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What are the signs of gastritis - symptoms and various places of localization of pain? Pain in gastritis: localization, nature and treatment What is gastritis

It is difficult to find a person who has not had a stomach ache at least once in his life. This problem can be encountered at any age, regardless of gender, lifestyle, diet and physical activity.

And although the causes of stomach pain are quite diverse, the main and most common is gastritis.

Pain in the stomach with gastritis can be constant or occur periodically, depending on the form of the disease - acute or chronic.

In any case, to make the correct diagnosis, you need to consult a doctor who will prescribe adequate treatment and select the necessary drugs, because gastritis can be of different types and, therefore, requires a different approach to treatment.

But it happens that it is impossible to seek medical help at the moment, and unbearable pain in the stomach causes severe suffering. In this case, before going to the hospital, it must be stopped.

What to do and how to relieve pain in the stomach, this article will tell.

Gastritis and how to relieve pain

For starters, it's good to know what causes gastritis and what are the main types of this disease. Hatsrit can be caused by several reasons: :

1. Bacteria. It is caused by a bacterium called Helicobacter pylori. The microorganism lives in the stomach of most people on the planet, but under certain conditions it begins to multiply rapidly and the toxic waste products of its vital activity damage the mucous membrane, causing symptoms of gastritis.
2. Stress. Exacerbations of gastritis often occur on the eve of important meetings, events, during exams, during stress or depression.
3. Wrong nutrition. Fatty, fried, spicy foods can provoke seizures; excess spices, sauces, marinades; smoked meats, street fast food, carbonated drinks, as well as low-quality food and certain medications.
4. In addition to the types described, which are considered uncomplicated, there are other, more severe forms of gastritis - fibrinous (requires emergency care, as a fatal outcome is possible), atrophic and hypertrophic (risk of developing a malignant tumor), phlegmous (treated with antibiotics). Such complex cases are treated exclusively by specialists and there can be no talk of relieving stomach pain at home.

Despite the different types and causes of stomach disease, the symptoms characteristic of uncomplicated forms of gastritis appear almost the same in all cases:

• sharp pain in the stomach
• heaviness in the upper abdomen
• poor appetite
• bloating
• nausea and vomiting
• bad taste in the mouth
• heartburn, belching

How to quickly relieve pain in gastritis

To normalize the condition during a painful attack, you can resort to the help of over-the-counter medications or folk remedies.

Depending on the manifestations of symptoms of gastritis and the nature of the pain syndrome, appropriate medications should be used.

For heartburn

To cope with this rather unpleasant phenomenon, antacids will help - drugs that neutralize the acid in the stomach and relieve the feeling of heaviness and burning in the esophagus.

Their choice is quite diverse and in the pharmacy they will be sold without a doctor's prescription.

• Almagel - take 1-3 teaspoons, depending on the severity of the condition, 3-4 times a day
• Maalox - 1 package (15 ml) - up to 6 r / day.
• Phosphalugel - 1-2 bags 2-3 r / day
• Gastal - 1-2 tablets (no more than 8 during the day)
• Rennie - 1 tablet up to 16 times a day
• Vikair - 1-2 tablets 3 r / day.
• Vikalin - 1-2 crushed tablets with a half glass of warm water 3 r / day.

All antacids should be taken one to one and a half hours after a meal and three hours before the next meal.

If heartburn is very strong and impossible to endure, ordinary baking soda will help, you can use it, but often you should not do this, because soda will further cause a deterioration in the condition.

Let it be an emergency remedy in case of emergency when the necessary medicine is not at hand.

In case of severe heartburn that does not go away after taking an antacid, it is better to take Rennie in addition, this drug will work like soda and quickly relieve heartburn without harming the gastric mucosa.

With acute, cramping, cutting pain in the stomach, antispasmodics are used. The most common of them is No-shpa or Drotaverine (an analogue that is cheaper).

The tool works well both for intramuscular use and in the form of tablets. Dose of the drug - for adults 1-2 tablets 3 times, maximum per day can be no more than 6 tablets.

In addition to No-shpa, other antispasmodics are used:

• Spazmalgon
• Papaverine
• Tempalgin
• Maxigan

These drugs help to relax the muscles of the stomach, they will relieve spasm and relieve pain.

To relieve pain in the stomach with gastritis, analgesics are also often used - Analgin, Acelizin, Ibuprofen.

This is a more powerful pain reliever and, perhaps, will relieve pain faster than an antispasmodic, but such drugs have one significant drawback: analgesics damage the gastric mucosa, and with gastritis it is already quite irritated.

Therefore, in order not to aggravate the condition, pain relief by such methods should be extremely rare and in exceptional cases.

If the situation is critical, doctors use narcotic analgesics, such as Morphine or Promedol, to relieve a pain attack, but their treatment must be supervised by a doctor and it is impossible to buy them without a prescription.

Therefore, there can be no question of using narcotic analgesics to relieve stomach pain at home.

Regular pain

If the pain during gastritis appears regularly, has the character of aching and dull, preparations containing enzymes to normalize the digestive process in the stomach will be effective:

• Festal
• Enzistal
• Mezim, Mezim - forte
• Creon
• Pancreatin

Such medicines are usually taken with meals or immediately after it according to the instructions, a prescription is not needed for purchase.

Enzyme products are intended for longer use, their single use will not solve the problem.

The course of treatment with such drugs can be several days, and can last for weeks and even months. Long-term treatment should not take place without medical supervision.

Suffering from nausea and heartburn

If, along with stomach pain, a person suffers from nausea and vomiting, Cerucal, Motilium, Domperidone and other drugs that stop an attack of nausea will come to the rescue.

But in addition to drug therapy, there are no less effective alternative methods to cope with unpleasant symptoms and normalize the condition during exacerbation of stomach diseases.

Herbal teas, decoctions, infusions will come to the rescue. In summer, mint and currant leaves, plantain, wormwood, chamomile and St. John's wort are harvested for these purposes.

With the help of these herbs, you can not only relieve pain during an attack of gastritis, but also successfully treat the disease itself.

Folk recipes for relieving stomach pain

1. Peppermint and currant leaves can be brewed separately, or can be added to green or black weak tea. Helps with mild stomach pain.
2. Chamomile infusion - 1 tablespoon per glass of boiling water - you can drink several times a day for half a glass.
3. Dandelion syrup has proven itself well for stomach pain, which is good to do in the spring, during the mass flowering season. The flowers must be collected, washed well, dried. Then grind them in a meat grinder, sprinkle with sugar and the juice that appears, take 1 teaspoon in 100 ml of warm water several times a day. This remedy can also be used to prevent stomach diseases.
4. During severe pain, gooseberry compote helps. It should be prepared very concentrated and drunk in a glass 3 times a day. Gooseberries for compote can be taken fresh, dry or frozen.
5. You can also relieve pain with the help of this recipe: grind flax seeds, mix with chamomile and yarrow. For 1 tablespoon of flaxseed, you need 2 tbsp. spoons of herbs. Pour this mixture into 300 ml of boiling water, insist and drink 100 ml every 2 hours.

Of course, the methods discussed in this article to eliminate pain in the stomach with gastritis are far from all that are successfully used at home.

In the treatment and prevention of the disease, olive and sea buckthorn oils, bee products and various berries are used.

But gastritis requires serious attention, it needs to be treated, and not just relieve symptoms, otherwise the disease can become a harbinger of stomach ulcers and other problems with the digestive organs.

Useful video

Gastritis - a pathology characterized by inflammation of the gastric mucosa, has characteristic symptoms such as pronounced pain sensations of a diverse nature. may be caused by various factors.

Symptoms of gastritis and the causes of its occurrence

Clinical symptoms depend to a greater extent on the stage of developing pathology and internal factors that affect the condition of the stomach. Almost always, early manifestations of gastritis are pain of a different nature, discomfort in the abdomen after eating. These symptoms are the same for both adults and children.

Severe pain in gastritis is associated with the affected mucosa, when the nerve endings are irritated.

Gastritis can be both chronic with periodic relapses, and be acute. In the period of acute stages, the patient, against the background of severe pain, refuses to eat, loses weight, and suffers from constant stool disorder. Peptic inflammation can join the inflammation of the stomach - when reflux is present. This condition is dangerous by aspiration due to the risk of food and acid entering the bronchi and lungs.

Gastritis has various clinical manifestations that can occur in patients at different times: after eating, during exercise, from experiences.

Vivid symptoms can be observed during excitement and fear: the secretion of gastric juice increases, which begins to corrode the gastric walls. During this period, hunger pains may occur, stomach upsets, expressed by diarrhea, are possible. An increase in pain occurs after taking harmful foods: spicy and sour foods, carbonated and alcoholic beverages. These manifestations are considered temporary.

Vomiting can help relieve pain for a short time, but an empty stomach is exposed to even more aggressive hydrochloric acid. Inflammation often appears against the background of increased secretion of the stomach, but it also happens with reduced or normal.

Acidity in gastritis and the nature of pain

For gastritis with low secretion, the following symptoms are characteristic:

• moderate pain, which can subside after eating dietary foods;
• constant rumbling in the stomach, a feeling of fullness in the stomach, but at the same time hunger;
• frequent violation of the stool - constipation alternates with diarrhea;
• the occurrence of belching and heartburn is a frequent occurrence;
• gum problems and severe halitosis.

With an exacerbation of the disease, the patient may be disturbed by pain not only in the stomach, but also throughout the abdomen. Termination of the acute process is possible only after prolonged medical treatment.

In the acute period of gastritis, pain has the following features:

• occur after eating unhealthy foods (pain can last several hours) or on an empty stomach in the morning;
• initially felt in the stomach, spreading to the entire abdomen and lower back, become, sometimes pain or discomfort can be observed between the shoulder blades;
• after vomiting there is some relief, but it quickly ends - the symptoms return;
• pain can occur due to psycho-emotional stress, after smoking a cigarette, a cup of coffee (after a mixture of coffee and cigarettes on an empty stomach, symptoms occur almost instantly).

Characteristics of pain

Different stages of gastritis have differences in the characteristics of pain. So, the acute stage of gastritis has the following symptoms:

• chronic gastritis with low or high acidity, the superficial form of gastritis is accompanied by aching pain of moderate intensity, these pains can be supplemented by discomfort and heaviness after eating;
• with exacerbation of gastritis, the pain is intense. It is also possible to suspect the development of erosion (erosive gastritis) or ulcers in the patient, or this is a sign of a concomitant disease - pancreatitis or cholecystitis;
• acute "dagger" pain indicates the presence of perforation of the stomach ulcer. It is imperative to differentiate with acute catarrhal gastritis.

If we consider pain in gastritis at the site of localization of pain, we will see that the chronic course of gastritis is accompanied by its symptoms:

• classic gastritis tends to manifest itself as pain localized in the epigastric region (upper part of the abdominal cavity).
• back pain can be a return from pain localized in the back wall of the stomach (this may give reason to think that there are problems with the spine);
• severe forms of the disease can cause in the abdomen, which can be given to the chest.
• since in the chronic stage the inflammatory process is constant, the disease is characterized by pain accompanied by belching, heartburn,.

You can also note other often manifested symptoms of the chronic course of the disease in the clinical picture:

• headache with gastritis, combined with fatigue and dizziness, which indicate general intoxication or asthenic syndrome;
• an unpleasant taste may be present in the mouth;
• symptoms are aching or pulling in nature.

almost never develop sharply and sharply. The exception is the perforation of the ulcer. With gastritis, pain in the stomach develops gradually, for a long time, as if increasing. The pain sensations in gastritis also gradually decrease.

Types of pain in different forms of gastritis

Each form of gastritis is characterized by its pain, which is due to the clinical and pathomorphological features of the disease. The pain syndrome in all forms of gastritis is the main symptom, but in various forms of gastritis, the nature and localization of pain, its duration and time of occurrence have differences and characteristic symptoms. The nature of inflammation, its etiology and the clinical stage of the disease can be determined by the nature of the pain.

Gastritis B - Helicobacter type

The characteristics of this type of gastritis include the presence of Helicobacter pylori bacteria in the body and an increased level of stomach acidity. This determines the nature of pain in the disease:

• pains are dull and pulling in nature, or, conversely, sharp and cramping. In the acute form, pain becomes stabbing or cutting, creating tension throughout the body. They are localized mainly in the epigastric region, can be given to the region of the heart;
• pain syndrome in acute illness is very intense, so that the patient is forced to take a certain position: lie on his side, legs bent at the knees, pull up to his stomach or, arching on his back and leaning back as much as possible, while his head is thrown back far. At the same time, the patient presses his hands to the place of pain on the abdomen, tries to remain motionless in this position until the pain syndrome passes. In this case, there may be a headache or dizziness with concomitant general weakness.

Also, with exacerbation of gastritis, attacks of pain are regular. Usually, an exacerbation of the pain syndrome can occur in autumn or spring, at night. If the patient is left without food for a long time, there are nocturnal or "hungry" pains.

Reflux gastritis

Since this form of the disease is associated with the opposite, pain in the abdomen may develop after taking food not immediately, but after a few hours. Pain occurs at night or due to long intervals between meals against the background of a feeling of severe hunger.

Catarrhal form of gastritis

This form of gastritis appears as a result of poisoning with low-quality, stale foods or under the influence of irritating medications, while drinking poor quality alcoholic beverages.

Pain in this form of the disease is usually severe, but not very long. The nature of the discomfort is cutting or stabbing. Other accompanying symptoms are vomiting, belching, general intoxication, and headaches.

Corrosive gastritis

With this form of gastritis, the deep layers of the mucosa are affected. The cause of the occurrence is considered to be the ingestion of chemicals that corrode the mucous membrane, which can provoke a burn. The patient has a burning sensation in the chest, which is excruciating and intolerable in nature, a headache appears. Discomfort in the abdomen is acute and intense. If not treated on time, corrosive gastritis can lead to stomach bleeding and stomach ulcers.

Phlegmonous form

This form of gastritis is characterized by purulent discharge on the gastric mucosa. Its appearance is due to the ingestion of solid injuring particles into the stomach. In addition to pain, the disease is accompanied by signs of acute intoxication - fever and rapid heart rate, dizziness, vomiting with various impurities, frequent diarrhea.

Pain can be stopped by the use of antispasmodics or a small amount of milk (but this is a one-time measure). To eliminate pain, you should undergo a course of treatment.

Diagnosis of pain in inflammation of the stomach

Behind the pain symptoms with inflammation of the stomach, such diseases can hide:

1. stomach and duodenal ulcer - in this case, hunger pains will occur, manifesting 2-8 hours after eating. With a stomach ulcer, the patient also slowly loses weight, there is a violation of the stool;
2. erosion of the stomach is not so pronounced and responds well to treatment, may be the result of gastritis;
3. peptic (with reflux esophagitis) is manifested by no less severe symptoms that affect the quality of life of the patient;
4. hiatal hernia. The disease is characterized by the exit of the abdominal organs into the chest. With this disease, some of the symptoms are quite similar to the manifestations of gastritis, so it is necessary to conduct a differential diagnosis.

When complaining of pain in the stomach area, a differential diagnosis is necessarily carried out to determine the exact cause. The main task is to exclude the possibility that the patient does not have gastritis, but another disease similar to gastritis in symptoms. The choice of treatment methods and their effectiveness depend on the results of differential diagnosis.

Studies conducted to identify gastritis among diseases similar to it:

• collecting an anamnesis of the disease, questioning the patient about the nature of pain and their localization;
• examination of the patient. Auscultation, palpation and other methods of physiological examination can help the doctor see the primary picture of the state of the internal organs.
• laboratory tests, which include mucosal analysis (for the presence of Helicobacter pylori bacteria) and feces.
• instrumental diagnostics - x-ray and gastroscopy of the stomach, which help to identify gastritis or other diseases of the gastrointestinal tract in a patient.

How to get rid of stomach pain

Medicines for pain in the stomach with gastritis can be prescribed as follows:

• , which are more effective to administer intramuscularly, and not in the form of tablets, in order to avoid stomach irritation: "Baralgin", "Analgin", "Papaverin", "Spasmalgon";

To relieve other concomitant symptoms, apply:

• antacids and antisecretory drugs to reduce the acidity of the stomach (with increased secretion of the stomach). Such drugs relieve heartburn and protect the mucous membrane - Maalox, Phosphalugel, Atropine, Pirenzepin;
• antidiarrheal and antiseptic drugs: Diosmectite, Bismuth subnitrate;
• to restore the mucous membrane, drugs are used that increase the secretion of mucus (Liquiriton, licorice root), stimulate cell regeneration (Metacyl, rosehip oil), and have an antiseptic effect (Sucralphate, De-nol);
• antibacterial drugs. If Helicobacter pylori is detected, drugs that can prevent its growth and reproduction are included in the course of treatment;
• antitoxic effect is exerted by - "",.

Surgical intervention - laparotomy or resection of the stomach, is done only when bleeding opens or the process of degeneration of normal mucosal cells into malignant ones begins. Usually this can be observed if the patient has these types of gastritis:

• giant hypertrophic;
• rigid;
• atrophic;
• polyposis.

The operation allows to temporarily improve the patient's poor health, but does not lead to positive morphological transformations of the stomach. In almost half of cases of stomach bleeding without an established cause, surgical intervention cannot be avoided. But even the use of surgical intervention does not guarantee the absence of relapse.

diet for pain

With inflammation of the stomach, the use of fresh vegetable juices is considered effective. They do not irritate the stomach and contain nutrients. Such juices include beetroot, pumpkin, carrot, potato.

Another recommendation is to follow a diet, and in the acute period it is advisable to switch to warm, thoroughly ground food, consume more water and vegetable juices, exclude meat and other roughage from the diet. You should eat often, avoid intervals between meals for more than 2 hours, so as not to provoke pain.

With gastritis, it is recommended to use honey and drink milk. There are no restrictions on the use of honey, since it has antibacterial properties that contribute to the destruction of unfavorable microflora, and does not affect the acidity of the stomach.

Milk envelops the mucous membrane of the organ, protecting it from aggressive food, but only milk should be consumed. It is better to refuse fermented milk products, especially if it is gastritis with high acidity.

Compliance with the diet will help not only get rid of the pain syndrome, but also from radiating pain in the chest area.

With increased acidity of the stomach, the following nutritional requirements must be observed:

• exclude fatty, spicy foods, fast food, smoked foods from the diet.
• minimize the use of onions, garlic, canned foods, marinades, do not drink sugary carbonated drinks.
• eat more foods that have the ability to envelop the gastric mucosa.
• when cooking, use gentle methods of heat treatment of products - baking, boiling and steaming.

With low stomach acid:

• Do not eat fatty foods and snacks.
• Use a mechanically gentle method of cooking - grind solid foods.
• Eat small and often.
• Do not eat foods that can cause fermentation - cheese, milk, sour cream, confectionery.

Gastritis is an acute or chronic inflammation of the gastric mucosa, accompanied by a number of pathomorphological changes. It develops under the influence of toxic, chemical, radiation, infectious, genetic, physical factors. The prevalence is extremely high. It is generally accepted that pathologies occur in 50-80% of the adult population of developed countries. Pain in the stomach with gastritis does not occur in all cases. Sometimes the process is asymptomatic until the development of irreversible transformations.

Gastritis - inflammation of the stomach lining

The clinical picture that occurs with inflammation of the gastric s / o is variable. Depends on the type of changes present and the etiology of the disease. There are the following variants of the symptom complex:

1. Atrophic: heaviness and pain in the epigastric zone after eating, a feeling of bloating, vomiting, which brings relief. The vomit contains bile. Appetite decreases. Possible weight loss. The risk group is middle-aged and elderly people.
2. Chronic: Most varieties of chronic gastritis appear as blurred signs of a digestive disorder. The patient has complaints of discomfort or epigastric pain, loose stools or constipation, heartburn, belching. The clinic is aggravated after the use of alcohol, rough and irritating dishes.
3. Superficial: 90% of cases are latent. Perhaps the appearance of unclear and mild pain on an empty stomach or after taking spicy, sour, salty foods.
4. Giant hypertrophic: constant aching pain in the epigastric region, a feeling of heaviness, vomiting and diarrhea, a sharp decrease in appetite. Weight loss can reach 10-20 kilograms in 1-2 years. There is a risk of erosion of the mucous membrane with the development of bleeding.
5. proceeds according to the type of acute poisoning. The patient complains of a sharp deterioration in well-being, there are general toxic phenomena. There is repeated vomiting, bloating, loose stools, pain in the projection area of ​​the stomach and intestines.

External symptoms do not allow to accurately determine the type and type of disease. A similar picture can develop with pancreatitis, gastroduodenitis, peptic ulcer, oncological changes, and so on. Accurate diagnosis is carried out using the FGDS procedure and radiopaque examination of the stomach.

The nature of pain and localization

Certain information about the disease can be obtained after assessing the nature of pain and their localization. So, pain on an empty stomach, reminiscent of the symptoms of an ulcer, is determined in patients with chronic non-atrophic gastritis, the spread of discomfort to the lower abdomen occurs when enteritis joins the gastritis. Sharp cramping attacks occur with an acute variety of the disease, when an irritating substance is present in the stomach or a spasm of the muscle walls occurs.

The most common localization of pain in gastritis is the epigastric zone.

The appearance of pulling pains usually indicates a widespread sluggish inflammation, accompanied by hypertrophy of the mucous membrane. As a rule, they persist permanently or arise under the influence of alimentary provoking factors. The nature of gastralgia changes especially strongly during the formation of an ulcer. Distinctive features of peptic ulcer:

• early pain occurs 30 minutes after eating, lasts up to 2 hours, after which it disappears;
• hungry pains occur 4-6 hours after eating, are eliminated by eating;
• discomfort can be stopped by taking antisecretory drugs;
• with penetration or perforation, the severity of pain increases dramatically.

With gastritis, gastralgia can persist for a long time - up to several months - time. Acute forms can be stopped in 10-14 days. Chronic varieties often proceed in waves. In this case, the symptoms appear and disappear periodically.

Diagnostics

The diagnosis of "gastritis" is made on the basis of imaging methods of examination. The gold standard is fibrogastroscopy. During the procedure, the doctor inserts a flexible optical device into the patient's stomach, which allows you to examine the organ from the inside and take tissue samples.

FGDS - the gold standard for diagnosing gastritis

To identify the pyloric flora, a urease breath test is used, as well as a bacteriological and morphological method for studying the biomaterial. If necessary, x-rays are prescribed using a barium solution as a contrast agent. Auxiliary methods are biochemical and clinical blood tests, the study of the acidity of gastric juice. Changes that occur with gastritis should be differentiated from malignant tumors, functional disorders, peptic ulcer.

How to relieve stomach pain

To relieve pain in gastritis, acid-reducing drugs are used, in particular absorbable and non-absorbable antacids. The former include ranitidine, famotidine, pirenzepine. They block the production of hydrochloric acid by changing the pH of the secretion produced. Non-absorbable type agents act locally, enveloping the mucous membrane and creating a chemical-impermeable barrier. Representatives of the group: almagel, sucralfate. Some medicines contain a local anesthetic that blocks the pain sensitivity of the mucosa.

A folk method of treatment is the intake of mucous and tanning decoctions. One of the popular remedies is thermal exposure from oak bark. 2 tablespoons of raw materials should be poured with 250 ml of boiling water, leave for 15-20 minutes, cool, strain. It is necessary to take 100 ml twice / day. The alternative is rice water. Cereals and water are mixed in a ratio of 1:6, boiled until fully cooked, after which it is filtered, cooled and taken every 2 hours in half a glass.

Diet for stomach pain

Shown thermally, chemically and physically sparing nutrition. There should be fractional, 5-6 times a day, in small portions. The temperature of the dishes is room temperature, smoked meats, marinades, pickles, rich soups, seasonings are contraindicated. Recommended low-fat boiled meat, fish, grated vegetables, dried bread. As a drink, neutral juices, berry fruit drinks, water, weak tea are used. Alcohol is strictly prohibited for the entire period of the disease.

Gastritis is a disease that many do not take seriously. Meanwhile, it can lead to the appearance of unpleasant symptoms for the patient, which significantly reduces the quality of his life. Running chronic processes are difficult to treat. Therefore, at the first signs of pathology, it is necessary to abandon attempts at self-treatment and seek help from a doctor.

Diet is one of the most important components of treatment.

Answers on questions

How to relieve pain in the abdomen with gastritis? Ainur 35 years old, Noyabrsk

Good afternoon! My mother underwent EGD, she was diagnosed with subatrophic gastritis, catarrhal reflux. To the gastroenterologist record only on May, 8th. What can I take before taking to relieve stomach pain?

Hello Ainur!

Pain in the described situation is not necessarily associated with the stomach. Moreover, it is not characterized by high acidity, the reaction to which is most often the pain syndrome. If there is (getting it from the duodenum into the stomach), then this can also be the cause of the inflammatory process, irritation of the mucous membrane and the cause of pain.
For selection of therapy internal consultation and establishment of the diagnosis is necessary.

A detailed and differentiated treatment can only be prescribed by a doctor after an examination and having received complete information about the state of the internal organs.

If the cause of pain is spasms (which is likely with gastritis, and with reflux, and even with the appearance of concomitant pathology of the biliary tract, pancreas and intestines), then antispasmodics are effective. Or non-specific (no-shpa, drotaverine), or locally acting on the gastrointestinal tract (dicetel, duspatalin, meteospasmil).

Also, for the healing of the mucosa, reparants (, visnol) are shown, they protect the gastric mucosa and give it the opportunity to recover and heal. I draw your attention to the fact that when taking these drugs (this is normal).

Often patients with chronic gastritis complain of radiating pain in the stomach. Also, doctors receive a lot of questions about whether gastritis can hurt the lumbar or thoracic back.

There is no clear relationship between this disease and this symptom, however, it may indicate that gastritis is already turning into peptic ulcer. It is for her that such a picture is characteristic. In addition, against the background of gastritis, inflammation of the pancreas could well develop, accompanied by pain in the back.

The nature and localization of gastritis pain

At an early stage of gastritis, the patient experiences moderate aching pain in the epigastrium. After eating, there is a feeling of fullness in the stomach.

Strong intense pain is a symptom of an advanced stage of the disease, or a sign of exacerbation. Pronounced cramps often indicate that erosive and ulcerative defects have appeared in the stomach. In addition, this may indicate inflammation of other organs of the gastrointestinal tract: the gallbladder or pancreas.

Sharp, dagger pains are an extremely dangerous symptom. It may indicate a perforation of the ulcer. In this case, you must immediately contact the clinic.

Of course, pain is not the only symptom of gastritis that torments the patient. The process of inflammation of the gastric mucosa is accompanied by the following symptoms:

• eructation of air and food, with a slight tinge of rotten smell;
• nausea (especially in the morning) in advanced cases, vomiting;
• loss of appetite and subsequent weight loss.

The duration and nature of the pain varies depending on the form of gastritis and its stage of development. Most often, it appears 15-20 minutes after eating. If the sick person ate dishes or used cooking technologies (frying, smoking) prohibited by the diet for gastritis, it can haunt him for about 2-3 hours after eating.

Sometimes a sharp pain in the stomach appears due to the nervous strain of the patient. The same will happen if a patient with gastritis smokes a cigarette on an empty stomach or drinks coffee.

The place of localization of gastritis pain is the upper abdomen. Patients often do not know if the back can hurt from gastritis, and, referring to the unusual localization, they ignore the irradiation of painful sensations in the back, and mistakenly take them for signs of osteochondrosis.

At the same time, gastric pain that responds in the back or even chest may indicate not only inflammation of the mucous membranes of the gastric surfaces, but also a number of different diseases of the gastrointestinal tract.

What diseases of the gastrointestinal tract can cause pain in the stomach and back?

Most often, pain radiates to the back not with gastritis: there are a number of diseases of the gastrointestinal tract, accompanied by a pain syndrome of this nature. So, these include:

• Acute gastric ulcer. With this disease, pain sensations appear after eating, at night, during physical exertion, and also in a hungry state (hungry stomach pains). Often there is heartburn, nausea and sour vomiting. Cutting in the stomach radiates to the area between the shoulder blades and the lower back.
• A sharp, severe pain that accompanies ulcerative perforation, appearing around the navel, after a short period of time begins to radiate to the right shoulder, gradually moving upwards.
• With hepatic colic, pain develops that radiates to the back, right shoulder blade and shoulder. By knocking on the ribs from below, it can be strengthened. The disease is also accompanied by muscle tension and swelling.
• Appendicitis is characterized by pain that worsens with coughing and movement. Often, the Shchetkin-Blumberg symptom helps in making a diagnosis - with slow pressure on the abdomen, and a sharp tearing off of the palpating hand, a patient with appendicitis has a sharp pain (it covers the area around the navel and lumbar back).
• With inflammation of the pancreas, pain covers the stomach and lower back. The disease is accompanied by fever, hiccups, increased heart rate, nausea and vomiting. The patient also complains of dry mouth and profuse sweating.
• In acute or chronic pancreatitis, stomach pain radiates to the back.
• Acute cholecystitis is characterized by pain that occurs in the abdomen and spills into the lumbar back.

With gastritis, back pain is extremely rare. Most often it is a symptom of more serious diseases. In order to identify the exact cause of gastric cramps that radiate to the back, the doctor needs to carry out differential diagnostics: only after going through all the possible options, he will be able to find the answer and correctly build a treatment regimen.

Procedure for severe pain syndrome

In case of acute and prolonged pain syndrome, covering the back and stomach, the patient needs to call an ambulance. If he has already been diagnosed with a stomach ulcer, and cramps are a sign of exacerbation, you should not take any medication until the ambulance arrives.

To relieve pain, the patient needs to be in a supine position: thus, tension is removed from the back. When it becomes easier for the patient, the vertical position should be taken gradually: first, it is worth turning over to the side to which the cut will not be given, and only then slowly rise with the help of supports.

If the patient is severely tormented by gastralgia, he may take Novigan or Aspirin (anti-inflammatory pain medications). Any additional manipulations to alleviate the pain syndrome are contraindicated.

The only right decision is to wait for the doctor. On an outpatient basis, diagnostics will be carried out: gastroscopy, CT, chromatocytoscopy, urine, blood and feces tests.

A temporary weakening of the pain syndrome cannot be a reason for refusing medical care, because until a disease is found that provokes these symptoms, they can be repeated again and again, aggravating the functional state of the corresponding organs of the patient. If the primary source is the pathology of the gastrointestinal tract, in addition to drug support, therapy will include a review of the diet, diet composition and the appointment of a special therapeutic diet.

Gastritis is a disease of the digestive system associated with an inflammatory process on the gastric mucosa. As a result, the patient has increased fatigue, decreased performance, and weakness appears. The greatest discomfort is associated with pain in gastritis, which occurs depending on the quality of the products, the time of eating and the mental state.

Factors causing gastritis

The main factors provoking inflammation of the gastric mucosa are:

• Active reproduction of the bacterium Helicobacter pylari.
• Alcohol abuse.
• Smoking.
• Passion for fast food, smoked meats, canned food.
• The use of poor quality products.
• Stress and constant nervous strain.
• Violation of the habitual way of life.

People who abuse products containing emulsifiers and hormones are at risk of getting sick.

Clinical picture

The degree of manifestation of symptoms is determined by the stage of the disease, internal factors on which the condition of the gastric mucosa depends. Most patients note severe pain in gastritis, discomfort after eating, excessive physical activity. Symptoms are most pronounced during experiences, stress. From the spasm that occurs in the stomach, the secretion of gastric juice increases, which leads to erosion of the walls of the organ.

Many patients feel that their stomach hurts with gastritis, when eating spicy or acidic foods. The disease is characterized by hunger pains, as well as heartburn, belching, stool disorders, nausea, putrid breath, irritability.

Causes of pain

Most patients note the onset of pain shortly after eating. Often they appear in connection with a violation of the diet, when they consume foods that are prohibited for gastritis. The cause of this unpleasant symptom can be a smoked cigarette, strong coffee.

An attack of gastritis, manifested by severe pain, can be caused by psycho-emotional overstrain, stress or depression, prolonged use of medications, exacerbation of certain chronic diseases.

Features of pain in gastritis

By the way the stomach hurts with gastritis, one can characterize the inflammation.

Aching pain of moderate intensity indicates chronic gastritis. At the same time, after eating, there is a feeling of heaviness and discomfort.

Acute intense pain raises the suspicion of the development of an ulcerative or erosive process, accompanied by cholecystitis, pancreatitis. A dagger-like sensation may be associated with a perforated stomach ulcer.

At night there are often hungry pains.

The nature of pain in gastritis may look like this:

• Stinging sensations.
• Sharp pain.
• Dull.
• Aching.

There are also side pain sensations that occur in the back, lower back, and other parts of the body.

Localization of the pain syndrome

To determine the stage, the form of the disease, it is of no small importance where the stomach hurts with gastritis. A typical picture is when the pain syndrome is concentrated in the upper abdomen. In severe forms of the disease, it can radiate to the chest area.

Often, patients report back pain with gastritis. They occur if there is an inflammatory process on the back wall of the stomach. In this case, the patient seeks to take a pose in order to reduce pain. Often such a symptom is taken as a sign of osteochondrosis.

When the disease is caused by a mental disorder, it may be accompanied by headaches.

Features of pain depending on the type of gastritis

Pain in the stomach is a fundamental symptom of mucosal inflammation, and in many cases has its own characteristics.

By the way the stomach hurts with gastritis, the etiological characteristics of the disease and the stage of the inflammatory process are determined.

Autoimmune gastritis (type A)

Characterized by low acidity. Pains are pulling, dull. There are unpleasant sensations in the upper abdomen, in the hypochondrium, accompanied by belching, nausea. Sometimes dizziness joins. The autoimmune form is not characterized by hunger pains.

Helicobacter pylori gastritis (type B)

Caused by the activation of a pathogenic microorganism called Helicobacter pylori. Influencing the gastric mucosa, it provokes an increase in the secretion of juice with high acidity. Dull, pulling pain can be replaced by bouts of stabbing, cutting in the acute form of the disease. The place where it hurts with gastritis in this case is the epigastric region. In addition to painful sensations, with Helicobacter pylori gastritis of the stomach, symptoms also appear in the form of heartburn, nausea, and vomiting of undigested food.

The patient's typical posture for severe pain syndrome is lying on his side with legs bent at the knees. Exacerbation occurs more often in autumn and spring, mainly at night. With too long a break between meals, hungry pains are formed.

Reflux gastritis

A disease in which bile is thrown into the stomach. Unpleasant sensations appear some time after eating, and also at night, when a lot of time has passed after dinner. Other signs of gastroreflux are belching with a rotten smell, a metallic taste in the mouth.

catarrhal form

The disease is caused by eating spoiled foods, low-quality alcoholic beverages, and taking certain medications. The description of how the stomach hurts with this form of the disease is similar in many patients. The pain in this case is short, manifests itself in the form of cramps, accompanied by vomiting, signs of general intoxication.

Corrosive gastritis

In this case, the deep layer of the gastric mucosa is affected. It causes a pathological process when aggressive chemicals enter the stomach, provoking a burn. The patient has a strong burning sensation in the chest, headache. Left untreated, it can lead to stomach bleeding.

Phlegmonous gastritis

This form is characterized by purulent discharge on the walls of the stomach, which occurs as a result of injury by solid objects. Simultaneously with the pain, there is an increase in temperature, loose stools, vomiting, rapid pulse. The patient needs to be given emergency medical care to prevent gastric perforation.

Relief from pain

There are several methods to relieve pain in gastritis:

• Take medications prescribed by your doctor.
• Adjust nutrition, excluding from the menu products that provoke irritation of the mucous membrane and increase secretion.
• Use folk remedies based on medicinal plants.

At the first symptoms that cause suspicion of gastritis of the stomach, it is necessary to see a gastroenterologist who will prescribe the appropriate treatment.

Regardless of whether the pain in gastritis is mild or acute, any measures aimed at eliminating it must be agreed with the attending physician.

Medical therapy

antacids help with acidity. They help to reduce pain and at the same time stop the development of the pathological process. It is possible to neutralize the action of the acid, thereby eliminating the irritating factor, with the help of enveloping agents, which include Maalox, Almagel. They are also able to remove excess acid from the body.

First aid, no matter where it hurts with gastritis, is antispasmodics. They relieve pain, relieve unpleasant symptoms. Painkillers such as Analgin, Papaverine, Spazmalgon are used. In order not to cause irritation of the mucosa, they are recommended to be administered intramuscularly.

Folk remedies

How to relieve pain in gastritis, using the healing properties of plants, people have known since time immemorial. One of the most popular remedies is cabbage juice. It is recommended to drink it half an hour before meals for 1/2 cup, if the acidity is lowered.

Herbal decoctions are another way to relieve pain. They are prepared in different ways. A decoction of St. John's wort, calendula and yarrow has an analgesic effect. Dried plants are mixed in equal parts and poured with boiling water. For 2 tablespoons of the mixture - 0.5 liters of water. Insist for an hour, take before meals.

Potato juice helps relieve the pain of gastritis with high acidity. Prepare it with a juicer, using the tubers along with the peel. Juice is drunk 40 minutes before a meal.

Eliminate gastritis pain and alleviate the patient's condition helps milk with the addition of honey or chamomile, tincture with aloe.

If the stomach hurts with gastritis, self-medication is unacceptable. Only a gastroenterologist after the examination will tell you what to do to relieve abdominal pain, will be able to choose a treatment regimen, nutrition, taking into account the characteristics of the body of a particular patient. In the absence of a competent approach, there is a risk of gastritis becoming chronic, the appearance of severe complications, and transformation into fatal diseases.

To prevent inflammation of the gastric mucosa, it is recommended to adhere to a healthy lifestyle, move more, eat right (do not pass, do not get carried away with spicy, smoked foods), strive to think more positively. It requires significantly less effort compared to long-term treatment.