The main causes and methods of treatment of gastric erythematous gastropathy

Erythematous gastropathy is an endoscopic feature that is often detected during fibroesophagogastroduodenoscopy. The appearance of this symptom can contribute to various factors, ranging from unhealthy diet and ending with stress.

The timely elimination of the causative factor and the correct medical tactics allow to quickly and completely eliminate erythematous gastropathy.

Therefore, in this topic we want to tell you in detail about the causes and signs of erythematous gastropathy, as well as how to deal with this problem.

Briefly about the essence of the disease

Under erythematous gastropathy imply redness of the gastric mucosa, which may be accompanied by swelling, bleeding and increased mucus formation.

As we have said, this feature is determined in the study of the stomach using an endoscope - fibroesophagogastroduodenoscopy (FEGDS).

Briefly about the essence of the disease

Redness of the mucous layer of the stomach is triggered by a number of unfavorable factors, such as coarse, spicy and too hot food. Under the influence of the causative factor, microcirculation is activated in the affected area of ​​the stomach, which gives it a red color.

A distinctive feature of this endoscopic feature is that it affects only the mucous layer of the stomach, and the deeper layers of the body remain intact.

Most often, this syndrome can be observed in febrids in patients with erythematous gastritis. In such a clinical case, it is important to take measures in time, since the outcome of the disease depends on the timeliness and adequacy of the therapeutic measures. Later or incorrectly, the treatment of erythematous gastritis threatens its transition to a stomach ulcer.

If erythema is detected in the stomach, a specialist may recommend additional studies aimed at identifying Helicobacter pylori, determining the pH of the gastric juice or performing a biopsy of the mucosal lesions with further histological analysis.

Almost always, erythematous gastropathy is detected by chance with FEGDS, which is performed for other diseases or for prophylactic purposes.

Causes and provoking factors

To eliminate erythematous gastropathy, you need to know what factors provoke it. Consider them.

Causes and provoking factors

  • Unbalanced and unhealthy food. The abuse of spicy, fried, salty foods contributes to the appearance of erythema in the stomach. Food from fast food, smoked meats, sweet soda and too hot drinks also have a negative effect on the mucous layer of the stomach.
  • Treatment with drugs from such groups as nonsteroidal anti-inflammatory, hormonal, antibacterial, anticoagulant drugs and others.
  • Infectious invasion of the stomach. First of all, it is necessary to note the negative impact on the stomach of Helicobacter pylori, as well as staphylococci and fungi.
  • Reflux of intestinal juice into the cavity of the stomach.
  • Irritation of the mucous epithelium of the stomach with hydrochloric acid during fasting or diets.
  • Chronic stress.
  • Excessive exercise.
  • Lack of sleep
  • Alcohol abuse and smoking.
  • Metabolic disorders in the body.
  • Hormonal disbalance.
  • Genetic predisposition.
  • Diseases of internal organs, such as inflammation of the pancreas, gall bladder, intestines, cholelithiasis and others.
  • Atherosclerosis of vessels.
  • Hypersensitization of the body with food allergens and others.

Types and forms

According to the international classification, erythematous gastropathy has an ICD-10 code - K29 and belongs to gastritis or duodenitis.

Depending on the prevalence of erythema in the stomach, the following forms of gastropathy are distinguished:

  • focal erythematous gastropathy,which is characterized by the presence of small areas of erythema on the mucous epithelium of the stomach. This type of gastropathy rarely turns into more serious diseases, such as gastritis or ulcer. This endoscopic syndrome can be detected after errors in the diet or taking certain medications;
  • diffuse form of erythematous gastropathy.In this form, erythema is diffuse and can capture all parts of the stomach. Late or inadequate treatment tactics threaten the transition of gastropathy to gastritis or peptic ulcer disease.

Also, erythematous gastropathy is divided according to the degree of inflammation, namely:

  • 1st degree.The first degree of gastropathy has the initial manifestations of lesions of the gastric mucosa without symptoms of neglect of the inflammatory process;
  • 2nd degree.When the second degree of the inflammatory process becomes chronic, which is often observed during gastritis.

In addition, erythematous gastropathy can be divided depending on which part of the stomach is affected by erythema (cardiac, antral, or bottom).

In this case, the most significant is antral gastropathy, which is characterized by hyperemia of the mucous layer of the antrum. When the erythema of the antrum slows down the progress of the food lump in the digestive tract and congestion occurs in the walls of the stomach, which leads to activation of fermentation processes. This type of gastropathy often ends with the formation of ulcers in the stomach.

Clinical picture

Complaints of patients who have been diagnosed with erythematous gastropathy with FEGDS, directly depend on the prevalence of erythema in the stomach. The focal form of erythematous gastropathy may in most cases be asymptomatic and detected by chance.

With diffuse lesions of the gastric mucosa in patientsThe following symptoms may be present:

Clinical picture

  • aching pains in epigastria,which appear or increase after eating or drinking;
  • heaviness in the stomach;
  • nausea, sometimes with vomiting, which brings relief;
  • belching air or rotten;
  • weight loss;
  • fast fatiguability;
  • fragility and loss of hair;
  • lamination and brittleness of the nail plates;
  • flatulence;
  • intestinal colic;
  • constipation or diarrhea;
  • white or white-yellow bloom on the tongue.

Some of the symptoms of gastropathy are associated with the slowing down of digestive processes, congestion in the stomach, fermentation processes, and some with anemia, which may occur due to a violation of the absorption of nutrients, iron and vitamins.

Effects

There are two of the most common complications of erythematous gastropathy: gastritis and peptic ulcer. Sometimes, if this pathology is not treated, the mucous layer of the stomach can atrophy. In turn, against the background of atrophy of the mucous membrane, a malignant tumor of the stomach may appear.

Seeing the diagnosis of erythematous gastropathy in the conclusion of EGDS, you should not be afraid, but also do not need to leave this unattended. In this case, it is recommended to consult a gastroenterologist or general practitioner.Specialists, if necessary, will conduct additional studies and provide therapeutic recommendations that will avoid the above-listed complications.

Treatment

In cases where erythema in the stomach appeared as a result of medication, it is imperative that you inform the doctor who prescribed them. If possible, the drug will be canceled or replaced by another, safer to the stomach. But it happens that the treatment cannot be replaced by another one, therefore the drug that caused gastropathy is necessarily covered with a gastroprotector (Omeprazole, Rabeprazole, Pantoprazole) or an antacid (Phosphalugel, Almagel).

Be sure to quit smoking or drinking alcohol, which adversely affect the state of the stomach. It is also necessary to avoid psycho-emotional shocks, limit physical exertion, normalize sleep and rest.

With an increase in the pH of the gastric juice, patients are prescribed acid-lowering drugs, namely:

Treatment

  • proton pump inhibitors (Omeprazole, Rabeprazole, Pantoprazole and others);
  • antacids (Almagel, Phosphalugel);
  • bismuth preparations (Vis-Nol, De-Nol).

Also in the treatment regimen include gastroprotectors (Gastroceptin, Gastrofarm), which protect the gastric mucosa and accelerate its recovery.

If Helicobacter pylori was detected in the stomach, then the patients were shown to have anti-helicobacter pills (Metronidazole, Amoxicillin).

All medications must be administered exclusively by the attending doctor, since each medication has a number of side effects and contraindications.

In difficult cases, when conservative therapy does not help, the question of surgical intervention may be considered, during which the affected part of the stomach will be removed.

Very often, traditional therapy is supplemented with folk remedies, among which the most effective are decoctions and infusions of medicinal plants (chamomile, plantain, celandine, St. John's wort, nettle and others), vegetable oils (linseed, pumpkin, linseed, sea buckthorn) and products from flax seeds.

Diet

Patients who have erythematous gastropathy,The following guidelines should be followed:

Diet

  • eat 5-6 times a day in small portions at equal intervals of 2.5-3 hours;
  • do not overeat;
  • give preference to sparing methods of heat treatment of food (steamed, boiling);
  • forget about spicy, salty and smoked dishes;
  • refuse alcoholic and carbonated drinks;
  • exclude from the diet of coffee and strong black tea;
  • eat not hot or cold dishes. The optimal food temperature corresponds to the body temperature;
  • The daily ration should be formed from liquid cereals, lean meats, fish and poultry, jelly, non-concentrated broths, cottage cheese, eggs, jelly, soufflé, pureed soups and other food that will not irritate the gastrointestinal mucosa.

Since the majority of patients have erythematous gastropathy as a result of an unhealthy lifestyle, to eliminate it, diet will be enough, giving up bad habits, and normalizing rest and work. But in any case, it is necessary to consult with a specialist, since more serious diseases can be masked under the symptoms of this pathology, for example, gastritis or gastric ulcer.

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