Gastritis during pregnancy – types, symptoms and treatment
Acute gastritis is a sudden inflammation of the gastric mucosa, caused by the negative effects of chemical, infectious and toxic factors. It develops rapidly, a couple of hours after the onset of the disease, a sharp pain appears in the area of the stomach, cramps, nausea, vomiting, and the tongue is covered with gray patina. Dizziness is observed, the skin is dry, pale, diarrhea joins after a while. This condition is a type of acute poisoning and requires immediate medical attention. The prognosis for pregnancy depends on the severity of the course and the etiological factor that caused the disease itself.
Healthy gastric mucosa and gastric mucosa
Chronic gastritis is a sluggish disease caused by pathological changes in the gastric mucosa and a violation of the secretion of the gastric eye. Often proceeds with the involvement of neighboring organs in the process – duodenum, gallbladder and ducts, liver and pancreas. Manifested by alternating periods of remission and relapse of the disease. Unfortunately, chronic gastritis cannot be completely cured, but if you follow the recommendations of your treating gastroenterologist, you can significantly reduce the number of exacerbations and the negative impact of the disease.
Symptoms of chronic gastritis in pregnant women
Even if this disease reminded of itself for the last time in childhood or adolescence, then under the influence of changes in hormonal status, mechanical displacement of organs and other factors, an exacerbation of chronic gastritis occurs in a pregnant woman. Manifestations of its most diverse and specific symptoms characteristic of pregnant women, no.
Displacement of the abdominal organs during pregnancy
The earlier manifestation and severe course of toxemia in the first half of pregnancy should be alerted. Then join dull pulling pains “under the spoon”, heartburn, belching “rotten egg”, nausea and vomiting not only in the morning, but throughout the day, upset stool. The body temperature is subfebrile (37-38 ° C), the tongue is coated with a grayish bloom.
In gastritis with increased acidity, severe “hungry” pain, covering the upper half of the abdomen. For low acidity, the most frequent complaints are heaviness in the stomach, constipation or diarrhea, bad breath. Regardless of violations of the secretion of gastric juice, unpleasant symptoms are aggravated by taking fatty, spicy, fried, salty, sour and sweet foods.
To confirm the diagnosis, it is enough to examine and examine the patient’s history and complaints. Sometimes they analyze the gastric juice for acidity and FGS, and more recently, these two examinations are taking place simultaneously. Since gastroscopy is a rather unpleasant procedure, it is performed for pregnant women in special cases when the treatment is ineffective or there are fears that a peptic ulcer develops. An abdominal ultrasound scan helps determine whether the pancreas, liver, and gall bladder are involved.
Treatment of chronic gastritis during pregnancy
Since the use of drugs during pregnancy is limited for reasons of safety of the unborn child, diet becomes the basis of therapy. In the period of exacerbation it is necessary to take food often and fractionally, in small portions. In the first week it is necessary to use liquid and pureed food: mucous soups, mashed soups, liquid oatmeal, cooked in water, and grated boiled lean meat. Fizzy drinks, sweets, broths and fresh vegetables and fruits are strictly excluded. After a hot period, you can gradually add milk soups and kissels to the menu, egg dishes such as steam scrambled eggs, soft-boiled eggs, steam cutlets and meatballs from meat and lean fish, cereals, cottage cheese, stale white bread, galetny cookies, baked and boiled fruits and vegetables. Gradually, it is necessary to come to a balanced menu, necessary for a pregnant woman and her unborn child, but with the exception of dishes and foods that are very irritating to the gastric mucosa.
It should be remembered that medical treatment for chronic gastritis is prescribed only by a doctor after careful analysis of the relationship between the harm and benefit of treatment for the unborn child and taking into account side effects. Phosphalugel, Almagel or Maalox is recommended to protect the mucous membrane and relieve pain. The course of treatment is not more than 7 days. To improve the processes of digestion, enzyme preparations are prescribed – Pancreatin, Creon, Festal, Mezim. The Gastrofarm, Linex, Hilak-forte, and Laktovit help to stabilize the gastrointestinal microflora. Antibiotics, especially tetracyclines, were refused during pregnancy because of their teratogenic effects on the fetus. Antispasmodics – No-shpa, papaverine and platifillin, as well as anti-emetic drug Zerukal are prescribed only under the supervision of a doctor!
A good effect on the stomach have a decoction of medicinal plants – chamomile, peppermint, a decoction of flax seeds and oatmeal jelly. You should not take a great interest in treatment with mineral waters – for high and low acidity different mineral compositions are required, therefore only a treating gastroenterologist can give recommendations for each specific case.
Treat or not treat gastritis during pregnancy
Chronic gastritis is not a contraindication for pregnancy. And, although the possibilities of treatment of this disease in pregnant women are somewhat limited, it must be treated.
If you leave the symptoms of the disease without attention, then over time, other digestive organs are involved in the local process, serious problems with the gall bladder and intestines appear. The lack of treatment for chronic gastritis can lead to the development of erosive gastritis, gastric ulcer and duodenal ulcer, and even to precancerous conditions. In pregnant women, a nidus of constant pain leads to discomfort and deterioration of the psychological state, which can negatively affect the child. Constant disruption of the digestive processes leads to the fact that the fetus does not receive the substances necessary for its growth and development, especially in the early stages of embryonic development. Therefore, when planning a pregnancy, it is necessary to consult with your gastroenterologist in advance, if necessary, undergo a complete treatment and follow all recommendations for the prevention of recurrence of chronic gastritis during childbirth.