretory function. Often, inflammation can cause a strong production of enzymes, and their excessive amount can lead to an increase in the activity of the glands. As a result, the acidity in the digestive juice becomes increased.

Types of disease

Before starting to treat gastritis, in which acidity is reduced, it is necessary to familiarize yourself with its forms, on which the selection of a therapeutic course will depend. Thus, this disease is:

  • Sharp shape. Exacerbation of gastritis develops quickly and is accompanied by quite painful symptoms. If you do not pay attention to the exacerbation of this disease in time, then it can develop into a stomach ulcer or become chronic. In turn, exacerbation is divided into categories: catarrhal, erosive and phlegmonous. The latter of which is accompanied by purulent formations on the affected walls of the stomach and can be fatal. If you start treatment of exacerbation of gastritis in a timely manner, then you can get rid of it in a week, but it will take much more time to fully restore the organ.
  • Chronic form. The development of this type of gastritis can be its acute form or individual causes. The danger of chronic inflammation of the gastric mucosa lies in its asymptomatic course for a long time. This disease is divided into gastritis type B, C and autoimmune. Only a specialized specialist can determine the type after the examination.

In addition to the above types, gastritis can be:

  • Anacid. A type of chronic gastritis with low acidity, in which there is minimal acid secretion.
  • Hypoacid. A type of disease characterized by insufficient secretion of hydrochloric acid.
  • atrophic. The most dangerous type of chronic form of the inflammatory process on the gastric mucosa is atrophic gastritis with low acidity, which in medicine has a generally recognized status as a gastric cancer provocateur. This disease is extremely rare in children, and older people are more susceptible to it.

Reasons for the appearance

A popular cause of gastritis with both high and low concentrations of hydrochloric acid is damage to the stomach by the bacterium Helicobacter pylori. But, besides this, the provoking factors of gastritis are:

  • severe overexertion of the nervous system;
  • malnutrition;
  • poisoning with toxins;
  • excessive alcohol consumption;
  • metabolic disease;
  • transferred endocrine diseases and ailments of an infectious nature.

Symptoms of gastritis with low stomach acid

The development of the described disease occurs gradually, which is why at its initial stage the symptoms are almost invisible and do not cause discomfort to the patient. Moreover, as the signs of the disease increase, the body begins to get used to them and adapt. Patients seek medical help only at the late stage of gastritis, when the process of digestion of food noticeably worsens, and the following symptoms appear:

  • weak, aching pain that occurs after eating at the top of the abdomen;
  • involuntary release of gases through the oral cavity, accompanied by a specific smell and taste;
  • increased gas formation, bloating and rumbling of the abdomen;
  • burning in the esophagus, which is not associated with eating;
  • constant diarrhea, periodically replaced by constipation;
  • nausea, vomiting after eating;
  • loss of appetite.

The child has a gradual decrease in appetite and increased fatigue.

In children, hypoacid gastritis manifests itself in the same way as in adults. Parents can observe in a child a gradual decrease in appetite, increased fatigue, pallor of the skin, weakness and malaise. In addition, children may complain of worsening abdominal pain almost immediately after eating, nausea and sour belching. Often, the child's skin begins to turn pale, he loses weight and the body temperature rises slightly.

There are some more signs of hypoacid gastritis in adults and children, which appear as the disease develops. These include:

  • plaque on the tongue;
  • deterioration in the condition of the hair;
  • dry skin;
  • headaches, sleep disturbances and general fatigue.

Diagnostic Measures

Before starting the treatment of gastritis with low acidity, it is necessary to undergo a diagnostic examination that will allow an accurate diagnosis. First of all, fibrogastroduodenoscopy is performed, with which you can examine the condition of the gastric mucosa and take its contents in order to identify the exact cause of the disease. However, this method of examination is not always allowed to be carried out. For example, it is not recommended to do EGD in diseases of the esophagus, viral hepatitis, acute myocardial infarction, and in diseases of the respiratory and cardiovascular systems. Hypoacid gastritis can be diagnosed using pH-metry, which makes it possible to identify violations of the production of gastric juice. Another method is x-rays using a contrast agent.

Treatment

Treatment is recommended in combination with folk remedies and medicines.

When an accurate diagnosis is made, it is necessary to start treatment, which is recommended to be carried out in combination with folk remedies and medicines. The treatment regimen for gastritis with low acidity is based on taking drugs that can suppress the inflammation process on the gastric mucosa. To cure gastritis, it is necessary to restore the impaired motility of the digestive tract, for this, drugs are used that can activate the process of moving food through the gastrointestinal tract, and also eliminate spasms in the intestines. An important role in the treatment of this disease is played by vitamin therapy and proper nutrition with a specially selected menu.

Chronic gastritis with low acidity is of two types - atrophic and hypoacid. The first is accompanied by destructive processes in the structure of the glands, and the second - by blocking the secretory function. The atrophic form is dangerous with the destruction of the glands, a decrease in secretion and a deep violation of the functions of the digestive organ, which sometimes leads to the appearance of malignant neoplasms.

Treatment of gastritis with low acidity should be carried out with the use of drugs that restore the function of the glands and stimulate the secretory function of the stomach, as well as replacement, symptomatic and antibacterial therapy.

Principles of therapy

Treatment of hypoacid gastritis begins with a differential analysis and a comprehensive examination using histological, laboratory and endoscopic examination, radiography, ultrasound, determination of pH-metry and the enzyme composition of the juice.

Therapy of the disease occurs according to a certain scheme, consisting of several stages:

  • normalization of secretory function,
  • replacement treatment,
  • symptomatic therapy,
  • antibiotic treatment,
  • restoration of organ functions and prevention of exacerbations.

The primary task is to restore the functioning of the glands and stimulate the secretory function of the digestive organ. For this, Liontar is used, which contains a mixture of citric and succinic acids, as well as potassium orotate. In addition, it is useful to take drugs based on nicotinic acid, which help restore the functions of the mucosa.

Antibacterial drugs

Secretory activity decreases with a decrease in the number of parietal gastric cells and significant destructive processes in the glandular layer of the mucosa. Pepsin loses its activity with reduced acid formation and the proteins that enter the body are not processed. There is an increase in fermentation and putrefaction in the intestines, the patient suffers from belching with a rotten smell. This indicates a decrease in the bactericidal action of hydrochloric acid and colonization of the gastrointestinal tract by pathogenic bacteria.

Antibiotic treatment is carried out according to a specific scheme, which includes the following drugs:

  • Amoxicillin (1.0 * 2);
  • Pariet (0.02 * 2) or Omeprazole (0.02 * 2);
  • Clarithromycin (0.5 * 2).

The duration of admission is at least 10 days.

The following scheme is also used:

  • Azithromycin - 4r. day;
  • Amoxicillin - 4r. day.

These medicines for gastritis are drunk for 10-14 days.

Antibiotic therapy in most cases leads to intestinal dysbacteriosis. Therefore, probiotics are additionally prescribed, which restore the disturbed microflora.

These are such means as Bifidobak, Linex, Bifiform, Polibakterin, Acipol.

In the hypoacid form of the disease, sucralfates are indicated, which exhibit an anti-inflammatory effect:

  • Antepein,
  • Alsukral,
  • Venter.

Taking these pills for gastritis with low acidity improves recovery processes.

Secretion stimulants

During the treatment of hypoacid gastritis, Eufillin, Papaverine and Caffeine are used to stimulate secretion. In addition, you can use products containing calcium and potassium:

  • Calcium gluconate,
  • potassium chloride,
  • Panangin.

You can also take an oxygen cocktail.

Among the drugs that affect tissue metabolism, it is recommended to stimulate secretory activity:

  • Nicotinic acid as part of drugs such as Nicospan, Nicotinamide, Complamin;
  • Thiamine;
  • Riboxin;
  • Pyridoxine;
  • Cytochrome C.

Replacement therapy with preparations of natural gastric juice (20-40 grams per meal), Betacid or Acidine-pepsin is important. They are applied 3-4 times a day in the form of 1 tablet dissolved in half a glass of water.

To improve the impaired functions of the pancreas and biliary tract, polyenzymatic and choleretic agents are indicated.

Enzyme preparations

During the disease, the body can reduce the synthesis of enzymes and impair their transportation to the intestines. The production of substances that enhance their action decreases, which causes a deterioration in digestion. In this case, additional intake of enzyme preparations is necessary. They effectively relieve the feeling of heaviness, flatulence and bloating, and also improve digestion and, accordingly, the general condition of the patient.

Depending on the composition, enzyme enzymes are divided into several groups:

  • preparations that contain several components, for example, pancreatin, bile, hemicellulose, vitamins and plant enzymes (Panzinorm forte, Festal);
  • gastric extracts with pepsin in the composition;
  • plant enzymes including lipase, papain, fungal amylase, eg Pepfiz;
  • pancreatic enzymes, with trypsin, lipase and amylase (Mezim-forte, Creon).

Combined drugs contain bile acids, pancreatin, choleretic components. They increase the motor function of the gastrointestinal tract, sometimes causing diarrhea. These drugs are prescribed for hypoacid gastritis with dysfunction of the pancreas, as well as the gallbladder and ducts.

Pharmacological agents, which include pancreatic enzymes, are used in violation of the process of digestion of food. They effectively eliminate symptoms such as bloating, flatulence and nausea resulting from a decrease in pancreatic function.

Mucosal extracts help in the breakdown of proteins and thus normalize the secretory function of the stomach. They are indicated for atrophic gastritis, which has a low level of acidity. Most enzyme products contain dimethicone and simethicone, effectively reducing gas and flatulence.

Auxiliary means of treatment

To relieve negative symptoms, drugs that alleviate the patient's condition are included in the treatment regimen. They are designed to reduce pain, eliminate nausea and vomiting, eliminate heartburn, and normalize stools.

The most basic means of symptomatic therapy are:

  • antispasmodics - Drotaverine, Papaverine, No-shpa;
  • fixing antacids that eliminate loose stools - Almagel, Polyphepan;
  • carminative drugs that help remove gases and eliminate bloating - Espumizan, Ganaton, Motilak;
  • antiemetics - Cerucal, Motilium;
  • antihistamines that eliminate allergic reactions (Suprastin, Tavegil, Diazolin, Fenkarol);
  • sedatives - Sanason, Valerian root extract, Amitriptyline;
  • prokinetics that improve the motor function of the gastrointestinal tract (Domperidone, Motorix, Metoclopramide).

In addition, if necessary, hormonal drugs, PPIs, BHR, anticholinergics, and hepatoprotectors to protect the liver can be introduced.

Inflammation of the gastric mucosa occurs due to various causes and has many forms. Each of them is characterized by its own characteristics of the course and a set of drugs that may have contraindications and side effects. In order to get a long-term effect, as well as to avoid further complications, you should consult a doctor and undergo the necessary studies.

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The main component of gastric juice is hydrochloric acid. It is necessary for the complete digestion of foods. There are units for measuring acid.

Reduced acidity, just like excess, is not normal for the human body.

This gradually leads to a worsening of the disease in the stomach.

This article will discuss what gastritis with low acidity is, its symptoms and treatment.

What it is

Acidity gastritis is a disease that occurs due to an inflammatory process in the mucous membrane, due to insufficient acidity of the gastric juice and its inability to digest food.

Most often, this disease occurs in middle-aged people.

Reasons for the appearance

The reasons for the appearance can be both external and internal factors.

The most common causes of this disease are the following:

  1. Cardiovascular diseases.
  2. If a person has previously suffered from lung diseases, that is, pneumonia or pleurisy.
  3. Autoimmune diseases.
  4. Inflammatory process in the organs of the gastrointestinal tract.
  5. Diseases of the endocrine system.
  6. The use of foods that contain a large amount of preservatives. Wrong nutrition.
  7. Alcoholic drinks.
  8. Smoking.

Symptoms

Depending on how advanced a disease such as atrophic gastritis is and on the individual characteristics of the body, the symptoms that will occur at this time depend.

  1. Feeling of heaviness after eating.
  2. Blunt pain.
  3. Flatulence.
  4. Bad smell and taste in the mouth.
  5. Frequent, sometimes even uncontrollable belching.
  6. Metabolic processes inside the body are disturbed.
  7. Hair becomes dry and brittle.
  8. White coating on the tongue.
  9. Sudden weight loss.
  10. Seizures in the corners of the mouth.
  11. Tachycardia after eating.
  12. Sudden change in weight.
  13. Frequent headaches and dizziness. Insomnia.
  14. Problems in the functioning of the gastrointestinal tract after taking dairy products.
  15. Increased salivation.

Types of gastritis

  • The presence of chronic gastritis with low acidity. Inflammatory process that takes place in the gastric mucosa, resulting in a violation of metabolic processes in the glands. With prolonged disruption of the production of hydrochloric acid, it can gradually lead to problems with the functioning of the stomach.
    In this regard, products are digested very slowly. Initially, the disease proceeds with increased acidity, but after the glands atrophy and the acidity becomes significantly less.
  • atrophic. With this disease, the wall of the stomach becomes thinner. It can be of two types: antral and erosive. The most dangerous thing that can happen in this case is the occurrence of oncology. The main causes of erosive gastritis with low acidity are overeating, taking drugs, improper daily routine, autoimmune diseases.

Varieties of atrophic gastritis

There are several types. They are distinguished by location and activity:

  1. Atrophic antral gastritis.
  2. Multifactorial. This is the last advanced stage of the disease. It touches the entire stomach. The disease that has the greatest predisposition to the occurrence of oncology.
  3. Subatrophic. The initial stage of the development of the disease.
  4. Focal atrophic. May occur due to autoimmune predisposition and degenerative changes in the tissues of the stomach.

Focal gastritis can transform into the appearance of another disease - hyperplastic gastritis.

Chronic atrophic gastritis

Chronic atrophic gastritis is accompanied by depletion of the mucous layer. The number of cells that perform a secretory function sharply decreases.

The causes of this type of gastritis with low acidity have not been established by medical professionals.

Focal atrophic gastritis

This type of gastritis with low acidity is characterized by the appearance of an atrophic disorder in the walls of the stomach.

The main cause of this disease is called the bacterium Helicobacter pylori or autoimmune disorders.

The lesion can occur both in a separate area of ​​\u200b\u200bthe stomach, and completely in the entire organ.

Symptoms of gastritis with low acidity

In most cases, a disease such as atrophic gastritis occurs secretly, symptoms are not present.

It is revealed during examination of the stomach. Depending on the stage of the disease, the method of eliminating the disease depends.

  • There is a feeling of heaviness in the stomach, even after a person has eaten a little.
  • Sudden weight loss.
  • Chronic fatigue.
  • Flatulence.
  • The gums begin to bleed.
  • Hair becomes dry and nails become brittle.
  • If the patient is asked to show the tongue, then it contains a yellowish-gray coating.
  • Heartburn.
  • The presence of "jam".
  • The skin becomes dry.
  • Eructation immediately after eating.
  • Sudden loss of vision.

Diagnosis of the disease

Only a doctor can make a diagnosis. You should not turn to friends for help. It is necessary to undergo X-ray examination and gastroscopy.

It is also necessary to undergo measurements of the level of acidity and sounding of the stomach.

Treatment for gastritis

The disease can be treated with medications using several options. Violations of an atrophic nature in the walls of the stomach cannot be eliminated in any way.

The cells of the stomach, which have been renewed, cannot be converted into glandular ones. There are several options for drug treatment, depending on the stage of development.

First of all, it is necessary to eliminate the cause of the disease. In most cases, this bacterium is Helicobacter pylori. Bacteria need to be eradicated.

This will help:

  • Reduce the time spent on treatment;
  • Stop the development of bacteria;
  • The drugs needed for gastritis will need much less.

Additionally, it is desirable to use antibiotics to resolve this disease. The course of treatment should be prescribed by a doctor, he prescribes the dosage.

It is best to restore the body with the help of drugs that belong to various groups:

  1. stimulating therapy. It is designed to restore the production of hydrochloric acid. Medicines that are designed for this: calcium gluconate, Pentagastrin, Cytochrome.
  2. Vitamins. Atrophic gastritis leads to the fact that trace elements are not fully absorbed into the human body. Vitamins are also taken to strengthen immunity. It is necessary to undergo a course of rehabilitation by taking vitamins.
  3. Symptomatic therapy. The symptoms must be eliminated. In this case, drugs are suitable: Raglan and Cerucal.
  4. Antispasmodics. To stop intense pain, you can use drugs such as: Spazmol, Venter and No-shpa.
  5. Antibiotic therapy. Antibiotics are taken to eliminate the bacteria. In this case, drugs are ideal: Clarithromycin and Amoxicillin.
  6. replacement therapy. It is necessary to take drugs from this group with insufficient production of enzymes by the organs of the digestive tract. Preparations: Pepsin, Abomin, Panzinorm Forte or Pepsin.
  7. Diet. It is necessary to abandon spicy fried, smoked foods. In large quantities, you can eat vegetables and fruits. The diet helps to make it work normally in the presence of atrophic gastritis with low acidity.
  8. Drink plenty of water. A person should drink at least 2 liters per day.

Diet in the presence of atrophic gastritis

It is necessary to observe not until full recovery, but throughout life.

  • mashed potatoes;
  • Green tea. Preferably without sugar, but with honey;
  • Steamed dishes;
  • You need to eat often, but in small portions.

Should be abandoned once and for all:

  • Mushrooms. They should not be eaten before bedtime, even for people with a healthy stomach;
  • Alcoholic drinks;
  • Spicy and salty;
  • Grape juice.

The main goal why a person needs a diet is to make the stomach work normally, secrete gastric juice, while using easily digestible foods.

Treatment with folk recipes

This is a disease that has plagued mankind for many years. They can be used as a stand-alone therapy or as an aid in drug treatment.

  1. To normalize the level of acidity, such a recipe is suitable. These two ingredients must be used in equal amounts. This medicine should be taken one hour before meals.
  2. For constipation and severe pain, gooseberries should be treated. You should take 1 cup of boiled water for 1 tablespoon of fruits and then boil for a few more minutes. Put in a dark cool place to cool completely.
  3. It is used for gastritis with low acidity walnut. Unripe fruits must be used. In total, 15 pieces of fruit are needed for half a liter of vodka. It is necessary to put the tincture in a dark place for two weeks. You can treat the thyroid gland with this medicine.
  4. A decoction of cranberries. It helps restore acid levels. It is necessary to pour boiling water over the berries and boil for 10 minutes. Leave the broth to cool completely and take a tablespoon. Help for the work of the gastrointestinal tract and berries.

Treatment in a sanatorium

Rehabilitation therapy should be carried out during the calm period of the disease.

Such sanatoriums as Truskavets, Morshyn, Essentuki are suitable.

In addition to carrying out physiotherapeutic procedures, treatment in a sanatorium consists in the use of water, which contains a large number of trace elements.

Useful video

The prevalence of diseases of the gastrointestinal tract continues to grow, today, according to scientists, more than 90% of the adult population suffers from certain digestive disorders, such as gastritis. The widespread misconception about the harmlessness of this disease often leads to the fact that patients do not pay attention to their condition and are not treated, but not all varieties of this disease are so safe. Gastritis with low acidity is considered one of the most severe and dangerous forms for health. Most often, this disease is diagnosed in older people, in whom, because of it, normal digestion and absorption of food is disturbed and the risk of oncological diseases increases.

Causes of gastritis with low acidity

Gastritis with low acidity or hypoacid is an inflammation of the gastric mucosa, in which the glands that produce hydrochloric acid gradually atrophy. Because of this, the acidity of the gastric juice decreases, it can no longer dissolve and digest food so effectively, as a result of which the absorption and assimilation of nutrients are disturbed and deficiency states develop.

Since this disease is most often diagnosed in old age, the main causes of its development are considered to be an unhealthy lifestyle: overeating, alcohol and cigarette abuse, and reduced physical activity.

The main causes of the development of the disease:

  • External - overeating; rough, indigestible food, the habit of eating very salty, spicy, hot food, fried and canned foods; smoking; alcohol abuse; Helicobacter pylori infection.
  • Internal - are less important in the development of this disease, these include: other inflammatory diseases of the digestive tract, endocrine disorders, the formation of antibodies to the cells of the gastric mucosa.

Unfavorable external and internal factors cause inflammation and damage to the gastric mucosa, the cells lose their ability to quickly regenerate, the work of the glands is gradually disrupted, less hydrochloric acid and gastric juice are produced, and the cells atrophy. Also, the motility of the stomach and intestines is disturbed, the contents of the duodenum are thrown into the stomach, as a result of which the mucous membrane becomes even more inflamed.

Symptoms of the disease

Gastritis with low acidity develops gradually, at the beginning of the disease, the symptoms are mild and practically do not cause the patient inconvenience, and as they increase, his body gets used to and adapts to them, which is why they usually seek medical help only in the later stages of the disease. The first symptoms appear due to poor digestion and assimilation of food and dysmotility of the stomach.

Symptoms of gastritis with low acidity:

  • pain - weak, aching and pressing pain in the upper abdomen that occurs when eating or immediately after it;
  • rumbling and bloating - characterized by increased gas formation and flatulence;
  • belching rotten and an unpleasant taste in the mouth - appear after sleep or a few hours after eating;
  • heartburn - persistent heartburn occurs, not associated with meals;
  • nausea or vomiting after eating - and after vomiting the patient gets relief;
  • stool disorders - chronic diarrhea is characteristic, constipation occurs less often;
  • loss of appetite - some patients may partially or even completely refuse to eat, this is due not only to a strong decrease in appetite, but also to a deterioration in the patient's condition that occurs after eating.

As the disease progresses, the symptoms of metabolic disorders are added:

  • dryness and brittle hair;
  • dry skin;
  • "Zaedy" in the corners of the mouth;
  • plaque on the tongue;
  • weight loss
  • fatigue, headaches, decreased performance and sleep disturbances.

Diagnostics

The disease is diagnosed on the basis of patient complaints, general examination and additional methods of treatment. In this disease, in addition to the main studies: EGD, pH-metry and fluoroscopy of the stomach, they also determine the secretory capacity of the stomach using ultrasound, measure the amount of gastric juice enzymes and other indicators. Such studies are necessary to select a treatment regimen:

  • with gastritis with preserved, but reduced secretory function, stimulating therapy is prescribed;
  • with gastritis with partially or completely lost secretory function, performing replacement therapy.

Basic principles of treatment

1. diet therapy- in the treatment of gastritis with low acidity, food should stimulate the secretion of gastric juice without irritating the gastric mucosa. With an exacerbation of the disease, a special sparing diet is prescribed - pureed soups, boiled meat, stewed vegetables, and so on, which should help reduce inflammation and irritation of the gastric mucosa. Only after the disappearance of severe clinical symptoms, you can move on to a stimulating diet.

To normalize the work of the stomach, it is recommended to take food in small portions - 4-6 times a day, all dishes should be warm, steamed, stewed or boiled. The patient's menu includes lean meat, dairy and lean soups, steam cutlets, boiled fish, soft-boiled eggs, omelettes, dairy products, sweet fruits and berries. It is forbidden to eat spicy, salty, smoked foods, sauces, marinade, fresh pastries and confectionery, fast food, carbonated drinks and foods containing a large amount of fiber. Such a diet should be maintained for 3-4 weeks, after which the diet is gradually expanded, but foods that are harmful to digestion should be permanently excluded from the patient's menu.

2. Stimulant Therapy- to increase the production of hydrochloric acid and enhance gastric motility, use: limontar, prozerin, calcium gluconate, etimizole, cytochrome C and other drugs. It is also possible to use physiotherapy;

3. Replacement therapy- if stimulation of secretion is ineffective, substitution therapy is used, enzymes are used that facilitate the digestion and assimilation of food: pepsin, panzinorm and enzymes containing gastric juice and hydrochloric acid. In severe hypoacid gastritis, replacement therapy is used constantly, taking drugs before each meal or 1 time per day;

4. Symptomatic therapy- to reduce clinical manifestations, cerucal, raglan or antispasmodics are prescribed: no-shpu, spasmol, venter and others;

5. Antibiotic therapy- if Helicobacter pylori is detected in the stomach, treatment is carried out with a complex of antibiotics: ampicillin, doxycycline, metronidazole or tinadazole. The course of treatment is determined individually and is 7-10 days;

6. vitamin therapy- is aimed at strengthening the general condition of the patient and for the normalization of metabolic processes in the body.

Folk methods of treatment

In the treatment of gastritis with low acidity, phytotherapy and alternative methods of treatment are very popular:

  • honey water - take 14 tablespoons of warm water with dissolved? h l of honey 3 times a day, 20-30 minutes before meals, for a long time;
  • rosehip and sea buckthorn drink - 1 tbsp 1 hour before meals, regularly;
  • apricots - dry and fresh apricots can increase the acidity of gastric juice, for this you need to drink diluted juice or eat a few dry fruits 30 minutes before meals;
  • carrot juice - freshly squeezed carrot juice is drunk 14 tablespoons 30-40 minutes before meals;
  • walnut tincture - to prepare a tincture, 10-15 immature nuts are finely chopped, poured into 0.5 liters of 40% alcohol and infused in a dark place for at least 2 weeks. Take 3 times a day after meals, in a diluted form - 1 tbsp of tincture in 12 tbsp of water.

Treatment of gastritis with low acidity should be carried out for a long time and regularly, and the patient will have to adhere to the principles of proper nutrition all his life, this is the only way to avoid the development of complications and maintain his health.