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Question 20 GASTRITIS

- inflammation of the gastric mucosa. There are acute and chronic gastritis.

Acute gastritis is a polyetiological inflammation of the gastric mucosa caused by a number of irritants both from the outside and from the inside.

Etiology and pathogenesis. Among exogenous factors, there are: nutritional errors in nutrition (quality and quantity of food eaten, especially plentiful food at night, alcohol consumption, spicy seasonings); food microbes (foodborne diseases, salmonella, shigella, staphylococcus, etc.); allergy to certain foods (eggs, berries, etc.); drug damage (acetylsalicylic acid, corticosteroids, pyrazolone derivatives, sulfonamides, antibiotics, glycosides, etc.). Endogenous factors include: infectious diseases (flu, pneumonia, etc.); autointoxication (renal and liver failure); decay of body tissues (burns, frostbite, radiation).

The clinical picture depends on the form and severity of the course of the disease. Acute exogenous simple gastritis is characterized by nausea, vomiting of undigested food with mucus, sometimes bile, a feeling of fullness in the epigastrium, often a pain syndrome, an unpleasant taste in the mouth, and general weakness; pallor of the skin, the lining of the tongue, pain in the epigastrium are noted, in severe cases - a decrease in blood pressure, fever, signs of enteritis.
Duration of the disease - up to 5 days.

Acute corrosive gastritis is manifested by a picture of coagulation (exposure to concentrated acids) or colliquational (caustic alkali) necrosis of the gastric mucosa, severe pain in the mouth, esophagus and epigastric region, vomiting of mucus, blood, in severe cases - symptoms of shock, “acute” abdomen, later - Cicatricial stenosis.

Phlegmonous gastritis (rarely) is characterized by a fever of remitting or hectic type, chills, indomitable vomiting, significant epigastric pain. The tongue is dry, the stomach is swollen, the epigastrium is sharply painful. Then cardiovascular failure joins.

Treatment. The stomach is washed with warm water or chamomile infusion; the intestines are released by a cleansing enema. Assigned to bed rest, a warming compress on the stomach, if necessary - caffeine, cordiamine subcutaneously.

On the 1st day, starvation is advisable, 0.5-1 l of a 5% glucose solution is injected subcutaneously or through the rectum. On the 2nd day, tea, rosehip broth, slimy soup, low-fat broth are recommended; from the 3rd day - milk, cream, semolina and rice porridge, jelly from non-sour berries. Then the patient is transferred to a diet No. 1 or 2. In case of an infectious lesion, antibiotic therapy (zeporin, ampicillin, oxacillin, gentamicin, etc.) joins general measures.
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Question 20 GASTRITIS

  1. Nutrition for gastritis with low acidity (hypoacid gastritis)
    With a decrease in acidity, that is, with insufficient secretion of gastric juice, clinical nutrition has the following goals: 1. Spare the diseased organ; 2. Stimulate the active production of gastric juice. In connection with a decrease in the amount of hydrochloric acid in the stomach, the excretion ability of the diseased organ with cooked food should be raised to improve protein digestion. Great importance
  2. Chronic gastritis
    CHRONIC GASTRY incremental functions of the stomach.
  3. Chronic gastritis (codes C 29.3 - 6)
    Definition Chronic gastritis is a clinical morphological concept characterized by a violation of the physiological regeneration of the epithelium with an outcome in atrophy, impaired secretory function of the stomach, its motor and partly incretory activity. Statistics. Chronic gastritis is the most common digestive system disease, affecting about 50% of the adult population. In structure
  4. Gastritis
    Gastritis is an inflammation of the mucous membrane of the stomach, therefore see the article STOMACH (PROBLEMS), with the addition that a person with gastritis experiences or has experienced some kind of intense anger. See also explanation on page
  5. 66. CHRONIC GASTRITIS
    Pain in the epigastric region is poorly expressed, is not clearly localized, does not affect the general condition of patients • Stomach dyspepsia: bursting in the epigastric region associated with eating; belching, nausea, vomiting, appetite disturbances • Dyspepsia: bloating, rumbling, flatulence, stool instability Asthenovegetative syndrome: weakness, fatigue, irritability and
  6. Inflammation of the stomach (gastritis)
    Distinguish between acute and chronic gastritis. Most often, gastritis occurs in children aged 5-6 years, 9-12 years, during periods of the most intensive development of all organs and systems. The incidence of girls and boys is the same, but during puberty is more common in girls. Acute gastritis is an acute inflammation of the gastric mucosa caused by short-term action of strong irritants.
  7. Gastritis.
    Gastritis is an inflammation of the gastric mucosa. According to the nature of the course, it is divided into acute and chronic. Acute gastritis is a short-term disease, which, depending on the severity of the course, is most often asymptomatic, less often accompanied by epigastric pain, nausea, vomiting, sometimes with various signs of gastric bleeding. The causes of acute gastritis are diverse:
  8. CHRONIC GASTRITIS
    The most common disease of internal diseases. Chronic gastritis is a clinical anatomical concept. 1. Morphological changes in the mucous membrane are nonspecific, the inflammatory process is focal or diffuse. 2. Structural rearrangement of the mucosa with impaired regeneration and atrophy. 3. Nonspecific clinical manifestations. 4. Violations of the secretory, motor, partially incretory
  9. Chronic gastritis
    Chronic gastritis is a long-running disease characterized by a chronic inflammatory process of the gastric mucosa and the gradual development of a number of its morphological changes (an increase in its round-cell infiltration, impaired regeneration of the glandular epithelium with subsequent gradual atrophy of the epithelial cells). Judge now true
  10. Chronic gastritis
    - chronic inflammation of the gastric mucosa (diffuse or focal), accompanied by a violation of the physiological regeneration of the epithelium, its atrophy, functional insufficiency of the stomach, upset secretory, motor, and often endocrine functions of the stomach. Main clinical manifestations of chronic gastritis. Local appearance of pain (dull, without radiation), severity and
  11. Acute gastritis
    Acute gastritis is an acute inflammatory process of the gastric mucosa in response to its damage. Acute gastritis occurs at any age, and, as a rule, you can trace its relationship with a specific etiological factor. In older children is relatively rare. A feature of this nosological form is a combination of the vulnerability of the gastric mucosa and extremely
  12. Gastritis
    - pain cm: localization of pain in the epigastrium, left hypochondrium: provoked by mental, physical exertion, nutritional errors, occur after 15-20 minutes. after eating - dyskinetic cm: pain, heartburn, belching, vomiting, diarrhea, constipation - dyspeptic cm: impaired appetite, nausea, vomiting, diarrhea - cm asthenia: weakness, fatigue, headache, sleep disturbance, autonomic
  13. Chronic gastritis and gastroduodenitis
    Chronic gastritis (CG) is a chronic recurrent focal or diffuse inflammation of the gastric mucosa (submucosa) with a violation of physiological regeneration processes, with a tendency to progression, the development of atrophy, secretory insufficiency, which underlie digestive and metabolic disorders. Chronic gastroduodenitis (CGD) - chronic inflammation with structural
  14. Acute gastritis
    In the first period of the disease with acute gastritis, the diet should be strict. Lack of appetite and even aversion to food in this period greatly facilitate the task of comprehensively restricting food. In the initial period, treatment consists in fasting. According to the doctor's prescription, the patient can be given in small quantities only unsweetened tea or boiled water. As a rule, during this time, acute
  15. Nutrition for gastritis with high acidity
    Gastritis with high acidity is accompanied by increased secretion of gastric juice, which contains a lot of hydrochloric acid and enzymes. In a healthy person, about 1.5 liters of gastric juice are secreted in the stomach per day, and with this form of the disease, 2-3 times more. In the treatment of this disease, proper nutrition is of great importance. Careful compliance with it in accordance with
  16. Lectures. Chronic gastritis and gastroduodenitis, 2011
    The lecture contains the latest information on the classification, etiology, clinic, pathogenesis, diagnosis and treatment of chronic gastritis and
  17. Nutrition for diabetes mellitus with diseases of the gastrointestinal tract (gastritis, peptic ulcer of the stomach or duodenum)
    In the diet for diabetes with diseases of the gastrointestinal tract, it is necessary to comply with all the requirements for the nutrition of a diabetic. However, it is necessary to spare the gastric mucosa. In order to avoid its mechanical, chemical and thermal irritation, all dishes are cooked in a boiled and steamed form. The fractional diet is 5-6 times a day. RECOMMENDED
  18. Stomach disease. Gastritis. Peptic ulcer. Tumors of the stomach.
    1. In acute gastritis, gastric mucosa develops 1. enterolization 2. coagulation necrosis 3. productive inflammation 4. exudative inflammation 5. proliferation of integumentary epithelium 2. Intestinal metaplasia of the epithelium can develop in chronic gastritis 1. superficial 3. atrophic 2. productive 4 Catarrhal 3. Macroscopic characteristics of acute gastric ulcer 1. edge
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