Exacerbation of gastritis in early stages. Gastritis during pregnancy - symptoms, treatment. Exacerbation of gastritis during pregnancy. Gastritis during pregnancy: drug treatment

Gastritis is one of the most common diseases of the gastrointestinal tract (GIT), which occurs in every second resident globe. The development of the disease is based on inflammation of the inner lining of the stomach.

Gastritis during pregnancy can develop due to poor nutrition, food allergies, hypovitaminosis or Helicobacter pylori infection. The body of a pregnant woman undergoes a number of changes and restructuring. This affects not only hormonal levels, but also position internal organs.

Symptoms of gastritis during pregnancy can greatly overshadow the bearing of a child and cause great discomfort to a woman, yet the disease does not affect the normal functioning of the fetus and is not a contraindication to conceiving a child. What causes the disease and how to deal with it without harming the developing fetus?

Provoking factors and symptoms

In more than seventy percent of cases, gastritis during pregnancy is an exacerbation of an existing pathology. The disease can occur in the following cases:

• unhealthy diet, including overeating;
• smoking and drinking alcohol;
• stressful situations;
• chronic infections;
• iron deficiency;
• violation of metabolic processes;
• endocrine disorders;
• infection with Helicobacter pylori infection.

Emotional experiences can trigger activation of the inflammatory process

Let's highlight the main symptoms of gastritis:

• epigastric pain;
• attack of nausea and vomiting;
• diarrhea;
• belching;
• rumbling and bloating;
• weakness and dizziness.

Varieties

There are two main types of illness: acute and chronic. An acute process is characterized by a rapid course and occurs, as a rule, for the first time. The chronic form is characterized by periodic relapses.

Spicy

The disease most often has a chemical, thermal, bacterial and mechanical nature of its occurrence. Injury to the cells and glands of the stomach leads to activation of the inflammatory response.

The catalyst for the occurrence of acute gastritis can be diseases of the pancreas, liver, gall bladder, metabolic disorders, as well as poor nutrition and uncontrolled drug treatment.

Important! The disease occurs acutely with severe pain in the stomach.

Incubation period The acute process lasts from four to eight hours. The initial symptoms of the disease are the following patient complaints:

• heaviness in the stomach;
• nausea;
• vomit;
• diarrhea;
• pallor;
• coating on the tongue;
• premature toxicosis;
• dry mouth or excessive salivation.

In case of acute gastritis, bed rest should be observed.

Chronic

Experts highlight general symptoms chronic process: pain in the stomach, heartburn, nausea, vomiting, diarrhea.

Helicobacter pylori occupies a leading position in the formation of chronic gastritis. Its effect disrupts the secretion of gastric juice.

Chronic gastritis may worsen due to changes in taste preferences. Women often become capricious and picky about food. Sweets, foods with preservatives, dyes can trigger a relapse. It is almost impossible to completely cure the chronic form; patients should learn to live with the disease.

With high acidity

Over-allocation of hydrochloric acid in the literal sense of the word, it corrodes the gastric mucosa, aggravating the course of the disease. Increased acidity provokes the appearance of pain in the navel and epigastric zone. A painful outbreak can be moderate or severe, most often it is associated with food intake.

Women also complain of heartburn after eating and sour belching. Half an hour before meals, medications are prescribed that reduce the production of hydrochloric acid. They are appointed for a period of three days. Prokinetics will help cope with attacks of nausea. This group of drugs stimulates the motor activity of the stomach and relieves heaviness.

You can also drink mint, chamomile and oats. They will help relieve the inflammatory process and reduce the excessive secretion of hydrochloric acid. These medicinal plants well envelop the damaged gastric mucosa.

With hyperacid gastritis, it is forbidden to consume foods that can further increase the level of acidity: lactic acid products, sour fruits, fatty foods, rich broths.

Treatment may vary depending on acidity level

Low acidity

In this case, hydrochloric acid is produced in insufficient quantities. With gastritis with low acidity, abdominal pain is mild. Obvious signs of the disease are: nausea, vomiting, rumbling, heaviness, flatulence, weakness, malaise.

Drugs that support the functioning of the pancreas will help ease the course of the disease. Such medications contain enzymes that break down proteins, fats and carbohydrates. To normalize the intestinal microflora, you can take probiotics and eubiotics.

Important! For gastritis with low acidity, it is better to avoid eating watermelon, melon and grapes.

Erosive

It is characterized by the appearance of erosions on the mucous membrane - damage with a shallower depth than ulcers. Defects do not leave scars. The following reasons can provoke the appearance of an erosive form in an expectant mother:

• Not correct mode nutrition;
• anxiety, stress;
• injuries, burns;
• presence of Helicobacter pylori infection.

The disease worsens general health and causes malaise. Stomach pain, nausea, vomiting, and diarrhea appear. Painful outbreaks may appear at night and on an empty stomach. Erosive gastritis threatens the development of internal bleeding and can be fatal. If a pathology is detected, the woman is prescribed strict bed rest.

At erosive gastritis treatment of a pregnant woman is carried out in a hospital setting

Atrophic

It is characterized by thinning of the gastric mucosa and a decrease in the glands that produce hydrochloric acid. The disease is bacterial and autoimmune in nature. In the first case, the causative agent of the disease is the bacterium Helicobacter pylori, and in an autoimmune process the body essentially fights itself.

The immune system produces antibodies to its own cells. Mental and physical fatigue, work in hazardous industries, and hereditary factors can lead to activation of the pathological process. The atrophic form can develop against the background of chronic gastritis.

The disease causes the appearance of anemic syndrome, which is characterized by the following symptoms:

• increased fatigue;
• drowsiness;
• weakness, apathy;
• pallor;
• headache;
• brittleness of nails and mouth.

Digestive disorders manifest themselves in the form of pain, a feeling of heaviness, heartburn, belching, nausea, vomiting, and diarrhea. The basis of the treatment process is dietary nutrition, since most drugs are prohibited for pregnant women.

Helicobacter

A bacterial infection suppresses the functioning of the stomach glands that produce hydrochloric acid. This leads to decreased acidity and digestive problems. Bacterial damage causes the following symptoms:

• stomach ache;
• bloating;
• belching;
• bad breath;
• headache;
• fungal infection;
• problems with nails and hair.

Helicobacter pylori is a common cause of gastritis

Dietary nutrition will help restore and preserve the microflora of the stomach. It consists of frequent consumption of liquid and semi-liquid foods. As your condition improves, you are allowed to introduce boiled fish, meat, and cereals into your diet.

Important! Treatment aimed at destroying Helicobacter pylori infection is prohibited during pregnancy.

IN severe cases the doctor may decide to prescribe anti-inflammatory, antacid and antispasmodic drugs. Preference is given to drugs for plant based.

Treatment of gastritis during pregnancy

The most informative diagnostic method for gastritis is gastric probing. The technique allows you to take a sample of gastric juice to determine the level of acidity, as well as analyze for the presence of Helicobacter pylori infection.

The endoscopic method will allow you to study the condition of the walls of the stomach and identify the presence of damage. Such diagnostic methods during pregnancy are carried out in extreme cases. What to do next after making an accurate diagnosis?

Treatment of gastritis during pregnancy is selected by a qualified doctor

Diet

The correct diet plays a big role in the treatment process. During the acute phase of the inflammatory process, bed rest and a gentle diet are prescribed. A woman should eat in small portions. Under no circumstances should you go hungry. It is better to steam, bake and boil food.

You should avoid foods that stimulate juice secretion: sugar, sweets, broths, carbohydrates. The products should be consumed in crushed form. You should limit your consumption of fatty, fried, salty, smoked, and pickled foods. It is better to give preference to dairy products, cereals, mucous and milk soups, vegetables and fruits.

Eating too hot or cold food is prohibited. For drinking, it is better to use still water, herbal teas, and jelly. It is better to avoid strong tea and coffee during the treatment period. Raw fruits and vegetables can greatly irritate the mucous membrane, so it is better to eat them stewed or boiled.

• Before the 28th week of pregnancy, it is forbidden to perform unloading;
• it is recommended to unload on certain days, but not more often than once every ten days;
• you should eat food 5–6 times a day;
• food must be chewed thoroughly;
• During fasting, you should drink two liters of water per day.

Medicines

You should be extremely careful in choosing medications; you should not take medications without a doctor’s prescription. If the exacerbation of the disease was provoked by Helicobacter pylori infection, then treatment during pregnancy is not carried out. It is impossible to get rid of the pathogen without harming the fetus.

In general, many medications cannot be taken in the early stages of pregnancy. Treatment of gastritis in pregnant women includes the use of drugs that protect the mucous membrane. These include antacids, which reduce the production of hydrochloric acid. Pregnant women are allowed to take calcium and magnesium based medications.

Antispasmodics will help relieve pain. From the third trimester it is allowed to use Drotaverine. IN critical situations Metoclopramide is approved for use from the third trimester. The drug normalizes gastric motility.

ethnoscience

Indispensable assistance during the period of bearing a child is provided by traditional medicine. It should not be forgotten that some recipes from traditional healers can cause increased uterine tone. For this reason, it is not permissible to take unconventional medicines without permission.

You can treat gastritis using traditional medicine recipes

Important! Sage is contraindicated in early pregnancy.

Decoctions of medicinal herbs will help calm the nervous system and relieve spasms. They give preference to plants that have anti-inflammatory, astringent, antiseptic, and adsorbent properties. These include: chamomile, lemon balm, St. John's wort, yarrow, cinquefoil.

Honey is an effective and safe product that is used in the treatment of gastritis. It is known for its anti-inflammatory, antibacterial and regenerating properties. To achieve a lasting therapeutic effect, honey should be consumed several times a day, and it is important to ensure that there is no allergic reaction.

For gastritis with high acidity, honey is consumed one and a half hours before meals. A tablespoon of the product is diluted in a glass of warm water. Honey neutralizes excess hydrochloric acid and protects the mucous membrane from the negative effects of gastric juice.

If you take honey twenty minutes before meals, it will stimulate the production of gastric juice, so this technique is used for gastritis with low acidity. Honey is diluted in a glass of cool water.

Gastritis during pregnancy causes great discomfort to a woman. The disease does not affect the development of the fetus, but still contributes to the appearance of severe toxicosis, and in the erosive type it can be fatal.

Many drugs are prohibited for use during pregnancy, so in most cases treatment includes diet therapy and traditional medicine. Any actions should be discussed with a doctor, since even safe recipes from traditional healers can cause harm during pregnancy. Early diagnosis and a competent approach to treatment is the key to your health!

Gastritis is a disease of the stomach in which the internal walls of this organ are affected and the production of gastric juices is disrupted. This leads not only to improper functioning of the stomach, but also to poor health of the patient, which, in the absence of effective treatment getting worse quickly.

Gastritis accounts for more than a third of all diseases of the gastrointestinal tract. This is quite a lot: more than half of the adult population, according to medical statistics, suffers from this disease. Chronic gastritis tends to worsen under the influence of multiple factors. And very often this happens with the onset of pregnancy, already in the early stages.

Gastritis during pregnancy: symptoms

Signs of gastritis are very diverse. In each individual case, they may manifest themselves differently or not appear at all for some time. It is noteworthy that the symptoms vary depending on what type of gastritis develops in the pregnant woman.

The most common is chronic gastritis B, which develops when the stomach is damaged by specific microorganisms - Helicobacter pylori. They can have a detrimental effect on the mucous membranes of the stomach, damaging them, as a result of which the production of gastric juice is disrupted.

Actually, not only the course of the disease, but also its treatment depends on the nature of the secretion of hydrochloric acid. Therefore, it is very important to establish the level of acidity of gastric juice during gastritis.

Gastritis during pregnancy with high acidity is accompanied by characteristic pain of varying intensity, which is usually localized in the upper abdomen, in the epigastric region, in the right side (in the hypochondrium), around the navel. Most often, they occur immediately or shortly after eating, and they are often provoked by certain dishes (fatty, fried, sour) and foods, and may be accompanied by painful diarrhea. However, it also often happens that stomach pain during pregnancy is annoying at night or on an empty stomach. Heartburn, sour belching appears, and a low-grade fever may persist.

But the course of the disease may have other characteristic differences. Nausea, vomiting, heartburn, belching, bad breath and taste in the mouth, flatulence, stool disorders, rumbling in the stomach, a feeling of fullness and heaviness in the stomach, weakness - all this indicates that, most likely, the woman has worsened gastritis with low acidity during pregnancy. With this form of the disease, less hydrochloric acid is produced than necessary, as opposed to the previous case. Painful sensations also appear, but they are less pronounced. Regardless of the form of gastritis, the pain intensifies when the stomach walls are stretched, so you should never overeat: food portions should always be moderate.

Practice shows that gastritis during early pregnancy is often accompanied by severe, severe and long-lasting toxicosis. And from the first weeks, expectant mothers are forced to wonder how they can soothe pain and alleviate gastritis when it worsens.

How to treat and how to treat gastritis during pregnancy

Treatment of gastritis is always long and troublesome, because any error in food or some stress factor can equate all efforts to zero. In addition, it is important to accurately diagnose what form and type of gastritis is present, since only in this case can effective therapy be carried out. That is, it is necessary to undergo some examinations, including the well-known and extremely unpleasant ones - endoscopy (swallowing a probe) and pH-metry (determining the level of acidity of gastric juice).

However, pregnant women constitute a special category of patients for whom this kind of manipulation is prescribed extremely rarely. Typically, endoscopy during pregnancy is performed only when a woman feels very unwell due to an exacerbation of gastritis, and the therapy prescribed to her does not produce any positive effect.

In addition, a number of drugs used in the traditional treatment of this disease are contraindicated for use during pregnancy. Among these, in particular, are De-Nol and Tetracycline, which can kill Helicobacter pylori microbes.

Therefore, treatment of gastritis during pregnancy should always begin with the safest and most effective - nutritional correction.

Gastritis during pregnancy: diet

Absolutely everything we eat directly affects the condition and functioning of the stomach, and therefore, if gastritis worsens, you will have to strictly control your diet, excluding a number of foods from it. First of all, those that are capable of having an “aggressive” effect on the gastric mucosa are prohibited:

• sour;
• spicy;
• smoked;
• spicy;
• salty;
• fat;
• canned food;
• very hot or very cold.

If any food can be classified into any of the listed categories, then it has no place in your diet. It is also necessary to avoid products containing synthetic additives and a large number of simple carbohydrates.

The basis of your diet should be simple natural semi-liquid food, prepared in a gentle way: light soups from cereals and vegetables, dairy products, boiled and stewed vegetables, soft-boiled eggs, omelettes, jelly, fruits. Then, as well-being improves, the diet is expanded with boiled meat and low-fat fish, cereals, pasta, boiled potatoes, non-acidic cottage cheese and sour cream, low-fat mild cheese, stale gray bread or biscuits. You can also eat sausage, but only boiled and high-quality sausage - in small quantities.

Drinks should also be natural and non-acidic. They are best consumed warm (but not hot). It's also good to drink mineral water- a glass an hour or two after main meals. But be sure to pay attention to the recommendations for drinking this or that water, taking into account the acidity of gastric juice (this is indicated on the label). Strong caffeine-containing drinks, carbonated drinks, and rich broths are excluded. In the meantime, it will be very useful to drink rosehip decoction.

Meals for gastritis must be fractional: the daily menu should be composed of 5-6 small meals, which should be consumed every 2.5-3 hours.

What to drink for gastritis in pregnant women: what medications

Despite the seriousness of this disease, it also has a positive feature: it in no way harms the fetus and does not have a negative impact on its development or the course of pregnancy. However, it is often necessary to resort to medication, because gastritis causes the expectant mother a lot of pain and discomfort.

Therapy during this period is aimed mainly at eliminating the unpleasant symptoms of the disease and relieving the inflammatory process. For this purpose, the corresponding groups of drugs are used:

• anti-inflammatory (Gastrofarm),
• antacids (Maalox),
• antispasmodics (No-shpa, Papaverine),
• enveloping (Almagel, Phosphalugel),
• and others - which eliminate nausea and vomiting (Cerukal, Reelan), regulate the production of hydrochloric acid (Gelusil Lac), restore microflora (Linex, Hilak Forte).

Vitamin preparations, prebiotics, and gastric enzymes (Creon, Festal, Mezim) are also used as auxiliary therapy.

Which medications should be combined with each other, how long to take them, in what dosage and in what way - all this is decided by a competent specialist, because in each individual case, drug treatment for gastritis during pregnancy may vary.

Treatment with folk remedies

Probably, in addition to medication, the doctor will also recommend that the expectant mother traditional treatment gastritis during pregnancy. For high acidity, mint, St. John's wort, chamomile, yarrow, knotweed, celandine, cinquefoil, valerian or motherwort, oat and flax seeds, and calamus rhizomes are used. Gastritis with low acidity is treated with fennel, parsley, caraway, thyme, oregano, wormwood, parsnip, plantain leaves, centaury. St. John's wort, mint, and yarrow are also used.

Medicinal infusions are prepared according to the following recipe: 2 tablespoons of herbal remedy are poured with half a liter of boiling water, infused for half an hour and filtered. It is necessary to take 100 ml of infusion after each meal (5-6 times a day).

Such agents coat the walls of the stomach and produce an anti-inflammatory and analgesic effect. You can also use traditional medicine recipes to treat gastritis.

With increased acidity

• Prepare an herbal mixture from equal amounts of stinging nettle, calamus and chamomile flowers. Pour a full tablespoon of the mixture into a glass of boiling water and simmer in a water bath for a quarter of an hour. Let it brew, strain and drink a third of a glass before meals - 3 times a day.
• It is necessary to boil 15 grams of fireweed leaves in a glass of boiling water - in a water bath - for 10-15 minutes. After straining, take a tablespoon 3 times a day for 4 days. Then - 1 tablespoon of comfrey infusion (to prepare it, pour 2 tablespoons of comfrey roots with a glass of boiling water and leave).
• Boil the peeled potatoes and drink the broth warm. This recipe is also useful for ulcerative lesions.

At low acidity

• Squeeze the juice from aloe leaves (which are at least 3 years old) and mix it with natural light honey in equal proportions. Leave the mixture for several days in a dark place at room temperature and after standing, drink a teaspoon on an empty stomach with a glass of water. The treatment course is 1 month. For preventive purposes, it should be repeated every year.
• Prepare a herbal mixture: 4 parts St. John's wort herb; 3 parts each of birch leaves, calendula flowers, marsh grass, Tangut rhubarb roots; 2 parts each of blueberry leaves, flax seeds, elecampane rhizomes; 1 part dill fruit. Stir everything until the components are evenly distributed and pour 2 tablespoons of the mixture into a thermos with 2.5 cups of boiling water. Let it brew for 8 hours, strain and drink half an hour before meals, dividing the infusion into 3 doses.
• Mix St. John's wort, blueberry and plantain leaves - only 10 grams each. Pour the mixture with a glass of boiling water and let it brew for 3 hours. After straining, take a tablespoon three times a day.

If you suffered from gastritis before conceiving a baby, you should definitely know what to do to prevent exacerbation of gastritis during pregnancy. To do this, it is necessary to avoid exposure to factors that lead to exacerbation, that is, they are the causes of the disease. Among the most influential are the following:

• emotional stress, nervous shock and exhaustion;
• disruption of the normal daily routine, night work, chronic lack of sleep;
• errors in nutrition (abuse of fatty, spicy foods, unnatural, low-quality products, overeating, lack of a regime);
• food allergies and infections;
• diseases of internal organs (liver, pancreas, gall bladder);
• metabolic disorder;
• taking certain medications;
• bad habits (smoking and drinking alcohol in large quantities), etc.

Despite the fact that gastritis during pregnancy is completely safe for the baby, it significantly spoils the life of the expectant mother and, if left untreated, can lead to ulcerative lesions of the mucous membranes of the stomach, which means, albeit indirectly, it can still influence the course of pregnancy. In addition, it is impossible to completely cure gastritis: to prevent relapses of its exacerbation, you will have to constantly engage in prevention.

We wish you good health and excellent well-being, so that you experience only pleasant emotions and pass them on to your baby!

Especially for - Margarita SOLOVIOVA

Chronic gastritis can worsen during pregnancy. And although the disease does not pose an immediate threat to the baby, it makes life very difficult for the expectant mother. Inflammation of the mucous membrane during gastritis disrupts the normal digestion process, which negatively affects overall well-being and performance. At the first signs of the disease, you need to contact a specialist and begin treatment.

Chronic gastritis has no specific symptoms. It often makes itself felt by pain in the pit of the stomach, nausea, vomiting, belching and upset bowel movements.

1. Gastritis with increased secretion (this form is more common in young people) causes pain in the upper abdomen. Symptoms of gastritis appear after eating, can begin after eating a certain type of food, and are sometimes felt at night or on an empty stomach. The pain can vary in intensity. For severe cramps, the doctor prescribes painkillers.

2. If acidity is reduced, then this is most often expressed by other signs: nausea, vomiting, belching, or flatulence and bowel dysfunction.

Causes of exacerbation

The following reasons can provoke exacerbation of gastritis during pregnancy:

1. changes in hormonal levels, which affect the composition of gastric juice;

2. taking certain medications;

3. nervous experiences of the expectant mother during pregnancy;

4. toxicosis in the first trimester. Nausea and severe vomiting in the early stages often force one to completely give up food; the woman begins to eat irregularly, which provokes an exacerbation. In other cases, the cause of gastritis in the early stages of pregnancy may be the abuse of sour and salty foods, with the help of which the expectant mother tries to cope with unpleasant symptoms.

If gastritis suddenly worsens during pregnancy, the woman must be provided with bed rest. It is important not only to take the prescribed medications, but also to strictly follow the therapeutic diet.

In case of severe pain, you can make oatmeal jelly, which soothes stomach pain and saturates well. According to reviews from expectant mothers who are faced with this problem, oatmeal jelly helps in cases of exacerbation better than any other medicine.

For preparation, use regular rolled oats, instant oatmeal that do not require cooking are not suitable. Grind 200 g of flakes in a coffee grinder and add 8 glasses of warm water. Stir and leave overnight to swell. In the morning, strain the swollen rolled oats through a gauze cloth, squeeze, drain the liquid into a clean container and cook until thickened. You can add honey to the finished jelly, pour it into the mold and cool. The result is jelly, which is cut into slices and eaten with milk.

Diet for gastritis

During pregnancy, it is important to provide a nutritious and varied diet. The basis for treating gastritis and preventing exacerbations is a special diet based on the following principles:

• You need to eat at least 5 times a day in small portions.
• Every day you need to drink at least 1.5 liters of liquid, reduce salt intake to 7 g per day.
• It is important to ensure comprehensive sparing of the stomach, so all food during the diet is boiled, poached (cooking vegetables in a small amount of water at a low temperature), steamed and occasionally baked without a crust.
• All drinks and food are consumed warm.
• Monitor bowel regularity. Your daily diet must include vegetables and fruits.

What is allowed to eat with gastritis during pregnancy:

1. Bread and pastries. White dried bread, biscuits, dry cookies, and occasionally you can indulge in a savory pie with filling: apple, egg, cottage cheese.

2. Soups. Slimy soups made from oatmeal, semolina, rice, buckwheat with milk or vegetable broth (except white cabbage). Vegetable puree soups with vermicelli.

3. Meat. Homemade quenelles, meatballs, steamed cutlets made from lean meat (veal, chicken, turkey). Sometimes you can include beef stroganoff and lean pork in your diet.

4. Fish. From low-fat river fish make steamed cutlets or fillets. Occasionally allow themselves soaked low-fat herring.

5. Milk. You can drink several glasses a day. If milk is poorly absorbed, it is not consumed in its pure form, but porridge, jelly, milk soups are prepared with it, and added to tea. You need to include cottage cheese in your diet, both in its pure form and in the form of cheesecakes, puddings and casseroles.

6. Cereals. Any, except millet and pearl barley. It is recommended to eat oatmeal and buckwheat more often: they help normalize digestion and cope with constipation.

7. Soft-boiled eggs or steamed omelet.

8. Vegetables. Boiled: potatoes, carrots, cauliflower, beets. Sometimes allowed green pea, green beans, young zucchini, pumpkin, sour red tomatoes, lettuce.

9. Oil. Add a piece of butter or a little vegetable oil to dishes.

10. Fruits. Baked or fresh grated non-acidic apples and pears.

11. Drinks. Mineral alkaline water without carbon, weak coffee, tea with milk, jelly, juice diluted half with water.

12. Sweets. Sometimes you can allow yourself a little something tasty: eat marmalade, jelly, marshmallows, marshmallows, creamy caramel. If there is no allergy, honey is allowed.

Products to avoid

Pregnant women with gastritis are prohibited from eating this food:

1. grain, rye bread, as well as coarse bread;

2. fermented milk products with high acidity;

4. hard-boiled eggs;

5. legumes;

6. pickled and salted vegetables;

7. garlic, onions, radishes, all types of cabbage (except cauliflower), sorrel, spinach and bell pepper;

8. hot seasonings and spices;

9. mayonnaise and ketchup are excluded;

10. citrus fruits, sour berries (gooseberries, currants), sour varieties of apples.

Treatment with folk remedies

If you are very concerned about pain and other symptoms of gastritis, you can try to start treatment with simple but effective traditional methods treatment, after consulting with your doctor.

1. Herbal decoctions.

Herbal treatment is safe during pregnancy, unlike many pharmacological drugs.

For gastritis with high acidity, they relieve pain well and have an anti-inflammatory effect: mint, chamomile, yarrow, cinquefoil. To gently stimulate the stomach with low acidity, make herbal infusions with fennel, cumin, mint, oregano, and thyme.

Herbal medicine recipe: 2-3 tbsp. l of the collection is brewed in 500 ml of boiling water. Leave for half an hour in a warm place, filter. You can use ready-made pharmaceutical preparations packaged in filter bags, like regular tea. Drink half a glass of warm broth after meals.

It is worth remembering that some herbs are strictly contraindicated in the treatment of gastritis - calamus, plantain, thyme, and sage should not be used in the early stages of pregnancy.

2. Flaxseed.

Effective natural medicine for the treatment of chronic gastritis is flaxseed. This remedy for a sick stomach has been used for a long time. When the seeds are brewed, a special mucus is formed, it envelops the walls and acts as an anti-inflammatory agent. Flax seed can be used by pregnant women for any type of gastritis.

There are several recipes, all of them are effective and easy to prepare.

• 5 g seeds pour 1 tbsp. water, after boiling, cook for 5 minutes. Leave for 2 hours. Take 1 tbsp decoction. l before every meal.
• In the evening, pour 10 g of seeds into 1 liter of boiling water, wrap and leave to infuse overnight. The next day, drink a decoction of 100 g 20 minutes before meals.

Flax seed is contraindicated for cholelithiasis, hepatitis and pancreatitis. Before you start taking it, you need to make sure there are no stones in the liver or kidneys.

3. The healing effect of honey.

If you are not allergic, you can try this recipe for treating gastritis during pregnancy. Dilute 1 tbsp in a glass of warm water. l honey. If you have high acidity, drink half an hour before meals; if you have low acidity, drink it an hour before meals. Treatment should continue for 1-2 months, depending on how the body reacts to the medicine. Honey helps with gastritis with its calming effect. Often women during pregnancy complain of insomnia. A spoon of honey before bed will help you relax and fall asleep.

4. What are the benefits of apples?

Regular consumption of apples helps to cope not only with diseases of the digestive system, but also with skin diseases and low blood pressure during pregnancy. The highest content of nutrients is in green apples.

Every day on an empty stomach, 2-3 hours before meals, eat 2 finely grated apples. It is important to maintain a period of time between apples and eating other foods. Otherwise, increased gas formation may occur. It is best to take the medicine before breakfast. Treatment of gastritis during pregnancy should be continued for at least a month. Then reduce the dose and eat apples in the morning every other day.

Prevention

A woman's diagnosis of chronic gastritis does not mean that she cannot become a mother. However, it should be taken into account when planning a pregnancy: consult with a specialist, and, if necessary, undergo a full examination and treatment with prescribed medications. During pregnancy, strictly follow your doctor's recommendations and adhere to your diet.

So that the wonderful period of pregnancy is not overshadowed by old sores, it is important to properly organize the daily routine: eat at least 5 times a day in a calm environment, chewing food thoroughly and not get carried away with foods prohibited by the diet that provoke stomach irritation: meat broths, pickles and smoked meats, hot spices, canned food, coffee, tea, soda. Walk more fresh air, move, do not give in to stress. And, of course, exclude smoking and alcohol. And when the first signs of exacerbation appear, be sure to consult a specialist.

Such a disorder digestive system, like gastritis, is one of the most common gastrointestinal diseases. It affects a considerable number of pregnant women. Unpleasant symptoms of gastritis worsen the condition of the pregnant woman and cause a lot of inconvenience. Treatment of gastritis during pregnancy has its own characteristics, since a woman in this position cannot take all medications.

Causes of the disease

Gastritis is an inflammation of the mucous layer inner surface stomach. This disease may have various shapes and severity and occur in acute or chronic stages. In the vast majority of cases, pregnant women experience an exacerbation of gastritis, which is in the chronic stage.
Basically, a woman already has the prerequisites for this disorder at the time of conception. The main causes of gastritis are considered to be activation of the bacterium Helicobacter pylori in the body and a malfunction of the immune system. Before pregnancy develops, the disease may be superficial and not manifest itself in any way. Or, the symptoms are not expressed clearly enough and I don’t pay attention to them.

As the fetus begins to develop, dramatic changes begin to occur in the mother's body. This leads to the fact that gastritis begins to worsen and the disease progresses. Exacerbation of gastritis is often provoked by the following factors:

• improper organization of nutrition (dry food, fast foods, irregular meals);
• consumption of low-quality food, carbonated drinks and canned food in large quantities;
• stressful situations, frequent worries;
• smoking;
• binge eating.

Despite the fact that the manifestations of gastritis increase discomfort during pregnancy, this condition cannot be considered catastrophic. Exacerbation of gastritis does not have any noticeable effect on the development of the child. Therefore, the woman mainly suffers from deterioration in health and symptoms of the disease.

Often, pregnant women with gastritis experience increased toxicosis, which can last for a long time. It can be observed until 15–17 weeks and cause severe inconvenience.

Symptoms during pregnancy

Gastritis during pregnancy does not differ in specific symptoms. Signs of the disease may vary and appear depending on the form and severity of the disorder. The main symptoms of exacerbation of gastritis are as follows:

• pain of varying intensity and different time days;
• discomfort in the abdominal area;
• intestinal disorder;
• nausea, belching, vomiting;
• rumbling in the stomach, flatulence, diarrhea.

Pain sensations may be localized in various areas abdomen: in the upper part, on the right or left under the ribs, in the navel area. They are both weak and strong. Pain may appear after eating, at night, and also if a woman has not eaten for a long time.

Symptoms of gastritis have different manifestations, depending on the nature of the disease. If gastritis occurs against a background of increased acidity, symptoms may include frequent pain. Sour belching and heartburn also occur.

In case of a chronic disease with a decrease in the production of hydrochloric acid, there is nausea and vomiting, frequent bowel movements, and flatulence. Gastritis occurring with normal acidity may not be accompanied by pain, therefore, in the initial stage of the disease, no complaints appear. With the deterioration of the secretion gland, the manifestation of symptoms increases.

Diagnosis of gastritis

Diagnosis of a disease such as gastritis during pregnancy is carried out only through laboratory tests. The examination includes several stages and is carried out comprehensively. The main diagnostic methods include:

• urine and blood analysis of a pregnant woman;
• gastric intubation and pH-metry;
• endoscopy of the stomach;
• Helicobacter test.

A biochemical blood test determines the presence of antibodies to the Helicobacter bacterium. Thus, the presence of infection in the body is detected. A blood test also makes it possible to detect anemia, which is a sign of gastritis.

Fractional sounding is the collection of fluid located inside the stomach in order to determine its acidity and the state of the microflora. It is also possible to identify disturbances in the functioning of the secretory gland using a pH-metric study. In this case, electrodes are inserted into the pregnant woman's stomach to measure the level of hydrochloric acid.

The most informative way to diagnose gastritis is endoscopic examination. It is carried out using a special probe inserted through the patient’s mouth into his stomach. This analysis is mandatory if gastritis is suspected, since without it the doctor cannot make an accurate clinical picture diseases. However, in pregnant women this examination is used as a separate measure, if the main stage of treatment is ineffective.

A breath test can be performed to identify Helicobacter bacteria. Its use is convenient for pregnant women, as it does not involve penetration of various equipment.

How to treat

Treatment of gastritis during pregnancy has its own characteristics. Much attention is paid to the motor mode and dietary nutrition. In order to alleviate the course of the disease, in severe forms of the disorder, the woman is prescribed bed rest.

Meals should be fractional, that is, occur several times during the day, in small parts. At the same time, you need to ensure that it is complete and that the body receives all the necessary substances. During an exacerbation, semi-liquid or pureed food is recommended so that it does not irritate the walls of the stomach. For the same reason, food and drinks should be at an optimal, warm temperature.

A diet for gastritis during pregnancy is included in its treatment. She happens to be mandatory item, which cannot be ignored. Refusal of special nutrition can significantly worsen a woman’s condition.

During treatment, fried foods, as well as spicy and salty foods, should be excluded from the menu. These are removed harmful products, like canned food, smoked meats, carbonated drinks. Flour and confectionery products are prohibited.

It is necessary to eat soups, cereals, fermented milk products, pureed vegetables. You can eat eggs in the form of omelettes, pates, and vegetable stews. Lean meat and fish should be boiled or steamed. It is recommended to drink jelly, fruit drinks, and decoctions of medicinal herbs.

In addition to diet and bed rest, drug therapy is also prescribed. For a disease such as gastritis during pregnancy, treatment is necessary. When the body is infected with the bacterium Helicobacter, which is the most common cause gastritis, in normal conditions, treated with antibiotics. It is possible to destroy a harmful microorganism only with their use.

However, these medications are contraindicated in pregnant women, as they may have a detrimental effect on the development of the fetus. This raises the question, how to treat gastritis during pregnancy?

In this case, antibiotic therapy is not carried out, and a gentle medication regimen is prescribed. Basically, drug treatment is aimed at normalizing the level of hydrochloric acid in the stomach.

In this regard, the doctor may prescribe the following groups of drugs:

• antacids. Used to neutralize stomach acid and protect the gastric mucosa;
• antispasmodic drugs. Eliminate pain in the abdomen;
• enzymes. Helps digest food;
• medications that stimulate the action of the pancreas (if necessary);
• prokinetics. Stimulates the motor functions of the stomach and intestines.

Can also be assigned various means for general strengthening of the body and vitamin complexes.

Folk remedies

Pregnant women can take medicinal herbs and others to treat gastritis. folk remedies, for example, honey with aloe. The effectiveness of these methods is beyond doubt. However, before you start using them, you should consult your doctor.

Many medicinal herbs produce anti-inflammatory, analgesic and antibacterial effects on the body. Also, with the help of herbal decoctions, you can normalize the effect of hydrochloric acid.

For gastritis with high acidity, plants such as:

• chamomile;
• yarrow;
• St. John's wort;
• celandine;
• flax seeds.

These herbs can be used by brewing them one at a time or in combination. To prepare the infusion, take 30–40 grams of crushed plants and add 500 ml of boiling water. Next, you need to let the composition brew for about an hour and strain. You need to drink the infusion half an hour before meals, a third of a glass.

For low stomach acidity, you can use the following plants: wormwood, thyme, parsley, plantain leaf, fennel. The infusion is made as described above. You need to drink the composition warm, 30–60 minutes before meals.

An excellent remedy for treating these digestive disorders is honey. It has strong antibacterial and analgesic properties. Honey envelops the walls of the stomach, protecting it from harmful influences. It is completely absorbed by the body without loading the stomach and has a positive effect on the mucous membrane.

Honey can simply be diluted with warm water and drink half a glass before meals. It can also be mixed with aloe pulp and other ingredients (olive oil, plant juice, etc.). Honey is also added to herbal infusions and decoctions to improve the taste.

A disease such as gastritis is not a contraindication during pregnancy. To treat it, more gentle methods are used than in ordinary cases. The main remedy is diet and proper nutrition.

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Gastritis is a disease of the gastric mucosa, accompanied by disruption of the digestive tract. During pregnancy, this disease can become a serious problem and significantly complicate the course of such an important period. Exacerbation of gastritis in expectant mothers requires a special approach in the diagnosis and treatment of this disease.

Acute gastritis

This term refers to inflammation of the stomach caused by a single exposure to a substance. This could be poor quality food, medications or various chemical compounds. Quite often, acute gastritis occurs with various infections and is one of the signs of a general disease.

Symptoms of acute gastritis:

• pain in the projection of the stomach;
• nausea;
• single or repeated vomiting.

In severe cases, there may be an increase in body temperature, chills and other signs of intoxication of the body.

Treatment of acute gastritis in pregnant women does not differ from its treatment outside pregnancy. In case of poisoning, enterosorbents are used - drugs that remove dangerous toxic substances from the body. According to indications, antibiotics approved for use during pregnancy are prescribed. To replenish fluids, it is recommended to drink as much fluid as possible. Special water-salt solutions (Regidron) are best suited for this purpose.

Gastric lavage is practically not performed in expectant mothers. This procedure can provoke an increase in uterine tone and cause termination of pregnancy. Gastric lavage is done only according to strict indications and in compliance with all safety rules. Observation by a gynecologist is required during and after the procedure.

Chronic gastritis

During pregnancy, doctors most often have to deal with exacerbation of chronic gastritis. According to statistics, inflammation of the gastric mucosa occurs in half of all women of reproductive age. The first episode of gastritis usually occurs during adolescence, and by the time pregnancy occurs, a woman usually knows about her diagnosis. When the disease worsens, such a patient already knows which doctor to contact and what to do when the first symptoms of gastritis appear.

A situation in which the first attack of the disease occurs precisely after the conception of a child is quite rare. Symptoms of the disease develop gradually over many years. Much more often, women simply ignore the signs of gastritis, attributing them to poisoning or discomfort after eating any special food. The primary manifestation of stomach disease during pregnancy is more typical of young primiparous women under the age of 25.

One of the reasons for the development of chronic gastritis is considered to be Helicobacter pylori. These spiral-shaped bacteria live in the stomach and intestines of most people around the world. Moreover, 90% of all carriers of Helicobacter pylori do not experience any manifestations of gastritis or peptic ulcer. At the moment, scientists have not been able to find out whether chronic gastritis always occurs against the background of infection with these bacteria or whether other ways of acquiring a dangerous disease are possible.

Factors provoking the development of gastritis:

• errors in nutrition (in particular deficiency of protein, vitamins and iron);
• long-term uncontrolled use of medications (anti-inflammatory and antibacterial agents, corticosteroids);
• bad habits (smoking and drinking alcohol);
• harmful factors at work;
• diseases that provoke hypoxia in tissues (anemia, pneumosclerosis);
• autoimmune disorders;
• constant stress;
• heredity.

In pregnant women, exacerbation of chronic gastritis most often occurs against the background of dietary errors. Eating spicy, fried, fatty or salty foods can lead to the appearance of typical symptoms of gastritis at any stage of pregnancy. In half of expectant mothers, stomach disease is combined with cholecystitis (inflammation of the gallbladder) and colitis (inflammation of the intestines).

Symptoms

Exacerbation of chronic gastritis is characterized by a variety of symptoms and depends on the type of disease. Gastritis with increased secretion is characterized by pain in the epigastric region that occurs shortly after eating. Pain is quite often associated with a certain type of food. Pregnant women notice that after consuming any product, the symptoms of the disease intensify. Most often, pain occurs in response to fatty, fried or salty foods.

With gastritis with increased secretion, pain in the stomach is accompanied by heaviness and a feeling of fullness. Discomfort often extends to the navel area or moves to the right hypochondrium. Characterized by nausea and vomiting, stool disorder in the form of diarrhea. Manifestations of the disease may vary depending on the severity of gastritis and the individual reaction of the body.

For gastritis with decreased secretion Dyspeptic disorders come to the fore. Almost all pregnant women experience nausea, vomiting, belching and flatulence. With a long course, any form of gastritis sooner or later leads to a decrease or complete loss of secretory activity of the stomach and the development of all characteristic symptoms.

Complications of pregnancy

Chronic gastritis in early pregnancy almost always becomes cause of severe toxicosis. There is no single theory explaining this phenomenon. Experts agree on only one thing: nausea and vomiting due to gastritis in the first trimester of pregnancy can persist for a long time. If a pregnant woman's symptoms of toxicosis do not stop after 12 weeks, the cause should be sought in inflammation of the gastric mucosa.

In the second half of pregnancy, chronic gastritis does not have a pronounced effect on the condition of the woman and the fetus. Inflammation of the stomach cannot cause malformations or provoke complications in the placenta. Even in the case of exacerbation of gastritis, pregnancy usually proceeds well and ends with the birth of a child at term.

Gastritis, which occurs with complications, poses a certain danger. In severe cases of the disease, bleeding from the stomach may develop. This condition poses a threat to a woman’s life and requires immediate assistance from specialists. Predicting the course of pregnancy when bleeding develops is quite difficult. With severe blood loss, miscarriage or premature birth is possible.

Diagnostics

Making a diagnosis in pregnant women is somewhat difficult. The traditional method for identifying gastritis is fibrogastroscopy. This examination allows you to assess the condition of the gastric mucosa from the inside, detect ulcers, areas of bleeding and other pathological changes. Also during the procedure, a section of stomach tissue is taken for targeted histological examination.

During pregnancy, endoscopic examination of the stomach is performed only under strict indications. If gastritis cannot be detected using other methods, the doctor carries out the procedure in compliance with all safety measures. The procedure is quite difficult for pregnant women to tolerate and can even cause a miscarriage. Doctors try, if possible, to avoid endoscopic examination in expectant mothers and make a diagnosis based on clinical data.

Ultrasound examination of the stomach can help in diagnosing gastritis. An ultrasound is performed on an empty stomach and allows you to assess the size of the organ and the thickness of its walls. Also, using ultrasound, you can determine the amount of mucus in the stomach and thereby identify a malfunction of the organ.

What to do if gastritis worsens?

In the treatment of chronic gastritis in pregnant women great importance has proper nutrition. When the first signs of illness appear, you should switch to split meals: up to 6 times a day in small portions. This approach allows you to reduce the load on the stomach and gives the organ the opportunity to gradually restore its functionality.

For gastritis with increased secrecy It is recommended to consume the following dietary dishes:

• milk and vegetable soups;
• vegetable dishes steamed or cooked in the oven;
• porridge with milk or water;
• boiled meat and low-fat fish;
• vegetable, berry and fruit juices.

For gastritis with reduced secretion The diet of a pregnant woman should include the following dishes:

• soups with meat broth;
• lean boiled or stewed meat;
• boiled non-fat fish;
• dairy products;
• milk;
• flour dishes (except for baked goods).

For any form of gastritis, it is prohibited:

• fried foods;
• hot and spicy foods;
• salty dishes (including homemade pickles);
• smoked meats;
• semi-finished products;
• carbonated sweet drinks;
• fresh baked goods;
• alcohol.

During an exacerbation of the disease, pregnant women need to eat food slowly, chewing each piece thoroughly. You should avoid sandwiches, chips, crackers and other unhealthy snacks. At the same time, expectant mothers are strictly prohibited from starving! When you feel hungry, you can drink a glass of kefir or other fermented milk drink. As snacks, you can use fruits, cottage cheese, cheese and other products from the list allowed for gastritis.

Mineral water relieves pain and eliminates other symptoms of gastritis. If you have increased gastric secretion, you should turn your attention to Jermuk or Smirnov mineral water. In case of secretory deficiency, it is recommended to drink Essentuki No. 4 or No. 17, as well as Arzin. Mineral water not only helps relieve symptoms of the disease, but also eliminates signs of early toxicosis. If nausea and vomiting occur, pregnant women should drink mineral water daily.

Drug treatment

The classic treatment regimen for gastritis involves the use of antibacterial drugs. The goal of such therapy is to eliminate Helicobacter pylori and thereby remove the main cause of the disease. Antibiotics are not prescribed during pregnancy. Drugs used to eliminate the causative agent of the disease are prohibited for use in expectant mothers as potentially dangerous to the fetus. Specific antibacterial therapy for gastritis is carried out only after childbirth.

To reduce the secretion of gastric juice during pregnancy, they are prescribed antacids. Maalox is a good example. This remedy not only reduces the production of gastric juice, but also has an analgesic and anti-inflammatory effect. Maalox should be taken 1 hour after meals.

During pregnancy, they are actively used to eliminate the symptoms of gastritis. sorbents. These drugs eliminate excess hydrochloric acid in the stomach, reduce pain and stabilize the enzymatic activity of the stomach. Sorbents are prescribed up to 6 times a day, 1 hour after meals.

Used to relieve pain at any stage of pregnancy antispasmodics. The well-known “No-shpa” copes well with pain syndrome by relaxing the smooth muscles of the stomach. To eliminate nausea, Cerucal and its analogues are used. This drug will be especially relevant in the first trimester in case of severe toxicosis.

Treatment of gastritis in pregnant women is carried out under the supervision of two doctors: a gastroenterologist and a gynecologist. Hospitalization to a hospital is carried out in case of complications, as well as in case of severe toxicosis. In other situations, treatment of gastritis is possible at home.

Gastritis that occurs in the first trimester often goes away in the second half of pregnancy. In some women, symptoms of stomach damage become apparent before childbirth. If after the birth of the child the signs of gastritis do not disappear, you should definitely consult a doctor.