Gastritis during pregnancy what to do. Types of gastritis and its causes. Treatment of chronic gastritis during pregnancy

Such a disorder of the digestive system as gastritis is one of the most common diseases of the gastrointestinal tract. They suffer from 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 not all can be taken by a woman in this position. medications.

Causes of the disease

Gastritis is an inflammation of the mucous layer inner surface stomach. This disease may have various forms and severity and proceed 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 the activation of the Helicobacter pylori bacteria in the body and the failure of the immune system. Before the development of pregnancy, the disease may be superficial and not manifest itself in any way. Or, the symptoms are not expressed clearly enough and I do not pay attention to them.

With the beginning of the development of the fetus, strong 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);
the use of low-quality food, carbonated drinks and canned food in large quantities;
stressful situations, frequent experiences;
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, a woman mainly suffers from a deterioration in well-being and symptoms of the disease.

Often in pregnant women with gastritis manifests itself increased toxicosis, which can continue long time. It can be observed up to 15-17 weeks and cause severe inconvenience.

Symptoms during pregnancy

Gastritis during pregnancy does not differ in specific symptoms. Symptoms of the disease can be different and manifest, depending on the form and severity of the disorder. The main ones are:

pain of varying intensity and different time days;
discomfort in the abdomen;
bowel disorder;
nausea, belching, vomiting;
rumbling in the abdomen, flatulence, diarrhea.

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

The symptoms of gastritis are different manifestation depending on the nature of the disease. If gastritis occurs against the background of increased acidity, often manifested pains can be signs. There is also sour belching and heartburn.

In a chronic disease with a decrease in the production of hydrochloric acid, there is nausea and vomiting, frequent stool disorders, and flatulence. Gastritis occurring with normal acidity may not be accompanied by pain, so initial stage disease, no complaints. 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 with the help of laboratory research. The examination includes several stages and is carried out in a complex manner. The main diagnostic methods include:

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

At biochemical analysis blood is determined by the presence of antibodies to the bacterium Helicobacter. Thus, the presence of infection in the body is detected. Also, a blood test makes it possible to detect anemia, which is a sign of gastritis.

Fractional sounding is a sampling of the fluid inside the stomach in order to determine its acidity and the state of the microflora. It is also possible to identify violations in the work of the secretory gland using a pH-metric study. At the same time, electrodes are inserted into the stomach of a pregnant woman, measuring the level of hydrochloric acid.

The most informative way 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 draw up 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 may be performed to detect the Helicobacter bacterium. Its use is convenient for pregnant women, as it is not associated with the penetration of various equipment.

How to treat

Treatment of gastritis during pregnancy has its own characteristics. great attention given motor mode And diet food. In order to alleviate the course of the disease, in severe forms of the disorder, a woman is prescribed bed rest.

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

A diet for gastritis during pregnancy is included in its treatment. It is a mandatory item that cannot be ignored. Refusal of special nutrition can significantly worsen the condition of a woman.

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

You need to eat soups, cereals, dairy products, pureed vegetables. You can eat eggs in the form of an omelet, pate, vegetable stew. Meat and fish of low-fat varieties should be boiled or steamed. It is recommended to drink kissels, fruit drinks, decoctions of medicinal herbs.

In addition to diet and bed rest, it is prescribed and drug therapy. 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 drugs are contraindicated in pregnant women, as they may adversely affect the development of the fetus. This raises the question, how to treat gastritis during pregnancy?

In this case, antibiotic therapy is not carried out, a sparing medication regimen is prescribed. Mostly drug treatment aims to normalize the level of hydrochloric acid in the stomach.

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

antacids. They are used to neutralize stomach acid and protect the gastric mucosa;
antispasmodic drugs. Eliminate pain in the abdomen;
enzymes. Help digestion of food;
drugs that stimulate the action of the pancreas (if necessary);
prokinetics. Stimulates the motor functions of the stomach and intestines.

They may also be assigned various means For general strengthening body and vitamin complexes.

Folk remedies

Pregnant women, for the treatment of gastritis, you can take medicinal herbs and other 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 action of hydrochloric acid.

With gastritis with hyperacidity Plants such as:

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

These herbs can be used singly or in combination. To prepare the infusion, 30-40 grams of crushed plants are taken and 500 ml of boiling water is poured. 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.

With low acidity of the stomach, you can use such plants: wormwood, thyme, parsley, plantain leaf, fennel. The infusion is made in the manner described above. Drink the composition should be warm, 30-60 minutes before meals.

An excellent tool in the treatment of these digestive disorders is honey. It has strong antibacterial and analgesic properties. Honey coats the walls of the stomach, protecting it from harmful effects. It is completely absorbed by the body, without loading the stomach and has a positive effect on the mucous membrane.

Honey can be simply 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 infusions and decoctions of herbs to improve the taste.

A disease such as gastritis is not a contraindication during pregnancy. For its treatment, more gentle methods are used than in ordinary cases. Diet is the main correct mode nutrition.

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 exacerbation of 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 may occur due to changes hormonal background.
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 the intrauterine development of the 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 pregnancy is early dates 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 motor activity 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 medical preparations, which 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 the medication prescribed by the doctor, they will help to quickly relieve the exacerbation and relieve the 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, timely treatment which is not always permissible, can complicate the life of the 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

Inflammation of the internal mucous membrane of the stomach wall, which primarily provokes a violation of the process of digestion of food, which worsens general state body and leads to rapid fatigue and decreased performance, called gastritis. The problem of treating gastritis worries many people, as this is one of the most common diseases - about half of the world's population suffer from gastritis.

There are two types of gastritis: acute, which occurs for the first time and proceeds rapidly; chronic - occurs repeatedly, proceeding with frequent relapses. Chronic gastritis cannot be cured. If a person has been diagnosed with such a diagnosis, he must come to terms with the fact that he will live with this disease.

The first type of gastritis is an acute inflammation of the mucous membrane of the stomach and duodenum. There are many causes of acute gastritis. Among them are chemical, and thermal, and mechanical, and bacterial. Acute gastritis develops according to the following scheme: the surface cells and glands of the gastric mucosa are damaged, and therefore inflammatory changes develop in it. Such an inflammatory process can affect only the superficial epithelium of the mucous membrane or stomach, or spread to its entire thickness and even penetrate into the muscle layer of the stomach wall. Gastritis occurs due to diseases of the pancreas, gallbladder, due to nutritional errors, after the use of certain drugs, with food toxic infections, food allergies (to berries, mushrooms, etc.), burns, and elementary metabolic disorders. Symptoms of acute gastritis usually appear in a person 4-8 hours after exposure to one of the above causes. A person feels heaviness and fullness in the epigastric region, nausea, weakness, diarrhea, vomiting may appear. The skin becomes pale, a grayish-white coating is noticeable on the tongue, there is severe dryness in the mouth or, conversely, salivation.

Leakage chronic gastritis different from acute. The cause of this disease is inflammatory changes in the gastric mucosa and violations of the production of hydrochloric acid in it (diseases of the liver and gallbladder, pancreas). Patients experience unpleasant pain, gastric and intestinal disorders after eating or nervous stress, irritability, decreased fatigue, general weakness. As shown by numerous mass surveys, more than half of the adult population of developed (!) Countries of the world suffer from chronic gastritis; among diseases of the digestive system, it is more than 30%.

Most women with chronic gastritis have an exacerbation of the disease during pregnancy. These women usually develop, accompanied by vomiting. Toxicosis can drag on for as long as 14-17 weeks and proceed quite hard. But chronic gastritis is not a contraindication for pregnancy. Despite the unpleasant discomfort and poor health experienced by pregnant women from exacerbation of their illness, it does not affect the fetus. And yet it must be treated.

Symptoms of chronic gastritis

In chronic gastritis in pregnant women, specific symptoms are not observed, because different people the disease progresses in different ways. Signs of the disease in most cases are pain in the epigastric region, nausea, vomiting, upset stool. In chronic gastritis with secretory insufficiency ( reduced level hydrochloric acid in gastric juice) the phenomena of gastric and intestinal dyspepsia (disorders) are observed more often. With gastritis with preserved or increased secretion of gastric juice (often found in young age) is dominated by pain in the upper abdomen, which can be repeated. In the case of the last gastritis, patients complained of pain in the epigastric region, in the right hypochondrium or around the navel. Most often, pain occurs after eating, namely after eating a certain type of food. Less commonly, pain occurs regardless of food, on an empty stomach or at night. The pain is sometimes severe, sometimes moderate. With gastritis with increased secretion of the production, the pain is usually severe, with reduced secretion, it is weaker. If you do not want the pain to intensify, do not eat up to satiety - the more stretched the walls of the stomach, the stronger the pain.

Causes of the disease

Predisposing factors for chronic gastritis are:

stress caused by troubles at work or in the family and leading to disruption of the natural rhythm of life (lack of proper sleep due to night shift work);
nutritional conditions (irregular, unbalanced meals "on the go", food "dry food", "snacks");
infection of the body with bacteria Helicobacter pylori;
intake of large quantities of poor-quality food or strong alcoholic beverages;
smoking;
abuse of dishes with refined cereals and refined oils, preservatives, emulsifiers, hormones and antibiotics (animal food).

Diagnosis of gastritis during pregnancy

To clarify the diagnosis of chronic gastritis, it is not enough to study the patient's complaints and the history of the disease. It is necessary to conduct an endoscopic examination - a study of gastric juice. For this, gastric sounding is done, in which gastric juice is taken, and the acidity of gastric juice is also measured. The procedure is carried out using a special apparatus, which is lowered into the stomach (this is also called swallowing the "Japanese"). Don't worry - this is acceptable during pregnancy. With its help, they find out the level of acidity of gastric juice, and this, in turn, will help to establish the type of gastritis (with increased or decreased acidity) and the corresponding treatment. The endoscopic method is very valuable for diagnosis. With its help, the presence of such phenomena on the gastric mucosa as erosion is determined. However, it is considered quite burdensome for a pregnant woman, so endoscopic method are used when preliminary treatment gave no results.

Treatment and nutrition

With exacerbation of gastritis, the patient is recommended bed rest and diet. The diet provides fractional nutrition(up to 6 times a day). Food is cooked in a semi-liquid form and not fried, limit the consumption of table salt and carbohydrates (sugar, jam, confectionery), broths that have a juice effect. Recommended consumption of milk, mucous or milk soups from cereals, soft-boiled eggs, meat or fish meatballs, quenelles, butter, kefir, vegetable stew, fresh fruits and vegetables. If the patient's condition improves, the diet is expanded, including boiled and fish, potatoes, pasta, doctor's sausage, lean ham, cereals, cheese, non-acidic sour cream. When the exacerbation has passed and you can eat normally, patients should still exclude fried foods, smoked meats, spicy seasonings from their diet for the future - these foods should generally be avoided by all pregnant women.

In the absence of edema in pregnant women with normal or increased acidity of gastric juice, they are recommended to drink mineral waters: Borjomi, Smirnovskaya, Slavyanovskaya, Jermuk. Daily rate- up to 300 ml 3 times a day 1.5-2 hours after meals. Pregnant women with low acidity should drink water "Mirgorodskaya", "Essentuki" No. 4, 17, "Arzni".

Drug treatment of pregnant women suffering from chronic gastritis is distinguished by its own characteristics. Depending on what type of gastritis you have, the doctor (gastroenterologist) prescribes medications. In no case do not self-medicate with this disease. Even medicinal water in case of ignorance, it can harm - cause an exacerbation and not only.

The only thing that can be advised is herbal treatment. Chronic gastritis with normal or increased gastric secretion is treated with infusions. medicinal plants, which have an analgesic, anti-inflammatory, enveloping effect. These are St. John's wort, chamomile, oat seed, flax, yarrow, mountaineer bird, cinquefoil, calamus rhizome, sedatives (valerian root, motherwort herb), celandine. Also, medicinal herbs that suppress inflammation of the gastric mucosa and stimulate its secretory function are used to treat chronic gastritis with reduced secretion in pregnant women. Only this is a different set of herbs: wormwood, plantain leaves, thyme, cumin, fennel, oregano, parsley, parsnip, mint, trifolia, St. John's wort, yarrow, and others.

In order not to get sick

The best way to prevent the occurrence or exacerbation of the disease is diet. Eat food little by little, in small portions, 4-5 times a day, while chewing it well. Do not overeat (it is better to eat more often). The list of products that irritate the gastric mucosa is best excluded from the diet. These are strong broths, canned foods, smoked meats, spices, seasonings, strong

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 deteriorating rapidly.

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 under the influence of multiple factors tends to worsen. 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 differently or not appear at all for some time. It is noteworthy that the symptoms vary depending on what type of gastritis develops in a pregnant woman.

The most common 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 in gastritis.

Gastritis during pregnancy with high acidity is accompanied by characteristic pains of varying intensity, which are 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 often they are provoked by certain dishes (fatty, fried, sour) and foods, and may be accompanied by painful diarrhea. However, it is also not uncommon for stomach pain during pregnancy to be annoying at night or on an empty stomach. There is heartburn, sour eructation, subfebrile temperature may be kept.

But the course of the disease may have other characteristic differences. Nausea, vomiting, heartburn, belching, bad smell from the mouth and taste in the mouth, flatulence, stool disorders, rumbling in the abdomen, a feeling of fullness and heaviness in the stomach, weakness - all this suggests that, most likely, the woman has exacerbated gastritis with low acidity during pregnancy. With this form of hydrochloric acid disease, less than necessary is produced, in contrast to the previous case. Painful sensations also appear, but they are less pronounced. Regardless of the form of gastritis, the pain increases with stretching of the walls of the stomach, so in no case should you overeat: portions of food should always be moderate.

Practice shows that gastritis during early pregnancy is often accompanied by severe, severe and long-term toxicosis. And already from the first weeks, expectant mothers are forced to wonder how to soothe the pain and relieve gastritis during its exacerbation.

How to treat and how to treat gastritis during pregnancy

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

However, pregnant women constitute a special category of patients who are rarely prescribed such manipulations. Usually, 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 traditional treatment this ailment, are contraindicated for use during pregnancy. Among these, in particular, De-Nol and Tetracycline, capable of killing 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 that we eat directly affects the state and functioning of the stomach, and therefore, with an exacerbation of gastritis, your diet will have to be strictly controlled, excluding a number of products from it. First of all, those that are able to have an “aggressive” effect on the gastric mucosa fall under the ban:

sour;
acute;
smoked;
spicy;
salty;
fatty;
canned food;
very hot or very cold.

If any food can be attributed to any of the above categories, then it does not belong in your diet. It is also necessary to abandon products containing synthetic additives and a large amount of simple carbohydrates.

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

Drinks should also be natural and non-acidic. It is best to eat them warm (but not hot). It is also good to drink mineral water- a glass an hour or two after the 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 caffeinated, carbonated drinks, rich broths are excluded. In the meantime, it will be very useful to drink a rosehip broth.

Nutrition for gastritis must necessarily be fractional: the daily menu should be made up of 5-6 meals of small portions of food, which should be consumed every 2.5-3 hours.

What to drink with gastritis in pregnant women: what medicines

Despite the seriousness of this disease, he also has positive feature: it does not harm the fetus in any way and does not negative impact neither on its development, nor on the course of pregnancy. However, it is often necessary to resort to medication, because gastritis gives 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 removing inflammatory process. For this, the following groups of drugs are used:

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

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

What kind of medicines 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 of gastritis during pregnancy may vary.

Treatment with folk remedies

Probably, in addition to medication, the doctor will also recommend to the expectant mother alternative treatment of gastritis during pregnancy. With increased acidity, mint, St. Gastritis with low acidity is treated with fennel, parsley, cumin, thyme, oregano, wormwood, parsnip, plantain leaves, centaury. St. John's wort, mint, yarrow are also used.

Medicinal infusions are prepared according to the following recipe: 2 tablespoons of the 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 drugs envelop the walls of the stomach, produce an anti-inflammatory, analgesic effect. You can also use recipes traditional medicine for the treatment of gastritis.

With increased acidity

cook herbal collection from the same amount of stinging nettle, calamus and chamomile flowers. Pour a full tablespoon of the collection with a glass of boiling water and boil 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 3 times a day for a tablespoon 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 insist).
Boil the peeled potatoes and drink the broth warm. This recipe is also useful for ulcerative lesions.

With low acidity

Squeeze the juice from the leaves of aloe (which is 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 with room temperature and after standing, drink on an empty stomach a teaspoonful with a glass of water. The treatment course is 1 month. For preventive purposes, it should be repeated every year.
Prepare herbal collection: 4 parts of St. John's wort; 3 parts of birch leaves, calendula flowers, marsh cudweed grass, Tangut rhubarb roots; 2 parts of blueberry leaves, flax seeds, elecampane rhizomes; 1 part dill fruit. Stir everything until the ingredients are evenly distributed and pour 2 tablespoons of the collection 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 - 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 even before the conception of the baby you suffered from gastritis, then you should certainly 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 shocks and exhaustion;
violation of the normal regime of the day, work at night, chronic lack of sleep;
errors in nutrition (abuse of fatty, spicy foods, unnatural, low-quality products, overeating, lack of regimen);
food allergies and infections;
diseases of internal organs (liver, pancreas, gallbladder);
metabolic disorder;
taking certain medications;
bad habits (smoking and alcohol consumption in large quantities), etc.

Despite the fact that gastritis during pregnancy is completely safe for the baby, it pretty much 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 that, albeit indirectly, it is still able to 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 good health, so that you experience only pleasant emotions and pass them on to the little one!

Especially for - Margarita SOLOVIEVA

Pregnant women undergo significant changes in the body. This applies not only to the hormonal background, but also to the position of the internal organs. Therefore, the existing chronic diseases. Most frequent occurrence, accompanied by pain in the stomach - this is gastritis during pregnancy.

What is gastritis?

Gastritis is an inflammation of the lining of the stomach that covers it from the inside.

The causes of the disease can be:

constantly malnutrition- snacking on the run, eating salty, smoked, canned and heavily seasoned foods (Pay attention to the article Nutrition during pregnancy >>>);
chronic stress - at work, in the family;
bad habits - drinking strong alcohol, frequent smoking;
infection of the mucosa with the bacterium Helicobacter pylori, which also causes stomach ulcers.

Chronic gastritis is formed gradually. You can lead an unhealthy lifestyle for several years without experiencing any discomfort. This is due to the fact that the mucous membrane is able to recover for a long time. However, her constant irritation leads to a weakening of her abilities. That's when all the symptoms of gastritis appear.

The first attack of gastritis is considered an acute disease. If you did not pay attention to this and continued to irritate your stomach, gastritis becomes chronic. Now it will periodically worsen and cause discomfort.

Why gastritis occurs in pregnant women

During pregnancy, acute gastritis can occur - when pain first appeared. More often there is an exacerbation of gastritis during pregnancy - when it was present for several years, and pregnancy only provoked its acute manifestation.

You are pregnant - what can cause the appearance or exacerbation of chronic gastritis?

Pregnancy is associated with many worries - for the health of the baby, fear of upcoming birth, and jumps in hormones lead to increased irritability and tearfulness. And stress is one of the reasons for the development of gastritis;
Restructuring of the hormonal background. During pregnancy, the amount of estrogen decreases and the amount of progesterone increases. This leads to a decrease protective properties gastric mucosa. She reacts accordingly - starts to hurt;
The growing fetus enlarges the uterus. She rises up and presses your internal organs, including the stomach, to each other and to the walls of the abdomen (for how a child develops during pregnancy, read the article Development of a child in the womb >>>). Such a forced position interferes with the normal functioning of the stomach - gastritis appears;
During pregnancy, your immunity decreases, because the body needs to provide good nutrition for the baby. Therefore, the bacterium Helicobacter pylori is activated, which damages the gastric mucosa, causing gastritis.

All these reasons contribute to the occurrence of gastritis in early pregnancy. Especially if it already existed before.

Signs of gastritis in pregnant women

How can you understand that you have gastritis? He shows up enough. characteristic symptoms. True, a pregnant woman may consider these manifestations to be something else.

Nausea;

Therefore, if from the beginning of pregnancy you only felt sick, but there was no vomiting - when it occurs, you should think about whether it is gastritis?

Pain in the upper abdomen;

They also occur immediately after a meal or even during a meal. Since your stomach shifts slightly upwards, especially on recent months pregnancy, pain may be felt slightly higher than with previous exacerbations.

Indigestion and dyspepsia;

And, quite naturally, all these unpleasant symptoms lead to mood changes, excessive irritability, insomnia.

Pain mainly appears in chronic gastritis with high acidity - hydrochloric acid of gastric juice irritates the mucous membrane and causes pain. Nausea, indigestion, heaviness in the abdomen - these manifestations are characteristic of gastritis with low acidity.

How to make yourself feel better

Certainly, the best option would be to see a doctor. However, not always a pregnant woman can afford it. And chronic gastritis itself does not pose a direct threat to either your health or the health of the baby. Nevertheless, it is necessary to eliminate unpleasant symptoms. What can be used for this?

Gastritis during pregnancy - how to treat so as not to harm yourself or your baby? First, you should pay attention to drugs. Not all of them you can use without fear.

The main means of treatment are antibacterial drugs - their action is directed against the bacterium Helicobacter pylori. However, their use is prohibited during pregnancy. Therefore, with this treatment, you will have to wait until the baby is born and the breastfeeding(Read the article on the topic: How to prepare the breast for feeding?>>>).

Thus, drug treatment of gastritis during pregnancy is aimed only at eliminating pain, heartburn, dyspepsia. If you suffer from heartburn during this important period life, read the article Heartburn during pregnancy >>>. You can advise for this the following types medicines:

In chronic gastritis with low acidity, it is required to restore it. Only this will help eliminate nausea and heaviness in the stomach. For this purpose, you can take natural gastric juice - Acidine-pepsin. In pharmacies, it is sold in the form of a powder, which is diluted with water and taken in a tablespoon 10-15 minutes before meals;
To improve digestion and restore the quality of the stool, enzyme preparations will be the best remedy for you. Among them are Creon and Mezim. They should be taken immediately before meals;
Antacids. Their action is aimed at combating an excessive amount of hydrochloric acid, which causes pain. Such drugs can be purchased in the form of a liquid (Almagel, Phosphalugel, Gaviscon for pregnant women) or in the form of tablets (Maalox, Rennie (read the current article Rennie during pregnancy >>>)).

It is still better to use liquid medicines - they envelop the mucous membrane, preventing irritation with food and hydrochloric acid. Antacids are taken half an hour before meals so that they have time to create protective layer in the stomach.

Gastritis during pregnancy - what should a future mother do with nutrition? Undoubtedly, you are already trying to stick to the right and good nutrition(if you have not yet decided what kind of nutrition will be right during this period, pay attention to our book The secrets of proper nutrition for the expectant mother >>>).

However, chronic gastritis will require you to follow an even stricter diet. It is well known that pregnancy causes a variety of food addictions. However, you will have to give up salted fish, oranges and lemons, home-made cucumbers and tomatoes.

Food during pregnancy should be varied, high-calorie enough and, most importantly, gentle on the stomach. What will meet the following requirements:

lean meat and fish - boiled;
boiled and stewed vegetables;
Not citrus fruit in any form - fresh, boiled, stewed;
any dairy products;
fruit drinks, compotes, herbal teas;
natural sweets - marshmallow, marmalade, honey, jam.

In addition to the above medicines, to relieve the symptoms of chronic gastritis, you can use traditional medicine recipes:

Decoctions of chamomile, St. John's wort have an anti-inflammatory effect. The grass is poured with boiling water and boiled in a water bath for 15 minutes. Then filter, cool and take orally half a cup twice a day;
Decoctions of oats and flax seeds have the same effect as antacids. You can also prepare jelly from them, which is used as a drink 2-3 times a day.

Preventive measures for chronic gastritis are in compliance with proper nutrition avoiding stress.