Chronic focal gastritis

Health Tips

Goodshapetips recently talked about antral gastritis, today we propose to talk about another form of chronic inflammation of the gastric mucosa – focal gastritis.

Focal inflammation is considered when not the entire gastric mucosa is affected, but only some separate part of it. At first, the manifestations of such inflammation are no different from the general signs of gastritis. The patient may complain of nausea, burning sensation and pain in the epigastric region, change in stool.

What measures should be taken immediately – the doctor will tell, who should be contacted as soon as possible. Let us tell you in detail what is the reason for such urgency.

What you need to know

“Forewarned is forearmed” – this famous phrase is the best suited for this situation. The fact is that often chronic focal gastritis can turn into a malignant form and lead to stomach cancer. It is dangerous that in the early stages both oncological disease and focal gastritis manifest very similar symptoms, which greatly complicates differential diagnosis.

The cause of the appearance of both antral and chronic focal gastritis are the bacteria Helicobacter pylori, but if in the first case it is mainly about the increased acidity of the gastric contents, then in the second case the acidity may be reduced.

There are also some age-related signs: young people usually show increased acidity, which is accompanied by symptoms such as heartburn, belching and nausea, but older people often complain of pain in the epigastric region, diarrhea, an unpleasant aftertaste in the mouth and a feeling of fullness in the stomach when small amount of food eaten.

Classification of chronic focal gastritis

There are several subspecies of chronic focal gastritis. An accurate definition will allow the doctor to prescribe the optimal set of therapeutic measures and significantly speed up the recovery process.

Depending on the gastroscopic picture, gastritis is divided into:

  • Surface
  • hypertrophic
  • atrophic

According to the state of the secretory function of the stomach, there are:

  • Gastritis with increased secretory function
  • Gastritis with normal secretory function
  • Gastritis with secretory insufficiency

According to the phase of the disease are distinguished:

  • Aggravation
  • remission

A more accurate diagnosis is facilitated by monitoring the general condition of the patient. For example, if atrophic gastritis with severe secretory insufficiency is suspected, symptoms such as fatigue, weakness, hypotension, and progressive weight loss associated with indigestion may be observed.

Treatment and prevention

Only after the type of chronic focal gastritis, the type of gastric secretion and the phase of the disease has been accurately established, the attending physician will be able to prescribe an adequate treatment for the patient’s condition. As a rule, you can be treated at home, but with an exacerbation of the disease, it is still better to go to the hospital.

Great attention is paid to diet and diet. For example, if the acidity of the stomach is increased, the most sparing diet is recommended. In the case when the secretion of the stomach, on the contrary, is reduced, a diet is prescribed that is sparing from a mechanical point of view, but capable of chemically stimulating the secretory function. For this, the patient is recommended strong broths, soups, baked or fried lean meats and fish, vegetables, fruits and juices, as well as cocoa. It is very important to chew your food as thoroughly as possible.

Drug treatment is prescribed exclusively in the acute phase and is carried out strictly under the supervision of the attending physician. Physiotherapy is also used during an exacerbation, effectively stimulating secretion, reducing the severity of clinical manifestations, improving the motor function of the stomach and normalizing the blood supply to the mucous membrane.

As for preventive measures, special attention should be paid to a healthy lifestyle, no matter how trite it may sound. It must be clearly understood that the presence of occupational hazards at work, smoking and alcohol abuse, inadequate and irregular nutrition to a large extent can not only exacerbate an existing disease, but also lead to the development of a new one that has not been observed before.

Considering the fact that chronic focal gastritis can occur against the background of some other disease (then it is called endogenous), it is necessary to periodically be examined for the presence of helminthiases, chronic diseases of the liver, pancreas, biliary tract, and intestinal infections.

It is very important to avoid situations that can provoke an increase in intra-abdominal pressure. These can be significant physical exertion on the abdominal muscles, flatulence, constipation, and even tight tightening of belts and belts.

A huge role in the prevention of chronic focal gastritis is played by sanatorium treatment, namely, drinking mineral waters. An interesting fact is that earlier doctors recommended that patients with high acidity of the stomach go to resorts where alkaline water sources predominate. Conversely, people with secretory insufficiency were strongly advised to go to places where they could drink saline and saline-alkaline waters.

Today, much more attention is paid not to the composition of mineral water, but to the time of its intake. Thus, patients with a hyperacid state are advised to drink mineral water 1-2 hours after eating, and for those who have secretory insufficiency, it is better to go to the source half an hour before eating. In addition, it is very good to conduct mineral water treatment courses not only in sanatoriums, but also at home, for example, drink water 1-2 times a year according to the scheme prescribed by the doctor for 4-6 weeks.

And yet, the most basic thing that people suffering from chronic focal gastritis should know is that it is necessary to undergo periodic examinations and constantly be on dispensary observation. Indeed, with such a serious attitude to one’s own health, one can easily avoid the risk of degeneration of chronic inflammation into an oncological disease.

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