Is it possible for pregnant women to eat boiled shrimp. Is it possible to eat boiled or frozen shrimp during early and late pregnancy: benefits and harms. Are shrimp healthy during pregnancy?

Instruction

The first thing to remember when exacerbating chronic gastritis V that in no case can the disease itself. Medications, which takes, can penetrate the utero-placental barrier and have a harmful effect on the fetus. Therefore, if you experience nausea, epigastric pain, belching and stool disorders, consult a doctor immediately. He will establish the types of violation of the secretory function of the stomach and prescribe the appropriate one.

If gastritis occurs, follow bed rest and diet. Nutrition should be fractional, divide it into 6-7 meals in small portions. Cook food for a couple or boil food, completely exclude fried foods. Limit your intake of salt and sugary foods, and avoid meat and fish broths. All this stimulates the production of gastric juice; for pregnant women, gastritis with increased secretory function is more characteristic. Eliminate spicy and heavily spiced foods from your diet.

Eat more dairy products: whole milk, cottage cheese, kefir and butter. Also cook soups based on milk, it is better if they are of a “mucilaginous” consistency, for example, with oatmeal. Drink jelly 30 minutes before meals, the enveloping properties of starch will help protect the gastric mucosa from exposure of hydrochloric acid. If the condition improves, add steamed meat and fish meatballs, vegetable stews, cereals, fresh vegetables and fruits.

In accordance with violations of the secretory function, use decoctions of medicinal herbs. With increased gastric secretion, use decoctions medicinal plants with analgesic, anti-inflammatory and enveloping action. These include pharmacy gastric preparations containing St. John's wort, chamomile flowers, oat seeds, flax and yarrow. With a reduced secretory function, brew herbs of wormwood, plantain leaves, thyme, fennel, mint and oregano.

Related videos

note

Diagnosis of gastritis during pregnancy. To clarify the diagnosis of chronic gastritis, it is not enough to study the patient's complaints and the history of the disease. It is necessary to conduct an endoscopic examination - a study of gastric juice. Don't worry - this is acceptable during pregnancy. With its help, they find out the level of acidity of gastric juice, and this, in turn, will help to establish the type of gastritis (with increased or decreased acidity) and the corresponding treatment.

Helpful advice

Drug treatment pregnant women suffering from chronic gastritis has its own characteristics. Elimination of Helicobacter pylori infection during pregnancy is not performed, since the use of drugs used for the same purpose is undesirable treatment with oxygen - hyperbaric oxygenation. Maalox can also be used for gastritis with low acidity of gastric juice, in this case it is better to prescribe it in the form of a suspension (1 tablespoon or 1 sachet of suspension 1 hour after eating).

Sources:

• pregnancy with gastritis

Pregnancy is not smooth for all women. Gastritis often occurs initially or worsens during this period. The disease causes severe discomfort, negatively affects the psyche. In addition, with poor digestion in the mother, the fetus does not receive all nutrients for normal intrauterine growth.

Therapy for gastritis should be not only highly effective, but also as safe as possible. Treatment of gastritis during pregnancy is not an easy task, since therapeutic options are somewhat limited due to the position of the woman.

When signs of acute gastritis or exacerbation of a chronic one appear, the main thing is not to self-medicate. Only a gastroenterologist knows how to properly treat gastritis during pregnancy, who, when choosing a treatment regimen, takes into account the types of pathology, form, degree of neglect of the inflammatory process, gestational age.

Treatment must be comprehensive and include:

• diet therapy;
• drug therapy;
• treatment with mineral waters;
• folk methods.

You can not delay a visit to the doctor, who will explain in detail how to treat gastritis different types in pregnant women.

diet therapy

Without a strict diet, it is almost impossible to cure gastritis. Diet therapy is the most important component of complex therapy for this disease. In acute form, bed rest is required.

Correct diet food is as follows:

Diet food is not a hunger strike, especially during pregnancy. All trace elements necessary for the development of the child and the normal course of pregnancy should be present in full in food.

Medical treatment

Treatment of gastritis in pregnant women has the following features: drugs are selected with care so as not to harm the fetus. Thus, the antibacterial agents Metronidazole or Tetracycline, usually prescribed to eliminate the cause of the disease - Helicobacter pylori bacteria, are contraindicated during pregnancy. Also, without extreme necessity in pregnant women with gastritis, proton pump blockers and H2-antihistamines are not used.

With severe symptoms of chronic gastritis of the hyperacid form (with increased secretion of hydrochloric acid), the following drugs will help:

With gastritis with low acidity, pregnant women are also prescribed drugs that stimulate the secretion of gastric juice:

• Antiemetics - Acidin-Pepsin, Panzinorm eliminate nausea.
• Multivitamin complexes - to maintain immunity. Helicobacter pylori is activated when the immune status is reduced.
• Probiotics - normalize the intestinal microflora.
• Enzymes - gastric juice Pancreatin, Festal compensates for the lack of acid, is used to correct disorders of the pancreas and intestines.

With inflammation in the gastrointestinal tract, the digestive organs do not fully cope with the digestion of incoming food. Enzymes contribute to the breakdown of complex elements into simple ones, as a result of which the digestion process improves, and pain decreases.

At erosive gastritis, stomach ulcers and / or duodenal ulcers are helped by antacids, which eliminate the aggressive effect of hydrochloric acid on the mucous membrane: Phosphalugel,Almagel. Antacids have an enveloping and analgesic effect. Pregnant women can take them for no more than three days, usually this is enough to relieve pain.

Treatment of gastritis while breastfeeding

The treatment of gastritis is somewhat different with breastfeeding. With mild symptoms, sparing methods are used that do not require refusal to feed:

• diet therapy;
• adequate sleep, rest during the daytime;
• if possible, avoid nervous tension, stress;
• drinking mineral water;
• for pain relief, antispasmodics are selected in a dosage that will not adversely affect lactation.

Therapy with the refusal of breastfeeding for the period of treatment is necessary when the pathological process is running, the pain component is pronounced, and the effectiveness of gentle therapy is insufficient. Antibacterial and enzymatic medicines, antacids, H2-antihistamines, antispasmodics, anti-inflammatory, proton pump inhibitors are prescribed.

Throughout the treatment process, a woman must express milk that is not suitable for feeding. You can resume natural feeding after 3-5 days after the end of taking all medications.

Mineral water treatment, physiotherapy

With increased and normal secretion of gastric juice, drinking mineral water is indicated: "Slavyanskaya", "Borjomi", "Jermuk", "Smirnovskaya". Water is consumed an hour or two after meals, 200 ml three times a day.

With a reduced secretory function, they drink "Mirgorodskaya" water, "Arzni", "Essentuki" 4, 17 half an hour before meals three times a day, 2000-300 ml. You can drink water if there is no puffiness.

Mineral water with a high concentration of salts should not be used by expectant mothers suffering from gallstone disease, pancreatitis, diarrhea. It is not recommended for pregnant women to drink artificial mineral water, since its properties differ from those of natural mineral water.

In some cases, hyperbaric oxygen therapy (HBO) is prescribed as a physiotherapeutic procedure for pregnant women with gastritis. The procedure contributes to the speedy regeneration of tissues, oxygenation of the blood, and an increase in immunity. In addition, the manifestations of toxicosis and the risk of miscarriage are reduced. HBO is good for the fetus.

Useful video

How to deal with heartburn can be found in this video.

Folk methods

Non-traditional methods of treating gastritis in pregnant women should be used after consultation with the attending physician, since there are herbs that can adversely affect the intrauterine development of the child. Independent use of natural remedies, as well as pharmacological preparations, is unacceptable.

St. John's wort, highlander, calamus root, chamomile, flaxseed, yarrow will help relieve inflammation, stop pain, and reduce secretion. For a calming effect, you can drink mint decoction, infusion of valerian roots, motherwort.

Decoctions and infusions of wormwood, thyme, fennel, plantain, parsley, oregano, parsnips will help normalize the excess secretion of gastric juice. Has a strong enveloping effect sea ​​buckthorn oil. Dosage and frequency of administration are discussed with the doctor.

Prevention of gastritis in pregnant women

After the normalization of the condition in order to prevent it is necessary:

• adhere to a balanced diet;
• eat fractionally, do not overeat;
• exclude food that irritates the mucous membrane of the digestive tract;
• limit to a minimum the use of carbonated, caffeinated drinks, black tea;
• exclude alcohol, smoking;
• avoid stressful situations as much as possible;
• fully rest and sleep;
• timely eliminate foci of inflammation in the body;
• consult a doctor at the first signs of the disease.

The reaction of the body to pharmacological agents and herbal remedies during pregnancy can be unpredictable, so you should always consult a specialist. Intrauterine development and the health of the child depends on nutrition future mother, her health, and the medications she took while she was pregnant. If you ignore gastritis during pregnancy and do not carry out timely treatment, then serious complications can develop.

Often a woman is concerned about gastritis during pregnancy. This is a disease that is caused by an inflammatory process on the gastric walls, which causes a violation of the secretion of gastric juice. If a woman has a disease, then almost always during the period of bearing a child, a relapse will occur, which is due to many interrelated factors. The most common are type A and B gastritis, which does not exclude the possibility of another type of pathology in a woman.

Why does it occur?

Symptoms of gastritis in pregnant women are quite common. So, ¾ of women who were ill before pregnancy complain about its manifestation during this period. The causes of the manifestation of pathology can be divided into 2 groups:

• are common;
• characteristic only for pregnant women.

Common causes of gastritis (also characteristic of breastfeeding):

• malnutrition - women during this period often overeat (eat for two) or undernourish due to toxicosis or a diet that is recommended for breastfeeding;
• imbalance of incoming substances (proteins, fats, carbohydrates, vitamins and minerals);
• stress, nervous disorders, depression, neuroses and other disturbances of well-being nervous system against the background of hormonal changes and worries (worries for the unborn child, new financial burdens on the family, etc. are added to everyday ones);
• poor quality of food, food "on the go";
• the use of alcoholic beverages;
• smoking;
• helicobacteria;
• food with harmful food additives, etc.

Reasons that are typical only during the bearing of a child:

• changes in the hormonal background and immune status, why the immune system can produce antibodies that will attack the walls of the stomach;
• an increase in the size of the uterus every week leads to a shift and tightness of the organs (including the stomach), which affects their functionality, preventing the normal evacuation of food, which contributes to stagnant processes in the organs of the digestive tract;
• against the background of hormones, stress resistance decreases, and any problem can provoke a strong nervous load;
• functioning endocrine system becomes more active, which can cause a malfunction of the glands, especially if there were problems on this basis before pregnancy.

The presence of chronic gastritis in a woman often causes severe long-term toxicosis.

Possible types of gastritis during pregnancy

That a woman is pregnant or her baby is eating breast milk, does not change the possible forms of manifestation of gastritis. There are 2 types of disease. Sometimes exacerbation is isolated into a separate third form. "Sleeping" pathology most often occurs before pregnancy and during this period appears relapses.

Spicy

Acute gastritis is a sharp inflammatory process that affects the mucous membranes of the stomach due to the effects of infections, chemical substances or toxins. The disease characterizes a sharp development, when after a couple of hours it appears strong pain in the region of the stomach, accompanied by others characteristic symptoms. The disease resembles severe poisoning and requires immediate medical attention for a pregnant woman or a woman whose child is breastfed.

Chronic

The manifestation of this form of the disease is completely different from acute. Pathology occurs due to a violation of the secretion of saline fluid in the stomach or pathological inflammatory changes in the organ. Relapses of the disease are directly dependent on nutrition and emotional state mothers. The disease affects the duodenum, liver, pancreas, gallbladder and urinary passages. It is impossible to completely recover from this form, so the patient must adhere to the doctor's recommendations for the rest of her life. This will help to avoid or reduce the number of relapses.

Gastritis of the stomach in the acute stage

If a woman suffers from gastritis, most likely, she will face an exacerbation of the pathology during the period of bearing a child and during breastfeeding. Sick pregnant women are characterized by prolonged severe toxicosis, in which vomiting is constantly tormented. Gastritis can cause toxicosis throughout the first half of pregnancy. The exacerbation does not affect the bearing of the child and his health. Despite this, it is necessary to consult a doctor.

Symptoms

If gastritis worsens during pregnancy or in nursing, it manifests itself with the usual symptoms of the disease:

• heartburn;
• belching with a rotten smell;
• lack of desire to eat;
• constant feeling of heaviness in the epigastrium, especially after eating;
• a quick feeling of fullness;
• vomiting;
• painful sensations in the stomach area;
• stool disorders;
• plaque on the tongue of a gray tint;
• increased symptoms after a "heavy" meal;
• a slight increase in body temperature;
• bad smell from the mouth.

If the disease is acute, the following symptoms may be added:

• dizziness;
• pallor of the skin;
• dry skin;
• low pressure;
• irritability;
• prostration;
• frequent loose stools.

Such symptoms may indicate the need for urgent medical attention, since the pathology can be dangerous for the mother and the unborn child. Signs of an acute form of stomach disease most often occur 4-8 hours after exposure to the pathogen. In "sleep mode" the disease is characterized by the following symptoms:

• nausea;
• gagging;
• frequent belching;
• flatulence;
• stomach pain, etc.

With gastritis with high acidity, the pain is sharp and strong, with low acidity, it is muffled and weak. If the disease has affected the lower part of the organ, the acidity is normal or increased, if the pathology has developed throughout the stomach, it is reduced.

Pharmaceuticals at this time can only be prescribed by a doctor, since therapy depends not only on the type of disease, but also on factors such as pregnancy and natural feeding of the baby. Most often, the usual treatment regimens cannot be used. For example, if helicobacteria became the cause of the pathology, no one treats them with antibiotics because of the negative impact on the child. The following medications may be used:

• antacids (reduce acid levels);
• prokinetics (normalize gastric motility);
• antispasmodics (pain relief);
• dosage forms of enzymes of the stomach and gastric juice (replacement therapy with insufficient organ production);
• probiotics;
• anti-inflammatory drugs;
• multivitamins, etc.

Gastritis is a disease digestive system, characterized by acute or chronic inflammation of the gastric mucosa, as well as a violation of the regenerative properties of epithelial cells. Gastritis is progressive and severe cases leads to severe dystrophy and atrophy of the epithelial membrane and the replacement of glandular tissue with fibrous fibers. In pregnant women, exacerbation of gastritis may be associated with a decrease in immunoresistance, eating habits, and a stress factor. Treatment of gastritis during pregnancy is carried out mainly on an outpatient basis under the supervision of not only a gastroenterologist, but also a gynecologist who observes pregnancy.

Inflammation of the stomach is diagnosed in about 10% of pregnant women. The main factor provoking the development of an inflammatory reaction, experts consider a decrease in immunity, which is observed in almost 90% of pregnant women. The weakening of the protective functions of the body contributes to a change in the hormonal background (increased secretion of progesterone and prolactin), leading to a violation of the synthesis of immunoglobulins and a slow formation of the immune response. Reduced immunity may be a catalyst for the growth of pathogenic bacteria Helicobacter pylori, which today are considered main reason chronic gastritis in this category of patients.

Note! If a woman suffered from infectious gastritis before pregnancy, the risk of exacerbation of the pathology provoked by an increase in the area of ​​​​contamination of mucous membranes due to a decrease in immune defense will be more than 50%.

Helicobacter pylori - a dangerous enemy of the gastrointestinal tract

Nutritional factor

Exacerbation of chronic gastritis (as well as the primary inflammatory-dystrophic process in the stomach) can also develop against the background of improper eating behavior. The maximum risks of developing gastritis are present in the first trimester and are associated with toxicosis, a painful condition characteristic of the early gestation period (up to 10-12 weeks) and associated with the formation of a “pregnancy center” in the brain, which is responsible for behavior and physiological functions female body during the childbearing period.

Nausea and vomiting - the main symptoms of early toxicosis - often lead to the fact that a woman completely loses her appetite, and she begins to refuse to eat. Gastric juice, which is produced in the stomach to digest food, contains components that can adversely affect the condition of the mucous membranes and even cause erosion and local ulceration. These include:

• pepsin (formed as a result of the breakdown of pepsinogen);
• hydrochloric acid;
• proteolytic enzymes (mainly of the class of hydrolases).

If food does not enter the stomach, gastric juice lingers in the cavity of the organ and destroys the epithelial membrane, leading to acute inflammation its walls.

Important! Provoke gastritis during pregnancy can not only refuse food associated with toxicosis, but also a violation of eating behavior, for example, overeating or eating large amounts of food before bedtime. Chocolate, fatty foods, soda, sausage (especially smoked and raw smoked), spices - all these products can also lead to inflammation of the stomach and exacerbation of chronic gastritis.

stress factor

Emotional lability (a hormone-dependent psycho-emotional disorder characterized by frequent mood swings) is one of the main signs of pregnancy. If a woman is in stressful condition, suffers from depression, neurotic disorders, the risk of gastritis and other diseases of the digestive system increases several times. To prevent this from happening, you need to be outside more often, move enough (if there are no contraindications), avoid emotional unrest and use home relaxation methods, such as audio therapy or salt baths for the feet.

Note! Massage, aromatherapy, baths with essential oils to relieve stress during pregnancy are only permissible after consulting a doctor.

With persistent structural changes in the gastric mucosa, characteristic of chronic gastritis, there are usually no signs. Pronounced symptoms appear during the period of exacerbation, and their intensity depends on the localization of the inflammatory process, the area of ​​dystrophic changes, and the degree of atrophy of the epithelial membrane. The most typical signs for gastritis during pregnancy are manifestations of functional dyspepsia, which include:

In women with chronic gastritis, there is increased weakness, lethargy, drowsiness, loss of strength. Violation of the absorption of vitamins and minerals leads to the development of complications from other organs (cardiac arrhythmia, instability blood pressure, decreased visual acuity and hearing, etc.) and the appearance of symptoms of beriberi (dry lips and skin, brittle hair, skin rashes). Often, against the background of gastritis, pregnant women develop stomatitis, which is manifested by burning in the oral cavity and the formation of painful sores.

Important! If gastritis during pregnancy is not treated, congenital diseases and fetal defects can be the consequences. This is due to the fact that a woman receives most of the nutrients necessary for intrauterine growth and development of a child with food, after which they are absorbed into the general bloodstream and enter the fetus through the placenta. If digestion is disturbed, vitamin deficiency occurs, which can cause congenital heart defects, anemia and other diseases in the newborn, diagnosed in the neonatal period.

What examinations can be prescribed for pregnant women?

Diagnosis of gastritis during pregnancy is complicated by the inaccessibility of effective and informative diagnostic manipulations that are used to detect pathologies of the gastrointestinal tract in standard gastroenterological practice. Any examinations associated with any risk for the course of pregnancy or fetal development are prescribed to a pregnant woman only after consulting a gynecologist and obtaining an opinion on the possibility and appropriateness of using specific diagnostic methods. Typically, complex diagnostics includes the following types of studies:

• comprehensive blood test and general analysis urine;
• ultrasound examination of the abdominal organs;
• breath tests (measure the concentration of ammonia in the exhaled air after ingestion of an isotope solution of urea).

A woman can also be prescribed daily pH-metry, which allows you to measure the acidity of the gastrointestinal tract and evaluate its changes depending on meals and other external and internal factors.

pH-metry of the esophagus and stomach

Is it possible to do a gastroscopy during pregnancy?

Gastroscopy is the most accurate, effective and informative method for diagnosing gastritis, in which the mucous membranes of the stomach and duodenum are examined using an endoscope. Clinical signs of chronic gastritis during this examination are:

• local or generalized swelling of the mucous membrane;
• hyperemia (redness);
• oval or round erosions with edematous and hyperemic edges;
• increased secretion of mucus;
• increased vulnerability.

Gastroscopy for pregnant women should be carried out only if there are strict indications, since in some cases it can lead to complications, such as infection, damage to the mucous membranes, or perforation of the walls of the digestive tract (extremely rare). The procedure can also provoke an increase in the tone of the uterus and an increase in the symptoms of toxicosis, so women with high risk these pathologies gastroscopy is usually not performed.

What drugs can be taken during pregnancy?

The choice of drugs approved for use during pregnancy is quite large, but any medication should be prescribed by a doctor, taking into account the possible risks to the mother and fetus. If the cause of the inflammatory process in the stomach is a confirmed Helicobacter pylori-associated infection, therapy begins with the use of antibiotics and antimicrobials. These are usually combinations of two drugs that must be taken at the same time as drugs and supplements that have prebiotic properties to reduce side effects from antibiotic treatment.

Table. Antibacterial and antimicrobial agents for the treatment of Helicobacter pylori-associated gastritis in pregnant women.

As auxiliary components, the following groups of drugs may be included in the treatment regimen:

Important! Treatment with drugs traditionally used for the treatment of chronic gastritis (bismuth drugs, proton pump inhibitors) is not carried out during pregnancy due to high degree teratogenic effect on the fetus.

Nutrition for gastritis

Diet therapy is the most safe way treatment of gastritis in pregnant women. It is recommended to adhere to the rules of nutrition for chronic gastritis throughout pregnancy in order to exclude the possibility of repeated relapses and reduce the risks of serious complications. All food with inflammation of the stomach should be consumed in crushed form (preferably in a mushy or puree state), and the temperature of the dishes served should not exceed 36-38 ° C. Do not add any spices and seasonings to dishes (the exception is fresh herbs) and a large number of salt. Meals are frequent and non-volume - 5-7 times a day, no more than 220 g per serving.

From the diet must be completely excluded:

• bakery products made from premium wheat flour, as well as rolls with the addition of cereals and bran;
• confectionery products with fatty layers (waffles, cakes) and chocolate (including confectionery glaze);
• fatty foods;
• smoked meat (ribs, shank, carbonade);
• canned food in marinade and brine;
• hot spices;
• carbonated drinks;
• products containing coarse vegetable fiber (raw fruits and vegetables).

The basis of the diet should be broths, salads and vegetable casseroles, boiled lean meat, eggs, fruit purees. Of the drinks, dried fruit compotes and herbal teas (chamomile, mint, linden) are especially useful.

Important! In no case should you treat gastritis by fasting during pregnancy - this can lead to pathologies of pregnancy and abnormal development of the fetus.

Sample daily menu for pregnant women

Since morning:

• liquid oatmeal on water with a spoon of honey;
• green tea and a sandwich with low-fat cheese and lettuce.

Late breakfast:

• cottage cheese pudding;
• a handful of berries.

Dinner:

• potato soup with meatballs;
• vegetable casserole with chicken fillet;
• dried apricot compote.

Afternoon snack:

• fruit salad with low-fat yogurt dressing;

Dinner:

• grilled fish with tomatoes and bell peppers;
• loose buckwheat;
• chamomile tea.

Before going to bed, you can drink a glass of fermented baked milk, kefir, or eat a little low-fat cottage cheese (with severe hunger).

Folk methods

Alternative medicine recipes for gastritis are a good addition to traditional treatment, but they can only be used to stimulate the regeneration of mucous membranes and reduce symptoms.

Decoction of chamomile with thyme

Pour four tablespoons of a mixture of chamomile flowers and thyme leaves (you can use dried raw materials) into a saucepan and pour 500 ml of boiling water. Cook covered for 15-20 minutes over low heat. After cooling, strain the broth. Take 100 ml 4-5 times a day between meals for 3-4 weeks.

Flaxseed with honey

Such gruel is useful not only for the treatment of gastritis: a large amount of minerals and vitamins can provide almost 30-40% of the needs of a woman and fetus in the necessary elements. To prepare it, you need:

• 5 tablespoons of flaxseed flour or ground flaxseed pour a glass of boiling water, cover and insist for 15 minutes;
• add a teaspoon of honey;
• mix everything thoroughly, add fruit if desired.

To use such a gruel should be 1 time per day for 10-20 days. It is best to eat flaxseed porridge for breakfast.

Gastritis is a serious disease, and pregnancy is not a contraindication for its treatment. Drug therapy for pregnant women should only be prescribed by a specialist after a comprehensive diagnosis and assessment possible harm and consequences for the course of pregnancy and fetal development.

Video - Features of the treatment of gastritis

According to medical statistics, gastritis is one of the most common diseases of the gastrointestinal tract. It affects both adults and children. Pregnant women experience particular discomfort from the manifestation of this disease. That is why the treatment of gastritis during pregnancy is a top priority. It should not only be effective, but in no way harm the unborn child. Moms need to have accurate and complete information about this question.

Causes of gastritis during pregnancy

What causes gastritis during pregnancy? Three-quarters of the cases, this is just an exacerbation of the chronic inflammatory process that was in the woman's stomach before her position. There are two types of gastritis:

• Caused by atrophic processes in the stomach wall associated with autoimmune lesions of cellular systems.
• Infectious, bacterial, caused by infection.

The expectant mother can become infected with infectious gastritis during pregnancy or be a carrier of the infection even earlier. In this case, she may not be aware of it, as the disease may be sluggish or even asymptomatic. A hormonal surge causes the activation of pathogenic bacteria and leads to an exacerbation of the disease. The treatment of a pregnant woman must be approached thoughtfully, because most of the drugs indicated for gastritis are contraindicated during pregnancy.

The following causes exacerbate gastritis during pregnancy:

• Wrong, unbalanced, irregular nutrition. Overeating or anorexia.
• Excessive intake of refined carbohydrates.
• The use of products containing dyes, preservatives, stabilizers and flavors.
• Nervous pregnant is contraindicated. Stress exacerbates the disease.

Diagnosis of gastritis during pregnancy

Competent, timely diagnosis is the key to successful treatment. An important milestone diagnosis is the collection of anamnesis. The patient may be disturbed by a number of clinical signs of the disease. Usually the symptoms of gastritis during pregnancy are as follows:

• heartburn
• feeling of hunger with a full stomach, together with rumbling in the stomach
• belching
• vomit
• flatulence
• stool disorders
• nausea
• pain in the stomach area

The secretory activity of the stomach affects the form of gastritis and its manifestation in the patient. Accordingly, the treatment will be different. Increased secretory activity is often expressed in pain in the upper abdomen, right hypochondrium or in the navel. Discomfort increases after eating heavy, fatty or spicy foods, as well as on an empty stomach or at night. With this form of gastritis, drugs are prescribed that suppress the secretory activity of the stomach.

If the acidity is lowered, gastritis is manifested by moderate pain, aggravated by a plentiful meal. Treatment of this form of the disease is aimed at increasing and normalizing the secretory activity of the stomach.

Exacerbation of chronic gastritis in pregnant women causes the strongest toxicosis on early stages bearing a child. Clinical picture the disease unfolds over 13-16 weeks, causes considerable concern to the mother, but does not affect the development of the fetus.

For appointment proper treatment diseases, it is necessary to make a thorough laboratory diagnosis using instrumental methods. Usually prescribed:

• Blood chemistry. It allows you to identify the content of gastrin in the body, the presence of antibodies to the bacteria that cause the disease and to the parietal cells. The presence of B12-deficiency anemia, which is often a companion of gastritis, is also detected.
• To determine the form of gastritis by measuring acidity, intragastric pH-metry and fractional sounding help.
• Biopsy of gastric tissues altered by the lesion, identification characteristic features atrophic processes in the gastric mucosa is achieved using esophagogastroduodenoscopy. However, this technique is quite painful and unpleasant, therefore, it is done to a pregnant woman only if there are serious indications.
• The most convenient test for diagnosing the presence of a bacterial infection in the gastrointestinal tract is the respiratory one. It is also called the test for Helicobacter pylori (bacteria, disease-causing gastritis) or HELIK-test.

Treatment of gastritis during pregnancy

We examined what manifestations of gastritis occur in pregnant women and how to make a clarifying diagnosis for correct setting diagnosis and treatment. Next, consider how to treat gastritis during pregnancy.

Proper nutrition for gastritis

Normalization of nutrition, balance and selection of a suitable diet is a priority in the treatment of such an unpleasant disease as gastritis. In severe forms of the disease, the pregnant woman is prescribed bed rest and meals in small portions 5-6 times a day. Food should be light, semi-liquid, especially on early dates treatment. Overloading the stomach is unacceptable. by the most important points Meals include breakfast and dinner.

The diet usually begins with dairy foods: slimy soups, cottage cheese. After a while, boiled or steamed eggs, fresh vegetables, fruits, vegetable stew are included in the diet. Gradually, as you recover, meat dishes, cheese, sour cream, cereals, and potatoes are introduced into the pregnant woman's diet. Fried foods are completely excluded.

At the slightest sign of abnormalities in the work of the gastrointestinal tract, pregnant women should avoid:

• coffee consumption
• fried foods
• Excessively fatty, salty and spicy foods
• Smoked meats
• Rich meat and fish broths
• confectionery
• Coffee

All restrictions are very conditional and are selected individually, taking into account the secretory activity of the stomach. So, for example, women with atrophic gastritis are prescribed juice broths that increase acidity.

Treatment with mineral waters

Treatment for exacerbation of gastritis during pregnancy may be accompanied by the appointment mineral waters. With a decrease in secretory activity, it is recommended to drink Essentuki No. 17 and No. 4, Arzni, Mirgorodskaya. With increased acidity, Borjomi, Jermuk, Smirnovskaya and Slavyanovskaya are recommended.

Mineral waters in medicinal purposes take after meals, after 1-1.5 hours. The condition of the patient is the best indicator of the dynamics of recovery. If gastritis aggravates when taking water, then the treatment with "mineral water" is stopped for a while.

Medical therapy for gastritis

Gastritis during pregnancy is also treated with medication, but traditional methods of drug therapy are inappropriate here. Drugs that attack a bacterial infection can cause irreparable harm to a developing fetus. Therefore, basically all treatment is aimed at normalizing the secretory activity of the stomach. But even here the use of traditional drugs is very limited. When gastritis with high acidity is prescribed:

• antacids - when they enter the stomach, they lead to a decrease in its acidity, which brings significant relief of the symptoms of the disease.
• prokinetics - regulate the motor activity of the walls of the stomach, eliminate the effects of nausea and vomiting during the development of gastritis;
• antispasmodics - reduce the intensity of pain during exacerbation of inflammatory processes in the gastrointestinal tract.

Patients with low acidity are more likely to be prescribed replacement therapy drugs:

• stomach enzymes. In suitable doses, they are able to normalize the activity of the secretory glands of the gastric mucosa;
• with signs of pancreatic insufficiency, pancreatic enzymes are prescribed, which leads to improved digestion;
• drugs of combined action, which have a complex effect on digestion in general;
• prebiotics that naturally quench the activity of Helicobacter pylori and normalize the microflora of the gastrointestinal tract.

Folk recipes for the treatment of gastritis

How to treat gastritis if there is no trust in traditional methods of getting rid of this disease? Herbal preparations and tinctures come to the rescue, enveloping the walls of the stomach, relieving pain and inflammation, and regulating acidity.

With increased secretion use: shamrock, St. John's wort, mint, chamomile, calamus rhizome, celandine, flax seeds, oats, bird knotweed