Treatment of acute gastritis in children. Gastritis in a child

Date of: 01.04.2019

The inflammatory process of the gastric mucosa in children or gastritis is one of the most common diseases of the digestive system in pediatrics. Formation gastrointestinal tract the child is completed by about the age of seven, its feature during this period is a reduced concentration of hydrochloric acid, reduced activity of gastric juice and insufficient motility of the digestive organs. The incidence rate is higher in children during adolescence.

What is gastritis in children

The inflammatory process that affects the surface layer of the gastric mucosa and leads to its atrophic changes, disruption of the functioning of the organ is called gastritis. There are two forms of the disease: acute and chronic. Diagnostics childhood gastritis based on the clinical picture, history, laboratory and clinical research. Therapy involves adherence to a dietary regimen, the use of medicines, sanatorium and physiotherapy treatment.

Causes

The risk group for the occurrence of inflammatory processes in the mucosa of the gastrointestinal tract are children who are in the period active growth. Among the factors for the development of gastritis are:

wrong mode of eating;
the use of low-quality products;
mental and physical overload;
hypodynamia;
helicobacter infection;
hypovitaminosis;
emotional overstrain, stress;
infectious-toxic and systemic allergic, autoimmune reactions.

Forms and types of disease

Gastritis in adolescents and children is classified according to the nature of the inflammatory processes, the area of damage and etiology. The disease can occur in acute or chronic forms. Currently, gastroenterologists distinguish the following types of pathology, depending on the characteristics of the mucosal lesion:

diseases	Causes of pathology	Symptoms	Features of treatment
catarrhal	Single impact of damaging factors on the gastric mucosa.	Feeling of heaviness, fullness in the epigastric region, nausea, bitter taste in the mouth, white or gray coating on the tongue, bad breath, bloating.	Diet therapy for at least 7-10 days, taking proton pump inhibitors, histamine blockers, if necessary, carry out infusion therapy.
fibrinous	Multiple erosions on the gastric mucosa, covered with a fibrinous film. As a rule, fibrinous gastritis is secondary, accompanies severe infectious lesions organism.	Blunt pain in the epigastrium, nausea, vomiting with an admixture of films, headache, belching.	Identification and treatment of the underlying disease, the use of gastroprotectors, antacids.
Corrosive	Impact on the mucous membrane of aggressive liquids (concentrated acids, alkalis, solutions of salts of heavy metals).	Sharp pain, burning, indomitable repeated vomiting that does not bring relief, dry tongue, sharply painful stomach, intoxication syndrome.	Required urgent Care: gastric lavage. In case of damage by acids - a solution of sodium bicarbonate. Alkalis - a weak solution of acetic or citric acid. Hospitalization is required.
Erosive	Frequent exposure to the mucous membrane of aggressive factors, hypersecretion of hydrochloric acid.	Heartburn, dyspeptic syndrome, aching pain in the stomach after eating.	It is necessary to eliminate hypersecretion, neutralize excess hydrochloric acid, prescribe drugs containing enzymes, antacids.
Chemical	Taking anti-inflammatory nonsteroidal drugs, vapors of harmful chemicals.	Bloating, shortness of breath, nausea, vomiting with bile, heaviness in the abdomen.	It is necessary to normalize gastric motility, restore normal acidity of gastric juice, and form resistance to aggressive factors.
infectious	infection Helicobacter pylori.	Infectious gastritis in children is manifested by severe pain after eating, stool disorders, burning in the esophagus. In severe cases, bleeding and anemia can occur.	Prescription of antibacterial preparations is obligatory.
Phlegmonous (purulent)	Damage to the mucous membrane by pathogenic and conditionally pathogenic microorganisms.	The presence of abscesses on the walls of the stomach, acute onset, high fever, toxic syndrome, severe epigastric pain, nausea, vomiting with bile, tachycardia.	Required urgent hospitalization to the hospital, surgical treatment, antibiotic therapy is indicated.

Symptoms

The complex of symptoms in gastritis depends on the form of the course of the disease and the cause that caused the damage to the mucous membrane. The clinical picture of any kind of inflammatory reactions in the stomach includes:

pain;
bloating;
stool disorder;
vomiting;
belching
heartburn;
nausea;
constipation;
increased salivation;
pallor of the skin;
plaque on the tongue;
chills;
dryness and sour taste in the mouth;
loss of appetite;
bruises under the eyes.

Chronic gastritis

Children's gastritis in a chronic form is distinguished by the duration of the course, the mechanism of occurrence. It does not have a pronounced clinical picture, develops gradually over a long time, has a tendency to periodic exacerbations. These features of the pathology are based on violations of secretory, motor functions against the background of a decrease in protective properties gastric mucosa. In this case, there is an excess secretion of hydrochloric acid. The classic manifestations of chronic gastritis include:

pain in the epigastric region;
heaviness in the abdomen after eating;
nausea, heartburn;
belching
violations of the general condition of the child (weakness, drowsiness).

Spicy

This type of gastritis is characterized by severe inflammation of the gastric mucosa, which is caused by exposure to adverse factors environment, first of all, food products. In adolescents, the disease causes infection with pathogenic microorganisms, burns or tissue injury. Acute gastritis in children is characterized by the following symptoms:

Vomit. It can be both single, bringing relief (with a superficial inflammatory process), and multiple, indomitable (with deep pathological changes).
Severe aching or spasmodic pain. Almost always, with an exacerbation of the disease, a strong gastric spasm occurs, which is the cause pain.
General weakness and violation of the general condition. Characteristic of severe exacerbations with repeated vomiting and dehydration, bleeding.

If the disease is due to superficial destructive changes, then the pathology does not pose a threat to the life and health of the child. After short-term attacks, against the background timely therapy, the patient's condition gradually improves and the disease passes without complications, consequences. Subject to the presence of gross damage to the mucous tissue, children need a specialized health care the disease becomes chronic.

Consequences and complications

In most cases, with adequate and timely therapy, inflammation of the gastric mucosa is cured completely, in some cases it becomes chronic and is accompanied by the development of complications (cholecystitis, colitis, pancreatitis, gastroduodenitis). If left untreated, the child may develop a peptic ulcer.

Diagnostics

A special diagnostic method, fibrogastroduodenoscopy, can confirm the presence of gastritis in a child. This is an endoscopic examination that allows the doctor to examine the lining of the stomach with the help of optical instrument and assess its condition. Fibrogastroduodenoscopy is associated with some technical inconveniences and difficulties, which limits its use in pediatrics, therefore, as a rule, the diagnosis is made on the basis of anamnesis and clinical picture.

An ultrasound examination is prescribed to differentiate gastritis from other diseases of the gastrointestinal tract. (pancreatitis, biliary dyskinesia). Lab tests (clinical analysis blood, urine, diastase level) is carried out to determine the severity of the disease and the presence of complications. Be sure to examine the feces to exclude helminthic invasion.

Treatment of gastritis in children

With an exacerbation of gastritis, patients are shown compliance with bed rest, hunger for 8-12 hours. If indicated, gastric lavage and cleansing enemas are performed. In addition, the child must be given plenty of frequent drinking. Attacks of pain are relieved with antispasmodics (No-Shpa, Papaverine) and antacids. Therapeutic measures for children who suffer from chronic gastritis include dieting, taking various groups of medications and physiotherapy.

Drug therapy

With children's gastritis of various etiologies, it is used drug therapy. The main groups of pharmacological drugs that contribute to the normalization of the condition:

Sorbents. Preparations in the form of powder, tablets or suspensions that absorb harmful substances. Indicated for inflammation of the stomach caused by poisoning, poor-quality food, drinks, etc. The group of such drugs includes Sorbex, Atoxil, Enterosgel.
Gastrocytoprotective drugs. The drugs of this group have the ability to increase resistance, defense mechanisms mucous membrane of the stomach, duodenum to aggressive factors. Misoprostol is a gastrocytoprotector.
Enzymatic agents. Medicines containing digestive enzymes, contribute to the normalization of the work of the stomach and allow for a while to "rest" their own glands. These funds include Mezim, Creon, Festal.
Antispasmodic drugs. These medicines for gastritis are used to eliminate the pain symptom. As a rule, Drotaverine, Platifillin are used.
Antibacterial agents. They are prescribed to eliminate the microbial infection that caused inflammatory process. Therapy is based on the following medications: Omeprazole, Amoxicillin, Clarithromycin.
Blockers of H2-histamine receptors. Drugs block histamine receptors on the parietal cells of the stomach, thereby reducing the production of hydrochloric acid. For gastritis, Ranitidine, Roxatidine, Kvamatel are used.
Antacids. These drugs neutralize hydrochloric acid in the stomach, reducing its aggressive effect on the mucous membrane, and eliminate symptoms such as heartburn, belching. This group of drugs includes Almagel, Gastal.

These groups of drugs reduce the aggressive effect of gastric juice, mechanical factors, relieve pain, normalize the secretory function of the glands, and eliminate pathogenic microorganisms. The table shows the general characteristics of medicines used in the treatment of inflammation of the gastric mucosa in children:

Name of the drug	pharmachologic effect	Indications	Contraindications	Advantages	Flaws
	Antidiarrheal drug, has an adsorbing effect. Stabilizes the mucous barrier of the stomach, increases the secretion of mucus.	Diarrhea, inflammatory diseases of the gastrointestinal tract, peptic ulcer,	Intestinal obstruction, fructose intolerance, hypersensitivity to the components of the drug.	Good drug tolerance in children.	May cause constipation.
Enterosgel	The drug binds and removes toxic substances from the body.	Intoxication, intestinal infections, viral hepatitis, chronic kidney failure.	Intestinal atony, individual intolerance to the components of the drug.	Approved for use during pregnancy, breastfeeding.	May reduce the absorption of other medicinal products when used simultaneously, reducing their therapeutic effect.
	It has a local antacid effect.	peptic ulcer, gastroduodenitis, reflux esophagitis, dyspeptic syndrome.	Severe renal failure, individual intolerance to the components of the drug.	Low risk of side effects.	May reduce the absorption of other drugs when used simultaneously.
Phosphalugel	It has an enveloping, acid-neutralizing, adsorbing effect, reduces the proteolytic activity of the pepsin enzyme.	Acute, chronic inflammatory processes of the gastrointestinal tract, reflux esophagitis, dyspeptic phenomena.	Violations of the function of the kidneys, liver, intestinal atony.	Well tolerated by children, use during pregnancy and lactation is allowed.
Ranitidine	The drug blocks histamine receptors of cells of the gastric mucosa, reduces the basal production of hydrochloric acid.	Peptic ulcer, gastritis, prevention of bleeding in upper divisions stomach.	Pregnancy, lactation, children under 10 years of age.	Effective for the treatment of acute conditions.	The drug may cause acute attacks porphyria.
	The drug replaces pancreatic enzymes	Inflammatory diseases of the gastrointestinal tract, insufficient enzymatic function of the pancreas.	Hepatitis, severe renal failure, tendency to diarrhea, children under three years of age.	Approved for use during pregnancy and breastfeeding.	May provoke constipation, exacerbation of chronic pancreatitis.
Papaverine	It has a hypotensive and antispasmodic effect.	Spasms of the gastrointestinal tract, angina pectoris, bronchospasm.	Glaucoma, old age, pregnancy, lactation, children under 6 months of age.	Wide range of application of the drug.	Lots of side effects.
Ornidazole	The medicine has an antiprotozoal and antimicrobial effect.	Trichomoniasis, amoebiasis, prevention of anaerobic infections.	Diseases of the central nervous system, pregnancy, lactation.	The drug has a wide range of applications.	Ornidazole has a toxic effect on the central nervous system.
Clarithromycin	Clarithromycin has a strong antimicrobial effect.	Infectious bacterial lesions.	Individual sensitivity to clarithromycin, intestinal disorders, renal failure.	The medicine has a wide range of applications.	With prolonged use, the drug can provoke an allergy.
Motilium	Antiemetic, blocks dopamine receptors, improves motility of the gastrointestinal tract.	Flatulence, nausea, vomiting, heartburn.	Dishes, products	Allowed	Contraindicated
flour products	Boiled pasta, crackers (no additives).	Pancakes, pancakes, pasta made from durum wheat.
First meal	Chicken broth, puree soups, milk soups (without salt, spices).	Shchi, fatty borscht, kharcho soup.
Meat and meat products	Stewed, boiled poultry, rabbit, beef, offal, steamed cutlets.	Sausages, smoked meats, fried cutlets, pork, lamb, bacon.
	Sour cream, dairy, creamy	Mayonnaise, ketchup, mustard, any hot sauces.
	Scrambled eggs	Fried eggs, scrambled eggs.
	Boiled, baked vegetables (except cabbage).	Red bell peppers, some varieties of tomatoes, sauerkraut and fresh cabbage, fried potatoes.
	Bananas, melon, grapes.	Citrus fruits, kiwi, sour apples, pineapples.
	Baked fish.	Smoked, fried, dried fish.
Dairy	Sour cream, cottage cheese, natural yogurt, kefir, butter, warm milk.	Fatty, salty cheeses.

Folk remedies

There are many methods for the prevention and treatment of gastritis related to alternative medicine. They differ in duration of application, effectiveness and strength of impact. These funds include:

Honey with milk. Dissolve 2-3 tablespoons of flower honey in a glass of warm milk. Means to take at night. Honey reduces the severity of the inflammatory process, has an antimicrobial effect. Not recommended for fibrinous gastritis.
Oil. Every morning, before breakfast, drink 1-2 tablespoons of unrefined olive oil. The oil relieves the symptoms of inflammation, softens the aggressive effect of food on the gastric mucosa. The course of treatment is approximately a month.
Cabbage juice. Warm the juice from several cabbage leaves slightly, drink half a glass 2-3 times a day half an hour before meals. With caution in case of increased acidity of the stomach.
Infusion of medicinal herbs. To prepare the drug, take a tablespoon of yarrow herb, chamomile and calendula flowers, pour two cups of boiling water. Leave to infuse for 30-40 minutes. Strain, take during or after meals.
An infusion of burdock root. To prepare the drug, take a teaspoon of dry chopped burdock root, pour 500 ml of hot water. Leave to infuse for 12 hours, then strain. The drug must be taken half a glass 4 times a day before meals. The infusion reduces the severity of such symptoms of the disease as pain, heartburn, belching.

Prevention

The development of the disease occurs gradually, under the influence of many factors. The cessation or reduction of the strength of the aggressive effect on the gastric mucosa is called prevention. In order to prevent gastritis in a child, the following recommendations should be followed:

Exclude spicy, fatty, fried foods from the diet.
Reduce the consumption of sweets, lemonades, chips, fast food.
Follow the diet recommended for the specific age group.
Timely treat diseases of the gastrointestinal tract.
Apply gastroprotective pharmacological agents if necessary, long-term treatment with drugs that have an aggressive effect on the gastric mucosa.

Video

They call it gastritis inflammatory changes mucous membranes of the stomach, arising from a violation protective function mucous membranes or increased aggressiveness of gastric juice. Nowadays, this disease is increasingly found in children. Especially common gastritis in children of school age.

Symptoms

According to the characteristics of the course, children's gastritis is acute, chronic and atrophic.
Acute gastritis in a child in most cases is a reaction to eating aggressive food for the stomach or taking medication.

Chronic gastritis is called when the inflammation of the gastric mucosa is seasonal and lasts a long time. In a child, gastritis can become chronic in the absence of timely measures or illiterate treatment. Exacerbation of chronic gastritis usually occurs in autumn and spring or occurs in response to the use of low-quality or non-dietary food. In all cases, the following symptoms of gastritis in children may occur:

pain, discomfort and heaviness in the upper abdomen;
pain on palpation of the epigastric region (under the sternum);
deterioration or complete loss of appetite;
belching or spitting up undigested food;
heartburn;
blanching of the skin;
plaque on the tongue;
nausea and vomiting;
bad breath;
increased gas formation;
anemia;
bowel problems (diarrhea or constipation);
lack of vitamins and other signs of metabolic disorders of nutrients.

The pain can be both mild and unbearably intense, its severity depends on the stage of the inflammatory process and the pain threshold of the child. Painful sensations usually occur within 10-20 minutes after eating due to increased secretion of hydrochloric acid by the stomach.

Heartburn syndrome is a characteristic burning sensation in the upper part of the stomach and behind the breastbone, sometimes extending up the esophagus to the level of the pharynx. In some cases, there is an acid taste in oral cavity. Heartburn is aggravated by tilting the body and active physical exertion.

Gastritis may impair the absorption of nutrients, especially iron and vitamin B12. As a result, developing various forms avitaminosis, there are signs of deficiency minerals. For example, with iron deficiency, nails become brittle, hair grows dull, taste sensations change, and skin blanching is noted. Features of acute gastritis:

mild pain in the epigastric region;
nausea and vomiting;
the duration of the disease is 2-3 days, rarely 7-10 days;
cure without medication;
complete recovery of the mucosa at the end of the disease.

A child can have acute gastritis 10 times or more without a global impact on his health. Characteristic features chronic gastritis:

a slight increase in temperature (maximum up to 37.3º C);
general deterioration of health, weakness, fatigue;
changes in the morphology of the cells of the gastric mucosa;
loss of mucosal cells of the ability to regenerate;
violation of the normal composition of gastric juice.

Sometimes chronic gastritis occurs without severe symptoms. In the absence of proper treatment, chronic gastritis can turn into an atrophic form. This form of the disease is characterized by the absence of exacerbations, but the most dangerous. Its progression can lead to thinning of the gastric wall and a complete loss of the stomach's ability to digest food. Factors provoking the development of gastritis:

Not proper nutrition child;
environmental pollution;
individual intolerance to medications;
poisoning with stale food or chemicals;
genetic predisposition;
smoking;
excessive alcohol consumption;
stress;
chronic organ diseases digestive system;
infection with the microorganism Helicobacter pylori.

The most common causes of gastritis in a child are eating disorders and unhealthy food. Stomach health problems are provoked by fast food, highly carbonated drinks, foods with a lot of flavorings and dyes in the composition, too hot or cold food, food with an excess of spices and other foods that can irritate the stomach lining. The lack of hot food and the irregularity of meals also negatively affect. Most often, gastritis is diagnosed in schoolchildren precisely because of the uneven load on the gastrointestinal tract during the day.

Acute gastritis can occur in children even in response to the use of ordinary food from the general table, with which adults have no problems. This is due to the immaturity of the child's digestive organs. The digestive organs in children begin to work fully at the age of 7 years and older. Until this time, the baby's stomach is different low content acid and its reduced activity. In this regard, the body is less resistant to environmental factors, including microbes that enter the gastrointestinal tract.

In addition, the peristalsis of the intestines of a child is weaker than that of an adult. This leads to the fact that poorly chewed food, in the absence of active mixing, can stay in the stomach longer, causing irritation of the mucous membrane. In most cases, in the family of a child with gastritis, there is someone else suffering from similar diseases. This may be due to both genetic predisposition and food traditions in the family. Only by the end of the 20th century did it become known that Helicobacter pylori bacteria are one of the factors in the development of gastritis. This radically changed the principles of treatment of the disease.

Treatment of gastritis in children

In most cases, gastritis can be treated on an outpatient basis, that is, hospitalization is not required. However, bed rest is essential for effective treatment. In each case, the doctor determines what treatment is required. In order to develop a comprehensive competent treatment, it is important to carry out full examination child.

First aid for acute gastritis is to remove the most dangerous symptoms and elimination of the cause of inflammation of the gastric mucosa. To do this, the child is provoked to vomit, and the stomach is also washed with a solution of baking soda or saline if there is an infection or poisoning. On the first day after acute gastritis, the child's food intake is limited to a minimum and mainly drinks are given. Directions for the treatment of gastritis:

detoxification (droppers with glucose, vitamins or saline and taking sorbents);
anesthesia (heating with a heating pad or compress, taking drugs such as No-shpa and Baralgin);
cupping allergic reaction(taking antihistamines);
stop internal bleeding (medication);
fight against Helicobacter bacteria;
gastrocytoprotection (Almagel, Phosphalugel, etc.);
drug reduction of gastric secretion;
enzymatic aid to digestion (Creon, Mezim, etc.);
replenishment of deficiency of vitamins and minerals (especially iron);
general strengthening of the body;
normalization of diet and diet.

With the aim of antibiotic therapy antibiotics are given first. Helicobacter bacteria are most sensitive to penicillin antibiotics. The high acidity of gastric juice reduces the effectiveness of antibiotics, so that some bacteria can remain viable after a course of treatment.

The solution to the problem is complex treatment, involving the simultaneous administration of several antibacterial drugs, histamine receptor blockers and drugs containing bismuth, which is toxic to Helicobacter bacteria. The duration of the course of antibiotic therapy and treatment in general is determined by the specialist individually.

Diet for gastritis in children

Principles of proper nutrition for gastritis:

fragmentation of nutrition;
regularity and uniformity of nutrition throughout the day;
refusal to take food that is aggressive for the stomach (carbonated drinks, very hot, very spicy, fatty, smoked, fried, etc.);
quality of food products.

If gastritis is not treated, the disease, with regular repetitions, can become chronic or go into the most dangerous form of atrophic gastritis. It is also possible to influence the functioning of other organs and systems, for example, a disorder of cardiac activity. Prevention of gastritis involves the exclusion of factors in the development of the disease from the life of a child.

Any mother, noticing signs of illness in her child, goes to the doctor and receives a treatment regimen. But in order to understand that the child is ill, especially infancy, it is necessary to understand and distinguish the signs of diseases. Sometimes children are just naughty, and sometimes, in this way, they inform their parents that something hurts them. Gastritis in children is difficult to recognize, so you need to study the symptoms and be fully equipped.

What is children's gastritis

Since the digestive system in children is formed by the age of 7, this period is characterized by a reduced level of acidity of gastric juice. Most often, gastritis overtakes children aged 6 to 10 years.

Gastritis in a child occurs in two forms: acute and chronic.. Acute primary gastritis occurs against the background of infectious diseases, food poisoning, constant exposure to stressful situations, exposure to irritants on the gastric mucosa and other factors. Chronic gastritis occurs as a result of prolonged exposure to adverse factors on the lining of the stomach. Both exacerbation phases and remission phases can occur.

Gastritis has become the "norm" for high school students who are under constant stress due to graduation and entrance exams. Teenagers are more likely than adults to break the diet and indulge in fast food.

Signs of gastritis in children

The child, depending on age, expresses his complaints in different ways. The task of parents is to timely recognize the "first bells" of the disease. Gastritis in children is accompanied by the following symptoms:

Soreness in the stomach;
Pain in the abdomen is gaining strength in a state of hunger or overeating;
Heartburn, "sour" belching, frequent regurgitation;
Burning sensation in the abdomen;
Diarrhea;
Fatigue and apathetic mood;
Drowsiness;
Increased heart rate;
Irritability and nervousness.

Causes of gastritis in children

Children's gastritis can be both primary and secondary. Primary gastritis appears independently, secondary - as a result of any related diseases and their complications. The leading causes of gastritis in children include:

The use of low-quality and unhealthy foods (fast foods, sugary carbonated drinks);
infectious base;
Irregular meals, quick snacks;
Poisoning by food or chemicals;
Infections with complications that depress the activity of the stomach and disrupt the composition of the microflora;
Heredity, diseases of the gastrointestinal tract in close relatives;
Reception a large number medicines in the treatment of another disease (ARVI, colds, coughs, and others);
Frequent stay in stressful situations;
Infection of the gastrointestinal tract by bacteria (for example, Helicobacter pylori).

Prevention of children's gastritis

In order for the child’s gastritis to not have to be treated for a long and tedious time, the mother must initially adhere to the following preventive measures:

Do not allow your child to eat fast food (french fries, sugary sodas, hamburgers, hot dogs);
Organize regular meals (at least 5-6 times a day) in small portions in a relaxed atmosphere;
Eat warm food, not hot or cold;
If an infant feeds on a milk family, then you can not change it often;
Undergo examinations by a gastroenterologist to exclude exacerbation of gastritis.

Classification of gastritis in children and treatment

Children's gastritis has several varieties. Exact reason can only be established by a pediatric gastroenterologist. Often, gastritis is diagnosed in a child of 5 years old, during the period of growth and development of the digestive system. Not infrequently, an exacerbation of the disease or a primary occurrence can be detected during puberty (from 9 to 12 years).

autoimmune gastritis

This type of gastritis is a violation and a decrease in the production of secretion, thinning of the gastric mucosa. The reduced level of acidity of gastric juice is caused by the virus and the autoimmune background of the disease. It is treated with the help of special nutrition. In the phase of exacerbation - diet. In the passive stage - visiting a sanatorium, physiotherapeutic methods, as well as drinking mineral waters.

The doctor prescribes the following medications:

With soreness of the abdomen - No-Shpa;
For nausea and vomiting - Metoclopramide;
Restoring the level of hydrochloric acid in the stomach, normalizing the production of gastric juice - Abomin;
Establishment of the normal production of pepsin (gastric juice enzyme) - Herbion, preparations with plant composition based on plantain;
Regeneration of the gastric mucosa - vitamins of group B, C, nicotinic acid.

Gastritis caused by the bacterium Helicobacter pylori

Gastritis of the antrum of the stomach is most often caused by infection with the Helicobacter pylori type bacteria, that is, they can become infected. For example, if an infectious gastritis is found in one of the parents, then it will most likely be found in children. Among children aged 7 years this species gastritis occurs in 80% of cases. The level of acidity of gastric juice increases or remains the same. On initial stage gastritis is eliminated with the help of dietary nutrition.

If the bacterium has firmly "taken root" in the child's body, then with a positive decision of the doctor, antibiotic therapy is prescribed. The treatment regimen is a complex measure.

The doctor prescribes 3 types of medicines:

Superficial gastritis reflux

If the child is often sick and the mother has to resort to treatment in a medical way, then reflux gastritis may occur while taking medications such as Ibuprofen, Acetyl acid and others. Babies experience such gastritis more easily, as their gastrointestinal tract undergoes changes and gradually adapts to external factors impact. Gastritis usually goes away on its own if medication is not continued.

If the child is older than 2 years and the cause of reflux gastritis is medication, the mother should visit a pediatric gastroenterologist. In such cases, dietary nutrition and herbal medicines are prescribed. Agents with a histamine effect (Ranitidine) may be prescribed.

Also, gastritis can be divided according to the type of flow: acute and chronic. Treatment regimens for these types vary.

Gastritis in infants

A big surprise for the mother may be the discovery of gastritis in an infant. The reason is the wrong diet - frequent change of milk formula, improper or early introduction of complementary foods. The stomachs of infants under 2 years of age have not yet grown stronger and have not fully adapted to good nutrition. The load of malnutrition leads to the development of childhood gastritis. Therefore, it is very important not to feed your child with fast food, chips, convenience foods and sugary carbonated drinks.

Early consumption of chocolate also causes gastritis in infants. Parents should limit, and it is better to exclude the entry into the diet of the baby - chocolates, sweet biscuits, food containing hot spices. Chocolate can be introduced in small portions from 3 years.

When gastritis is confirmed in an infant, the doctor prescribes a special diet, which is based on tea and plain water. During the period of exacerbation, the first 8 hours you can only drink. The diet can be supplemented with small portions breast milk. If the baby has "sour" belching, vomiting and restless crying, then you should call a doctor. You may need hospitalization and examination.

After the exacerbation of gastritis is removed, the amount of breast milk consumed gradually increases. The child must be supplemented with boiled water.

Gastritis in preschool children

The child cannot always explain what hurts and identify his pain. The kid begins to complain of sharp pains in the upper part of the tummy, he may feel sick, sometimes there is fever body. The child drinks a lot of water after which he is sick. After vomiting, the pain in the abdomen subsides.

To help the baby survive the pain in the stomach during an exacerbation of gastritis, you must:

summon pediatrician, "ambulance" or contact the local pediatrician to clarify the diagnosis and prescribe the appropriate treatment regimen;
You can put a heating pad or a warm diaper on upper part belly to remove pain syndrome;
Rinse the stomach with warm boiled water;
With severe soreness of the stomach, take No-Shpu or Papaverine;
You can make an enema to cleanse the stomach (or take a laxative) and eliminate irritation of the gastric mucosa;
The first 12 hours is best to exclude food, you need to drink as much water as possible;
On the second day of gastritis, it is allowed to drink black tea with milk, a decoction of rose hips, mashed soups, meat broth with a low-fat base;
On the third day, the use of milk, low-fat cottage cheese, cereals from various cereals, jelly is allowed .;
Prohibited: black bread, pasta, legumes, vegetables.

Acute gastritis in children

Acute gastritis is primary and is the result of damage to the child's body by infections, bacteria, malnutrition and other factors.

The scheme of treatment of acute gastritis in children:

The first 3 days need rest and bed rest;
If the child is tormented by nausea or vomiting is noticeable, Motilium or Cerucal should be given to the child, you can wash the stomach;
The child should take plenty of fluids (water);
12 hours after the discovery of signs of gastritis, you can eat kefir, broths with a low-fat base, cereals and grated mashed soups;
If there is pain in the abdomen, you can take No-Shpu or Papaverine;
If diarrhea and stool disorder are observed, you can take Smecta, activated charcoal;
To reduce the functioning of the secretory activity, Ranitidine can be taken.

In any case, it is necessary to consult and visit a pediatric gastroenterologist or a local pediatrician.

Chronic gastritis in children

Chronic gastritis is secondary and is the result of long-term exposure to negative factors on the environment of the stomach. It is replaced by phases of exacerbation and remission.

The scheme of treatment of chronic gastritis in children:

Periodic drinking of mineral water (Essentuki, Borjomi);
Compliance with a special diet;
At times of exacerbation and pain you can take Papaverine, No-Shpu, Riabal;
To reduce the secretion of the stomach - Ranitidine, Kvamatel;
Recovery normal operation intestines and stomach - Cerucal, Motilium.

Before allowing the child to take any medication, the mother must definitely clarify this point with the doctor. Self-treatment may not give the desired effect and, moreover, harm the baby.

Diagnosis of chronic gastritis in children

To make an accurate diagnosis, the mother must, together with the child, contact a pediatric gastroenterologist. Diagnostics is carried out by one of the following methods:

Gastric tube - measurement of the PH level inside the stomach;
Biopsy performed with an endoscope;
Electrogastroenterography - implantation of electrodes in the area of the gastrointestinal tract;
Ultrasound diagnostics of organs located in the abdomen;
Manometry - measurement of pressure in the stomach;
Delivery of standard tests.

If a bacterial basis for the occurrence of gastritis falls under suspicion, then it is necessary to pass stool tests and tests for the presence of a microbe.

Treatment of children's gastritis

Treatment is prescribed by a pediatric gastroenterologist, therapy is carried out under the strict supervision of a doctor. Depending on the cause of the disease, the symptoms and the source itself are eliminated:

If the matter is in the development of the bacterium Helicobacter pylor, then eradication therapy will be prescribed;
If the matter is in the increased acidity of gastric juice, then it is necessary to reduce its level;
diet food;
Physiotherapy treatment;
Medical treatment with drugs;
Therapy in the spa area.

Eradication therapy

This type of treatment is useful in the presence of the bacterium Helicobacter pylori. The goal is to get rid of the bacterial background and improve the functioning of the stomach. The doctor prescribes a complex of drugs, consisting of antibiotics, penicillins, macrolides: Amoxicillin + Omeprozol (or Lansoprozol) + Clarithromycin, which lasts 7 calendar days.

Diet food

The diet and composition of food consumed plays a big role in the treatment of gastritis in children. This role is especially important in moments of exacerbation of acute gastritis. Food should be boiled and mashed or mashed. Such nutrition is preserved for 14 days, and then it is necessary to adhere to the “socogon” diet for 2 months. After the end of the diet period, teach your child to regularly eat small meals and healthy, wholesome food.

During an exacerbation of gastritis, the child's food should not contain hot spices and seasonings, as they irritate the gastric mucosa. Salt and sugar are also strictly controlled. Eating warm food is much more beneficial for healing the affected area of the stomach than hot or cold temperature foods.

Diet: at least 5 times a day in small portions with thorough chewing of food. Best of all, products are digested in boiled, steamed and mashed form. The hard fiber found in fruits and vegetables can damage the lining of the stomach. Prohibited foods such as mushrooms, fatty meat (pork, lamb), carbonated water, fried foods, sweet pastries, chocolate.

At elevated level acidity of gastric juice, the child is forbidden to give broths with a strong base, juices and fruits with a sour taste. You can eat cereals, soups and dairy products (mainly milk) to reduce acidity.

With a reduced level of acidity of gastric juice, the use of strong broths, fermented milk products and sour fruits, juices is indicative.

Medical treatment

The purpose of drugs for the treatment of gastritis in children depends on the type of gastritis, the cause of its occurrence and the collected history of the patient:

With a reduced level of acidity of gastric juice - pantaglucid ( natural remedy that relieves inflammation and spasms), medicines containing enzymes;
To restore the gastric mucosa - B vitamins, lipoic acid, pantothenate, herbal medicine (herbal treatment);
With an increased level of acidity of gastric juice - antacids, adsorbents, drugs with antisecretory functions, sea buckthorn oil, solcoseryl;
With severe pain in the abdomen - analgesics, antispasmodics, mineral water Borjomi, Essentuki.

Products that are prohibited or allowed for the baby when making a diagnosis - gastritis

Physiotherapy treatment

Children's gastritis is successfully treated with the help of physiotherapy methods. With an acute degree of development of gastritis, abdominal pain is removed by laser sessions, ultrasonic waves. In the passive stage of the disease, electrophoresis, the intake of B vitamins, and calcium are prescribed.

Folk remedies

Sea buckthorn oil. Oil from the fruits of sea buckthorn due to the content of vitamins E and B in them helps to heal wound surfaces and eliminate inflammation. Purchase sea buckthorn oil and take 1 teaspoon 2 times a day (morning and evening before meals). Duration of application - 1 month, then you need a break and another 1 calendar month of oil intake. Sea buckthorn oil - the best remedy from gastritis.
A decoction of flax seeds. The decoction comes out of a thick consistency due to the oiliness of the seeds. The mucous membrane and walls of the stomach are enveloped in decoction, relieving pain and inflammation. Flax seeds contain polysaccharides, which have an antibacterial effect. They do not have a strong taste or smell. To prepare a decoction of flax seeds to cure gastritis, you need to: Pour 2 teaspoons of flax seeds with 1 cup of boiling water. Leave to infuse overnight. On an empty stomach, drink 1/3 of a glass of decoction, the seeds can also be consumed orally - this is very useful. Drink this drink in equal portions throughout the day (2 times). The duration of the application of the decoction is 1 calendar month.
Cabbage juice. Due to the content in it of a large amount of vitamin C, nutrients that help restore the gastric mucosa, cabbage is used to treat ulcerative gastritis. For the first 7 calendar days, drink freshly squeezed cabbage juice 4 times a day, 1 glass. ½ part juice is mixed with ½ part glass of water. The next 7 days - drink juice with water in a ratio of 1: 2. From 15 to 21 days of taking the remedy - take cabbage juice in combination with water in a ratio of 1: 1, 2 times a day.

Recovery measures after undergoing therapy

In order not to run into a relapse and exacerbation of gastritis in a child, the mother must adhere to the following recovery measures:

Do not bring the introduced infections to the chronic stage;
Compliance with dietary nutrition;
The correct mode of the day;
The use of a complex of vitamins;
Rest in a sanatorium and preventive physiotherapy.

Treatment of gastritis in children: reviews

Elena, 26 years old: My child (12 years old) began to complain of abdominal pain after eating. We went to the local pediatrician and got a referral for tests. The doctor warned that the preliminary diagnosis was reflux gastritis and referred me to a gastroenterologist. The doctor confirmed this diagnosis. We went on a diet and took medication. To combat Helicobatheria Pylori, we drank Metronidazole, No-Shpu for pain relief, and Bifiform to restore microflora. As a result, my son got better, the treatment helped.

Svetlana, 37 years old: When our final exams began, my daughter practically ate nothing from constant excitement. Snacks were rare and always dry. The result was gastritis, frequent pain in the stomach and heartburn. The gastroenterologist prescribed a course of medication, a diet and a visit to a sanatorium. We drank the medicines, we follow the diet. Daughter is much better. Now I plan to go to a spa treatment.

Katya, 22 years old: It is difficult to understand what is the cause of the pain in the tummy of a 3-year-old baby. After ultrasound and a number of tests, we were told that we have gastritis - the mucous membrane of the stomach is inflamed. The doctor reassured me that with the development of the gastrointestinal tract, the pain in the tummy will pass and no special treatment is required. They prescribed medicines allowed for babies, but I decided to try sea buckthorn oil. The pain is gone and the inflammation is gone. Helped us!

The key to a successful cure for childhood gastritis is the timely diagnosis and understanding of the source of the baby's complaint. Gastritis is treated with different methods and every mother can control the health of the child, teach him proper nutrition and daily routine.

Gastritis- this is not a disease that only adults can get sick. Gastritis can also occur in a child. According to their form, gastritis is divided into acute, chronic and special forms.

Acute gastritis in children develops as a result of exposure to the gastric mucosa of spoiled or very fatty and spicy food, medicines, or household substances. It can also arise from overeating as well.

Chronic gastritis in children differs from acute by the prolonged existence of inflammation in the gastric mucosa. It is formed as a result of a violation of the principles of rational nutrition (eating dry food, very spicy and coarse food, malnutrition, overeating), long-term use of certain drugs (NSAIDs, GCS),

Chronic gastritis in children is found more often in children in periods of active growth. Therefore, this disease develops mainly in children of early school age (6 years - 10 years), in adolescents (12 years - 13 years and 16 years - 17 years). The highest incidence occurs in children under 10 years of age. "Why?" - you ask. There is an answer to this. It is at the age of 10 that the child moves to the middle school, the control of parents over the child's nutrition weakens. The child often refuses a full meal, he prefers snacking on pizza or pies with soda. It happens that he simply has no time to eat - very short breaks.

Symptoms of acute gastritis

The clinic of acute gastritis depends on the nature of the pathogen, the duration of exposure and the reactivity of the organism. Symptoms begin 2-8-10-24-36 hours after eating junk food, spicy. At the same time, there is a general weakness, a rise in body temperature to 380C and above, cramping pains in the abdomen. In the case of gastritis of infectious origin, symptoms such as nausea, vomiting, loose stools may occur. On appearance the child is pale, his skin is dry, his tongue is coated, his stomach is swollen and painful in the upper part.

For phlegmonous acute gastritis is characterized by more heat body with chills, severe pain in the upper abdomen. For corrosive gastritis - burning in the mouth, pharynx, stomach, impaired swallowing of food, constant vomiting with mucus and blood without feeling relieved, visible burn marks in the mouth and on the lips. Shock can occur due to severe pain.

Symptoms of chronic gastritis

Since the inflammatory process of the gastric mucosa occurs by various reasons and affects different areas of the stomach - the symptoms may be different. There are two main types of symptoms - ulcerative and gastritis-like.

With an ulcer-like type, children most often complain of pain in the epigastrium 1.5 hours after eating or on an empty stomach, they are also worried about night pains in the stomach. These pains subside or disappear after eating. This type of gastritis may be accompanied by heartburn.

Often in this case, the antrum of the stomach or the duodenal bulb is affected in the child, the acidity of the gastric juice is normal or increased, the bacterium Helicobacter Pylori is sown.

With a gastritis-like type, abdominal pain appears immediately after eating and ends on its own after 1.5 hours. Typically, this child poor appetite. In this case, most often the focus of inflammation of the stomach is its bottom, the acidity of gastric juice is lowered.

Depending on the localization of gastritis and its acidity, there are three clinical forms:

Diffuse (spread throughout the wall of the stomach) with moderate or increased secretion. In this form, epigastric pain occurs shortly after eating, combined with a feeling of heaviness and fullness. In this case, the pains are aching in nature, moderate in strength, lasting about 1-1.5 hours. Heartburn, belching with air, and vomiting are also characteristic.
Antral (limited) - pain in the stomach occurs on an empty stomach and at night, sometimes subsides immediately after eating. Characterized by heartburn, belching sour. Vomiting often occurs during pain. There is a tendency to constipation.
Diffuse with secretory insufficiency. It is characterized by weight loss and poor appetite, a feeling of heaviness in the epigastrium after eating. The pain is moderate and intermittent. Nausea and vomiting are rare. Has a tendency to diarrhea and increased gas formation, milk intolerance. During an exacerbation, there is a commitment to acidified and salty foods.

In addition, general symptoms may join in the form of:

Weakness and irritability, painful sensation in the region of the heart, disorders heart rate, lowering blood pressure;
Sudden weakness, loose stools, pallor and sweating after eating;
Signs of the development of B12-deficiency anemia - increased weakness, low mood, discomfort in the mouth and tongue.

Treatment of gastritis in children

Treatment of acute gastritis. I begin to treat acute gastritis with gastric lavage, which is carried out before clean waters. Further, in a satisfactory condition and the absence of vomiting, the child is given a laxative (10-15 grams of magnesium sulfate, diluted in 50-100 ml of water). Bed rest is recommended, a heating pad on the stomach. The child must be given enough fluids to drink in the form of saline and glucose solutions to replenish the body with electrolytes that were lost with vomit. Depending on the etiology of gastritis, antibiotics should sometimes be prescribed.

On the second day, you can add jelly to the diet, semolina, croutons with tea, meat broth. Next - gradually expand the diet, increase the size of portions. It is worth temporarily limiting the consumption of fresh fruits, berries and vegetables.

Acute gastritis in children caused by Helicobacter pylori can be treated with bismuth subcitrate in combination with antibiotics.

If acute gastritis has arisen as a result of the action of concentrated acids and alkalis, poisons should be removed as soon as possible. In case of acid damage, burnt magnesia with milk or aluminum hydroxide is injected. In the case of alkalis, citrus juices are introduced.

In some cases (formation of scars and strictures, perforations) it is necessary surgical intervention. To relieve pain, strong painkillers are used: morphine, promedol in combination with seduxen.

With phlegmonous gastritis, the only treatment is gastrotomy with drainage of the purulent focus in combination with antibiotics and the introduction of nutrients through a dropper.

Treatment of chronic gastritis

Despite the variety of forms and types of gastritis, its treatment "rests on three pillars." It is necessary to treat gastritis in a complex way:

Diet therapy;
Medical treatment;
physiotherapy, and spa treatment, phytotherapy.

diet therapy

Rational and good nutrition is the basis of treatment. The child should eat every day regularly, 4-5 times a day, in small portions, chewing well. Food should be warm, chemically neutral. It is necessary to exclude the use of fried and spicy foods, mushrooms, soda and chewing gum.

With low acidity of the stomach, sour-milk products, juices will go in favor.

Medical treatment

Nonabsorbable antacids(neutralizing hydrochloric acid of the stomach, regenerating its surface layers) - aluminum phosphate, aluminum and magnesium hydroxide. For example, aluminum phosphate inside 1 sachet 3 r / day (for children under 5 years old - half a sachet 3 r / day) for 2 weeks an hour after eating.
Proton pump inhibitors(reduce the release of hydrochloric acid) - omeprazole, esomeprazole. For example, omeprazole 20 mg orally twice a day for 1-2 weeks. For children under 5 years of age are used soluble forms omeprazole.
Cytoprotectors(protecting the tissues of the stomach from damage) - sucralfate and bismuth tripotassium dicitrate. Bismuth preparations also have a bactericidal effect.
Antibiotics(aimed at combating H.pylori) - amoxicillin, josamycinmetronidazole, clarithromycin, nitrofuratel, furazolidone. Antibacterial drugs form the basis of eradication therapy (aimed at combating Helicobacterpilory). Only a doctor can prescribe antibiotic treatment, choose the regimen that suits you. There are three-component and four-component treatment regimens approved in the recommendations, which include the above drugs. The duration of therapy is 7-14 days.
Probiotics- bifidobacteria, lactobacilli - it is recommended to include them in the treatment from the first days.
Vitamins, micro and macro elements. Iron preparations, general strengthening and vitamin preparations are especially indicated.

Physiotherapy, spa treatment, phytotherapy

Methods of physiotherapy depend on the stage of inflammation in the stomach. IN acute period well helps electrophoresis with novocaine (10-12 procedures). In subacute - treatment with ultrasound and a magnet on the epigastric region, electrosleep (10-15 procedures), UHF therapy. During the period of remission - paraffin therapy and mud therapy (10-15 procedures).

Physiotherapy for chronic gastritis with high acidity: galvanization according to Shcherbak - 10-15 procedures, paraffin therapy for the epigastric region - 10 procedures 2-3 r / year. In chronic gastritis with low acidity: paraffin baths, coniferous baths - 10 procedures per course, oxygen cocktails - 14 days.

Balneotherapy. For gastritis with high or preserved secretion, hydrocarbonate mineral waters are recommended 2-3 hours after a meal, and with low acidity, hydrocarbonate-chloride and sodium waters are recommended 20 minutes before a meal. The water should be still and warm.

Phytotherapy. Gastritis with low secretion can be treated with: tincture of calamus rhizome, herb wormwood and knotweed, parsley root, dandelion leaves, plantain juice. With normal and increased acidity - infusions of St. John's wort and yarrow, centaury, rosehip and chamomile broth, potato and carrot juices.

It is difficult to treat gastritis, but it is possible - the main thing is to act in accordance with all the rules and recommendations, in a team with an experienced doctor (by the way, on our website you can consult a doctor online for free). If you treat gastritis correctly, you will quickly feel signs of improvement in well-being.

Symptoms of gastritis in adolescents and methods of its treatment

In adolescence, children and adolescents have a certain predisposition to gastritis. This is often due to irregular diet and other factors.

Treatment in this case is individual in nature, and is built based on a number of factors. Such as indications for previous treatment, the presence of pylori bacteria in the body of a sick teenager, the general condition of the stomach and digestive system as a whole.

The risk groups for gastritis include periods from 12 to 13 and from 16 to 17 years in a teenager. During these periods, causal factors favoring the development of gastritis in a teenager are most often observed.

Gastritis in adolescents can develop for a number of reasons:

The most common cause of gastritis in both adults and adolescents is the bacterium Helibacter pylori. It appears in the human body for reasons still unclear;
Eating disorders are also quite common among teenagers. This is attributed to the increasing load in this period;
Junk food, in adolescence, the child spends a lot of time away from home. He does not always manage to eat healthy food;
Emotional loads. The psychosomatics of gastritis may arise due to the first love experiences that teenagers often undergo or due to a small amount of time for rest;
Physical exercise. Any distortion in physical development a teenager can adversely affect his health, including causing gastritis. This applies to both excess and lack of exercise.
Gastritis can be caused by an exacerbated reaction to a food or an allergy to it.

Symptoms in children 12-17 years old

The main symptoms of gastritis in adolescents include:

Heartburn - when playing sports or simply exercising, when the torso has to be tilted in horizontal position, it is most pronounced in adolescents. May be accompanied by acid in the mouth;
Nausea - periodically occurring on an empty stomach, or vice versa after abundant intake food, may be accompanied by vomiting;
Heaviness in the stomach - often accompanied by pain or may alternate with it at the moments of its subsidence;
Belching - with the release of bad breath from the teenager's mouth, after eating, he can burp a small amount of food with air;
Pain is the surest sign of gastritis in a teenager, usually children complain of pain in the stomach, it can be either minor or bring tangible trouble. It depends on the form and stage of development of gastritis;
Plaque on the tongue - may be with a white or grayish tint, this is an indirect cause, since plaque may also appear due to other factors;
Temperature - in rare cases, gastritis in adolescents is accompanied by fever, much more often it is a general malaise and weakness. Possible pallor of the skin associated with complex processes in the body.

Nutrition for a teenager with signs of gastritis

An important place in the treatment of gastritis in young body a teenager is a properly constructed diet. There are several important rules, following which the chance for a full recovery increases significantly.

The 5 Meal Rule speaks for itself. In this case, it is better to reduce the amount of food consumed at a time to 30-50% of the usual portion. Eating less than 5 times a day is highly undesirable, but increasing the number of doses by another 1-2 times is quite acceptable;
The rule of healthy food - dishes should be prepared exclusively from fresh products, the choice of which must be approached carefully. It is better to eat a dish immediately after preparation, in extreme cases, on the same day. This is due to the appearance of fermentation processes in products. Even refrigerated, they may not be 100% safe for a teenager;
The rule of heat treatment - food should not be fried. Cooking food in a steam bath is considered ideal, stewed or boiled food is also quite acceptable. But if you want to please your child, then 3-4 weeks after the exacerbation, you can cook dishes baked in the oven for him, but it’s better to consult a doctor about this.

Porridges cooked on water will fit standard buckwheat, rice and oatmeal, you can diversify the diet with wheat groats;
Steam meatballs or cutlets from white low-fat fish, as well as dietary meat (chicken breast, turkey, rabbit);
Soups-puree, on broths from dietary meats;
You can drink - weak warm tea, decoctions of medicinal herbs, dried fruit compotes;
Well contribute to the recovery of folk remedies - honey, wheat bread crackers and biscuits.

Basic Principles for a Successful Recovery

The first step in the fight against gastritis in adolescents is to get rid of the symptoms of the disease, as well as eliminate the cause of its occurrence. This approach implies a great responsibility of parents in shaping the menu for the child. And monitoring the implementation of the principles of proper nutrition.
Among the generally accepted rules of nutrition for gastritis, special attention should also be paid to the following factors:

Fractionality - separate meals for the period of exacerbation should become the norm. In a competent combination with a reasonable amount of portions and increasing their number to 5 per day, it will not be difficult for a teenager to get used to it;
Exclusion from the diet of all foods that can aggravate the disease, this applies to all spicy, fatty and salty foods. You should also remember about quality, all vegetables used in cooking must be carefully selected and fresh, the same goes for meat;
Exclude during the period of exacerbation of gastritis all fresh vegetables and other raw foods, it is best to subject them to heat treatment. And serve on the table in a mushy or liquid form, in any case, do not eat solid or tough food;
To diversify the menu for a teenager to the maximum, a young and developing body needs vitamins, minerals, fiber, amino acids and polyunsaturated fatty acids;
In the first two weeks, the diet should be strictly followed.

It is best to prescribe nutrition to a sick person with a gastroenterologist. In most cases, a trip to it is also mandatory because it is necessary to wash the stomach before starting a diet. This is done using a probe launched through the gastrointestinal tract. At home, the process is not much more pleasant, it can be replaced by copious absorption of water with a low manganese content, followed by repeated vomiting.

Commonly prescribed medications

All drugs prescribed for gastritis for adolescents are divided into several groups, each of which has a certain effect on the processes in the stomach and intestines.

Antacids or gastrocytoprotective drugs - this group of drugs reduces acidity in the stomach. This is due to the enveloping of the walls of the stomach with a film. They prevent flatulence and stimulate the release of bicarbonates through the secret function of the stomach.
Antisecretory drugs - these drugs, on the contrary, are aimed at increasing the amount of secreted juice in the stomach. They block H2 receptors, they are also called proton pump inhibitors;
Prokinetics - restore motor function stomach and stimulate the motility of the entire gastrointestinal tract;
Enzyme preparations - they accelerate (catalyze) chemical reactions flowing in the stomach;
Sorbents - these drugs absorb excess gastric juice in the stomach; wikipedia.org
Painkillers - relieve acute and aching pain in the stomach of a teenager.

It is important to remember that all of the above drugs can only be prescribed by the attending gastroenterologist. Under no circumstances should you try to make a diagnosis yourself and use any of the drugs listed above, with the exception of sorbents (in the form activated carbon) or painkillers (No-shpa).

An approximate set of measures for the treatment of acute gastritis

Most often, the gastroenterologist prescribes procedures in the following sequence:

Gastric lavage - either in the doctor's office or at home with the help of manganese dissolved in water, drunk with high intensity and subsequent profuse vomiting;
Medicines sorbents - they will help reduce high acidity in gastritis, without a strong negative effect on the gastric mucosa;
Medicinal gastrocytoprotective agents - they have additional protection for the gastric mucosa, and also reduce acidity, these include Maalox and Phosphalugel;
If the exacerbation of gastritis in a teenager is of a long-term nature, then the use of agents that weaken the secret function of the stomach, such as Ranitidine, is indicated;
Enzyme drugs - catalyzing chemical processes in the body, these include Mezim and Festal;
A sparing diet is being built, during periods of exacerbation of gastritis in a teenager, it should be very strict in order to preserve the gastric mucosa;
In rare cases, when severe pain painkillers are prescribed;

An approximate set of measures for the treatment of chronic gastritis

In a number of common cases of a chronic form of gastritis in a teenager, the doctor makes the following recommendations:

Therapy with antisecretory agents - it must be remembered that not all drugs of this group are suitable for a teenager, a group of proton pump inhibitors in such cases is contraindicated;
Antihelibacter drugs - are prescribed only in cases of precisely established fact of the presence of pylori bacteria in the child's body. It involves the use of antibacterial drugs - De-nol or Vikalin;
Antacids - Maalox, gastromax;
Prokinetics - agents that restore the motor function of the stomach and the entire gastrointestinal tract - Motilium, Cerucal;
Painkillers - prescribed in case of severe spasms or acute pain;
Diet and treatment with mineral waters.

Important! You should be aware that the drugs listed above and the indications for their use are purely exploratory in nature. They can only be prescribed by the attending physician gastroenterologist. For any use of them without purpose, only you are responsible!

This article lists all the main symptoms and causes of gastritis in adolescents from 12 to 17 years old. All the above dietary procedures are recommended by the best gastroenterologists in the world. The action of all of these funds is true, but it is not recommended to use them on their own, with the exception of harmless drugs, such as activated charcoal and some painkillers.

In children in pure form gastritis is rare. Basically, not only the stomach is exposed to inflammatory processes, but also the department immediately following its pylorus - the duodenum. The reason for this is the weakening of their protective factors and the strengthening of aggressive ones, as a result of which autolysis begins (digestion of mucous surfaces by gastric juice).

Symptoms of the disease
Gastritis in young children
Medical treatment
Traditional medicine recipes
Diet
Preventive measures

This imbalance in the gastrointestinal tract can lead to:

1. helicobacteriosis - infection, the agent provocateur of which is the harmful microorganism Helicobacter pylori;

2. taking antibiotics, hormonal and other drugs that negatively affect the microflora of the stomach;

3. violation of the diet;

4. passive smoking;

5. unfavorable mental atmosphere in the family, school;

6. food poisoning and allergies;

7. hereditary predisposition.

It is worth adding that more often gastritis appears in children aged 5-6 years, 9-12 years, that is, during periods of their intensive growth and development of all internal systems and organs. At the same time, the incidence rates, according to statistics, are approximately the same among girls and boys.

How does the disease manifest itself?

Symptoms and signs of childhood gastritis of the stomach do not differ from those of an adult. The child is tormented by pain in the epigastric (pit of the stomach) of the abdomen of varying intensity (depending on the form, nature of the disease and the perception of pain by the man himself). The onset of an attack occurs on an empty stomach and an hour after eating, but early pain can also be observed - after 15-20 minutes, as the child eats.

Strengthening the pain syndrome is always facilitated by fast walking, jumping, running, etc. physical activity relief - taking a small amount of permitted food. A feeling of fullness and discomfort in the abdomen may accompany painful sensations, however, there are times when these symptoms act in isolation from pain: they appear when it fades or in the interictal phase.

Another sign of the pathology of the stomach is heartburn (burning behind the sternum in the esophagus), aggravated by bending over. If a child suffers from hyperacid chronic gastritis, the development of which is associated with an increase in the acidity of gastric juice, then belching with a sour taste joins this symptomatology.

Vomiting, nausea, stool disorder (diarrhea, sometimes followed by constipation), hypersalivation (increased salivation) are also the primary symptoms of an inflammatory process in the gastrointestinal tract in a child. An increase in body temperature up to subfebrile (subfebrile) marks can be observed if the cause pathological condition caused food poisoning.

As for secondary signs, they include: loss of appetite, loss of strength, drowsiness. Experts determine the presence of these phenomena by the incomplete digestibility of the incoming nutrients by the stomach. Symptoms associated with external changes are characterized by:

pallor of the skin;
blueness under the eyes;
tongue with a whitish or grayish coating.

How to determine gastritis in a small child?

Babies and children a little older than one year become restless, often cry because of spasmolytic pains, refuse to eat. Parents notice a decrease in their activity, lethargy, detachment from everything that happens nearby. Multiple liquid defecation, regurgitation of ingested food mixed with blood, mucus or bile are symptoms of gastritis in a child of any age that require prompt professional diagnosis and medical treatment.

Doctors determine the presence of stomach disease with the help of the following examinations:

fibrogastroscopy - a diagnostic method based on the introduction of a thin flexible tube with a camera through the pharynx into the stomach;
blood and urine tests;
bacteriological seeding for pathogenic flora;
ultrasound examination of the abdominal cavity;
intragastric (intragastric) pH-metry - a technique for determining the acidity of the gastric environment through the use of a transnasal probe.

In the case of chronic gastritis, it becomes necessary to differentiate it from cholecystocholangitis (a pathology that has developed as a result of bile stasis), gastric and duodenal ulcers, helminthic invasion, a sluggish form of appendicitis and pancreatitis.

Gastritis is of 2 currents:

chronic;
acute.

Chronic ones often develop in the younger school age against the background of greater physical and psycho-emotional stress, as well as due to changes in diet. This form of the disease can be asymptomatic or mild for a long time. However, morphological modifications (transformations into anatomical structure organ and tissues) still occur: cells gradually lose their ability to self-regenerate, which leads to atrophy, disruption normal composition digestive juice.

Unlike the chronic type, acute is characterized by a sudden lesion of the gastric mucosa and vivid symptoms. This course of the inflammatory process can occur in anyone, in particular in preschoolers. Ignoring symptoms or misinterpreting them, lack of adequate treatment can lead to a transition acute form into chronic.

Overview of medications

During an exacerbation, it is important to observe bed rest and abstain from food for some time (as a rule, you can not eat within 8-12 hours after the first manifestations of the disease). If acute infectious gastritis is observed, then its treatment is based on the intake of adsorbents (Polysorb, Smecta), antibiotics (Amoxicillin, Amosin, Clarithromycin), enzyme preparations (Mezim, Pancreatin). In case of severe dehydration, doctors carry out infusion therapy, with the help of which the child's body receives water and nutrients parenterally.

In order to stop vomiting and achieve an antireflux effect, prokinetic agents (Cerukal, Motilium) can be used. In the treatment of pain syndromes, specialists use antispasmodics (No-shpa, Papaverine).

Children suffering from hypoacid chronic gastritis are prescribed a 2% solution of pepsin with hydrochloric acid, which should be taken 15-20 minutes before meals. If the child suffers hyperacidity, then the doctor prescribes antacid drugs, for example, Almagel, Phosphalugel. Positively proved in the treatment of hyperantacid disease and the drug Gastrofarm. It not only inhibits the proteolytic activity of gastric juice and protects the walls digestive organ, but also has an analgesic effect. For children from 3 to 12 years old, Gastrofarm is prescribed ½ tablet, for adolescents - a whole dragee 3 times a day.

Note!

The presence of symptoms such as:

1. bitterness in the mouth, putrid smell;

2. frequent disorders of the gastrointestinal tract, alternating constipation with diarrhea;

3. fatigue, general lethargy;

Treatment should start now

Since helminths that live in the digestive tract or respiratory system ...

According to doctors…

Apart from drug treatment some types of physiotherapy are recommended (in the absence of contraindications for them): paraffin, mud, ozocerite applications on the epigastric zone, galvanization, phonophoresis, as well as sanitary-resort treatment. Be sure to follow a strict diet.

Folk recipes

Alternative medicine is popular in modern world. Each of its methods should be subject to agreement with the attending physician, especially when it comes to a child.

1. A decoction of elecampane for healing the mucous surface of the stomach.

The crushed roots of a medicinal plant, taken in an amount of 15 g, are poured with a glass of boiling water and placed in a water bath in a metal bowl. After a quarter of an hour, the product is removed from the fire and cooled. Take a decoction should be ¼ or ½ cup (depending on age) 3 times a day.

2. Potato juice as an antacid and anti-heartburn agent.

Freshly squeezed potato juice should be drunk on an empty stomach for 10 days. Then it is recommended to take a break for the same period and repeat another 1-2 courses. In case of gastritis in children under 3 years old, the dosage should be no more than 50 ml, for older children - 100 ml.

3. Decoction of calamus to neutralize hydrochloric acid and regulate the activity of the gastrointestinal tract.

10 g of finely chopped calamus rhizomes must be poured with 200 ml of boiling water. Then continue cooking in a water bath for 15 minutes. Cool the prepared liquid, strain and take 3 times a day for a quarter cup.

What can and cannot be eaten?

In the chronic type, the child should not eat salty, spicy, fatty, fried foods, spices. The use of carbonated drinks, coffee, kvass, strong tea is excluded. If an acute form of the disease is observed, then dietary nutrition is primarily focused on unloading the stomach. This will require short-term fasting combined with plenty of fluids. After a "hungry" diet for gastritis, in the next 10-12 hours, decoctions from cereals, vegetables, rose hips are introduced into the diet.

white bread of yesterday's baking, crackers;
pureed vegetarian or milk soups;
dishes from well-boiled pasta;
steam cutlets, meatballs from lean meats;
boiled fish, quenelles made from it;
milk, in particular condensed milk, non-acidic kefir, cottage cheese casseroles;
boiled non-bitter vegetables;
cereals from different cereals;
sweet berries and fruits without peel.

These foods should be eaten in small portions, 5-7 times a day. As for drinking, it is recommended to use compotes, milkshakes, jelly from non-acidic fruits and berries, weak tea (with cream or milk), non-carbonated mineral water. If children have gastritis of the stomach against the background of an unfavorable mental situation in the house, drinks from chamomile, cumin, and hawthorn can be used to calm the nerves.

In the process of eating, one should not rush: the food must be mechanically well processed. It is worth paying attention to its temperature - the child can be given to eat slightly hot / cold dishes.

Prevention

It is always easier to follow the rules of prevention than to treat the disease. Therefore, parents should make every effort to ensure that their child:

1. adhered to the correct daily routine (sleeping for at least 9-10 hours, a walk in the fresh air, moderate physical activity);

2. while eating, he was in no hurry, did not talk, chewed food thoroughly;

3. was surrounded by a friendly family atmosphere;

4. visited the dentist in a timely manner in order to prevent and treat dental pathologies, regularly observed oral hygiene.

Gastritis is an inflammatory disease. The mucous membrane of the gastrointestinal tract is affected, characterized by negative functional changes. It is considered one of the most common pathologies in children in the stomach.

As the child grows, the digestive system is actively formed. In the first 6 years of life, the level of hydrochloric acid is significantly lower in comparison with an adult. The evacuation function of the digestive system is undeveloped. Disturbances in the diet provoke the development of an acute form of gastritis. It most often appears in children aged 5 to 7, as well as from 10 to 16 years.

Many consider the cause of the development of an inflammatory process that affects the mucosa of the gastrointestinal tract to be a violation in the diet. However, many factors can provoke the appearance of gastritis:

Improper diet is the most common cause of gastritis. The use of only 2 and 3 dishes, a disturbed diet, the lack of vitamins and minerals necessary for the body, too hot food or cold drinks provoke irritation of the esophageal mucosa. The risks of an inflammatory process increase with the use of spoiled foods.
Some drugs cause irritation of the mucous membrane of the gastrointestinal tract. Doctors take this into account when prescribing a medication. Additionally, drugs are prescribed that mitigate the harmful effects on the stomach.
Intoxication of the body can also cause gastritis.
Constant stressful situations at school, overstrain, bad relationships with a teacher or classmates can cause gastritis. Chronic stress or one nervous breakdown can cause an inflammatory process in the gastrointestinal tract.
Weakened the immune system may cause irritation of the esophageal mucosa.
Pathologies of the gastrointestinal tract, for example, pancreatitis, diseases endocrine system can also provoke inflammation of the mucosa.
The presence of pathogenic microorganisms can cause the onset of the inflammatory process.
Injury to the organs of the gastrointestinal tract, swallowing needles or a strong blow to the stomach is one of the causes of gastritis.
Available hereditary factor. In the presence of chronic gastritis in the father or mother, the child may have a genetic predisposition.
The pathogenic bacterium Helicobacter pylori spreads rapidly throughout the body and often causes irritation of the esophageal mucosa.

Symptoms

IN medical practice there are several common clinical signs of the inflammatory process of the mucosa, regardless of the form of the disease.

The most common symptom is pain in the upper gastrointestinal tract. The nature of the pain syndrome directly depends on the stage of development of the disease, as well as on the pain threshold of the patient. Painful sensations stand out sharp, moderate, quiet.
Discomfort, feeling of heaviness. More often they are combined with pain, but they are also a separate clinical manifestation of the inflammatory process.
Children suffering from an inflammatory process of the gastric mucosa complain of heartburn when performing exercise, the position of the body also has an effect. Patients complain of a burning sensation from the organs of the gastrointestinal tract to the throat. Gradually, a sour taste appears in the oral cavity.
The patient's appetite worsens, the child begins to refuse food, loses weight.
The development of nausea and vomiting is not excluded, more often one clinical manifestation provokes another.
Reflux characterized by an unpleasant odor from the mouth.
There are disturbances in the digestive system. The inflammatory process is reflected in the processing of food, which provokes problems at all stages of the digestive system. The characteristic clinical signs for the syndrome are an excessive concentration of vitamins, stool disorders, bloating and other symptoms in case of malabsorption of substances useful to the body.
External changes are also noted. The patient's skin becomes pale, the tongue is formed white coating, which is a clinical sign of disorders in the digestive process.

There are also specific symptoms an acute type of inflammatory process of the gastric mucosa.

Constant painful sensations of a aching nature, spasmodic pain syndrome is possible.
A sick child develops heartburn, in some cases acid-type reflux occurs after eating.
Frequent bouts of nausea or vomiting characterized by a sour smell. In severe forms of the disease, bile impurities are noticed.
Children with an acute variety of gastritis complain of dry mouth or increased work of the salivary glands.
Disturbances in the functioning of the organs of the gastrointestinal tract lead to problems with the stool, expressed in diarrhea or constipation.
Chronic fatigue, the patient gets tired quickly, unable to work for a long period of time. Many complain of periodic migraine attacks, dizziness.
At the final stages of the development of the pathology, attacks of fever, increased sweat formation are noted.
The heart rate increases, reduced level blood pressure.

Diagnosis of the disease

Clinical signs of an acute inflammatory process of the mucosa and complaints of a sick child will push the doctor to the assumption of developing gastritis. However, the symptoms of pathology are similar to other serious diseases.

It will be possible to determine gastritis using the following diagnostic procedures.

The sooner the parents take the sick child to a medical institution for consultation and diagnostic procedures, the easier it will be to get rid of the disease.

Treatment Method

Therapy of the inflammatory process is prescribed on the basis of individual features the course of the disease. During the first day of exacerbation of gastritis, you need to drink large amounts of water or tea. Overeating should be avoided, it is recommended to completely refuse food for one day. When it is not possible to replenish the body's missing fluid, the doctor prescribes intravenous administration saline with 5% glucose.

After normalization of well-being, it is recommended to feed the patient with liquid food, various soups, broths, and jelly are suitable. Nutritionists with an acute inflammatory process of the mucosa of the gastrointestinal tract recommend fractional type nutrition, as often as possible and in small quantities. After 7 days of maintaining such a diet, the patient is returned to the usual regimen.

If necessary, the attending physician prescribes to the sick child washing the gastrointestinal tract with water or a solution with soda. The procedure is carried out in case of poisoning with an acid or alkaline solution.

The appointment of drugs is carried out only by the attending physician. Independent use of medications can provoke a worsening of the condition. There are several methods of treating exacerbation of gastritis with the help of drugs:

Medications of an antibacterial nature. Used to suppress the activity of Helicobacter pylori, as well as other pathogens of inflammation of the gastric mucosa. More commonly used Amoxicillin from the penicillin group.
Medicines based on enzymes or bismuth. For example, Mezim, you need to take 1-2 tablets 3 times a day before meals. The course of treatment is about 14 days.
Enveloping drugs, for example, Maalox. Tablets are required to dissolve, it is allowed to use children from 15 years of age and older. The dosage depends on the stage of development of the disease, 1-2 tablets are prescribed from 3 to 4 times a day 1 hour after a meal. The duration of the course of treatment with Maalox is no more than 6 days.
Pain relievers such as No-Shpa. The drug is taken 3 times a day at a dosage of 80 milligrams. The duration of the course of treatment is 7 days.
Medicines for nausea and vomiting, such as Cerucal. Used 1 ampoule at a dosage of 10 milligrams 4 times a day. The duration of the course of treatment is determined by the attending physician, depending on the nature of the disease, and is no more than 2 weeks.
Medicines that calm the nervous system, such as Persen. Approved for use by ages 12 and over. It is required to take 2 tablets 3 times a day, with the development of insomnia, 3 capsules of the drug are recommended an hour before the expected sleep time. The maximum duration of taking the drug is no more than 8 weeks.

Attention! In the case of taking other drugs against another pathology, you should notify the doctor. Some medicines are not compatible with each other. The drug is replaced with an analogue, it may be necessary to interrupt the course of treatment with the drug.

Psychological component

The inflammatory process of the intestinal mucosa often develops with frequent stressful situations. To reduce the rate of development of the disease, you should protect yourself from stressful situations. It is recommended to take a sedative drug. For the child, you need to create comfortable conditions.

Video - Medicines for gastritis

Power adjustments

It will not be possible to get rid of the inflammatory process of the mucosa without changing the diet. To make the correct adjustments to the menu, you should consult with a specialist. Regardless of the type of acute gastritis, nutrition plays a big role. The duration of the therapeutic course depends on the stage of development of the pathology, as well as on the frequency of exacerbations.

Peculiarity	Description
Fractional nutrition	Eating from 5 to 7 times a day at a strictly appointed time, the child accustoms the secretory function of the body to self-control. It is important to eat small portions, it is strictly forbidden to overeat
Product quality	It is required to choose high-quality products, a sparing regimen for the mucosa of the gastrointestinal tract is desirable. Food must be freshly prepared. It is required to exclude from the diet any products made from white flour, limit the consumption of raw vegetables, legumes. Also, for the period of treatment, spicy and smoked foods with various spices and flavors should be abandoned.
Cooking methods	When treating an inflammatory process in a child, it is recommended to steam or boil food. Baked foods are allowed. Cooked food should be soft, homogeneous, food temperature should be several degrees above room temperature.
Diet Basics	The basis of the diet of a child with gastritis is puree, various broths of a dietary nature from rabbit meat or vegetables. Allowed to use beef and chicken meat. Doctors recommend including steamed cutlets, rice, cottage cheese in the menu. From drinks, you should limit yourself to weak tea, cocoa with the addition of milk, compote

As the clinical signs of the disease and the inflammatory process disappear, the volume of prohibited foods will gradually decrease. This is especially important for restoring the internal forces of the body.

The following dishes are contraindicated in the development of the inflammatory process of the mucous membrane of the gastrointestinal tract.

Any smoked and spicy dishes from animal products.
The use of fatty meats is strictly contraindicated. Snacks, pickled vegetables, cartilage will also adversely affect health with acute gastritis.
Berries in the inflammatory process of the esophageal mucosa in raw form.
Dairy products.
Strong tea or coffee, any kind of soda, undiluted fruit or berry juices.
The use of sauces, hot spices, mayonnaise and ketchup is also contraindicated. This will provoke further irritation of the mucosa, which will negatively affect the patient's well-being and aggravate the course of the disease.

Soups based on buckwheat or rice groats, vegetable broths. Puree soups with a small addition of boiled chicken or beef are allowed. To improve the taste characteristics of the dish, it is allowed to use cream or a small amount of herbs, such as dill.
Wheat bread, mild sauces home cooking milk based.
Allowed to use fish cakes. Seafood should be included in the child's diet no more than 1 time per day.
Fresh dairy products, cottage cheese, milk-based jelly.
Recommended use chicken eggs that provide the body with protein.
Every day you need to consume about 20 grams of butter.

You should also pay attention to the drinking regimen, drinking at least 1.5 liters of water daily.

Preventive measures

Batteries and other similar items should be kept out of the reach of children. Any toxic items must be kept away from children. For the safety of the child, it is recommended to use child locks.
It is strictly contraindicated to give the child foods that irritate the mucous membrane of the gastrointestinal tract. Oranges, citrus fruits provoke the occurrence of painful sensations and a burning sensation. It is recommended to increase the amount of vegetables, dairy products with a low percentage of fat content. While eating, avoid drinking water. Do not eat 3.5 hours before bedtime.
Passive smoking has an extremely negative effect on the condition of the mucous membrane of the gastrointestinal tract. If you have this bad habit, you should smoke away from the child.
It is necessary to protect the child from stressful situations. Nervous strain provokes an increase in acid in the stomach, which leads to an exacerbation of the inflammatory process.

Gastritis is treated comprehensively. In addition to drugs, you will need to adjust the diet. This will avoid the development of pain syndrome, accelerate the process of tissue regeneration.

Gastritis is an inflammation of the gastric mucosa; It is thought to be caused by the bacterium Helicobacter pylori. But other factors also lead to the development of the disease: stress, unbalanced nutrition. In children, the disease can develop as early as early school age. Manifestations of gastritis are stomach pain, indigestion, nausea.

Symptoms of gastritis in children

Gastritis is characterized by the following symptoms:

Pain in the abdominal region. The strength of pain sensations depends on the stage of the inflammatory process and the characteristics of the perception of the child.
Feeling of heaviness and discomfort in the stomach.
Feeling of heartburn. The symptom worsens after playing sports or physical exertion. Sometimes heartburn spreads up the esophagus to the throat. The child has a sour taste in the mouth.
Frequent belching. The child may burp either air or a small portion of food.
Appetite worsens. The child refuses to eat.
Pain in the stomach on palpation.
Digestive disorders: bloating, constipation or diarrhea, malabsorption of nutrients. As a result, the child may develop hypovitaminosis and anemia.
Weight loss, pale skin color, general weakness and fatigue.

Causes of the disease

Most often, gastritis develops in children during the period of active growth or at a transitional age. Thus, children from 6 to 10 years old and from 13 to 17 years old are at risk. At this age, the children's body is most vulnerable to adverse factors.
Mostly children develop infectious gastritis. The causative agent of the disease is a bacterium.

This microorganism lives on the mucous membrane of the stomach and duodenum and, in the course of its life, releases toxic substances that affect the mucous membrane. The infectious process leads to the formation of inflammation and erosion.

It is very easy to become infected with the bacterium: it is transmitted from person to person in everyday ways, for example, when using shared utensils, a towel, or if you kiss your child. However, normally the body's immune system inhibits the development of a pathogenic microorganism. The pathological process develops if it worsens general state health and in the event of exposure to adverse factors.

Factors that lead to the onset of the disease:

Improper nutrition in children - one of the main causes of gastritis.

Acute and chronic gastritis

Acute form of the disease

Acute gastritis develops very quickly in response to a strong negative effect on the mucosa. This form of the disease develops in response to the action of adverse environmental factors, in particular poor nutrition. An acute inflammatory process of the gastric mucosa can be caused by food or toxic substances infected with pathogenic microorganisms.

In young children, the development of the disease can be triggered by toxic products that they accidentally swallowed. These toxic substances can cause burns or irritation of the gastric mucosa.

Acute gastritis can be in the form of:

inflammation of the surface layer of the mucosa;
inflammation of the mucosa throughout its thickness;
inflammation with formations surface erosion;
inflammation with a significant degree of destruction of the mucosa.

Acute gastritis in a child is manifested the following symptoms:

Single or repeated vomiting. As a result, dehydration may develop.
Spasmodic stomach pain.
General weakness of the body.

Acute gastritis requires timely and appropriate treatment, since with the development of destructive processes, a stomach ulcer may form, internal bleeding. With a suitable timely treatment all the consequences of gastritis disappear, and the gastric mucosa is completely restored.

Chronic form of the disease

Chronic gastritis in children develops more slowly under the influence of a number of adverse factors. Symptoms in this form of the disease are usually mild. In chronic gastritis, exacerbations periodically occur with more pronounced symptoms. If they are stopped, the disease again passes into a sluggish form.
Chronic gastritis is caused by the development of the bacterium Helicobacter pylori. Against the background of the infectious process, the child has a violation of the secretion of gastric juice, an increase or decrease in its acidity. The inflamed mucosa is affected by hydrochloric acid contained in the gastric secretion, and the child develops symptoms characteristic of the disease: pain in the stomach, nausea, heartburn, and belching.

Treatment of gastritis in children

Children's body very sensitive and prone to negative influences. Therefore, it is best to treat gastritis in children folk remedies that effectively cope with diseases and contribute to general strengthening and health improvement of the body. Diet is also of key importance in the treatment of gastritis.

Diet for gastritis in children

A balanced proper diet reduces the load on the stomach and irritation of the mucous membrane and promotes a speedy recovery.

What can children with gastritis?

Kashi (oatmeal, buckwheat, rice). Kasha should be cooked in water.
Vegetable pureed soups and purees.
Vegetable stew.
A small amount of non-acidic fresh fruit. Oven-baked apples or pumpkin can be eaten in unlimited quantities
As fats, it is best to use vegetable oil.
For drinking, herbal teas or non-acid compotes from fresh fruits or dried fruits, weak cocoa, still mineral water are better suited.

Alternative medicine recommends avoiding meat and fish dishes, however, with the traditional approach to the diet, children are allowed to steam cutlets from lean meats (chicken, rabbit or beef) or fish, and meat and fish broths can also be used to make soups and cereals.

What can not children with gastritis?

Fatty foods: fatty meats and fish, animal fats.
Rich broths.
Smoked meats, pickled products, salty, spicy and peppery dishes. It would be best to cook dishes without adding spices and salt at all.
Fresh vegetables. It is also better to limit the consumption of fresh fruits, as their fiber irritates the mucous membranes.
Sour fruits and juices.
Fresh pastries: bread, rolls.
Sweets: chocolate, sweets, cookies. It is better to replace sugar with honey.
Dairy products.

It is especially important to comply proper diet at the beginning of the development of the disease, in its most acute period. With the weakening of symptoms, an expansion of the diet is allowed, the gradual inclusion of new dishes and products. At the same time, the child's nutrition should remain correct and balanced. Only in this case it is possible to avoid exacerbation of gastritis in the future.

Treatment with folk remedies

Features of the treatment of the disease depend on the form of the disease and may differ for gastritis with high and low acidity. In general, the treatment of the disease is aimed at relieving inflammation, normalizing the acidity of gastric juice and restoring the gastric mucosa.

Decoction treatment healing herbs should be long (one course lasts 2 months, after which you can take a break of 3 weeks). Reception of drugs should be regular. At the same time, it is important to change the agent used every 2–3 weeks, otherwise the body will develop addiction, and treatment healing decoctions will stop working. Herbal decoctions are taken daily. The optimal frequency is three times a day before meals. It is important that the treatment is complex and includes drugs that have different effects.

Treatment of gastritis with high acidity

Neutralization of excess hydrochloric acid in the gastric secretion is provided by: highlander, calamus and calendula.
Contribute to the restoration of the mucosa: calendula, blackcurrant, marshmallow, licorice, St. John's wort, elecampane, mallow, plantain, lemon balm, fireweed, flax seeds.
The body is enriched with vitamins: rosehip, nettle, sea buckthorn.
In case of increased irritability, excitability, sleep problems in a child against the background of gastritis, soothing herbs are used: valerian, peony, motherwort, oregano.

Elecampane. 15 g of crushed roots are poured with a glass of boiling water and boiled over low heat for a quarter of an hour. Give the child a quarter or half a glass three times a day.
Air. For 200 ml of water, take 10 g of crushed rhizomes, boil for a quarter of an hour. Give the child a quarter cup to drink. This drug is good for treating heartburn.
Calendula. 10 g of calendula color insist half an hour in a glass of boiling water in a water bath. Give the child 1 tsp. or 1 tbsp. l. drugs.
Altey. 6 g of finely chopped root is poured with a glass of boiling water and infused for 30 minutes. Take 1 tsp. or 1 tbsp. l. decoction.
St. John's wort. 10 g of dried herb is boiled in 200 ml of water for 15–20 minutes. Take a quarter or half a glass.
Melissa and mint. Take 1 tsp per glass of boiling water. dried herb melissa or peppermint. They insist half an hour. The decoction is given to the child several sips during the day, and fresh is prepared the next day.
Flax seeds. Take 1 tsp per glass of boiling water. seeds, insist for half an hour, then shake well and filter. You need to take 1 tbsp. l.
Sea buckthorn. 3 art. l. fruits are poured with half a liter of boiling water and boiled for 10 minutes. Cool and add honey to taste. You can drink 2-3 cups of decoction a day instead of tea.

In addition to herbal decoctions for gastritis, freshly squeezed vegetable juices are useful: cabbage, potato. They must be drunk ¼ cup twice a day before meals.

Treatment of gastritis with reduced acidity

For the treatment of the disease, herbs are used that stimulate the production of gastric juice. These herbs include: water shamrock, plantain, centaury, calamus, elecampane, yarrow, dandelion root, oregano, wormwood, blackcurrant juice.

Sagebrush. Take 10 g of dried grass in a glass of boiling water, insist for half an hour. You need to take 1 tsp. facilities.
Shamrock. 10 g of dried leaves are poured with a glass of boiling water, insisted for half an hour. Give to drink several sips during the day.
Plantain juice. fresh leaves this plant is crushed, squeezed out the juice. The child is given from 1 tsp. up to 1 st. l. juice half an hour before meals.

Honey treatment

Honey is one of the most effective remedies for treating gastritis. This product must be added to medicinal herbal decoctions at the rate of 1 tbsp. l. for a glass of medicine. For therapy, fresh natural high-quality honey is chosen.
Honey therapy is different for gastritis with excessive or insufficient production of hydrochloric acid.

If the acidity is increased, the child is allowed to drink herbal medicines with honey or a product dissolved in boiled water an hour and a half before a meal or an hour and a half after.

If hydrochloric acid is not produced enough, decoctions with honey, taken a quarter of an hour before meals, stimulate its additional production and increase the acidity of the gastric secretion.

Prevention of gastritis in children

To prevent the development of gastritis or exacerbation of the chronic form of the disease, it is important to be attentive to the health of your child.

It is necessary to monitor the nutrition of the child. It should be balanced, contain all the components necessary for the full development of children: proteins, fats (preferably vegetable), carbohydrates, vitamins and minerals.

The child should eat regularly and home-cooked food, often eat first courses. Fast foods, dry food should be avoided.