Question 2: How do some elderly people recuperate after acute gastritis? After drinking wine once or eating some sticky food, they will feel uncomfortable in the upper abdomen and even feel sick and vomiting. It is generally diagnosed as chronic gastritis by fiberoptic gastroscopy. Chronic gastritis is usually divided into superficial gastritis, atrophic gastritis and hypertrophic gastritis. The first two are common, and the latter is rare, so I won't go into details. The susceptibility of the elderly to chronic gastritis may be related to the following reasons. (1) With the increase of age, the elderly have dentition defects, and food is not chewed enough or swallowed into their stomachs. The taste of the elderly decreased, the esophagus and gastric mucosa gradually shrank and the peristalsis was poor. They like to eat sex food or drink strong tea, wine, coffee and smoke excessively for a long time, thus causing inflammation. (2) The elderly often suffer from a variety of chronic diseases, and taking a variety of drugs can also produce drug-induced gastritis, even gastric erosion and gastric bleeding. (3) Immune factors. With the growth of age, the body's immunity decreases, the gastric mucosa degenerates and shrinks, and the secretion function of gastric juice decreases, so some people say that atrophic gastritis is one of the aging phenomena. The elderly suffer from chronic gastritis (1). Dyspepsia symptoms: fullness and belching in the upper abdomen after eating, and loss of appetite to varying degrees. A few people have nausea, noisy feeling, drooling and no acid reflux. (2) Ulcer-like symptoms: epigastric pain, sometimes accompanied by regular pain, accompanied by acid reflux and belching. Eating or taking alkaline drugs can relieve pain, but taking anti-ulcer drugs for many times is ineffective, and gastroscopy and X-ray examination have no ulcer. (3) Gastric cancer-like symptoms: irregular pain in the upper abdomen, which is aggravated after eating, and it is ineffective to take alkaline drugs. Accompanied by loss of appetite, weight loss, emaciation, anemia and so on. No gastric cancer was found after gastroscopy.
1. Chronic superficial gastritis refers to the slight congestion of mucosa under gastroscope, showing red and white mottled changes. In summer, in many places, the weather is cold or hot, and the immunity of human body declines. Coupled with improper diet regulation, many patients suffer from chronic superficial gastritis. Symptoms (1) The most common symptom is epigastric pain, accounting for about 85%. Most patients with chronic superficial gastritis have irregular epigastric pain, which has nothing to do with diet (some patients are comfortable on an empty stomach and uncomfortable after meals). Generally, it is chronic upper abdominal burning pain, dull pain and distending pain. Symptoms are often aggravated by eating cold food, hard food, spicy food or other * * * foods, and a few are related to climate change. This antispasmodic antacid for epigastric pain is not easy to relieve. (2) Abdominal distension is often caused by gastric retention, delayed emptying and indigestion. (3) belching, the gas in the patient's stomach increases and is discharged through the esophagus, which temporarily relieves the fullness of the upper abdomen. (4) Recurrent bleeding is also a common manifestation of chronic superficial gastritis. The cause of bleeding is the acute inflammatory changes of gastric mucosa based on chronic superficial gastritis. (5) Others: loss of appetite, acid regurgitation, nausea and vomiting, fatigue, constipation or diarrhea. (6) There is tenderness in the upper abdomen during examination, and emaciation and anemia may occur in a few patients. There are many reasons for the high incidence of chronic superficial gastritis (1) in summer. The weather is cold or hot, air conditioning and other reasons make many people catch a cold. When taking antipyretic, analgesic and other antibiotics, it has a great effect on gastric mucosa, leading to gastric mucosal contraction and ischemia, inducing chronic superficial gastritis, or aggravating chronic superficial gastritis. (2) the immunity is decreased. In hot summer, the immune function of human body will decline. When people's immune function declines, they are prone to diseases, including chronic superficial gastritis. Some people have strong immunity, suffering from chronic superficial gastritis can heal themselves, and some people have poor immune function and cannot improve themselves, so they need medical treatment. (3) Helicobacter pylori infection, gastropathy experts found that gastropathy is contagious, and its source of infection is Helicobacter pylori. It is a kind of germ, which is most easily spread among family members, such as using chopsticks. Therefore, family members often have such a scene, one person has stomach trouble, and other members have also got stomach trouble, mainly the spread of Helicobacter pylori. Summer is the season for bacteria, including Helicobacter pylori. Therefore, the breeding of Helicobacter pylori leads to the high incidence of chronic superficial gastritis in summer.
Most of the symptoms of superficial gastritis are mild or painless, and some people have strong immunity and can disappear on their own. Moreover, some people have poor immunity, and chronic superficial gastritis will gradually worsen. When severe pain symptoms appear, the condition has deteriorated. Caress this, even if chronic superficial gastritis is painless, when you feel sick in your stomach, you should go to a professional hospital for quick diagnosis and symptomatic treatment. Because chronic superficial gastritis is a chronic disease, it takes a long time to treat, and some patients are prone to relapse. Chronic superficial gastritis needs symptomatic medication after a clear diagnosis, and it should be adhered to. The general treatment time is 4-8 weeks. Some patients take medicine without definite diagnosis, and some patients take medicine under the guidance of doctors. & gt