Today, modern people are so busy that they have long been accustomed to snacks on the run, fatty, spicy, spicy foods, fast food and dry food. For 95% of the population of civilized countries, such a diet does not pass without a trace, and many have stomach problems.
In this article, we will consider how gastritis is treated, drugs for effective treatment, why therapy should be comprehensive and what purpose and contraindications are the most popular drugs for this ailment.
How does a specialist choose a medicine for gastritis?
For the treatment of inflammatory processes of the gastric mucosa, it is necessary to determine their type and shape. There are more than a few dozen varieties of gastritis, each of which requires the appointment of special medications. In this article you can find out only general principles of treatment, without taking into account all the possible nuances.
Preparations for the treatment of gastritis are presented below.
A comprehensive approach is needed to treat gastritis: as a rule, specialists prescribe several drugs of a different orientation. Some are able to remove the main symptoms, others - to protect the mucous membrane from damage, and others - to cope with the main cause of the disease. Only such a complex of drugs will help during an exacerbation of the pathology and prevent its development. The variety of drugs and the duration of admission for different patients vary significantly.
During an exacerbation, doctors prescribe drugs for the treatment of gastritis that can eliminate the cause of the condition: antihistamines (in the presence of an allergic reaction), antibacterial drugs (in the presence of infection), adsorbents (in the presence of toxic substances in the stomach). To remove the signs of the disease and prevent the development of inflammatory processes, prokinetics (in the presence of nausea and vomiting), analgesics and antispasmodics (for pain), antacids (to reduce damage and protect the mucous membrane) are prescribed. Symptoms and treatment of gastritis are often interrelated.
With chronic gastritis
In the chronic form of gastritis, an indicator of the acidity of the stomach is very important for treatment: with an increased mucosa, the mucous membrane suffers from a high concentration of hydrochloric acid. Therefore, among the prescribed medications there are proton pump and antacid inhibitors that can neutralize and reduce acid production, as well as gastroprotectors that protect all the membranes of the wall of the stomach. Gastritis with a low acidity is a much rarer and very dangerous species. To combat it, gastric juice, enzymes, bismuth preparations and prokinetics are used. For the treatment of the chronic form of gastritis caused by a dangerous microorganism - Helicobacter pylori bacterium (Helicobacter pylori), a system consisting of three components is used: antibiotics, proton pump inhibitors and preparations with the main active substance of bismuth substrate. Such therapy lasts about ten days. For resistant strains of bacteria, auxiliary substances are prescribed - derivatives of nitrofuran. In the treatment of gastritis, the most effective drugs can be purchased at the pharmacy.
Do not forget that only a qualified doctor can recognize the disease and prescribe the right medicines to help treat gastritis. Self-medication is strictly contraindicated, because it can only significantly worsen the condition. Also, when using drugs to treat gastritis, you should carefully study the instructions, contraindications and possible side effects.
Groups of antacid drugs for the treatment of gastritis
If the inflammatory process of the gastric mucosa is caused by an increased rate of acidity, then one of the most important areas of gastritis therapy is to lower the concentration of hydrochloric acid. For this, the use of antacids is prescribed - drugs that can neutralize a certain amount of stomach acid.
Antacids are divided into two broad categories - non-absorbable (aluminum hydroxide, aluminum phosphate, etc.) and absorbable (for example, sodium carbonate, magnesium oxide). To date, absorbed substances are practically not used, because they can only temporarily alleviate the condition, but at the same time aggravate the course of the disease.
Aluminum phosphate, which is a popular nonabsorbable antacid, cannot be used in Alzheimer's disease, with severe violations of all kidney functions, individual intolerance, and hypophosphatemia.
There is, nevertheless, a difference between the treatment of gastritis and effective treatment.
According to the mechanism of action, the substances of this group are very similar to antacids, because they are able to lower the acidity of the stomach, due to the fact that they react with hydrochloric acid. As a result of this reaction, a safe gel arises, enveloping the mucous membrane and protecting it from damage. Alginates, like antacids, are prescribed for the treatment of gastritis with an increased rate of acidity of the stomach.
Sodium alginate is the most prominent representative of this group of drugs used to combat gastritis. Medicines containing this actively active substance cannot be used in patients under 12 years of age, with hypersensitivity to the components and phenylketonuria.
It is important to understand that only a doctor can select the necessary drugs. Symptoms and treatment of gastritis in adults are of interest to many.
Therapy of gastritis will not have an effective effect if, in addition to taking medications, the diet is not changed. If the disease proceeds in an acute form, then starvation during the day is allowed, after which it is allowed to eat low-fat, light food. If the disease proceeds in a chronic form, then the diet is prescribed depending on the acidity index: if it’s elevated, it’s table No. 1, and when it is lowered, it is table No. 2.
What other drugs for the treatment of gastritis are known?
The use of analgesics and antispasmodics to relieve pain
The inflammatory process in the gastric mucosa can often be accompanied by pain. If gastritis is caused by an increased acidity, then taking antacids may be enough: the pain disappears with a weakening of hydrochloric acid. But if the acidity index is lowered, then the specialist additionally prescribes antispasmodics and analgesics. Treatment of exacerbation of gastritis with drugs can take a long time.
- Antispasmodics are prescribed for cramping, because they can have a relaxing effect on the muscles, thereby reducing and eliminating pain. Very popular drugs in this subgroup are those that contain papaverine or drotaverine hydrochloride. According to some doctors, the first is used for course treatment, and the second is effective for exacerbations. These drugs have similar contraindications: they can not be used for patients who have an allergic reaction to the components, in case of impaired renal function (drotaverine - also in renal and heart failure), in the presence of a kind of heart block - atrioventricular block. In addition, papaverine is contraindicated in elderly patients, infants and with glaucoma, and drotaverin in patients with low blood pressure and cardiogenic shock.
- Analgesics are used to relieve pain that is not spastic in nature. For example, metamizole sodium is very popular. This substance, like most analgesics, has a lot of various contraindications: the period of pregnancy and breastfeeding, asthma, leukopenia, anemia, impaired liver and kidney function, hematopoiesis, individual intolerance to components, etc.
In general, antispasmodics and analgesics, in addition to the analgesic effect, can negatively affect the state of the digestive tract, therefore their use is recommended to be combined with gastroprotectors in the treatment of gastritis. Effective drug treatment is not complete without them.
Substances of this group are able to protect the gastric mucosa by forming a thin layer on its surface. Drugs are prescribed for the treatment of gastritis with high acidity, when the organ mucosa is destroyed by hydrochloric acid.
One of the most popular drugs in this group are those that contain bismuth subcitrate. They not only protect, but are also able to exert an antibacterial effect by inhibiting the development of the Helicobacter pylori bacteria. The course of treatment with bismuth preparations, as a rule, lasts several months.
Medicines with this active substance are contraindicated in pregnant and lactating women, with increased sensitivity to the components, as well as with severe renal failure.
We continue to consider the symptoms and treatment of exacerbation of gastritis with drugs.
Antibacterial drugs for the treatment of gastritis and stomach ulcers
If the inflammatory process in the gastric mucosa is caused by the Helicobacter pylori bacterium, then drugs that can destroy it are used for treatment. It has already been indicated above that bismuth preparations show good results in the fight against this bacterium. But antibiotics are also often prescribed: for example, amoxicillin trihydrate (a group of penicillins) is very common in the treatment of gastritis. Preparations for the treatment of gastritis in adults can be purchased at any pharmacy.
Like the vast majority of antibiotics, it has a number of significant limitations on its use. In particular, it should not be taken by elderly people and children, women who are breast-feeding, with hay fever, asthma, allergic reactions, lymphocytic leukemia, some pathologies of the digestive system and a number of other diseases.
Do not forget that antibiotics can not only destroy harmful bacteria, but also beneficial ones, which can cause disruption of the intestines. After a course of treatment with amoxicillin, it is very often prescribed to take probiotics that can restore the intestinal microflora.
We consider the symptoms and treatment of gastritis in adults. Drugs do not end there.
This group of drugs affects the motility of the digestive tract by accelerating the removal of food from the stomach. They are also able to relieve the most common symptoms of gastritis - a feeling of nausea and vomiting. Basically, prokinetics are used to treat gastritis with low acidity.
Popular prokinetics are drugs for the treatment of gastritis of the stomach, containing domperidone or metoclopramide in their composition. Both drugs are contraindicated for use in cases of bleeding in the gastrointestinal tract, intestinal obstruction, some types of tumors and in childhood (from one to five years).
The treatment of a disease such as gastritis requires an integrated approach: most often the doctor prescribes a course that includes about three drugs from the above groups. During treatment, it is important not only to overcome the exacerbation of the disease, but also to prevent its consequences: for this, the doctor prescribes vitamin complexes and gastroprotectors. For those who want to forget about the pain in the stomach, a cardinal change in lifestyle is shown - the exclusion of bad habits and a review of their diet.
This is what gastritis treatment means. Effective drug treatment has proven itself.
After passing laboratory tests, a comprehensive examination (radiography, endoscopy, ultrasound), the gastroenterologist prescribes a treatment regimen, which necessarily implies taking medications.
The prescribed drugs for gastritis are aimed at eliminating the causes of the inflammatory process of the gastric mucosa, removing unpleasant symptomatic signs of the disease, which include:
- vomiting, nausea,
- pains in the abdomen and stomach of a different nature,
- unstable stool
- bloating, gas,
- fever is possible.
Depending on the nature of the disease, the doctor prescribes medication. Self-medication for gastritis can lead to serious complications.
Typology of drugs
Preparations for the treatment of gastritis vary depending on the form of the disease. There is a list of modern medicines designed to relieve symptoms and effective treatment of the disease in adults:
- medications for moderate and high acidity,
- medicines with a low level of hydrochloric acid,
- electrolytic agents
- antispasmodics, painkillers,
- antimicrobial, antibacterial drugs.
Preparations for gastritis differ in the purpose and contraindications for use. Before use, you need to know the exact cause of the inflammatory process in the stomach in order to avoid causing irreparable harm to health.
Medications for moderate to high acidity
Increased secretion is associated with a high level of hydrochloric acid in the stomach, which contributes to the erosion of the walls of the mucous membrane of the digestive organ. Above acidity disrupts the gastrointestinal tract, does not allow the body to absorb the resulting vitamins, minerals.
Symptomatic signs of the disease are:
- pain in the stomach, ribs,
- the appearance of heartburn, belching,
- vomiting, nausea,
- a lump in my throat
Medicines for gastritis with a high level of acidity are aimed at normalizing the excess of secreted substance, protecting the damaged mucous membrane from ulcers. The composition of the medication includes aluminum phosphate, hydroxide and magnesium carbonate, and hydrolcides.
The most effective drugs to normalize acidity are:
- Gaviscon Forte,
These components should reduce the acidity of the stomach, eliminate symptomatic symptoms. There are proton pump inhibitors that stop the process of producing hydrochloric acid. Medicines of this action are:
Preparations, tablets and gel for gastritis with high acidity contribute to maintaining a moderate level throughout the day, while stopping the formation of substances at the cellular level, reducing the production of enzymes.
Low Acidity Medicines
A low level of hydrochloric acid can lead to non-digestion of food, and, as a result, to the absorption of essential vitamins, substances for growth and development by the body, as well as metabolic disturbance.Untimely treatment of the hypacid form of the disease can lead to gastroduodenitis, the formation of tumors.
Symptomatic signs of low acidity are:
- bad breath
- lack of appetite,
- heaviness in the stomach,
- gagging after eating,
- frequent dizziness, malaise,
- body temperature may be elevated.
Enzymatic, acid-containing drugs containing pepsin, betaine are prescribed as anti-low acid agents. These medicines include:
- Acidin Pepsin,
- Betaine Pepsin,
With gastritis with low acidity, medications are prescribed that should enhance the production of acid, restore secretion.
Antacids are prescribed for gastritis with high acidity and with the appearance of heartburn. These types of medications normalize the concentration of secreted gastric juice. Antacids that reduce the level of hydrochloric acid contain beneficial chemicals in the composition:
- aluminum hydroxide, magnesium,
- aluminum phosphate
- magnesium carbonate, calcium.
Proven drugs for heartburn and gastritis should be preferred. The use of alternative methods can provoke a greater increase in the level of acidity in the stomach. Antacids include:
Antacids are intended for gastritis of any form, the severity of the development of the disease. For heartburn, drugs with a calming, anesthetic effect should be used. Means with an enveloping effect are not absorbed into the blood, so the duration of exposure to medications increases.
Drug treatment of chronic gastritis and the acute form of the disease using adsorbents does not make sense. These drugs, which are inexpensive, are designed to remove toxins, infections at the initial stage of the development of the inflammatory process. Adsorbents include:
- Activated carbon,
Electrolytes are used to relieve the symptomatic signs of stomach disease. Gastritis is accompanied by vomiting, nausea, and diarrhea, which inevitably leads to dehydration. Electrolytic preparations are designed to normalize the water-salt balance. The atrophic type of the disease is characterized by a violation of the absorption and assimilation of the food consumed, therefore, the use of electrolytic agents is mandatory.
These drugs include:
Autoimmune, atrophic, erosive forms of the disease require the use of antihistamines, designed to reduce the amount of nutrient compound. Histamine destroys the gastric mucosa due to its high content in the body. An elevated level may be associated with an allergic reaction to the drugs used. The best antihistamines are:
These drugs interfere with the production of substances that adversely affect the condition of the gastric mucosa. It is necessary to treat atrophic, erosive, autoimmune, anacid gastritis with the help of drugs that block:
- histamine production:
- substances that provoke vomiting - prokinetic agents:
- increase in the level of hydrochloric acid - antisecretory drugs:
With gastritis, accompanied by the appearance of spasms of a different nature, it is necessary to use painkillers. Safe medicines for children and pregnant women include:
Analgesics, which include metamizole sodium, for example, Baralgin, help relieve severe pain. Such drugs are contraindicated in the population at risk (children, pregnant women, people with cardiovascular diseases).
The cause of irritation of the gastric mucosa is the ingestion of pathogenic bacteria. The use of anti-inflammatory drugs helps to suppress the spread of harmful microorganisms, microbes that destroy the microflora and the mucous membrane of the digestive organ. Proven drugs for inflammation of the stomach are penicillin antibiotics:
Untimely use of a group of drugs to eradicate bacteria and harmful microorganisms can lead to internal bleeding and ulceration, foci of cicatricial deformities.
As a prophylaxis of a digestive organ disease, it is recommended to observe proper nutrition, refuse to drink alcohol, and tobacco products. Diet is the best medicine for the stomach. Spicy, smoked, salty, fried foods should not be present in the diet; soda, coffee should not be drunk.
To achieve the maximum effect in the treatment, it is necessary to combine drug therapy and adherence to a diet.
Regular visits to the doctor, timely delivery of tests, passing a comprehensive medical examination will help to avoid irreversible complications. Gastritis is a serious disease that requires immediate treatment. With the inflammatory process of the digestive organ, one should carefully consider the choice of medications.
Medications are different indications for use in accordance with the characteristics of the disease. Potent drugs, antibiotics are intended for the direct treatment of gastritis, and it is recommended to use a course of non-addictive drugs to relieve signs of inflammation.
Before using any medicinal medicines, it is necessary to familiarize yourself with the instructions for the medical indications of use, as well as side effects and possible complications.