Chronic gastroduodenit

Description:

Chronic gastroduodenit – the collective concept indicating that the stomach and a duodenum are involved in disease process. The reasons of development of this state are extremely various. The disease can proceed with the increased or lowered production of digestive enzymes.

Symptoms of the Chronic gastroduodenit:

Types of a chronic gastroduodenit allocate:

    * depending on type of structural changes (superficial, atrophic, hyperplastic, erosive, a reflux gastritis);
    * depending on ability to production of digestive enzymes (with normal, raised or hyposecretion, akhilicheskiya);
    * as course of a disease (compensated and dekompensirovanny when treatment is ineffective and the disease gradually progresses);
    * on existence of some features (hyperplastic, polypostural, rigid);
    * on an involvement into process of all body or only its part (diffusion, antral – tendency to formation of ulcers and cancer is characteristic of them, especially at weak efficiency of treatment);
    * on existence of changes of immunity at the patient (autoimmune gastritis of type A and gastritis of type B where the large role is played by existence of a helikobakterioz).

At the heart of such classification of a chronic gastroduodenit – the main types of course of a disease and perspective of treatment.

Symptoms of a chronic gastroduodenit:

Rather often gastroduodenit proceeds asymptomatically or with poorly expressed, erased manifestations in the form of small heartburn, feeling of discomfort in an anticardium.

These symptoms do not influence efficiency of the person and pass without any treatment, and patients consider themselves absolutely healthy.

At young patients of manifestation of a gastroduodenit are followed normal or hypersecretion. Such symptoms as an eructation, bitterness in a mouth, a sensation of discomfort in an anticardium, night and "hungry" pains, usually arise or in the period of an exacerbation of a disease, or after alcohol intake (especially beer and wine) and spicy, spicy and rough food, and also at an overeating.

Reasons of the Chronic gastroduodenit:

In certain cases gastroduodenit can be secondary, that is accompany other diseases (the expressed renal failure or diseases of a pancreas). At the same time treatment of a basic disease is followed by reduction of manifestations of a gastroduodenit. But in many cases gastroduodenit proceeds as primary state which in the absence of adequate treatment can quickly progress, causing deterioration in work of other bodies and systems of an organism.

Now it is considered to be primary chronically proceeding gastroduodenit a predjyazvenny condition, that is the initial stage of a peptic ulcer. Exact knowledge of the reason which caused emergence of a gastroduodenit influences not only treatment tactics, but also its success and an outcome of the disease. At adequate treatment of primary gastroduodenit it only in 26-28% of cases passes into a peptic ulcer. At an atrophic gastroduodenit the absolute recovery is observed much less often, quite often there are complications in the form of development of diseases of a liver, a gall bladder, a pancreas and intestines.

Treatment of the Chronic gastroduodenit:

After treatment by germicides usually all symptoms of a gastroduodenit leave. For treatment of such gastroduodenit there is a set of schemes which enters from two to four drugs. It obligatory kislotosnizhayushchy drug as the helikobakter "loves" acid, and from one to three germicides selected by the doctor individually.

In these cases antimicrobic treatment is more important, than nutritional recommendations. Therefore doctors urge not to trifle of the appointments of the doctor including antibiotics. There are effective complex drugs, such as гастростат, a pyloritis which scheme of reception it is simpler than others. But reception them also should be coordinated with the attending physician.