Esophagitis occurs when the mucous membrane of the esophagus becomes edematous and congested as a result of abnormal stimuli. These stimuli are stomach acid, bile coming up from the duodenum, strong alcohol, chili peppers, too hot vegetable soup, too strong and hot tea, and so on.
Normal circumstances, stomach acid is not reflux to the esophagus, the lower part of the esophagus has a high-pressure area, blocking the reflux of gastric acid to the esophagus, if the cardia door for some reason become loose, the pressure of the high-pressure area will drop or even disappear, gastric acid, bile will be refluxed into the esophagus, the esophagus mucosal stimulation is strong, triggering esophagitis. Lying flat after a meal, eating too much, eating too much sweet or greasy food can cause the stomach to reflux into the esophagus.
When you feel "heartburn", or "heartburn", or pain behind the sternum when you drink hot water or eat stimulating food, these are all symptoms of esophagitis. There is also choking when swallowing food, which is due to edema of the esophagus, narrowing of the esophagus or spasmodic contraction of the esophageal wall due to inflammatory stimuli. Esophagitis should be diagnosed and treated promptly, or it can worsen to the point of esophageal mucosal ulceration, as well as vomiting blood or blood in the stool.
According to your description, if there is no such symptom, it should also belong to the inflammation of the upper respiratory tract, and may be the continuation of chronic pharyngitis, it is recommended that in addition to the active use of relevant medication, daily dietary regimen also has the role of preventing and treating chronic pharyngitis and reducing its recurrence.
1. Eat food rich in collagen and elastin, such as pig's feet, pig skin, hoof tendons, fish, beans, seafood, etc., is conducive to the repair of the damaged parts of chronic pharyngitis.
2. More intake of food rich in B vitamins, such as animal liver, lean meat, fish, fresh fruits, green vegetables, milk, beans, etc., is conducive to promoting the repair of the damaged pharynx and eliminating the inflammation of the respiratory mucosa.
3. Eat less or no fried, spicy and irritating foods, such as: doughnuts, sesame balls, fried cake, chili, garlic, pepper and so on.
4. Often drink some of the therapeutic drinks for the throat, the following two examples for reference: green tea and honey drink: 5 grams of green tea, honey, appropriate amount. Green tea in a cup, into the boiling water, add honey to drink, 1 dose daily. Can clear heat and throat, moisturize the lungs and produce fluids. Lily mung bean soup: 20 grams of lily, mung bean 50 grams, rock sugar. Lily, mung beans with the right amount of water to cook, add rock sugar to drink, 1 dose per day. It can clear heat and moisturize the lungs, nourish Yin and produce fluids.
What are the clinical manifestations of chronic superficial gastritis
Chronic superficial gastritis pain in the upper abdomen is the most common symptom, there are some patients can be no symptoms, its clinical manifestations are as follows:
1. epigastric pain: pain is more irregular, not related to diet, usually diffuse epigastric burning pain, hidden pain, distension, etc., a very small number of patients manifested as a colicky pain and radiate to the back, easy to misdiagnose as a heart attack. Radiation, easily misdiagnosed as angina.
2. Belching: due to the lack of gastric acid, gastric fermentation gas production and other factors make the accumulation of gas in the stomach, resulting in belching occurs.
3. Abdominal distension: it occurs due to retention of food, delayed evacuation, indigestion, and eating indigestible food, leading to abdominal distension.
4. Loss of appetite: chronic superficial gastritis is often characterized by loss of appetite or good and bad.
5. Nausea and vomiting: Inflammatory gastric mucosal admissibility, biological factors stimulation, as well as gastric kinetic disorders, gastric retrograde peristaltic influence, nausea and vomiting.
6. Constipation and diarrhea: most patients have symptoms of constipation, diarrhea is relatively rare.
What are the clinical manifestations of chronic superficial gastritis?
The clinical manifestations of chronic superficial gastritis lack specificity. Clinical manifestations vary from patient to patient, some patients may be asymptomatic and featureless, most patients may have vague pain in the upper abdomen, fullness after eating, loss of appetite and belching, and the symptoms may be mild or severe, recurrent or long-lasting. The possible clinical manifestations of this disease are summarized here.
(1) The most common symptom is epigastric pain, accounting for about 85%. Most of the epigastric pain in patients with chronic superficial gastritis is irregular, and has nothing to do with diet (some patients are comfortable on an empty stomach, and uncomfortable after meals), and is generally diffuse and chronic epigastric burning pain, vague pain, distension, etc. It is often caused by eating cold food, hard food, or a hard meal. Often due to cold food, hard food, spicy or other irritating food and symptoms, a few related to climate change. This epigastric pain is not easily relieved with antispasmodics and antacids.
(2) Bloating, accounting for 70%. It is often due to retention in the stomach, delayed emptying and indigestion.
(3) Belching, which accounts for about 50% of patients, is a symptom in which the patient has increased gas in the stomach, which is expelled through the esophagus, giving temporary relief of epigastric fullness.
(4) Recurrent bleeding is also a common manifestation of chronic superficial gastritis. The cause of bleeding is an acute inflammatory change in the gastric mucosa complicating the basis of chronic superficial gastritis.
(5) Other, loss of appetite, acid reflux, nausea and vomiting, fatigue, constipation or diarrhea.
(6) Chronic superficial gastritis lacks typical positive signs. Physical examination may have epigastric pressure and pain, and a few patients may have emaciation and anemia.
What are the causes of chronic superficial gastritis
The causative factors of chronic superficial gastritis have not been fully understood, and it has been found that almost any factor that can affect the body can cause chronic superficial gastritis.
(1) Bacteria, viruses and toxins: most often seen in acute gastritis, gastric mucosal lesions after a long time or recurrent episodes, gradually evolved into chronic superficial gastritis.
(2) nasal cavity, oral cavity, pharynx chronic infection: nasal cavity, oral cavity, pharynx and other parts of the chronic infection foci, such as alveolar overflow pus, tonsillitis, sinusitis and other bacteria or their toxins long-term ingestion, can be repeated stimulation of the gastric mucosa and cause chronic superficial gastritis. It has been found that 90% of patients with chronic tonsillitis have chronic inflammatory changes in the stomach.
(3)Smoking: the main harmful component of tobacco is nicotine, long-term heavy smoking can make the pyloric sphincter relaxation, duodenal fluid reflux, as well as gastric vasoconstriction, gastric acid secretion increased, thus destroying the gastric mucosal barrier leading to chronic inflammatory lesions. According to Eward found that 40% of people who smoke more than 20 cigarettes a day can develop gastric mucosal inflammation.
(4) Drugs: certain drugs such as salicylic acid preparations, corticosteroids, digitalis, anti-inflammatory pain, pau tazone, etc., can cause chronic gastric mucosal damage.
(5) irritating food: long-term consumption of spirits, strong tea, coffee, spicy and rough food, as well as over-starvation or over-satiety and other irregular diet can destroy the protective barrier of the gastric mucosa and the occurrence of gastritis.
(6) circulatory and metabolic dysfunction: the structural and functional integrity of the gastric mucosa and its ability to defend itself against various injury factors are closely related to adequate mucosal blood flow. In congestive heart failure or portal hypertension, the stomach is in long-term stasis and hypoxia, leading to weakening of the barrier function of the gastric mucosa, reduced secretion of gastric acid, and a large number of bacterial reproduction, which can easily cause inflammatory damage to the gastric mucosa. Chronic renal failure, urea discharged from the gastrointestinal tract increased by bacteria or intestinal hydrolytic enzymes to produce ammonium carbonate and ammonia, the gastric mucosa irritating damage, resulting in gastric mucosal congestion and edema, and even erosion.
(7) Bile or duodenal fluid reflux: bile reflux was found or confirmed by fiberoptic gastroscopy is an important cause of chronic gastritis. Due to the pyloric sphincter dysfunction or gastric surgery duodenal fluid or bile can reflux into the stomach and destroy the gastric mucosal barrier, prompting H?+ and pepsin reverse diffusion into the mucosa causing a series of pathological reactions, leading to chronic gastritis.
(8) Helicobacter pylori (HP) infection: In 1983, Australian scholars Marshall and Warren isolated HP for the first time from the mucus layer and epithelial cells of the gastric sinus of patients with chronic gastritis, and since then, many scholars have carried out a large number of experimental studies on patients with chronic gastritis, and HP was cultured in the gastric mucous membranes of 60%-90% of the patients with chronic gastritis and was found to be associated with the degree of infection of HP. The degree of HP infection was positively correlated with the degree of inflammation of gastric mucosa. In 1986, the World Society of Gastroenterology proposed that HP infection is one of the most important causes of chronic gastritis, and the pathogenesis of HP may be mainly through the destruction of the gastric mucosal barrier, so that the H+ reverse diffusion, and ultimately cause inflammation of the gastric mucosa.
(9) Psychosomatic factors: Due to unhealthy mental hygiene, long-term mental tension, anxiety or depression, can cause systemic sympathetic and parasympathetic imbalance. In particular, the sympathetic nerves are in a state of excitement for a long time, but also lead to gastric mucosal vasodilatation dysfunction, resulting in reduced gastric mucosal blood flow, destroying the role of gastric mucosal barriers, and the formation of gastric mucosal chronic inflammatory reaction over time.
Superficial gastritis prohibited drugs
Chronic superficial gastritis patients, because the gastric mucosa has been in the congestion, edema, point-like bleeding and erosion, and therefore the drugs it takes have certain limitations. If you take or use the following drugs by mistake, the damage to the gastric mucosa is aggravated, so that the epigastric discomfort, nausea, vomiting symptoms worsened; the serious cause of gastric ulcers and gastric hemorrhage is not easy to detect, so that the patient in the unknowing anemia, physical decline, low resistance, easy to complicate other diseases.
The drugs forbidden to be taken by patients with chronic superficial gastritis are:
(1) Salicylic acid: aspirin, sodium salicylate.
(2) Anilines: paracetamol, finasteride.
(3) Biazolones: prednisone, aminopyralid.
(4) Other anti-inflammatory organic acids: anti-inflammatory pain, ibuprofen.
(5) Antibiotics: tetracycline.
(6) Glucocorticoids: prednisone, dexamethasone, cortisone.
Chronic superficial gastritis is a common and frequent disease that affects both men and women, young and old, and has a long course, is prone to recurrence, and has a great impact on health.
There are many medications for the treatment of chronic superficial gastritis. Previously, the use of pain relievers (such as 654-2, plumbensin, etc.), antacids (such as gastric shuping, thioglycollate), Chinese medicine, etc., the time to take medication is long, the effect is not good.
Since the cause of chronic superficial gastritis is not very clear, it is mainly symptomatic treatment. Can be used according to different conditions: ① protect the gastric mucosa drugs: aluminum thioglycollate, gastric membrane, monkey head mushroom tablets, maitreya - S, etc.; ② reduce the secretion of gastric acid drugs: such as anticholinergic drugs atropine, probenecid, 654-2, etc., H2 receptor blocker methyl cyanide myocardium, ranitidine, famotidine, etc., as well as Prostaglandin E! Losec, etc.; ③ gelatinous clamp preparations: Deno, etc.; ④ to promote gastrointestinal peristalsis drugs: gastrofloxacin, morphine, etc., as well as the newly developed cisapride. The general treatment arrangement of 4-6 weeks, a drug treatment is ineffective, you can choose or add another drug, the combination of drugs should not be in the same class of drugs to choose. It can also be treated with traditional Chinese medicine, which can be used according to the patient's clinical symptoms and characteristics, combined with the cause of the disease and pathology, to identify and differentiate the type of treatment.
Generally, ranitidine ten gentamicin can be used for oral treatment of chronic superficial gastritis, with good effect, few side effects and low recurrence rate. The specific methods are:
(1)Ranitidine: 2 tablets each time, once a day, oral at bedtime, for 2 weeks3;
(2)Gentamicin tablets: 2 tablets each time, 3 times a day, for 3 weeks. If individual patients take gentamicin after epigastric discomfort, can be changed to kanamycin, each time 0.5 grams, 2 times a day orally.
If the patient epigastric pain is obvious, can be added to take 654-2 or cardioplegia, pain relief discontinued; epigastric fullness is obvious, can be served 3 days of lactasexan (each 1.5 a 3.0 grams, 3 times a day), and then served Ranitidine ten gentamicin; accompanied by dyspepsia, the first week of the matching with polypeptide tablets; in the case of symptoms are serious, nausea, vomiting, and can not eat the The patient, the first intravenous drip gentamicin, muscle injection gastrofibromyalgia, to be able to eat after the cessation of vomiting and then oral gentamicin ten ranitidine treatment.
The hospital diagnosed me with superficial gastritis, eating a little less attention to the difficult. My friend said that he had a gastric disease, did not take medication, and insisted on drinking honey water to cure the disease. I held the mood to try, insisted on a more than peng, really good. The method is to get up every morning, with warm water to a cup of honey water (honey and water can be based on their own drinking habits) on an empty stomach, activities for more than an hour before eating breakfast. I now still insist on a cup a day, gradually replaced the habit of drinking tea. The original often on the inflammation, constipation are also good. (From the Internet)
How to regulate patients with chronic superficial gastritis
General principles: non-irritating, low-fiber, easy-to-digest, nutritious diets; eat small meals; relax during meals and keep a happy mood.
1, eliminate the cause of the disease. Thorough treatment of acute gastritis; quit smoking and drinking; avoid stimulating foods and drugs; treatment of chronic oral infections, regular diet and so on.
2, eat more soft food. Eat easy-to-digest food, minimize the stimulation of the gastric mucosa, chew and swallow slowly, so that the teeth to completely grind the food so that the food can be fully mixed with gastric juice. Avoid cold, sour and spicy foods and hard foods. Eat smaller meals and make smaller meals with coarse grains. Gastric patients can eat 5 times meals, modeled as follows:
Breakfast: 50 grams of rice porridge, 50 grams of rolls, 1 boiled egg, 1 piece of soy sauce tofu.
Additional meal 1: 300 grams of milk with 10 grams of sugar, 15 grams of cookies.
Lunch: 100g of soft rice, 100g of distilled fish fillet, spinach and egg soup.
Extra meal 2: 300g of soy milk with 10g of sugar, 25g of cake.
Dinner: 50 grams of rice porridge, 50 grams of hair cake, 150 grams of fried mashed potatoes with minced meat.
3, if there is malnutrition or anemia, should be given more eggs, more fresh vegetables and animal liver, kidney, etc..
4, excessive stomach acid, should be banned concentrated broth and acidic foods, so as not to cause more acid secretion, available milk, vegetable puree, starch, bread, etc., taste should be light, less salt.
5, stomach acid is too little people can give concentrated broth, gravy to stimulate the secretion of gastric acid, help digestion, promote appetite.
Chronic superficial gastritis health care prescription
1, regular life, optimistic mood, abstain from smoking, avoid alcohol, do not overeat or hunger and satiety.
2. Eat small, frequent meals, and avoid hard-to-digest and irritating foods, such as coffee and spicy things.
3, with stomach stuffiness, acidity, belching, it is appropriate to use morpholine or gastroenterology, half an hour before meals.
4, with stomach distension and pain, can be used to relieve pain or other gastric drugs with pain relieving effect.
5, chronic atrophic gastritis patients in a very small number of people malignant gastric cancer, so every year must be a gastroscopy review.
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