Chronic gastroduodenitis in children

Causes

In the structure of pediatric gastroenterology, this disease accounts for 30%.
The incidence increases with age. The incidence rate increases at the age of 6–7 years. Girls get sick 1.5 times more often than boys. Chronic gastroduodenitis in children is characterized by nonspecific inflammatory structural changes in the mucous membrane of the stomach and duodenum, as well as secretory and motor-evacuation disorders.

In children, unlike adults, isolated damage to the stomach or duodenum is observed relatively rarely, in 10-15% of cases. Combined lesions of these departments are much more common. The duodenum, being a hormonally active organ, has a regulatory effect on the functional and evacuation activity of the stomach, pancreas and biliary tract.

Causes of the disease:

hereditary and constitutional predisposition to diseases of the digestive system - the family burden rate is 35 - 40%;
Helicobacter pylori (HP) infection;
errors in nutrition (irregular, defective in composition, poor chewing);
chemical, including medicinal, effects;
physical and psycho-emotional overload; food allergies;
foci of infection, parasitosis and diseases of other digestive organs.

Etiology of chronic gastroduodenitis

Etiological factors of the disease: hereditary predisposition, chronic hypoxic diseases, local vascular disorders, intoxication, chronic diseases of the hepatobiliary tract, malnutrition, previous poisonings and food allergies, stress.

Internal and external factors lead to the development of gastroduodenitis.

All causes of chronic inflammation of the mucous membrane are divided into endogenous (internal) and exogenous (external).

Domestic

Among endogenous factors, the main role in the development of the disease is played by increased acid formation and dysregulation of the secretion of digestive hormones. Similar conditions are formed in the presence of the following internal pathologies:

gastritis;
pancreatitis;
chronic renal failure;
diseases of the cardiovascular system;
parasite infection;
stomach and duodenal ulcers;
hepatitis;
CNS disorders;
metabolic disorder.

Another factor influencing the development of chronic gastroduodenitis may be autoimmune disorders.

External

Internal or external factors are responsible for the development of the disease. The first include genetic predisposition, diseases of the endocrine gland, and biliary tract. Sometimes the cause is rotting teeth or tonsillitis, stress or liver disease.

Doctors include irregular nutrition, constant use of medications, smoking, and certain types of bacteria as external factors.

Psychogenic causes include stress and increased nervousness. During times of stress, various physiological processes are triggered. Therefore, during treatment of various forms, sedatives are prescribed.

Another common cause is the bacterium Helicobacter pylori. The more it multiplies, the more the mucous membrane is damaged. In extreme cases, this leads to ulcers and erosions.

Gastroduodenitis is an inflammation affecting the mucous membrane that is located between the stomach and duodenum. It differs from gastritis in that it adds difficulties in the functioning of the sphincters. They block and regulate the movement of food.

Characteristics of the disease

With this disease, not only the digestion process is disrupted, but also the general condition of the body. This is due to the fact that the duodenum, which takes part in the production of hormones and thunder-like substances, begins to malfunction.

Under the influence of pathological etiological factors, an inflammatory process develops on the mucous membrane. This leads to impaired regeneration of the mucous membrane and its depletion. The consequence is a violation of secretory and motor function.

The disease according to ICD-10 has code K29.9. Previously, gastritis (K 29.3) and duodenitis (K29) had separate codes.

Classification

Depending on the main etiological factor, the following are distinguished:

primary exogenous forms of the disease,
secondary endogenous species.

By prevalence they are classified into:

There are differences depending on the level of acidity. In this case, we are talking about gastroduodenitis with normal, low, and high acidity.

If the bacteria Helicobacter is present:

There are no absolutely harmless pills. The gastrointestinal tract of a person who is very actively treating any disease with pharmaceutical chemistry is, to one degree or another, subject to regular aggressive influence.

In the worst case scenario, the result of this effect is drug-induced inflammation of the mucous membrane.

Cause of the disease

What drugs are most dangerous for the gastrointestinal tract? Which pills are especially likely to cause inflammation? Finding out the answer to the question asked is extremely important, and not out of idle curiosity.

It is possible that you continue to swallow the pills that caused gastritis as if nothing had happened. Each new dose is, in a sense, a blow to your gastrointestinal tract.

Gastroduodenitis in children - causes, treatment and simple preventive measures

Even in preschool age, many children suffer from digestive problems. One of the most frequently diagnosed diseases in children is gastroduodenitis; every third child experiences it. The pathology is an inflammation of some parts of the stomach and duodenum.

Pathogenesis of gastroduodenitis in children

The mechanism of development of the described disease begins with the impact of internal and external unfavorable factors on the digestive organs.

Inflammatory processes occur in the mucous membranes of the stomach and intestines, which disrupt the natural renewal of tissues. Gradually, gastroduodenitis in a child progresses, and atrophy of the membranes of the digestive organs is observed.

The secretory, motor and excretory (evacuation) functions of the system are disrupted, and the disease acquires a chronic relapsing course.

Gastroduodenitis in children - causes

Inflammation can occur against the background of endo- and exogenous factors. The main internal causes of gastroduodenitis in children:

hereditary predisposition;
pathological course of pregnancy in the mother;
other diseases of the digestive organs;
the presence of foci of chronic infection;
increased acidity of gastric juice;
insufficient mucus production;
infection with the bacterium Helicobacter Pylori;
tendency to allergic reactions;
endocrine disorders;
diseases of the liver and blood-forming structures;
severe intoxication;
parasitic, helminthic infestations;
herpes viruses and others.

Sometimes gastroduodenitis in children develops due to external conditions:

stress and traumatic situations;
long-term use of antibiotics, analgesics or corticosteroid hormones;
unbalanced or irregular diet.

Acute gastroduodenitis in children

The pathology in question is considered multifactorial - its occurrence is due to both external and internal adverse influences. Acute gastroduodenitis in children often debuts against the background of digestive infections, especially of a bacterial nature. Inflammation begins in the lower parts of the stomach and quickly spreads to nearby areas of the duodenum.

Without timely treatment, diet correction and organized prevention, the acute form of the disease gradually becomes sluggish. Internal factors do not always provoke chronic gastroduodenitis in a child; the reasons may be an unbalanced diet or exposure to stress. The described type of disease can occur latently, monotonously or periodically recur.

Classification of gastroduodenitis in children

In medicine, there is no generally accepted option for dividing the presented pathology. Gastroduodenitis in children is classified according to several criteria:

Origin – primary (external causes) and secondary (internal factors).
Histology – mild, moderate and severe inflammation, the presence of changes in the structure of the mucous membranes.
The endoscopic picture is superficial, hyperplastic, erosive, hemorrhagic and atrophic gastroduodenitis.
The nature of the course is acute and chronic.
Clinical manifestations are the phase of relapse, incomplete and absolute remission.

Gastroduodenitis in children - symptoms

In the early stages of progression, this disease does not bother the child. The first signs of gastroduodenitis in children appear when inflammation spreads to the duodenum. There are specific and side clinical manifestations of the pathology. The first group includes the following symptoms:

“hungry” abdominal pain (2-3 hours before or after meals);
nausea;
constipation alternating with diarrhea;
belching;
heartburn;
bloating and flatulence;
vomiting with bile;
bitter taste in the mouth;
discomfort in the right hypochondrium;
feeling of fullness or heaviness in the stomach;
thirst, increased salivation.

Gastroduodenitis in young children is always accompanied by additional symptoms:

weakness;
poor appetite;
dizziness;
underweight;
dark circles around the eyes;
coated tongue (yellow-white coating);
sleep disorders;
headache;
sweating;
trembling in the body, especially after eating;
brittle nails;
hair loss;
deterioration of skin condition;
restlessness, moodiness.

Diagnosis of gastroduodenitis in children

First, the baby should be examined by a pediatrician. If there is a suspicion of inflammation of the stomach and duodenum, the child is referred to a gastroenterologist. Differential diagnosis of gastroduodenitis in children involves excluding the following diseases with similar symptoms:

helminthic infestations;
dysbacteriosis;
food poisoning;
cholecystitis;
pancreatitis;
enterocolitis;
ulcerative lesions;
birth defects;
functional dyspepsia;
diseases of the esophagus, kidneys and intestines;
tumors;
pyloric stenosis and others.

To confirm gastroduodenitis in children, the following diagnostic methods are used:

general blood formula;
coprogram;
tests for Helicobacter Pylori;
feces for helminth eggs, lamblia, dysbacteriosis;
antroduodenal manometry;
histological examination;
intragastric pH-metry;
electrogastrography;
fibrogastroduodenoscopy;
Ultrasound of the stomach;
radiography (rarely, at the discretion of the doctor);
endoscopic biopsy.

Therapy for the pathology in question must be consistent and long-term. How to treat gastroduodenitis in a particular case is determined by the doctor, but the basic scheme always includes the main points:

following a special diet;
taking medications;
herbal medicine (supportive measure after relief of acute inflammation);
relapse prevention.

Gastroduodenitis in children - clinical recommendations

Inflammatory processes in the digestive organs significantly worsen the child’s general condition, so for successful treatment it is necessary to organize a gentle motor regimen for the child. Proper nutrition is another important stage of therapy; if chronic gastroduodenitis is diagnosed in children, clinical recommendations suggest the exclusion of certain foods:

meat, fish broths, rich soups;
mushrooms;
canned food;
animal oils;
pickles;
smoked meats;
fatty meat, fish;
sauces;
seasonings;
chocolate;
egg yolks;
caviar;
fatty dairy products;
cakes, pastries;
chewing gum;
cocoa;
sweet soda.

Eating is carried out according to several rules:

small portions;
food 4-6 times a day;
the temperature of food and drinks is moderate;
last meal no later than 20:00;
cooking methods - steaming, boiling, stewing, baking;
The diet is also followed during the period of remission.

Drug therapy is selected individually, depending on the causes and severity of symptoms of the disease. How to treat gastroduodenitis in children should be prescribed by a gastroenterologist. If the inflammatory process is provoked by Helicobacter Pylori bacteria, they are eradicated using bismuth preparations (Bismofalk, De-Nol) and antibiotics (Metronidazole, Amoxicillin and analogues).

Several groups of medications help relieve gastroduodenitis in children and relieve its symptoms:

Antacids - Almagel, Vikalin, Phosphalugel.
Proton pump inhibitors (for high acidity) - Beretta, Omeprazole, Controloc and synonyms.
H2-histamine receptor blockers (reduced secretion of gastric juice) - Ranitidine, Nizatidine, Cimetidine and others.
Antispasmodics – Drotaverine, Papaverine, No-Shpa.
Enzymes – Creon, Pantovigar, Pancreatin and analogues.
Sorbents – Atoxil, Smecta, Enterosgel.
M-anticholinergics (for pain) – Pirenzipine, Gastril, Piren.
Synthetic prostaglandins - Cytotec, Mirolut, Topogin.
Antireflux drugs - Cerucal, Motilium and synonyms.
Antioxidants – ascorbic acid, tocopherol, ubiquinone, retinol.

Treatment of gastroduodenitis with folk remedies in children

After the acute inflammatory process has resolved, you can begin herbal medicine. Treatment of chronic gastroduodenitis in children using folk methods is important to coordinate with your doctor. The simplest but most effective option is a decoction of flaxseed. It has enveloping and healing properties, helps restore damaged mucous membranes.

Drink recipe for gastroduodenitis in children

Ingredients:

flax seeds - 1 tbsp. spoon;
water – 500 ml;
honey – 2-3 teaspoons (if tolerated).

Preparation, use

Stretch the flax a little, but do not crush it.
Pour in cold water and bring to a boil.
Keep on high heat for 15 minutes.
Leave the product for 1 hour.
Strain the broth, sweeten with honey.
Give the child 0.3-0.5 cups of medicine 1 hour before meals, 3 times a day.
The course of therapy is 1 month, can be repeated after a 10-day break.

Herbal tea for gastroduodenitis

Ingredients:

burdock roots (chopped) – 1 teaspoon;
chamomile flowers – 1 teaspoon;
water – 2 glasses.

Preparation, use

Combine plant materials.
Pour boiling water over it.
Leave for 12 hours, strain.
Give the baby 30-40 ml of the product 4 times a day.

If you do not treat the inflammatory process in a timely manner, it will quickly acquire a sluggish or recurrent form and cause dangerous consequences. Frequent complications of chronic gastroduodenitis in children:

peptic ulcer of the stomach, duodenum;
pancreatitis;
enterocolitis;
cholecystitis;
tumors.

Prevention of gastroduodenitis in children

To prevent inflammation of the mucous membranes of the stomach and intestines, it is important to follow a number of simple rules.

Acute and chronic gastroduodenitis in a child can be easily prevented using the following recommendations:

Properly organize children's meals according to age.
Eliminate psychological and emotional overload.
It is rational to alternate mental and physical activity with rest.
Monitor the baby's hygiene.
Avoid frequent visits to fast foods and drinking sweet carbonated drinks.
Treat areas of infection immediately.
Regularly visit a gastroenterologist for routine examinations if you have other diseases of the digestive system.

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Source: https://womanadvice.ru/gastroduodenit-u-detey-prichiny-lechenie-i-prostye-mery-profilaktiki

Symptoms

Gastroduodenitis in children has a more vivid clinical picture than in adults. The main symptom is the presence of pain in the epigastric region, the abdomen above the navel. It can radiate to the shoulder blades, back, and lower back. It can be acute, cramping, aching. Lasts several days or goes away quickly without special treatment.

Other symptoms of gastroduodenitis:

Heartburn;
Belching;
Coated tongue, sour taste in mouth;
Unpleasant odor;
Nausea;
Feeling of full stomach;
Change in appetite - worsening or strengthening;
Excessive salivation;
Vomit;
Abnormal stool, often diarrhea;
Bloating, flatulence, increased gas formation.

Signs of chronic gastroduodenitis depend on the cause of inflammation and the presence of concomitant pathologies. The malaise often takes the form of an ulcer or gastritis, disguised as hepatic or biliary colic. In addition, the intensity of the clinical picture depends on the stage of the disease.

Chronic form

Symptoms of chronic gastroduodenitis have a wave-like character, in which remission is replaced by exacerbation, especially frequent in the autumn-spring periods.

At the attenuation stage, the pathological process manifests itself as follows:

poor digestion, loose stools, flatulence;
aching pain in the epigastric area, hungry heartburn;
feeling of fullness with an empty stomach;
rapid nausea after eating;
deterioration of health, lethargy, fatigue, irritability;
whitish coating on the tongue.

After sleep, there may be a bitterness in the mouth or a metallic taste, nausea, and dizziness.

In the acute stage

In the case of acute gastroduodenitis, the symptoms of inflammation are more pronounced. The deterioration of the patient's condition is indicated by:

lack of appetite;
bloating, flatulence;
vomiting, sometimes with blood;
acrid belching.

Classification

The inflammatory process in the stomach and duodenum usually occurs with both symptoms of general intoxication and local changes in the mucosa. The general symptoms of gastroduodenitis are weakness, increased fatigue, and asthenia. The skin is pale, there is a decrease in body weight due to digestive disorders.

1Medical indications
2Basic methods of therapy
3 Diet
4Additional recommendations

1Medical indications

Cause of the disease

What is chronic gastroduodenitis

Chronic gastroduodenitis (ICD10 code - K29.9) is considered a common pathology that occurs in both children and adults. The peculiarity of this disease is the combination of damage to the gastric mucosa (usually the antrum) and the gradual involvement of the initial parts of the small intestine in the process of inflammation, because of this the disease is much more severe than just gastritis or duodenitis and is much more difficult to treat.

The characteristic features of the pathology include the fact that damage to the duodenal mucosa leads to a disorder in the functionality of the hepatobiliary and pancreatic zones and leads to autonomic disorders.

Diagnostics

II. METHODS, APPROACHES AND PROCEDURES FOR DIAGNOSIS AND TREATMENT

List of basic and additional diagnostic measures

• the presence of foci of chronic infection: tonsillitis, sinusitis, cholecystitis, carious teeth, tuberculosis.

Physical examination:

Coprogram: symptoms of impaired digestion (determination of neutral fat, undigested muscle fibers), hidden blood in the stool (hemocult test) by express method can be positive.

Instrumental studies:

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Gastritis: symptoms in children

The first warning sign is the child's complaints of abdominal pain. The intensity of the pain can vary, ranging from acute unbearable (to the point of tears) to mild constant pain. Sharp pain in the ribs. The onset of pain usually occurs early in the morning before the baby has had breakfast, or an hour after breakfast.

The doctors drew up a diagram of the onset of pain: hunger, pain, sharp pain - food - some relief, pain subsides and again hunger - pain. For gastritis, eating small amounts of food reduces pain levels. If we talk about what increases pain, it is fatty and spicy foods. Gastritis also expresses itself clearly during active sports. In addition to the symptoms described above, gastritis can manifest itself with vomiting and nausea, frequent belching, heartburn and, of course, indigestion. The active phase of gastritis is expressed in frequent increases in body temperature, sometimes up to critical numbers of 39-40 degrees.

Treatment

The effectiveness of therapy for chronic gastritis and duodenitis depends on the eradication of Helicobacter pylori infection. [1, 2, see clinical protocol “Peptic ulcer of the stomach and duodenum in children”].

The duration of three-component therapy is 10 days.

• Esomeprazole is prescribed when it is impossible to use omeprazole and lansoprazole.

Triple therapy:

• if there is insufficient effectiveness for pain relief, a 0.2% solution of platiphylline is used in single doses: 1-5 years - 0.015 ml/kg, 6-10 years - 0.0125 ml/kg, 11-14 years - 0.01 ml/ kg.

To create functional rest and reduce gastric secretion:

Pancreatic enzymes (for excretory pancreatic insufficiency, after the severity of the process subsides): 10,000 for lipase 3 times with meals, for 2 weeks.

In the presence of duodenogastric reflux, adsorbents : dioctahedral smectite 3 times a day for 40-60 minutes. before meals and at night, without mixing with other drugs or food. Course 10-14 days.

Drug treatment provided on an outpatient basis:

• Valerian extract, tablets 200 mg.

Drug treatment provided at the inpatient level:

• Smectite, powder for the preparation of suspension for oral administration.

Other treatments: no.

Secondary prevention involves anti-relapse therapy. It is carried out in the periods preceding the expected exacerbation and includes dietary nutrition in accordance with the clinical and endoscopic stage of the inflammatory process in the gastric and duodenal coolant, physical therapy, water procedures, increased physical activity, hardening, advice to parents on improving the environment at home and at school [8, 9].

Diagnosis of pathology

To make a diagnosis, the following types of examination are required:

Esophagogastroduodenoscopy. This examination helps to visualize hyperemia and hypertrophy of the mucosa (focal or diffuse), its atrophy, pallor and thinning - as the process transitions to the atrophic stage.
Endoscopic biopsy. It is needed to assess the condition of the mucous membrane of the digestive organs.
Intragastric pH-metry. It is needed to assess the level of acidity in the antrum of the stomach.
Antroduodenal manometry.
Ultrasound of the stomach.
X-ray of the stomach with barium.
Stool analysis.
Blood analysis.
Breath test.

Differential diagnosis is carried out with functional diseases (functional stomach disorders, duodenogastric reflux, gastric or intestinal dyskinesia, dyspepsia), isolated inflammatory process in the duodenum or stomach (peptic ulcer of the duodenum, gastric ulcer, chronic gastritis, bulbitis, chronic duodenitis) or more common (enterocolitis, gastroenteritis).

Causes

Chronic gastroduodenitis in children is characterized by nonspecific inflammatory structural changes in the mucous membrane of the stomach and duodenum, as well as secretory and motor-evacuation disorders.

Causes of the disease:

hereditary and constitutional predisposition to diseases of the digestive system - the family burden rate is 35 - 40%;

Helicobacter pylori (HP) infection;

errors in nutrition (irregular, defective in composition, poor chewing);

chemical, including medicinal, effects;

physical and psycho-emotional overload; food allergies;

foci of infection, parasitosis and diseases of other digestive organs.

Etiology of chronic gastroduodenitis

One of the main reasons for the development of chronic gastroduodenitis is infection with Helicobacter pylori. Duodenitis develops against the background of gastritis caused by Helicobacter pylori and metaplasia of the intestinal epithelium of the duodenum into the stomach. Helicobacter pylori settles in areas of metaplastic epithelium and causes the same changes in them as in the stomach. Foci of gastric metaplasia are not resistant to the contents of the duodenum, which leads to erosions. Therefore, gastroduodenitis associated with Helicobacter pylori is more often erosive.

The leading etiological role belongs to nutritional (irregular and poor nutrition, abuse of spicy foods, dry food) and psychogenic factors. The significance of these factors increases if children have a hereditary predisposition to diseases of the gastroduodenal zone. Psychotraumatic situations in the family, school, and social circle are often realized in the form of SVD, which affects secretion, motility, blood supply, regenerative processes and the synthesis of gastrointestinal hormones. The cause of the development of the disease can be long-term use of medications (glucocorticoids, NSAIDs), food allergies and other factors that reduce local specific and nonspecific protection of the mucous membrane.

The above etiological factors of gastroduodenitis have a toxicoallergic effect and cause morphological changes in the mucous membrane of the duodenum. Under these conditions, the role of acid-peptic damage to the mucous membrane in the occurrence of evacuation-motor disorders and a decrease in intraduodenal pH increases. Damaging factors first cause irritation of the mucous membrane, and subsequently – dystrophic and atrophic changes in it. At the same time, local immunity changes, autoimmune aggression develops, and the synthesis of hormones that regulate the motor-secretory function of the pancreatobiliary system is disrupted. In the latter, inflammatory changes also occur. This leads to a decrease in the synthesis of secretin and the saturation of pancreatic juice with bicarbonates, which, in turn, reduces the alkalization of the intestinal contents and contributes to the development of atrophic changes.

There is no generally accepted classification. The disease is divided as follows:

depending on the etiological factor - primary and secondary (concomitant) gastroduodenitis;
according to the endoscopic picture - superficial, erosive, atrophic and hyperplastic;
according to histological data - gastroduodenitis with mild, moderate and severe inflammation, atrophy, gastric metaplasia;
Based on clinical manifestations, phases of exacerbation, incomplete and complete remission are distinguished.

Diet and nutrition rules

Proper nutrition is of utmost importance for gastroduodenitis. During remission, it is necessary to exclude the following foods from the diet:

alcohol;
strong broths;
fatty meat, poultry and fish;
spicy dishes (mustard, pepper, horseradish, garlic, etc.);
strong coffee and tea;
marinades, smoked meats, etc.

The basis of nutrition should be soups (with a second broth), lean meat, poultry, lean fish, cereals, vegetables and fruits. Products can be boiled, stewed, steamed or baked. In the acute stage, nutrition should be mechanically, chemically and thermally gentle. You can prepare liquid milk porridges, pureed soups with vegetable or weak meat broth, jelly, and compote. All dishes should be eaten warm.

To reduce secretion, salt is excluded and milk is added, which reduces gastrointestinal motility.

Below are examples of daily diets.

First breakfast - tea with milk, sandwiches with cheese.
Second breakfast - cookies, kefir.
Lunch - croutons in broth, cutlet with mashed potatoes, grated apples.
Afternoon snack - tea, cracker.
Dinner - herring, vegetables.
Evening snack - tangerines.

This diet corresponds to the quantitative composition and calorie content of table 1b.

An abundance of milk and a lack of salt are also indicated (chlorine promotes the production of gastric juice). This makes emulsified fats and proteins easier to digest.

First breakfast: pureed porridge without salt with butter, one soft-boiled egg, milk with crackers.
Second breakfast: egg omelet, milk with crackers.
Lunch: vegetable or milk soup, vegetable puree or pureed porridge with chicken cutlets, jelly.
Afternoon snack: liver with milk or jelly.
Dinner: pudding, cottage cheese, milk.
Evening snack: jelly or milk.

If the body does not absorb milk, it is recommended to add enzymes to the diet.

Menu for the week

Below is the diet 1a prescribed for an acute attack.

A balanced diet for gastroduodenitis becomes the key to effective treatment. The affected stomach and intestines need a gentle diet. This is the only way you can quickly restore the health of your mucous membranes and return to a full life. When creating the right diet, there are a few basic guidelines to keep in mind.

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A balanced diet and a healthy lifestyle help get rid of many health problems, including gastroduodenitis. This disease is accompanied by such unpleasant gastrointestinal symptoms as:

Constant heaviness in the stomach.
Attacks of nausea.
Heartburn.
Unpleasant sensations in the abdominal cavity after eating.
Diarrhea followed by constipation.

Principles of nutrition

For the diet to be effective, you need to remember a few basic rules:

Each piece of food must be chewed thoroughly. Getting unchopped food into the stomach injures the mucous membrane and aggravates the course of the disease.
Eat at least five times a day in small portions. Try to eat at the same time every day.
Do not eat excessively cold or hot foods. All food should be warm. Even products stored in the refrigerator, such as fermented milk, must be kept at room temperature for some time before consumption.
If you cannot imagine your life without sweets, then choose honey. This natural product will not harm the digestive system and will help strengthen the immune system. This will make it easier for the body to cope with the disease.
Avoid eating fried foods completely. Boil, bake or stew meat and vegetables.
Choose mineral water as a drink. The specific composition is selected after consultation with a doctor.

By following these recommendations, you can quickly get rid of the disease and not cause harm to your health.

Effective Diets

There are several basic diets designed to treat gastrointestinal diseases. For gastroduodenitis the following are used:

Table No. 5. Its main task is to protect the liver from damage and increased bile secretion. This diet is based on reducing the consumption of refractory fats. At the same time, the amount of proteins and carbohydrates should remain within normal limits.
You cannot eat fresh bread, baked goods, or pies. Sweets should be replaced with dried fruits, marshmallows or honey.
You will have to give up a number of dairy products: sour cream, fermented baked milk, cream, milk. They need to be replaced with kefir or yogurt.
Table No. 1. Diet for gastroduodenitis in the acute stage or during the last phase of treatment. Involves complete abstinence from foods that stimulate secretion in the stomach. Food must be digested quickly, so spices and other irritants are not allowed in it. The use of marinades and smoked meats is prohibited. The daily norm is 1500 kcal.

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The choice of a specific diet is made based on the patient's test results. The specialist should give all the necessary recommendations on proper nutrition.

Gastroduodenitis can have various forms and degrees of severity. Depending on them, the specialist selects a specific nutrition program.

The following varieties are distinguished:

Diet for acute illness. The provoking factor is the consumption of fatty foods, alcohol, and dry food. Therefore, first of all, it is necessary to exclude harmful foods from the diet. Forget about smoked foods, canned foods, and carbonated drinks. In the first couple of days, it is better to completely forget about food. Try to drink more herbal teas or rosehip infusion. After that, stick to a gentle menu.
Diet for chronic gastroduodenitis. The key to effective treatment will be a warm drink. Eat small meals. Completely eliminate ingredients that irritate the surface of the stomach, for example, spices, sauces, smoked foods, mushrooms. Do not eat pearl barley and millet cereals. It is better not to eat raw vegetables. Eat them stewed or steamed.
Diet for gastroduodenitis with high acidity. Excessive concentration of hydrochloric acid in gastric juice can lead to the appearance of ulcers. To avoid this, stick to a certain diet. Eat 6 times a day or more often at the same time. Boil or bake the dishes. You can quickly prepare yourself a healthy lunch using a steamer. Drink more compotes, jelly, rosehip infusion, goat milk. Consume low-fat dairy products, pasta, cereals, soups, and baked fruits.
Diet for erosive gastroduodenitis. This type is accompanied by the appearance of erosion on the walls of the intestines and stomach. This process can be stopped by strictly restricting nutrition. The consumption of kefir, cottage cheese, cereals, soups, sweet fruits, fish and lean meat is allowed. Steam or grind food.
Diet for superficial gastroduodenitis. For successful healing, it is enough to remove harmful foods from the menu, introduce more boiled vegetables, lean meat, cottage cheese, fruit purees and jelly. Try to drink more mineral water.

Whatever the form of the disease, there is a list of foods that are strictly prohibited to be consumed. It includes:

Kvass.
Fresh pastries, bread.
Fatty meat or fish.
Smoked products.
Animal fats.
Mustard.
Horseradish.
Chocolate.
Dates.
Currants, gooseberries, raspberries.
Ice cream.
White cabbage, spinach, onions, radishes, peas, turnips, cucumbers.
Strong black tea and coffee.
Sausages.

Consumption of these products leads to complications of the disease, as well as serious health consequences.

Healthy food doesn't have to taste bad. If you create the right menu for the week, you will eat delicious, healthy meals every day. The weekly diet can be presented as follows:

Monday.

For breakfast, a little rice porridge with low-fat milk. Have a cup of cocoa.
After a couple of hours, eat an apple baked in the oven. A little honey is usually added to it.
For lunch - vegetable soup, steamed meatballs, and broccoli puree.
As an afternoon snack, some dietary cookies and tea with milk are suitable.
For dinner, it is fashionable to cook buckwheat with a small slice of baked fish.
If you feel hungry before bed, drink a glass of warm milk.

Tuesday.

For breakfast, prepare yourself oatmeal milk porridge and berry mousse.
Baked fruit can be a second breakfast.
Lunch consists of a portion of rice with a small piece of boiled meat and compote.
The best afternoon snack is rosehip infusion.
For dinner, vegetable puree, a few marmalades, and a glass of tea will be enough.
Before going to bed, drink a glass of kefir.

Wednesday.

For breakfast, a small portion of cottage cheese and tea.
Lunch of fruit jelly.
Lunch can be made from milk soup with pearl barley, meat soufflé.
For an afternoon snack, fruit jelly and rosehip decoction are sufficient.
Treat yourself to buckwheat porridge with meat and milk for dinner.
Drink a glass of jelly before bed.

Thursday.

For breakfast, semolina porridge cooked in milk, as well as some low-fat cottage cheese, is suitable.
After some time, eat the baked apple.
At lunch, try oatmeal soup cooked in vegetable broth, steamed cutlet with carrot puree.
For an afternoon snack, prepare a few crackers and a milkshake with chicory.
Dinner consists of rice pudding, steamed chicken cutlet, jelly.
Before going to bed, just drink a little milk.

Friday.

An excellent breakfast would be cottage cheese soufflé with banana and tea.
For lunch you can eat a baked apple with honey.
For lunch, rice soup, vegetable puree and a steamed cutlet are suitable.
For an afternoon snack, a decoction of bran is enough.
A delicious dinner will be made from rice pudding and fruit salad.
Before going to bed, drink a glass of yogurt.

Saturday.

For breakfast, cook some oatmeal and drink cocoa.
Berry mousse is perfect for a late breakfast.
Lunch can consist of semolina soup, buckwheat with meat.
For an afternoon snack, limit yourself to rosehip decoction.
Prepare dinner from stewed vegetables, baked fish, boiled eggs.
Late in the evening, kefir is enough.

Sunday.

Make your first breakfast from cottage cheese with the addition of fresh or frozen strawberries and tea.
Later, eat some fruit salad.
Rice porridge with meat and jelly are suitable for lunch.
For an afternoon snack, limit yourself to rosehip infusion.
Dinner will become a real treat if you make it from vegetable puree with boiled meat and rosehip infusion.

Necessity of diet

Clinical guidelines

The disease is characterized by a polymorphism of symptoms and is often combined with other diseases of the digestive system, and therefore it is not always possible to distinguish the manifestations caused by gastroduodenitis itself from the symptoms caused by concomitant pathology.

In the acute phase, gastroduodenitis is manifested by the following symptoms: aching, cramping pain in the epigastric region, occurring 12 hours after eating and often radiating to the hypochondrium (usually the right) and the umbilical region. Taking food or antacids reduces or stops pain. The pain syndrome may be accompanied by a feeling of heaviness, fullness in the epigastric region, nausea, and hypersalivation. In the mechanism of development of pain and dyspeptic symptoms, the main role belongs to duodenal dyskinesia. As a result, duodenogastric reflux intensifies, causing bitter belching, sometimes vomiting with bile, and less often heartburn.

When examining patients, attention is drawn to pallor of the skin and low body weight. The tongue is covered with a white and yellowish-white coating, often with teeth marks on the side surface. When palpating the abdomen, pain is determined in the pyloroduodenal region, less often around the navel, in the epigastric region and hypochondrium. Patients with chronic gastroduodenitis are characterized by Mendel's symptom. Many patients have positive Ortner and Kehr symptoms.

Children with chronic duodenitis often experience symptoms of autonomic and psychoemotional disorders: recurrent headaches, dizziness, sleep disturbances, fatigue, which is associated with disruption of the endocrine function of the duodenum. Autonomic disorders can manifest as a clinical picture of dumping syndrome: weakness, sweating, drowsiness, increased intestinal motility, occurring 2-3 hours after eating. With a long break between meals, signs and symptoms of hypoglycemia may occur in the form of muscle weakness, body tremors, and sharply increased appetite.

Chronic gastroduodenitis in children develops gradually, usually from a functional disorder of the stomach. I am worried about epigastric “hunger” pain, more on the right side, decreasing after eating. In this case, appetite may be normal or even increased. Symptoms such as nausea also occur, sometimes with vomiting, which brings relief; “sour” belching and heartburn, which can lead to the development of esophagitis up to the formation of ulcers; there is a tendency to constipation.

On examination - pallor, the tongue is coated with a yellowish-white coating, there are often tooth marks on its sides, pain on palpation of the abdomen in the pyloroduodenal zone and in the epigastrium.

There may be autonomic and psycho-emotional disorders, manifested by the following symptoms: headaches, dizziness, sleep inversion, increased fatigue, which is associated with endocrine dysfunction of the duodenum.

Pain in chronic gastroduodenitis

The disease can be identified by one symptom - abdominal pain:

occur on an empty stomach or 1.5–2 hours after eating, sometimes at night;
decrease after eating;
often accompanied by heartburn, sometimes sour belching, and occasionally vomiting, which brings relief.

pain on palpation in the epigastrium;
tendency to constipation;
a good appetite.

With fundic gastritis, pain occurs after eating, especially after heavy, fried and fatty foods, is localized in the epigastrium and navel area, and has an aching character; pass on their own after 1 - 1.5 hours, accompanied by nausea, vomiting, which brings relief, and unstable stool. Appetite is unstable, reduced and selective. On palpation there is widespread pain in the epigastrium and navel area.

Signs of the disease in adults and children

Common symptoms of gastroduodenitis are:

Stomach ache. They appear on an empty stomach or after eating.
Nausea. It is associated with an acute inflammatory disease. Appears at the peak of pain.
Vomit. It can be with food or simply with gastric juice.
Belching. Appears after eating.
Lack of appetite. Especially during periods of exacerbation.
Abnormal stool. The appearance of diarrhea or constipation depends on whether the papilla of the bile duct is inflamed.
Flatulence. Almost always present.

Children with gastroduodenitis often experience lethargy, poor sleep, and vegetative-vascular dystonia. During the period of exacerbation, the pain is cramping in nature. This pain syndrome is often combined with feelings of fullness and heaviness in the stomach.

Sometimes vegetative crises occur as dumping syndrome. In this case, sudden drowsiness, weakness, sweating, and tachycardia are detected.

Symptoms of gastroduodenitis with high acidity

According to the clinical picture, gastroduodenitis is divided into two large groups:

Ulcer-like.
Gastritis-like.

The first group includes symptoms that resemble the development of an ulcer. These include severe pain in the upper abdomen and navel area. Heartburn appears, which manifests itself due to increased acidity. The feeling of nausea is associated with disruption of the entire gastrointestinal tract.

Gastritis-like symptoms are slightly different. The pain is aching in nature. Mainly affects the peri-umbilical and epigastric region. The pain appears after eating.

During this same period, a feeling of fullness may appear. Due to poor appetite, weight loss occurs. Belching of air often occurs.

Varieties

Taking into account the developmental features and predominant localization of the pathological process, several variants of CG are identified that have characteristic clinical manifestations:

Ulcer-like chronic gastroduodenitis (mainly bulbitis): the most common variant, its symptoms are often combined with antral gastritis (antroduodenitis) and gastric ulcer. Its development is based on factors that lead to an increase in the aggressiveness of gastric juice and acidification of the contents of the duodenum. Bulbitis in the acute phase is characterized by an ulcer-like pain syndrome. The pain is localized in the epigastric region and occurs on an empty stomach or 1.5-2 hours after eating and at night. There is a distinct seasonality of exacerbations.

Gastritis-like chronic gastroduodenitis, combined with atrophic fundic gastritis or enteritis. With this option, the diffuse atrophic process can spread to the duodenum. When chronic duodenitis is combined with enteritis, the disease manifests itself as symptoms of food intolerance, digestive and absorption disorders.

Cholecystitis-like chronic duodenitis that developed against the background of duodenostasis. Cholecystitis contributes to the emergence and progression of inflammatory-dystrophic changes in the duodenum due to chronic duodenal obstruction of functional or organic origin. With duodenostasis, symptoms such as constant or paroxysmal pain in the epigastric region and to the right of the navel, a feeling of bloating, rumbling, nausea, bitter belching, and bilious vomiting prevail.

Pancreatitis-like local duodenitis (papillitis, peripapillary diverticulitis). Papillitis often develops as a consequence of the spread of inflammation to the major duodenal papilla during duodenitis or may be part of an inflammatory process localized in the pancreatobiliary system. Diverticulitis is a lesion of a diverticulum located predominantly in the peripapillary zone. Local duodenitis leads to impaired evacuation of pancreatic juice and bile due to the addition of papillitis, which is manifested by symptoms of biliary dyskinesia. The pain is localized mainly in the right hypochondrium and is associated with eating fatty foods; Slight icterus of the sclera and slight jaundice of the skin are possible. Sometimes symptoms of pancreatitis are observed (pain is localized in the left hypochondrium, sometimes girdling, accompanied by flatulence, stool disorders, transient milk intolerance).

Chronic gastroduodenitis in children has a cyclical course: the exacerbation phase is replaced by remission. Exacerbations more often occur in spring and autumn and are associated with poor diet, overload at school, various stressful situations, infectious and somatic diseases. The severity of the exacerbation depends on the severity and duration of the pain syndrome, dyspeptic symptoms and disturbances in the general condition. Spontaneous pain goes away on average after 7-10 days, palpation pain persists for 2-3 weeks. In general, exacerbation of chronic duodenitis lasts 1-2 months. Incomplete remission is characterized by the absence of complaints in the presence of moderate objective, endoscopic and morphological signs of duodenitis. During the remission stage, neither clinical, nor endoscopic, nor morphological manifestations of inflammation in the duodenum are detected.

Prevention of gastrointestinal diseases

Prevention of gastritis in children

Preserving the health of the child is the concern of the parents. This is many years of work that needs to begin from the moment the baby sits down to eat at the common table and his eating habits are formed. The child needs to be taught food hygiene, as well as following a number of rules that will help him maintain health in the future:

eating small portions;
moderation in seasonings and salt;
moderate fat and sweet content;
sufficient fluid intake.

These recommendations will help prevent gastritis, biliary tract diseases, hepatitis A, and intestinal diseases.

Gastritis most often has a chronic course, so preventing it is much easier than curing it. This can be done by promptly instilling in your child healthy eating habits that will help him stay healthy.

RCHD (Republican Center for Health Development of the Ministry of Health of the Republic of Kazakhstan) Version: Clinical protocols of the Ministry of Health of the Republic of Kazakhstan - 2014

Diagnosis of gastroduodenitis

The diagnosis is based on data from clinical observation, studying the functional state of the duodenum, endoscopic and histological (biopsy specimens of the mucous membrane) studies.

With functional duodenal intubation, changes characteristic of duodenitis are revealed: dystonia of the sphincter of Oddi, pain and nausea at the time of introduction of the irritant into the intestine, backflow of magnesium sulfate solution through the probe due to spasm of the duodenum. Microscopy of duodenal contents reveals desquamated intestinal epithelium, and often vegetative forms of Giardia. To assess the functional state of the duodenum, the activity of the enzymes enterokinase and alkaline phosphatase in the duodenal contents is determined. The activity of these enzymes is increased in the early stages of the disease and decreases as the severity of the pathological process worsens.

The study of gastric secretion is also important. Its indicators in acidopeptic duodenitis (bulbitis) are usually increased, and when duodenitis is combined with atrophic gastritis and enteritis, they are decreased.

The most informative diagnostic method is FEGDS.

X-ray examination of the duodenum is not of great importance in the diagnosis of chronic duodenitis, but it allows us to identify various motor-evacuation disorders that accompany the disease or are its cause.

Characteristics of the disease

Gastroduodenitis is an inflammatory process that affects the mucous membrane of the stomach and duodenum. In this case, there is a violation of the structure of the mucous membrane and its damage.

As a result, the process of producing gastric juice, necessary for normal digestion of food, is disrupted, and digestion and the passage of undigested food become more difficult.

This leads to symptoms of gastroduodenitis and a deterioration in the child’s health.

Treatment

Treatment of chronic gastroduodenitis in children is complex. During the acute period of the disease, bed rest for 7-8 days is indicated.

Diet is very important for treatment. Meals should be frequent and divided. Table No. 1 is recommended, and subsequently table No. 5. During the period of remission, proper nutrition is indicated.

To eradicate Helicobacter pylori, three-component therapy is carried out: bismuth tripotassium dicitrate (for example, De-Nol) in combination with amoxicillin or macrolides and metronidazole for 7-10 days.
For increased stomach acidity, H2 histamine receptor blockers are recommended, as well as omeprazole 20 mg on an empty stomach for 3 to 4 weeks.
According to indications, drugs that regulate motility are used [metoclopramide, domperidone (Motilium), drotaverine].
During the rehabilitation process, physiotherapy, exercise therapy, and sanatorium treatment are prescribed.

During the period of exacerbation, the treatment of chronic gastroduodenitis requires physical and mental rest, therapeutic nutrition, medication and physiotherapy. CG requires long-term observation, follow-up for at least 5 years.

During the period of remission it is necessary:

follow a gentle diet;
herbal medicine - decoctions of St. John's wort, yarrow, celandine, chamomile - for 2 - 3 weeks (autumn and spring);

electrophoresis of calcium, bromine, diadynamic currents, hydrotherapy, mud therapy;
mineral waters (“Essentuki No. 4”, “Slavyanovskaya”, “Smirnovskaya”, “Borjomi”) in repeated courses of 2 - 3 weeks after 3 - 4 months;
vitamins (groups A, B, C) in repeated courses. Sanatorium-resort treatment of chronic gastroduodenitis is indicated in a period of remission no earlier than 3 months after an exacerbation.

Once a year EGD and control of HP eradication. Patients are removed from dispensary registration after complete clinical remission lasting for 3 years.

Chronic gastritis is rarely isolated. As a rule, inflammation of the stomach is combined with pathology of the duodenum. When clinical manifestations of gastritis predominate, pain in the upper abdomen immediately or 10–15 minutes after eating is typical.

Dyspeptic complaints (belching, heartburn, nausea) are rare. Children may experience the following signs: belching of air, “rotten” bad breath, rumbling in the stomach, unstable stool, and a typical coated tongue.

Treatment prognosis

. With irregular and ineffective treatment, chronic gastritis and gastroduodenitis recur and become the main pathology of adults, which reduces the patient’s quality of life and ability to work.

Classification

Depending on the main etiological factor, the following are distinguished:

primary exogenous forms of the disease,
secondary endogenous species.

By prevalence they are classified into:

common,
localized.

There are differences depending on the level of acidity. In this case, we are talking about gastroduodenitis with normal, low, and high acidity.

If the bacteria Helicobacter is present:

HP-positive;
HP negative.

Based on the form of inflammation on the walls of the stomach and duodenum, the following is determined:

Superficial gastroduodenitis. The initial stage of the disease involving inflammation, but without erosions and ulcers;
Hypertrophic. As a result of the inflammatory process, the walls of the mucous membrane thicken;
Erosive gastroduodenitis. Erosion occurs;
Hemorrhagic. With this form of gastroduodenitis, erosions begin to bleed;
Atrophic gastroduodenitis. The walls of the mucous membrane of the stomach and duodenum become thinner, the glands atrophy, the acidity of gastric juice decreases;
Mixed type. It is characterized by the presence of several forms of the disease, located in different parts of the gastrointestinal lining;
Duodenogastric reflux. This is type C gastritis, which occurs against the background of constant reflux of bile into the stomach from the duodenum.

Based on morphological characteristics, the following are determined:

Surface;
Diffuse;
Atrophic.

According to the clinic of the disease:

Acute period;
Exacerbation period;
Incomplete remission, which lasted for a couple of weeks;
Complete remission, in which signs of the disease are completely absent for several years, but upon diagnosis, inflammatory foci are still visible;
Complete recovery confirmed during gastroduodenoscopy.

Spicy

The acute form is said to exist if the disease lasts no more than 3 months. It is one of the types of acute gastritis. The peculiarity is that 1/3 of patients do not have any manifestations. For the rest, an accurate diagnosis can only be established using instrumental diagnostic methods.

Men are diagnosed with this diagnosis three times more often. It can be detected at any age, but over the years the likelihood of developing a chronic form increases.

Pain in the acute form occurs unexpectedly. First it is located in the upper half of the abdomen. This sensation is associated with swelling of the mucous membrane. Against this background, paralysis of the smooth muscles of the small intestine occurs. The prognosis for this form is favorable.

Chronic

In a chronic form, symptoms depend on the characteristics of the pathological process. The following forms are distinguished:

surface,
hypertrophic,
mixed,
erosive.

Photo of the erosive form of gastroduodenitis

The clinical picture of the chronic form is polymorphic. It includes discomfort, a feeling of heaviness and fullness in the stomach. Often there is pain that occurs several hours after eating.

Symptoms such as nausea, vomiting, and heartburn also cause concern among patients. The stool becomes unstable. This means that constipation alternates with diarrhea. When sick, the tongue becomes covered with a yellowish-brown coating. There is an unpleasant odor from the mouth.

Prevention

Prevention of chronic gastroduodenitis involves creating conditions for a balanced diet, optimizing the daily routine and level of physical and psycho-emotional stress, sanitizing foci of infection and parasitosis.

In case of disease of the gastroduodenal zone, it is very important to follow the principles of age-related nutrition and protect the child from physical and emotional overload. Secondary prevention includes adequate and timely therapy, observation and regular consultations with a pediatric gastroenterologist.

Now you know the basic clinical recommendations about chronic gastroduodenitis, diagnostic methods and treatment methods.

Disease prevention

Prevention of the disease consists of maintaining a healthy lifestyle, healthy nutrition, and feasible physical activity. It is also recommended to avoid stress, follow a sleep and rest schedule.

Secondary prevention of pathology consists of measures aimed at preventing the recurrent course of pathology. Anti-relapse treatment is carried out in two-month courses during periods when exacerbation is most likely. The “Table No. 5” diet is prescribed. It is advisable to use physiotherapy, mineral water therapy, and exercise therapy.

Acute gastritis in children

In children, acute gastritis develops for a variety of reasons, usually accompanied by an active inflammatory process and, importantly, degenerative rapid changes in the tissues of the stomach. Experts distinguish this type of disease as both primary and secondary (which develops as a pathology). Factors such as overeating, poor diet, hot food, large amounts of spicy foods, long-term use of various antibiotics, as well as damage to the walls of the stomach (quite often damage occurs from exposure to chemicals). Lead to the rapid development of acute gastritis.

The set of diagnostic measures includes a mandatory ultrasound examination of the stomach, abdominal cavity and duodenum. Also, esophagogastroduodenoscopy, during this procedure, a special probe is inserted into the child’s stomach, after which the doctor is able to assess the general condition of the gastric mucosa and assess the degree of its damage.

Acute erosive gastroduodenitis

The acute development of the disease is associated with aggressive provoking factors.

Acute erosive gastroduodenitis is a rapidly progressing condition with the formation of mucosal defects. In such cases, the symptoms are pronounced. Often in the area of defects, necrosis leads to destruction of the vascular wall. This is fraught with the development of threatening conditions, for example, bleeding.

Important!

In some patients, erosions are of an idiopathic (unidentified) nature. Such changes occur without clinical manifestations and are discovered by chance during examination. They do not require treatment.

Causes

The disease develops in different ways. The causes of acute erosive gastroduodenitis are in most cases secondary. Etiology is presented by the following options:

burns and traumatic injuries;
surgical treatment in the postoperative period;
systemic exposure over a long period of time to nonspecific anti-inflammatory drugs, hormonal agents;
poisoning with toxic products, alcohol;
stress, deep emotional turmoil;
unfavorable heredity;
chronic diseases of other organs and systems.

Characteristic symptoms

The sudden development of disorders in many patients requires urgent treatment under the supervision of a physician. Symptoms of acute erosive gastroduodenitis in most cases are associated with complications of the disease that require special medications and emergency measures.

Possible signs of pathology are presented:

severe pain in the upper abdomen, sometimes localized in the pyloroduodenal zone;
vomiting sour or mixed with “coffee grounds”;
dark-colored stool;
increased temperature;
weakness;
fatigue;
pale skin;
white coating on the tongue.

Attention!

If it is not possible to diagnose and treat an acute condition with drugs in time, the patient may experience massive bleeding. And this threatens to be fatal.

Treatment

The treatment regimen for an acute disease includes two directions:

surgical intervention;
use of medications.

When bleeding is noted, hemostasis (stopping the bleeding) is performed using an endoscopic procedure. In rare cases, a total gastrectomy is indicated.

Treatment of erosive gastroduodenitis with drugs involves the use of antisecretory agents. These are proton pump inhibitors and H2-histamine blockers. If necessary, infusion solutions are added to correct the water and electrolyte balance. If it is not possible to restore low levels of hemoglobin, red blood cells, and albumin with medications, a transfusion of red blood cells and plasma is performed.

Treatment with folk remedies

Preparations based on natural remedies show positive results when included in traditional therapy.

When erosive gastroduodenitis is diagnosed, treatment with folk remedies leads to a decrease in inflammation, accelerated healing of ulcers, and a decrease in the severity of symptoms. Experts use herbs and other gifts of nature. The most commonly used medicines are prepared based on:

potato juice;
sea buckthorn oil;
honey with aloe;
calamus root;
chamomile;
oak bark;
St. John's wort;
birch leaves.

Diet

It is the basis for the treatment of gastroduodenitis in children of any age. In some cases, it is enough to normalize the regime, create the right diet, and the child will recover. Moreover, proper nutrition is the key to good health and the absence of relapses.

The daily diet should include porridge, fermented milk products, soup, and vegetable puree. Dishes should be at a comfortable temperature. Steam, bake, stew, boil. Serve crushed. Organize drinking plenty of fluids, especially still mineral water and medicinal tea.

Prohibited products at the acute stage:

Fried, spicy, salty, fatty foods;
Spices, sauces, seasonings;
Canned food;
Carbonated drinks;
Alcohol;
Strong tea;
Fat meat;
Smoked meats;
Sausage;
Steep meat broth;
Legumes;
Sweets;
Honey;
Jam;
Chocolate;
The pies are hot;
Grape;
Citrus;
Plums;
Ice cream.

Children should not be given coffee, beer, fast foods, mayonnaise, or products containing chemical flavors, dyes, or flavor enhancers.

Gradually, you can add sweets, cheese, sour cream, cucumbers, tomatoes, and natural juices to your diet.

Proper nutrition plays a leading role in the treatment of chronic gastroduodenitis in the acute stage. In the first days of an attack, you should adhere to a strict diet (table No. 1). Its basis is liquid porridge with milk, pureed soups, mucous decoctions, and baby food products.

In subsequent days, the diet is expanded by introducing steamed meat, fermented milk products, boiled vegetables and butter. With reduced secretion of gastric juice, you should adhere to table No. 2, and with pancreatitis-like inflammation, diet No. 5.

All food should be soft and pleasantly warm, not irritating the mucous membrane. You need to eat small meals, 4–5 times a day, avoiding sweets, canned food, spicy and smoked foods, sausages, rich broths, ice cream and alcohol.

Classification

Nutrition for gastritis in children

The general rule for patients with gastritis is to eat 5 times a day and in small portions.
The last meal should be approximately 4 hours before bedtime.
Before going to bed, it is recommended to drink a glass of low-fat kefir or fermented baked milk.
It is strictly forbidden to eat dry foods, those that can injure an inflamed stomach, no crackers, chips or other harmful things.
Each meal should last at least 25 minutes, this is necessary so that the baby chews the food as thoroughly as possible.
Salt should be kept to a minimum. For a child under 3 years of age, no more than 5 grams per day, from 3 to 8 years, no more than 8 grams per day.

Meat broths of all types (except chicken broth).
Smoked meats, fried potatoes and fried fish, salted foods including various pickles and marinades.
White cabbage, including soup made from it.
Carbonated drinks with the exception of still mineral water.
Persimmon, lemon, orange.
Fresh milk is also not recommended during a diet for gastritis, but porridge with milk is recommended.

Porridges of all types (but only liquid ones).
Various vegetable purees. It is worth saying that vegetable purees are quite well fortified, which will undoubtedly benefit your child.
Nutritionists say that before each meal, the baby should definitely drink 50 grams of mineral water.

The course of dietary nutrition is determined by the doctor, but it cannot be less than 50 days. While the child is on a diet, medications are usually prescribed to restore the gastric mucosa, such as Venter - the drug not only restores the mucous membrane, but also actively protects it from the effects of acid. Alcid B product contains everything you need to restore gastric mucus and also actively protects against the effects of acids.

It is recommended to give children special decoctions of medicinal herbs. For example, a decoction of fireweed, marshmallow, St. John's wort, black currant and lemon balm will be beneficial. Take three grams of each herb and pour 250 grams of boiling water, leave for 20 minutes and boil. After the decoction has cooled, it can be taken. A quarter tablespoon 3-4 times a day, depending on the stage of development of gastritis.

Reviews

Dear readers, your opinion is very important to us - therefore, we will be glad to hear your feedback about gastroduodenitis in children in the comments, this will also be useful to other users of the site.

Anna: “The child had an exacerbation of gastroduodenitis after a course of antibiotics. At first I gave it to Laktiale, but it didn’t really help. I bought Hilak Forte drops and began to notice changes in a positive direction. Signs of the disease are diarrhea combined with constipation, lack of appetite, complaints of abdominal pain, increased gas formation. She also gave activated carbon, No-Shpu.”

Irina: “The child’s tummy often hurts, and it’s not always possible to follow a diet. He is allergic and is 5 years old. I don’t give special medications; we make do with probiotics, No-Spa, activated carbon, and tea based on medicinal herbs.”

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