Is it possible to get pregnant with gastritis. Causes and symptoms of chronic gastritis. Preventive measures during pregnancy from gastritis

Pregnancy is a rather difficult stage of her life for any woman. And since the immune defense is significantly weakened, many chronic diseases go into the acute stage. That is why gastritis during pregnancy is diagnosed especially often.

Acute gastritis (for the first time diagnosed) is an inflammation of the gastric mucosa that occurs suddenly. There can be quite a few reasons for this, in particular, exposure to chemical or toxic factors.

The disease develops rapidly. Symptoms characteristic of an acute form of pathology are formed after a few hours:

acute pain in the stomach, accompanied by pain;
when examining the tongue, a dense gray coating is visible;
bouts of dizziness;
the skin acquires an uncharacteristic pallor;
diarrhea develops.

The acute form of gastritis in pregnant women requires hospitalization and treatment in a hospital setting.

Chronic gastritis

Chronic gastritis is a sluggish inflammation of the gastric mucosa, accompanied by a violation of the secretion of gastric juice. Pathology is characterized by alternating exacerbations and remissions.

Even if the exacerbation of the pathology before pregnancy in a woman was not observed, then with significant hormonal changes, chronic gastritis will certainly declare itself.

Any typical symptoms chronic gastritis pregnant women are not observed, but the early and severe toxicosis of the first trimester should already alert.

In general, the symptoms may be as follows:

dull pain localized in the epigastric region;
frequent and severe heartburn;
belching with bad smell spoiled eggs;
bouts of nausea ending in vomiting;
chair problems.

In this case, body temperature can rise to 38 ° C. On the tongue, as a rule, there is a dense coating of gray.

Reduced and increased acidity in gastritis: characteristic symptoms

With increased acidity, a woman can be troubled by "hungry" pains that disappear after eating.

The following symptoms are typical for low acidity:

feeling of fullness in the stomach;
intestinal disorders;
heavy breath odor.

But in any case, the symptoms are aggravated by the intake of food that irritates the gastric mucosa.

What can cause an exacerbation of gastritis?

Many reasons can provoke a recurrence of gastritis in a pregnant woman. But the most common are the following:

unstable psycho-emotional state;
violation of the usual daily routine;
work at night;
frequent lack of sleep;
power supply errors;
infections;
allergic reaction to food;
chronic diseases internal organs(pancreas, gallbladder and liver);
disorders related to metabolic processes;
reception medicines;
smoking;
taking large amounts of alcohol.

Treatment of chronic gastritis during pregnancy

It is worth remembering that diagnosed gastritis during pregnancy does not have any effect on the development of the child.

Drug treatment of the disease is aimed at eliminating unpleasant symptoms. Medicines from the following categories may be prescribed for admission:

anti-inflammatory;
antacids;
antispasmodics;
enveloping.

Additionally, anti-nausea drugs that can regulate the production of hydrochloric acid, as well as restore damaged microflora, can be prescribed.

Treatment also includes aids. These include:

vitamins;
prebiotics;
gastric enzymes that improve the digestion process.

How to treat gastritis during pregnancy should be decided only by a qualified specialist.

Since drug treatment during the period of bearing a child is undesirable, the question arises: "What to do in this case?". As a rule, an exacerbation of the pathology is most often treated with a diet.

Diet for gastritis

The nutrition of a woman during an exacerbation of the disease should be completely revised. From the diet it is necessary to exclude all products that can adversely affect the condition of the gastric mucosa. This:

spicy, sour, fried and heavily salted dishes;
sweets and spices;
conservation;
too hot/cold food;
carbonated drinks;
coffee;
fatty broths.

You should avoid eating foods with a lot of chemical additives and dyes.

Treatment with nutrition during an exacerbation should be reduced to the intake of natural semi-liquid food:

cereal and vegetable soups;
dishes from dairy products;
steamed and boiled vegetables;
soft-boiled eggs;
omelets;
jelly;
fruits.

After the acute phase has passed, the diet can be expanded with the following products:

boiled meat (low-fat varieties);
boiled potatoes;
fresh cottage cheese;
sour cream;
mild cheeses;
yesterday's bread;
biscuits.

Preference should be given to natural non-acidic drinks. The drink should be warm, but not hot. Useful in the treatment of gastritis in pregnant women will be mineral water - one hour after eating, you need to drink one glass.

Nutrition should be fractional, i.e. meals should be taken at least six times a day and always in small portions. On average, the interval between meals should be 2-2.5 hours.

Alternative methods of treatment of gastritis

It is also possible to treat gastritis during pregnancy with the help of traditional medicine. It can be used infusions and decoctions of herbs that can remove pain in the stomach, as well as compositions with an enveloping effect.

With increased production of hydrochloric acid, infusions of the following herbs help:

chamomile;
mint;
celandine;
hypericum;
shamrock;
flax and oat seeds (enveloping);
calamus rhizomes.

Acidity can be treated with:

wormwood;
cumin;
plantain;
fennel;
parsley;
parsnip.

Herbal infusions are prepared according to one recipe: two large spoons of a dry product should be poured with 500 milliliters of boiling water and left to infuse for half an hour under a lid. Before use, the product must be filtered, carefully squeezing out the remnants of raw materials. Take infusions should be half a glass after each meal.

When referring to traditional medicine it is necessary to consult a doctor, since only a specialist can choose the dosage.

Pros and cons of treatment

An exacerbation of pathology is not a reason for terminating a pregnancy. And although the intake of medications is somewhat limited, it is still necessary to receive treatment.

If the symptoms of the disease are ignored, then against the background of a weakened immune defense, the disease will develop much more actively. This can cause the formation of erosive gastritis, later turning into gastric ulcer.

Besides pain symptoms disturb a woman by breaking her psychological condition. And this already negatively affects the child. Deviations in the digestive process cause the baby to not receive the necessary nutrients. This can adversely affect the development of the fetus, especially in the first trimester.

Symptoms of gastritis can appear at any stage of pregnancy. Nausea, heartburn, pain in the epigastric region, impaired stool - these symptoms often bother pregnant women with toxicosis and gastritis. Treatment of gastritis during pregnancy should be safe for the child, but effective and effective. Medicines and medicinal herbal preparations help to return good health and save pregnancy from complications.

Features of the course of gastritis in pregnant women

The location of the digestive tract in a pregnant woman

On early dates nausea and heartburn disturb pregnant women due to the fact that there is an intense hormonal restructuring of the body, which is preparing to bear the fetus for 9 months.

With the growth of the fetus, the configuration of the location of the internal organs changes, the stomach and pancreas are displaced posteriorly.

This leads to the fact that reflux often occurs, that is, the reflux of stomach contents into the esophagus or into the duodenum. The alkaline content of the duodenum irritates the gastric mucosa and causes the symptoms of this disease.

In addition, an exacerbation during pregnancy can be caused by a change eating habits. Often women in interesting position become capricious and fastidious to ordinary food. The use of a large amount of sweets or products with dyes and preservatives can provoke an exacerbation of the disease that existed before pregnancy and require urgent treatment of gastritis in pregnant women in order to prevent fetal intoxication.

How to distinguish gastritis from other diseases of the gastrointestinal tract?

The mucous membrane of the stomach with gastritis

On examination, the doctor may reveal pain in the stomach, which increases with palpation. Symptoms such as heartburn, heaviness in the stomach, impaired stool, belching are also characteristic of other diseases of the digestive system. The diagnosis of exacerbation of chronic gastritis can be made accurately only with endoscopic examination, when the doctor sees the state of the gastric mucosa. The study is carried out for pregnant women according to strict indications.

Effective remedies for gastritis in pregnant women

Depending on what type of gastritis is observed in a pregnant woman, the approach to the question of how to treat gastritis during pregnancy will differ.

Treatment of gastritis with high acidity

In order to cope with the symptoms, there are several important rules.

It is allowed to take drugs that lower the acidity of gastric juice. These include antacids, which should be taken half an hour before meals. It is advisable not to take drugs of this group for longer than 3 days without consulting a doctor.
To cope with nausea, you can take modern drugs, which belong to the group of prokinetics. They stimulate motor activity stomach and relieve the symptoms of fullness and heaviness in the epigastric region.
You can relieve painful spasms with the help. Such drugs will remove spasms of the smooth muscles of the stomach and duodenum and give an analgesic effect. But you should not abuse such drugs, as they can mask the symptoms of a more serious illness.

Important! Pregnant women are contraindicated in antisecretory drugs from the omeprazole group.

Treatment of gastritis with low acidity

You can take drugs that will help the pancreas work and thus alleviate the course of gastritis. These drugs have in their composition, splitting proteins, fats and carbohydrates. Take this group of drugs with meals. However, so that the pancreas does not get lazy, they are recommended not to be taken every day. It is better to eat fractionally, 5 or 6 times a day and do not drink water with food. Water or tea should be drunk 40 minutes after eating.
A very important component of the good functioning of the digestive organs is the state of the microflora of the intestinal mucosa. With gastritis in pregnant women, eubiotics can also be successfully taken, which, due to the normalization of microflora, will contribute to the speedy subsidence of the exacerbation of the disease.

Important! Antibiotics that are prescribed for type B gastritis to kill are contraindicated for pregnant women!

Treatment of gastritis with folk remedies

For the treatment of gastritis are the most safe means for pregnant.

You can use special pharmacy fees in filter bags that are brewed like tea.

Do not forget that some herbs, such as sage, are contraindicated in early pregnancy.

Medicinal herbs for gastritis in pregnant women

With success in gastritis with hyperacidity mint, chamomile and oats are used. They relieve inflammation of the mucous membrane and envelop it, reducing the secretion of gastric juice.

To stimulate the stomach, fennel, plantain, oregano, thyme are used. These herbs make the stomach work and digest food better.

Important! Following a diet will help cure gastritis faster and more efficiently. Food should be fresh, boiled, stewed or baked, spicy and smoked are excluded. Products containing chemical additives are not recommended. Useful without gas, but it will be right to drink mineral water half an hour before meals or one hour after meals.

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 the 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 daunting task, since the therapeutic possibilities 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. How to properly treat gastritis during pregnancy is known only to a gastroenterologist, who, when selecting treatment regimen takes into account the types of pathology, form, degree of neglect 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 complex therapy with 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. In full, the food should contain all the trace elements necessary for the development of the child and normal course pregnancy.

Medical treatment

Treatment of gastritis in pregnant women has the following features: drugs are selected with care so as not to harm the fetus. So, antibacterial agents Metronidazole or tetracycline, usually prescribed to eliminate the cause of the disease - the bacteria Helicobacter pylori, are contraindicated in 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 help break down complex elements to simple ones, as a result of which the digestion process improves, pain decreases.

With erosive gastritis, gastric and / or duodenal ulcers, antacids help, eliminating 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

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

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

Therapy with withdrawal breastfeeding for the period of treatment is necessary when running pathological process, a pronounced pain component, insufficient effectiveness of sparing therapy. 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. Resume breastfeeding it is possible in 3-5 days after the end of taking all the medicines.

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 application 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;
avoid food that irritates the mucous membranes 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. The intrauterine development and health of the child depends on the nutrition of the expectant mother, her health and the medications she took during gestation. If you ignore gastritis during pregnancy and do not carry out timely treatment, serious complications may develop.

Pregnant women have a lot of problems: as soon as toxicosis ended, varicose veins appeared and It's a dull pain in the waist. And for women with gastrointestinal diseases, the issue of health is even more acute. After all, it is known that 75% of expectant mothers complain of gastritis during pregnancy. Therefore, the question arises how to treat the disease. Today we will talk about the impact of the disease on the condition of the mother and the development of the fetus, what drugs can be used to treat gastritis in pregnant women, and what symptoms may bother the expectant mother.

According to statistics, 50% of expectant mothers suffer from an exacerbation chronic diseases gastrointestinal tract. And the most common are gastritis and ulcers during pregnancy. From the article you will learn about the causes of these diseases during pregnancy, as well as how to treat them. Is it possible to take medical preparations? What herbs for gastritis should not be consumed during the period of bearing a child?

Causes

Before moving on to the topic of how to treat gastritis and ulcers during pregnancy, it is necessary to talk about the factors that lead to the development of the disease.

Exacerbation of gastritis during pregnancy can happen due to changes in hormonal levels.
Stress and poor metabolism. It has been proven that gastritis and peptic ulcer during pregnancy are more common in overweight women. To avoid problems, you should follow the nutritional recommendations for expectant mothers.
Unbalanced menu. We think that many have heard about the food perversions of pregnant women. Also, overeating leads to an exacerbation of gastritis during pregnancy. The expectant mother should eat fractionally (5-6 times a day).
The use of foods stuffed with preservatives and emulsifiers, flavor enhancers, damage the gastric mucosa.
Smoking is dangerous not only for the intrauterine development of the fetus, but also for the well-being of the mother. Bad habit can cause relapse peptic ulcer and gastritis.
Also one of the most common causes is Helicobacter pylori infection.

Most women begin to complain about the exacerbation of diseases of the gastrointestinal tract at 10-14 weeks of pregnancy. This is due to the peculiarities of physiology. The fact is that the expanded uterus displaces the stomach, which automatically changes the pressure gradient between the abdominal cavity and chest. It's no joke, by the 12th week of pregnancy, the uterus increases 4 times! The same feature causes heartburn and complicates the process of emptying the intestines.

But exacerbation of ulcers during pregnancy is much less common. Doctors even came to the conclusion that the “interesting” position of a woman reduces the frequency of relapses of the disease. Physiologists explain such a strange phenomenon by the fact that progesterone levels increase in expectant mothers. And recent studies show that this hormone reduces the production of hydrochloric acid. There is also an opinion that an increase in the level of histaminase produced by the placenta also reduces the secretion of aggressive acid.

Types of gastritis

Most often, expectant mothers experience an exacerbation of a chronic illness. There are two types of disease:

Atrophic gastritis occurs against the background of atrophy of the glands of the stomach. The cause of this type of disease is the defeat of the cells of the autoimmune system.
Infectious type of gastritis associated with bacterial infection in the stomach. It is known that the activity of Helicobacter pylori can lead to diseases of the stomach. A bacterial variety of the disease during pregnancy can occur without any symptoms at all.

Every third pregnant woman with gastritis has a Helicobacter pylori infection in her body.

Symptoms of the disease

Before talking about safe ways diagnosis of the disease and the principles of treatment during pregnancy, it is necessary to describe in detail the main symptoms. These include:

pain in the upper abdomen;
spasms occur not only after eating, but also at night and in the morning on an empty stomach;
indigestion, which may be accompanied by pain;
severe form of toxicosis profuse vomiting and weight loss;
frequent heartburn;
smack rotten eggs in the mouth.

Features of diagnosis in pregnant women

Not all diagnostic methods are recommended for a woman in an “interesting” position. For example, a survey called fibrogastroduodenoscopy for pregnant women is carried out if there are certain indications. This type of diagnosis is not contraindicated for girls expecting a baby. Therefore, if the doctor, knowing about your condition, referred you to FGDS, do not worry. Remember what it is the only way 100% diagnosis to date.

If you have a very high gag reflex (for example, due to toxicosis) or there are risks of abortion, most likely from this method research will be suspended. The most harmless examination option during the period of gestation is considered a non-invasive diagnostic method aimed at determining the presence or absence of Helicobacter pylori infection.

In addition to this type of diagnosis, for a clearer picture, the doctor often prescribes an ultrasound of the organs. abdominal cavity, urine, stool and blood tests. All these methods are not forbidden to apply during the period of expectation of the child.

If a woman had an ulcer or gastritis before pregnancy, then she should tell the gynecologist about the presence of the disease, as well as visit the therapist and gastrologist in advance. This will help doctors predict the course of pregnancy and give useful recommendations.

Consequences of gastritis during pregnancy

If the expectant mother does not give a damn about her health and tries not to notice the signs of illness, then gastritis during pregnancy can lead to:

stomach ulcer and duodenal ulcer;
the formation of polyps on the gastric mucosa;
the appearance of erosion;
tumors.

To avoid further development of gastritis, it is recommended to adhere to balanced nutrition and seek medical advice in a timely manner.

Many women believe that having Helicobacter pylori during pregnancy does not harm either the mother or the baby. However, this is not quite true. Scientists have proven that a stomach ulcer during pregnancy is fraught with such consequences:

The activity of the bacteria threatens the development of anemia in the mother (due to poor absorption of iron and vitamin B12).
Leads to defects neural tube fetus.
Toxicosis is more pronounced and is accompanied by profuse vomiting. For some, symptoms persist even into the third trimester of pregnancy.
Leads to the birth of a child with a low birth weight. Scientists have proven that mothers with Helicobacter pylori infection give birth to babies 300-400 g less than healthy women.

How to treat

The expectant mother needs to remember that not all drugs recommended for taking with gastritis can be used during pregnancy.

During the period of bearing a child, it is forbidden to take antibacterial drugs aimed at combating Helicobacter pylori (for example, De-Nol or Tetracycline). They can negatively affect intrauterine development fetus. Therefore, treatment should be considered even before pregnancy is planned. Indeed, in some cases, an infection caused by a bacterium leads to miscarriages and infertility.

It is very important that Helicobacter pylori infection be treated and future father. Recent studies have shown that the presence of bacteria in a man's stomach reduces sperm motility and leads to sperm damage due to inflammatory cytokines.

Remember that gastritis during early pregnancy cannot be treated with drug therapy. From the second trimester, the use of a number of drugs is permissible:

Antispasmodics (No-shpy and Papaverine). Although you can find information about the safety of these drugs for the woman and the fetus, we recommend taking them only as prescribed by the doctor and in no case exceed the dosage. These drugs relieve painful spasms and give an analgesic effect.
Taking prokinetics stimulates the motor activity of the stomach. Such drugs help with nausea (for example, Itomed, Ganaton). Some doctors prescribe them for severe toxicosis in a pregnant woman. However, this group medicines refers to those that are contraindicated to take while waiting for the baby, so it can only be used as directed by a doctor.
To decrease aggressive impact hydrochloric acid, it is recommended to take medications that have enveloping action. These include Almagel and Phosphalugel.
Recommended to improve the digestive process preparations with enzymes(Mezim, Pangrol, Creon). For the treatment of digestive disorders caused by gastritis, these drugs can be taken for a long time (but only under strict indications).
Treatment of gastritis during pregnancy includes magnesium and calcium-containing antacids. Means are not contraindicated during the period of bearing a baby and do not harm the development of the fetus. The doctor may also prescribe antacids with aluminium. But they cannot be taken kidney failure. During pregnancy, you can use Maalox, which saves from heartburn.

The use of proton pump inhibitors (omeprazole, lansoprazole, etc.) is not recommended for pregnant women. They lead to metabolic alkalosis (increased blood pH) in both mother and child.

Treatment of exacerbated gastritis with herbs

If usually women and men are advised to use various herbal infusions for the treatment of diseases of the gastrointestinal tract, then during pregnancy, taking most of them is undesirable. Before trusting yourself and your child's health folk recipes We recommend that you consult with a gynecologist.

For example, so popular among traditional healers mint contains a large number of estrogen. Infusions based on this plant can stimulate tribal activity. The same applies to St. John's wort, which causes bleeding and leads to miscarriage in early pregnancy.

Flaxseed, which is a great helper in the treatment and prevention of gastritis and ulcers, during pregnancy must also be used with great care and only after consulting a doctor.

If you still decide to resort to folk recipes based on herbs, then be sure to consult a doctor. After all, herbs affect the gastrointestinal tract in different ways: some lower the secretion of hydrochloric acid, while others increase it. In addition, many of them are forbidden to be taken while expecting a child, as they can lead to uterine tone and other serious side effects.

Eating behavior in gastrointestinal diseases

If during the period of waiting for the baby you were overtaken by such unpleasant diseases like gastritis or an ulcer (regardless of whether they appeared for the first time or an exacerbation of chronic diseases occurred), you must adhere to the basic rules of nutrition and lifestyle. Together with drug treatment prescribed by a doctor, they will help to quickly relieve exacerbation and relieve symptoms. In addition, these recommendations will help to prevent relapse.

Eat often (at least 5 times a day) in small portions.
Avoid prohibited foods: fried, salty, spicy, smoked, fatty foods, foods with preservatives and GMOs.
Avoid any foods that cause heartburn, nausea, or stomach pain.
Do not eat fresh fruits and vegetables during an exacerbation.
Don't overeat and don't starve.
Drink 1-2 glasses of warm water in the morning on an empty stomach.
Dinner should be light. After that, a short walk is recommended.
Don't eat at night. From the last meal to sleep should take at least 2 hours.

Be careful when taking vitamin complexes. Often they are contraindicated during an exacerbation of gastrointestinal diseases. Be sure to consult a doctor, observe the reaction of the body. Do not take these drugs on an empty stomach!

The three best foods for gastritis

Of course, every pregnant woman knows that it is necessary to monitor nutrition. This is especially true for girls who suffer from diseases of the gastrointestinal tract. During this period, many products are prohibited, so most of the folk remedies are contraindicated. Expectant mothers need to not only adjust their diet, but also include foods such as:

Garlic . Its regular use in a small amount (two cloves are enough) stops the reproduction of pathogenic bacteria. The product reduces the production of hydrochloric acid and relieves irritation of the mucous membrane. It can be used only if it is well tolerated, without exacerbations.
Tandem carrot and spinach juice is also considered one of the best home remedies for gastritis. Mix 200 ml. spinach and 300 ml. carrot drinks. This recipe will help with chronic inflammation of the stomach and relieve you of painful cramps. Freshly squeezed juices can be drunk only during the period of remission of gastrointestinal diseases.
Rice . Treat gastritis during pregnancy anxiety symptoms which they do not allow a woman to live normally, you can use rice water. 0.5 st. washed rice pour 1.5 liters. water, cook over low heat until smooth. You can dilute the broth with a little milk. But only with low acidity. Such a "dish" eliminates increased gas formation during childbearing. Starch coats the walls of the stomach and protects them from the effects of hydrochloric acid.

How to prevent Helicobacter infection

Do not eat dishes that have not undergone sufficient heat treatment (foie gras, sushi, lightly fried meat).
Rinse food thoroughly (you can use laundry soap). There is also a recommendation to process seasonal vegetables and fruits with a solution of vinegar.
Cooking in the oven is healthy and delicious. Just do not forget to bake food at a temperature not lower than 160-180 degrees.
Set the temperature in the refrigerator compartment to below zero.
Try to eat less in catering establishments. If possible, when visiting cafes and canteens, wipe cutlery wet wipe and wash your hands thoroughly.

Medical studies have shown that pregnant women are more susceptible to H. pylori infection than others.

Now you know how the presence of gastritis during pregnancy, the timely treatment of which is not always acceptable, can complicate life. expectant mother. We talked about the symptoms that indicate that it is time for you to undergo an examination of the digestive tract, as well as ways to treat the disease. If you are just planning a pregnancy, we advise you to pre-treat for gastritis or ulcers. This measure will help the expectant mother feel good and give birth to a healthy baby.

Classmates

Gastritis is a disease of the gastric mucosa, accompanied by a violation of the digestive tract. During pregnancy, this disease can become a serious problem and significantly complicate the course of such a crucial period. Exacerbation of gastritis in expectant mothers requires 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. It can be poor-quality food, medicines or various chemical compounds. Quite often, acute gastritis occurs with various infections and is one of the signs of a common disease.

Symptoms of acute gastritis:

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

In severe cases, an increase in body temperature, chills and other signs of intoxication of the body are possible.

Treatment of acute gastritis in pregnant women does not differ from its therapy outside of 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. Best of all, special water-salt solutions ("Regidron") are suitable for this purpose.

Gastric lavage in expectant mothers is practically not carried out. This procedure can provoke an increase in the tone of the uterus and cause an abortion. Gastric lavage is done only according to strict indications and subject to all safety rules. Obligatory supervision of a gynecologist during and after the procedure.

Chronic gastritis

During pregnancy, doctors most often have to deal with an 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 in adolescence, and by the time of pregnancy, a woman usually knows about her diagnosis. With an exacerbation of the disease, such a patient already knows which doctor to contact and what to do when the first symptoms of gastritis appear.

The 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 particular food. The primary manifestation of stomach disease during pregnancy is more characteristic of young primiparous women under the age of 25 years.

One of the reasons for the development of chronic gastritis is considered Helicobacter pylori. These spiral-shaped bacteria live in the stomach and intestines of most of the world's inhabitants. At the same time, 90% of all carriers of Helicobacter pylori do not have any manifestations of gastritis or peptic ulcer. IN currently scientists were unable 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:

inaccuracies in nutrition (in particular, deficiency of protein, vitamins and iron);
prolonged uncontrolled use of drugs (anti-inflammatory and antibacterial agents, corticosteroids);
bad habits (smoking and drinking alcohol);
harmful factors in production;
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 nutritional errors. Eating spicy, fried, fatty or salty foods can lead to the 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. For gastritis with increased secretion are characteristic pain in the epigastric region, which occurs shortly after eating. The pain is quite often associated with a particular type of food. Pregnant women notice that after eating any product, the symptoms of the disease increase. 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 or goes 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.

With gastritis with reduced 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 the secretory activity of the stomach and the development of all characteristic symptoms.

Complications of pregnancy

Chronic gastritis in early pregnancy almost always becomes cause severe toxicosis . There is no single theory explaining this phenomenon. Experts agree on only one thing: nausea and vomiting against the background of gastritis in the first trimester of pregnancy can persist for a long time. If in a pregnant woman the manifestations of toxicosis have not stopped 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 is not able to cause malformations or provoke complications from the placenta. Even in the case of exacerbation of gastritis, pregnancy usually proceeds safely and ends with the birth of a child on time.

A certain danger is gastritis, which occurs with complications.. At severe course disease may develop bleeding from the stomach. This condition poses a threat to the life of a woman and requires immediate help from specialists. Predicting the course of pregnancy with the development of bleeding is quite difficult. With severe blood loss, a miscarriage or premature birth is possible.

Diagnostics

Diagnosis in pregnant women is somewhat difficult. traditional method fibrogastroscopy is considered to detect gastritis. This examination allows you to assess the condition of the gastric mucosa from the inside, to detect ulcers, foci 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 carried out only according to strict indications. If it is not possible to identify gastritis using other methods, the doctor performs the procedure in compliance with all safety measures. The procedure is quite difficult for pregnant women to tolerate and can even provoke a miscarriage. Doctors try to do without endoscopic examination in expectant mothers whenever possible and make a diagnosis based on clinical data.

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

What to do with exacerbation of gastritis?

In the treatment of chronic gastritis in pregnant women great importance It has proper organization nutrition. When the first signs of the disease appear, go to fractional nutrition: up to 6 times a day in small portions. This approach allows you to reduce the load on the stomach and gives the body the opportunity to gradually restore its performance.

With gastritis with increased secrecy The following diets are recommended:

dairy and vegetable soups;
vegetable dishes, steamed or cooked in the oven;
cereals in milk or water;
boiled meat and fish of low-fat varieties;
vegetable, berry and fruit juices.

With gastritis with reduced secrecy The diet of a pregnant woman should include the following dishes:

soups on meat broths;
lean boiled or stewed meat;
boiled non-oily fish;
dairy products;
milk;
flour dishes (except for rich pastries).

With any form of gastritis are prohibited:

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

During an exacerbation of the disease, pregnant women need to eat slowly, chewing each bite thoroughly. You should give up sandwiches, chips, crackers and other harmful snacks. At the same time, expectant mothers are strictly forbidden to starve! If you feel hungry, you can drink a glass of kefir or another fermented milk drink. As snacks, you can use fruits, cottage cheese, cheese and other products from the list of those allowed for gastritis.

Well relieves pain and eliminates other symptoms of gastritis mineral water. With increased secretion of the stomach, you should pay attention to Jermuk or Smirnovskaya mineral water. In case of secretory insufficiency, it is advised to drink Essentuki No. 4 or No. 17, as well as Arzin. Mineral water not only helps to relieve the manifestations of the disease, but also eliminates the symptoms early toxicosis. When nausea and vomiting occur, pregnant women need to drink mineral water daily.

Medical 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 of gastritis is carried out only after childbirth.

To reduce the secretion of gastric juice during pregnancy are prescribed antacids. As good example can serve as "Maalox". 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 a meal.

During pregnancy, to eliminate the symptoms of gastritis are actively used 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 antispasmodic drugs. The well-known "No-shpa" does an excellent job 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 at once: a gastroenterologist and a gynecologist. Hospitalization in a hospital is carried out in case of complications, as well as with severe toxicosis. In the rest of the situation, gastritis therapy is possible at home.

Gastritis that occurs in the first trimester often resolves in the second half of pregnancy. In some women, symptoms of stomach damage make themselves felt until the very birth. If after the birth of a child the signs of gastritis do not disappear, you should definitely consult a doctor.