Diseases

Gastritis (inflammation of the stomach) - causes, symptoms and therapy

Gastritis (inflammation of the stomach) - causes, symptoms and therapy


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Gastritis: triggers, typical complaints and treatment

With inflammation of the gastric mucosa (gastritis), which can manifest itself with symptoms such as feeling of fullness and abdominal pain, a distinction is made between acute and chronic gastritis. The disease, also known as irritable stomach, is often triggered by the bacterium Helicobacter pylori. If the gastric mucosa is damaged, it is called erosive gastritis.

Symptoms of various forms of gastritis

The disease is divided into an acute and a chronic form, the symptoms of which vary.

Acute inflammation of the stomach

Acute gastritis shows symptoms such as

  • Gastric pressure,
  • Heartburn,
  • Loss of appetite,
  • Nausea and vomiting,
  • Stomach pain or
  • Stomach cramps.

Chronic inflammation of the stomach

In contrast to acute gastritis, it is rather unremarkable. Occasional abdominal pain and heartburn can be a sign. In gastritis caused by the Helicobacter pylori bacterium, other symptoms may also occur, such as:

  • Abdominal pain,
  • Feeling of fullness,
  • Nausea and vomiting
  • and pernicious anemia (anemia due to vitamin B12 deficiency).

With erosive gastritis, when superficial defects of the mucous membrane have arisen, tar stool and vomiting of blood can occur. Chronic gastritis can last for months to years without symptoms or with sporadic occurrence of fewer complaints such as Heartburn.

Three types of gastritis

The experts also speak of three types of gastritis, which differ from one another primarily in terms of their cause. But the treatment and chances of healing the three types of gastritis are not congruent.

Type A: The autoimmune gastritis

The fact that the immune system turns against the so-called parietal cells in the stomach and breaks them down prevents the absorption of B12 in the body. This leads to a vitamin B12 deficiency, which in turn can trigger pernicious anemia. This autoimmune disease only occurs in about three to six percent of gastritis patients.

In diagnostics, two factors are characteristic of autoimmune atritis. The gastric wall, in which the parietal cells are normally found, appears smooth instead of wavy during gastroscopy, it becomes atrophic. This is why autoimmune gastritis is also known as atrophic gastritis.

The disappearance of the parietal cells means that less stomach acid and intrinsic factor are produced. The intrinsic factor is required in the lower small intestine to enable the absorption of vitamin B12. Therefore, a lack of vitamin B12 can indicate autoimmune gastritis. Type A gastritis is considered a risk factor for gastric cancer.

Type B: Bacterial gastritis

Every second person carries the Helicobacter Pylori bacterium in the stomach, which mainly colonizes the lower part of the stomach, the "entrance hall of the gatekeeper". It is now considered the main cause of gastritis. Up to 80 percent of all chronic irritable stomach disorders can be traced back to the Helicobacter Pylori bacterium. Gastritis caused by Helicobacter pylori is also considered a risk factor for gastric and duodenal ulcers as well as for gastric carcinomas.

Type C: chemical-toxic gastritis

Irritants like

  • Alcohol,
  • Nicotine,
  • Medicines (e.g. acetylsalycin and anti-inflammatory drugs),
  • certain foods and
  • the backflow of bile juice

can cause inflammation of the stomach.

Acute gastritis increasingly occurs after severe burns or surgery, but psychological stress in private or professional environments can also trigger stress-related acute or chronic gastritis.

Diagnosis - First, rule out malignant diseases

With the help of imaging methods, tissue extraction and examination in the specialist practice, malignant diseases, in particular gastric cancer, can be ruled out. The diagnosis is then made on the basis of the symptoms described and a laboratory examination of breath or stool (Helicobacter pylori and other bacteria) and blood (anemia or vitamin B12 deficiency). In naturopathy there are also diagnostic and therapeutic planning

  • Bioresonance measurement,
  • Electro acupuncture,
  • Dark field diagnostics,
  • Tensor testing

and other methods of use.

In the absence of organic findings, the diagnosis of irritable stomach (functional dypepsia) is often made conventionally, which is psycho-vegetative and is more common due to stress and inadequate conflict management. Naturally, those affected also get up

  • improper colonization of the bacterial intestinal flora,
  • Intestinal mushroom,
  • Food intolerances or food allergies
  • as well as a latent Helicobacter infection

examined and treated.

Treatment of gastritis

Depending on the type of gastritis, various agents are used in the treatment.

Delivery of vitamin B12

In the case of type A gastris, i.e. the autoimmune disease, vitamin B12 is injected intramuscularly at regular intervals (approx. Once a month) in order to prevent the vitamin B12 deficiency and the associated pernicious anemia. In addition, in the event of an iron deficiency, a high iron value must be taken into account when selecting the food. Iron supplements are a great way to counter iron deficiency. A cure for autoimmune atritis is not possible.

Antibiotics against bacteria

In addition to acid binders and acid inhibitors or proton pump inhibitors, which are used to lower gastric acid levels and thus relieve symptoms such as heartburn, antibiotics are also used, which have a positive effect on around 70 percent of those affected. A particular problem in treatment is the high adaptability of the bacterium.

Ulcer therapies are used to erode the mucous membrane and, as in natural medicine, general measures to relieve the stomach and reduce acid production are recommended.

Naturopathic treatment is based on the cause found. In the case of Helicobacter infection, e.g.

  • basic bismuth,
  • acid regulating minerals,
  • Vitamin preparations,
  • Medicines for toxin removal and
  • Helicobacter autonosodes

used.

Comprehensive isopathic milieu therapy (Sanum therapy) with or without dark field microscopy can also replace antibiotic treatment. In addition, there is an abundance of symptomatic measures that are suitable for self-treatment, such as measures to relieve heartburn, indigestion, nausea and vomiting. The main focus is on plants with anti-inflammatory and mucus-containing substances that form a protective film on the gastric mucosa.

Healthy eating helps with irritable stomach

With gastritis, the main thing is to avoid foods and beverages that irritate the stomach. This is particularly true for type B and C gastritis. Drinking a lot is important for gastritis, but the following drinks should be avoided:

  • Alcohol,
  • Coffee,
  • Fruit juices,
  • carbonated water and
  • Lemonades.

Spicy and fried foods should not be used in meals. Instead, a meal plan is suitable

  • Oatmeal (also a proven home remedy for heartburn),
  • grated apple,
  • Potatoes,
  • Noodles and
  • Rice.

Refraining from sugar is also crucial in order to reduce the irritation of the gastric mucosa. In general, the following applies to a gastric mucosa: Small meals at intervals of three to four hours are better than large meals! In addition, those affected should generally chew thoroughly.

Home remedies for gastritis

In addition to a stomach-friendly diet, stomach-calming natural remedies can help with both acute and chronic gastric mucosal inflammation to alleviate the symptoms and thus promote the healing process. In particular, treatment with gastric acid regulating home remedies can prevent acute gastritis from becoming a chronic disease of the gastric mucosa.

Tea to calm the stomach

Various herbal teas soothe the stomach and so relieve the symptoms of gastritis:

  • Chamomile tea, the classic of medicinal herbs, helps particularly well in connection with a roll cure. Scald two teaspoons of dried chamomile flowers with 250 ml of boiling water and leave the infusion covered for about ten minutes.
  • Peppermint as a tea. Peppermint is also offered as tablets in pharmacies, but these are only recommended after consultation with your family doctor.
  • An infusion of fennel seeds, three times a day for a week.
  • Pour hot water over ginger tea.
  • Mallow leaves as tea, also three times a day.
  • Green tea is effective in gastritis due to its high level of antioxidants.

In addition to the healing teas, there are also other plants that promote the healing process in gastritis:

  • Flaxseed: Soak two tablespoons of it in half a liter of water overnight, boil briefly the next day, strain and drink throughout the day. The flaxseed mucus forms a protective layer on the irritated stomach lining.
  • Calamus root also works. It also has an antibacterial effect and fights the Helicobacter bacterium. Only certified extracts from the pharmacy should be used.
  • An infusion of dried strawberries, pour hot water over about a teaspoon and drink two to three times a day. They contain antioxidants that fight gastritis.
  • Recent research has shown that broccoli sprouts can fight Helicobacter infections due to their high percentage of sulforaphane.

In addition, treatment with healing earth can also be an effective remedy for gastritis. At least two hours after the last meal, a teaspoon of healing earth is dissolved in water and drunk. It is particularly recommended to take it before going to bed, as excess stomach acid is bound by the healing earth overnight and the stomach can calm down. However, when taking healing earth, it should be noted that on the one hand it can lead to digestive problems and on the other hand it can interact with other medications. It is therefore advisable to consult your doctor here. (fp, ok)

Author and source information

This text corresponds to the requirements of the medical literature, medical guidelines and current studies and has been checked by medical doctors.

Dipl. Geogr. Fabian Peters, Barbara Schindewolf-Lensch

Swell:

  • Professional Association of German Internists e.V .: Gastritis (accessed: 07/17/2019), internisten-im-netz.de
  • Merck and Co., Inc .: Gastritis (accessed: July 17, 2019), msdmanuals.com
  • Institute for Quality and Efficiency in Health Care (IQWiG): Inflammation of the stomach (gastritis) (accessed: 07/17/2019), gesundheitsinformation.de
  • Robert Koch Institute (RKI): Issue book gastritis, gastric and duodenal ulcer, as of September 2013, rki.de
  • Public health portal in Austria: gastritis (accessed: 17.07.2019), gesundheit.gv.at
  • German Society for Gastroenterology, Digestive and Metabolic Diseases (DGVS): S2k Guideline Helicobacter pylori and gastroduodenal ulcer disease, as of February 2016, detailed view of guidelines
  • Herold, Gerd: Internal Medicine 2019, self-published, 2018
  • Mayo Clinic: Gastritis (accessed: July 17, 2019), mayoclinic.org
  • National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): Gastritis (accessed: 07/17/2019), niddk.nih.gov
  • National Health Service UK: Gastritis (accessed: 07/17/2019), nhs.uk

ICD codes for this disease: K29, K52ICD codes are internationally valid encodings for medical diagnoses. You can find yourself e.g. in doctor's letters or on disability certificates.


Video: Inflammation of the Stomach Lining Gastritis: Causes, Symptoms, Diagnosis, Treatment, Prevention (July 2022).


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