/ / Autoimmune gastritis: symptoms, diagnosis and treatment

Autoimmune gastritis: symptoms, diagnosis and treatment

Such an inflammatory disease of the stomach asautoimmune gastritis, is quite rare, it is detected only in 10% of the population. The disease is genetic in nature and occurs under certain conditions. What kind of - science has not yet precisely established. It can only be noted that the provoking factors are old age and unhealthy diet. Consider the characteristic symptoms of this disease, its diagnosis and treatment.

How is this pathological process?

autoimmune gastritis

Human digestive system with suchthe disease begins to eat itself. In other words, the immune system, by producing specific antibodies, destroys the normal cells that make up the gastric mucosa. This leads to a decrease in the acidity of the gastric juice, the food stops being digested and its rotting begins, and the beneficial substances are not absorbed either in the tissue or in the general bloodstream. A person, having taken food, feels rather severe pain in the lower part of the abdomen. Because of this, he ceases to eat something, and after a while dystrophy and anorexia develops.

Causes

По какой же причине у человека образуется такая pathology? Scientists are inclined to believe that a disorder of immunity is hereditary in nature. In addition, autoimmune gastritis can cause an infection that has entered the body, for example, cytomegalovirus, herpes, as well as the hardest Epstein – Barr virus. The causative agent of such an infection is introduced not only into the tissues, but also into the internal organs, forcing the immune system to destroy the gastrointestinal tract. In any case, the cause of such a disease is determined individually.

Symptoms

Gastroenterology Center

The characteristic symptoms of pathology appear as follows:

  • bloating;
  • lethargy and extreme tiredness;
  • unpleasant taste in the mouth;
  • loss of appetite;
  • a person notices that he is gurgling in his stomach;
  • heartburn, belching, mild nausea, constipation, or diarrhea;
  • severe sweating, dizziness;
  • pallor of the skin;
  • thinning nails.

In addition, a clear sign of autoimmune gastritis- this is nervousness, irritability, emotionality. This is explained by the fact that the body begins to experience a lack of vitamins B12 and B9, resulting in anemia and neurological disorders.

Such symptoms do not appear immediately at the time of the development of the disease and can appear both together and separately.

Diagnostics

gurgles in the stomach

For treatment to be effective, it is very importanttime to make an accurate diagnosis. Many in this case contact the gastroenterological center, where the following diagnostic measures are carried out:

  • Fibrogastroduodenoscopy with biopsy.At an early stage of the development of the disease, edema of the mucous membrane, its hyperemia, the presence of ulcers and erosions are detected. If the disease has become chronic, the mucous membrane of the stomach becomes pale, atrophic, with small areas of epithelial cell regeneration.
  • X-ray of the stomach, esophagus and duodenum.
  • Immunological study of blood, because in 30% of patients autoimmune disorders are detected in other organs.
  • The sensing of the stomach, which determines the acidity of the fluid of this organ and the presence of Helicobacter.
  • Conducting polymerase chain reaction,allowing to determine the composite DNA of viruses in fluids and tissues of the patient. In 7.1% of patients with autoimmune gastritis, the presence of Epstein – Barr virus, which causes mononucleosis, is detected.
  • Ultrasound of the abdominal organs.In 80% of cases an enlarged liver with a change in its structure is found in patients, in 17% of patients an enlarged spleen is enlarged, and an enlarged and thickened peripheral lymph nodes are sometimes detected.

Who prescribes the treatment?

Usually, if a patient contacts a gastroenterological center, two specialists examine him and further treatment is carried out - an immunologist and a gastroenterologist.

autoimmune gastritis treatment

An immunologist determines at what stage of development the disease is and in what way it is possible to stop the further destruction of the gastrointestinal tract.

The gastroenterologist performs therapeuticmeasures in respect of the damaged mucous membrane of the stomach, prescribes appropriate treatment, by which the function of the gastrointestinal tract, disturbed during the development of the disease, is restored.

Treatment method

If autoimmune gastritis is diagnosed, treatmentit must be individual. It depends on the form of the disease, the stage of development, the symptoms expressed and the changes that have occurred in other organs. Treatment should be aimed at eliminating the cause of the disease, as well as at combating Helicobacter and a viral infection, changes in the nervous and cardiovascular systems.

The basic principles of treatment

If autoimmune gastritis is found, the patientmust adhere to a special diet. In this case, cold and hot foods should be excluded from the diet, which should be mechanically, thermally and chemically gentle. Banned spicy, salty, spicy, fried foods. The diet should be protein (including fish, steamed or low-fat boiled meat) containing vitamins and fiber (jellies, cereals, mousses, dairy products, grated or boiled fruits and vegetables). Do not drink coffee, sweet dishes, cakes, tea, cakes, sweets. Food should be taken exclusively in the form of heat.

If the patient suffers from severe pain, the doctorprescribes anticholinergics (Metacin, Platyfillin), antispasmodics (Papaverin, No-Shpa), as well as drugs aimed at reducing the motor activity of the intestine and stomach (Zeercal, Motilium).

gastric mucosa

To improve the condition of the gastric mucosa, prescribe the following drugs: "Venter", "Bismuth", "Plantaglyutsid", and to reduce acidity - "Almagel", "Ranitidine" and others.

In case of severe atrophy of the mucous membrane, replacement therapy is prescribed: “Abomin”, “Mezim”, “Acidin – Pepsin”, “Panzinorm”, “Pancurmen”, preparations that put in order the intestinal microflora, multivitamins.

If the need arises, thentake antimicrobial and antiviral agents. Only according to indications phytotherapy, massage, exercise therapy, physiotherapy treatment, reflexotherapy, balneological therapy are carried out.

Also, many patients to alleviate the conditionapply the means of traditional medicine. Some people treat autoimmune gastritis with plantain juice and natural sea buckthorn oil, but in any case, therapy should be carried out only under the supervision of a physician.

Possible complications

characteristic symptoms

If the disease does not begin to heal in a timely manner,atrophy of the mucous membrane will only progress, and the symptoms will intensify. As a result, adenocarcinoma may occur. Also, negligent attitude to health leads to iron deficiency anemia and polyhypovitaminosis.

Conclusion

Thus, if a person suddenly notices thatgurgling in the stomach, heartburn occurs, there is an unpleasant smell from the mouth and other strange manifestations of the body, then it should as soon as possible consult a doctor. Often this indicates the development of autoimmune gastritis, the late treatment of which leads to severe complications.

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