Medicines for gastritis with Guards. What can a doctor do

When diarrhea occurs in a nursing mother, whether it is possible to feed the baby at this time becomes the main issue, because everything must be done to avoid harm to the baby.

Breastfeeding is the happiest moment in a woman's life when she and the baby have a very strong emotional connection. The whole period of breastfeeding involves strict adherence to a balanced diet (especially in the first months of the baby’s life). It is necessary to completely eliminate alcohol, smoking, and the use of drugs to minimize. Moreover, medication should be accompanied by medical supervision.

However, from disease or pathology, alas, do not insure anyone. So the nursing mommy can catch a cold, get poisoned or just feel unwell. What is the cool time of the year: viral infections and colds are his main companions. In the summer, you can easily get a disorder of the gastrointestinal tract and even poisoning.

In view of all this, diarrhea in a nursing mother can be triggered by numerous factors. This disease is not only quickly treated, but also to warn in advance. In addition, it is important not only to put my mother on her feet, but also to eliminate the risk for the infant.

The reasons

Diarrhea is frequent emptying of the intestines, which can lead to severe dehydration. Therefore, abundant and frequent drinking is a guarantee of quick recovery for mommy.

Diarrhea may be accompanied by weakness and general malaise. In this case, you can not worry too much. However, the nature and frequency of the stool should be controlled. If diarrhea during lactation is accompanied by fever, chills, patches of mucus and blood in the feces, it is urgent to call an ambulance. Such symptoms may indicate the presence of an infectious disease. Moreover, the disease can be transmitted to the baby through the mother’s breast milk.

Some causes of diarrhea:

1. Irritable bowel syndrome. The diarrhea itself as an illness can manifest itself due to irritable bowel syndrome. That is, vomiting and nausea are absent. The urge to loose stools do not disturb at night. When the mother is resting, the intestinal muscles are relaxed and diarrhea does not occur. Upon awakening, the pathology can begin again. Treatment of the syndrome is based on the use of sedatives, relaxants. Moreover, these drugs will not bring the slightest harm to the baby. Thus, lactation will be normal and it will not be necessary to wean the baby.

1. Food poisoning. In general, intestinal poisoning during breastfeeding is very dangerous. Baby can become infected from breast milk. The use of a stale product by mom can provoke a serious disturbance in the bowels. A large number of pathogenic microorganisms enter the body, which causes vomiting, diarrhea and fever. The treatment regimen is complex, which includes taking antibiotics, strict adherence to a diet, and consuming the proper amount of water.

1. Allergic reaction. As a rule, products that are allergens enter the mom's diet. This can cause diarrhea. Treatment is reduced to the exclusion from the menu of the product that causes allergies.

1. Intestinal infection. Sometimes a nursing mother may neglect the rules of personal hygiene. This leads to an intestinal infection. Pathogenic microflora, entering the intestine, releases toxins that disrupt the work of the entire gastrointestinal tract. In this case, self-medication is not appropriate and even dangerous. Therefore, when signs of intestinal infection appear, you should immediately consult a doctor.

First aid

1. Removal of toxins from the body through the use of sorbents.
2. Disposal of frequent stools with the help of rice or wild rose broth.

A nursing mother, due to her illness, can completely lose her appetite. However, completely refuse to power is not at all correct. It is necessary to prevent dehydration, otherwise it may adversely affect the baby.

Improving the intestinal microflora is also of paramount importance. You must use fermented milk products (kefir, natural yogurt, low-fat cottage cheese and sour cream). Porridge on the basis of such cereals as oatmeal, buckwheat and millet, will be the best components of the mom's diet.

Treatment methods

Even before the visit of the doctor or waiting for an ambulance, Mommy needs help in order to alleviate the general condition. The cause of the disease will be determined only by a doctor. Today there are numerous quantities of drugs through which you can help your mother without harming the infant. However, it is better to postpone the use of sorbents and other adjuvants due to the fact that they all directly pass into breast milk. That is, the baby will definitely receive a certain dose of medication. But it is possible to save a nursing mommy from pathology without medication.

A huge number of methods of traditional medicine may be in place. Properly used, these recipes can eliminate diarrhea quickly and effectively.

1. Plentiful drink, it is better pure and boiled water. You can use the water-salt solutions, which should be in the first-aid kit of each. This is a well-known regidron. The drug will help replenish the water-salt balance of the body and save from dehydration.
2. Drink a decoction of oak bark, chamomile tea, an infusion of pomegranate peels or cherry fruit. The oak bark and chamomile will anesthetize and relieve inflammation of the intestinal mucosa. Pomegranate and bird cherry possess astringent properties that will allow to normalize the work of the intestines and to form the correct stool.
3. Eating rice broth. Rice porridge and decoction will allow in a short time to stop the manifestation of frequent, liquid stool.
4. Walnut is an excellent fixative.
5. Drinking strong black tea.
6. Strict adherence to the diet.

It is necessary to exclude fatty and difficult to digest foods and dishes. That is, the purpose of the diet will be a slower bowel contraction. To give preference to porridge, the first dishes of varieties of lean meat and fish.

Is feeding acceptable?

Naturally, diarrhea in a nursing mother is an unpleasant and complete discomfort. The body instantly weakens, dehydration and weakness join, appetite disappears. Mothers always worry that the baby can become infected through breast milk.

But the human body is designed so that any disease provokes the production of antibodies to pathogens. That is, the baby will certainly begin to receive their portion of antibodies through mother's milk. According to experts in pediatrics, breastfeeding should not be stopped during the period of diarrhea. Some doctors even recommend breastfeeding so that the baby gets everything useful for better development of his immune system.

However, diarrhea during breastfeeding can be caused by a serious viral infection. Adding high body temperature and frequent vomiting can be very dangerous. Therefore, the appearance of such signs should be a signal to see a specialist. He will determine the cause of diarrhea and prescribe proper treatment, which will lead to recovery. Completely stop breastfeeding is not needed, it will be necessary to take a short break. A nursing mother should get rid of this disease as soon as possible. She will need to quickly restore the strength of the body in order to continue breastfeeding the baby.

Prevention of intestinal dysbiosis

Today, intestinal dysbiosis is a rather frequent phenomenon. Disruption of the gastrointestinal tract necessarily leads to digestive problems. This is a familiar diarrhea, which in itself gives the terrible discomfort of a nursing mother. Moreover, the violation of the gastrointestinal tract - a deterioration of the interaction of all body systems. This is especially dangerous during lactation and breastfeeding.

In order to prevent negative phenomena and their consequences, it is important to take preventive measures against dysbiosis. Preventing a disease means eliminating the risk of its effect on the body.

It may seem difficult to carry out prevention, as there are many factors that influence the development of intestinal dysbiosis. One of the causes of the disruption of the gastrointestinal tract can be called antibiotics. The active ingredients in the composition of medicines can disrupt the intestinal microflora. This can trigger the destruction of the intestinal mucosa, and then the disorder and stool. Therefore, it is necessary to carefully monitor the condition of all the organs of the gastrointestinal tract and to treat it in time.

Environmental pollution is also a pathological factor in the violation of the bowels. Pathogenic microbes can enter the body from the outside and cause serious illness. Severe dysbiosis provokes chronic diarrhea.

Preventing the phenomenon of diarrhea in a nursing mother is reduced to a proper and balanced diet.

Thus, the use of fresh food products, among which there are fermented milk products, meat and fish dishes, whole-grain bread is the basis of excellent well-being. Fermented milk products are rich in lactobacilli, which fight pathogenic microbes and contribute to the creation of beneficial microflora in the intestine.

A sufficient amount of rest, relaxation and avoidance of stressful situations will also have a beneficial effect on the state of the body of the nursing mom.

Many mothers are faced with such a problem as poisoning during breastfeeding. If this happens, the main thing is not to panic. It is necessary first of all to find out the cause of the indisposition, to assess the severity of the woman’s condition, in order to decide whether to breastfeed in case of poisoning. If the condition of the mother is severe, you need to seek medical help, it is better not to engage in self-treatment

Causes and signs of illness

Poisoning in women can occur after eating substandard products. Symptoms of indisposition can be caused by E. coli, salmonella or staphylococcus. The most dangerous is the presence of botulism in the sticks.

Often poisoning is caused by dirty hands, poorly washed vegetables or fruits before eating. Leads to ailment and unroasted meat, poisonous mushrooms or berries, canned, if they are prepared with violations. Often the cause is also pastry with cream, if they are stored incorrectly or for a very long time.

Signs of poisoning develop several hours after eating substandard products. With a mild form of indisposition, a woman feels nauseous and has an urge to vomit, she has loose stools, slight abdominal pain and general weakness.

Medical help should be urgently requested if these symptoms become more frequent and do not disappear within 24 hours. Concerns should also cause high body temperature and fever. Treatment of severe cases of poisoning should occur only in the hospital.

Allowable therapy

Treatment of poisoning in HB should be started immediately after the appearance of its first signs. You can flush the stomach to get rid of the infected product. For the procedure using pure water or a weak solution of potassium permanganate. It is necessary to drink about a liter of fluid and by pressing the root of the tongue to cause vomiting. Gastric lavage is performed until the outgoing water is clear.

Be sure to take the drug sorption action, it will absorb toxins that produce pathogens of poisoning. In this case, activated carbon is considered the most universal and safe means.

Instead of activated carbon, you can take the drug Smekta several times a day. Polysorb has proven itself well; this adsorbent does not penetrate into breast milk because it is not absorbed into the blood. This is a fast-acting drug, the effect is achieved in literally 5 minutes.

If diarrhea is not observed, you can clean the intestines with an enema with clean water up to 3 liters in several doses. This procedure removes toxins from the intestines so that they do not enter the blood. The body's fight against bacteria can last several days. If the body temperature of the nursing mother rises, it is advisable to take a tablet of Paracetomol, Nurofen or Ibuprofen.

Breastfeeding in case of poisoning can continue, the bacteria penetrate into the mother's gastrointestinal tract, they can not get into breast milk. A woman's body produces antibodies to the causative agent of the disease, giving the child immunity to salmonella, Escherichia coli and other pathogens.

A break in breastfeeding will be necessary only if the mother’s condition requires treatment in a medical institution. In order for the milk to disappear, she will have to express it regularly, then after recovery she will be able to restore the normal lactation process.

A prerequisite for poisoning is frequent washing of hands with detergent before talking to the child, especially after using the toilet. In order for the body to have the strength to fight the pathogens of the disease, a woman should often rest, if possible, keeping to bed rest.

On the first day after poisoning, it is advisable not to eat any food. On the following day, if your health improves, you can eat some light food, such as rice porridge, white bread crackers and sweet tea. To a normal diet, including the usual products, we must move gradually.

Particular attention with this disease is drinking regime. The body needs fluid during this period, especially if the poisoning is accompanied by diarrhea. On the day you need to drink about 2 liters of water. Perhaps the use of weak infusions of chamomile or calendula, you can use mineral water, but not carbonated. Even in the case when the baby also has a malfunction of the intestines, feeding with breast milk during poisoning should not be stopped.

To stabilize the normal work of the gastrointestinal tract will help and drugs that contain plant fiber and bifidobacteria. You can use a biological product Eubicon or encapsulated yogurt. Medicines of this type are taken before meals, the course of use lasts 5 days.

Preventive measures

You must carefully follow the rules of personal hygiene, often wash your hands with detergent. Water for drinking should be used only boiled or bottled. Before buying food and before eating, make sure that the food is fresh. Particular attention should be paid to the quality of meat, dairy and confectionery products. From mushrooms in any form for the period of breastfeeding is better to completely abandon. Fresh vegetables and fruits should be washed well before use.

If the baby is not yet 6 months old, the mother should make every effort to maintain and continue the lactation period. Even if there was a poisoning, but it proceeds in a mild form, do not rush to take medicines that can harm a child.

Most often, poisoning occurs in a mild form, without requiring long-term treatment, so there is no need to interrupt the feeding period. But if a woman's condition worsens, it is imperative to consult a doctor. He will prescribe the necessary treatment depending on the condition of the woman.

Constipation after childbirth during breastfeeding is the most common type of complication that needs to be addressed. It is this rather unpleasant aspect that we will look at today and try to figure out how to influence such conditions of the woman in labor.

Childbirth is a process that marks a long wait, endless experiences and sleepless nights. This procedure is extremely painful, but this does not make the child less desirable; rather, on the contrary, the connection between the mother and her child is strengthened. However, the childbearing process can provoke some changes in the woman's body, which result in a variety of difficulties.

Main symptoms

“What could be simpler than constipation treatment?” Many of us can say. However, for an organism that has suffered the pangs of giving birth to a new life, this aspect can become a huge problem. It is quite simple to determine such a state, since it is characterized by obvious signs:

• bloating;
• difficulty in excretion of feces;
• heaviness in the stomach;
• pain in the intestine.

As a rule, individually, these signs do not appear. They have the nature of a gradual spread, which depends on the time spent without a toilet. Basically, constipation in a nursing mother begins to manifest 1-3 days after birth. It can continue for a considerable period of time, and its neutralization requires special preventive measures.

Prerequisites for education

Constipation in a nursing mother can be the result of certain pathologies, as well as the result of many other factors. In order to understand the very structure of the problem, it is necessary to focus in more detail on the causes of its occurrence. These factors include:

• hormonal changes;
• weakening and stretching of the muscles;
• pressure of the uterus on the intestines;
• a change in the position of the intestine;
• improper diet;
• stress;
• fear of pain.

All these factors can be prerequisites for the formation of constipation. Under normal conditions, eliminating such a nuisance would not be a big deal. However, constipation during breastfeeding can not be neutralized by conventional methods. First of all, this is due to the fact that all the factors and means acting on the mother's body, starting from the first seconds of the baby’s life, inevitably affect the child. Therefore, to eliminate such unpleasant symptoms by traditional methods is almost impossible.

Changes in hormonal levels and weakened abdominal muscles

The first factor that forms constipation in a nursing mother is hormonal changes and general background disorders that affect the female body as a whole. This process begins during the first months of pregnancy, when all systems and processes begin to be rearranged in anticipation of the development of a new life. The entire length of childbearing is marked by hormonal changes. For nine months, they significantly deviate from the natural level. Everyone knows that after the flow of labor, the hormonal systems cannot quickly and effectively restructure themselves according to the previous parameters. This process occurs gradually and can reach several months. As a result, impaired metabolic processes can cause constipation after childbirth.

The physiology of the process of excretion of used food implies some muscular activity. The work involves mainly the abdominal muscles, which create the necessary pressure on the rectum. Pregnancy makes some adjustments to their location and subsequent work. Gradually growing belly stretches straight and transverse abdominals, because of what they lose some of their functions. Procedure of childbirth gives excessive loads on the weakened areas, which leads to their overload. As a result, muscles simply cannot perform pressure on the intestine with the necessary force. As a result, constipation can occur during breastfeeding.

The pressure of the uterus on the intestines can also cause stagnation of feces. During pregnancy, the uterus is gradually stretched. This is due to the growth of the baby. After his birth, she cannot instantly regain her former condition, therefore she remains enlarged and only with the passage of time gradually returns to her original state. During this period, the uterus can squeeze certain parts of the intestine, thereby disrupting its operation.

Negative consequences of not eating healthy food

Constipation in a nursing mother may be due to a change in the position of the intestines. Pregnancy makes adjustments to all systems of the body, changing them and adjusting to their needs. The growing fetus gradually takes up more and more space, oppressing and shifting other organs. The gut is no exception to this process. Approaching childbirth more and more squeeze it. To restore its full functionality, it also takes some time, during which the formation of constipation in nursing mothers is possible.

Improper diet is one of the main criteria for the formation of constipation. In most cases, women dramatically change their diet because of the fear of eating something wrong or refuse to eat at all in the first days after childbirth. Both of these approaches are fundamentally wrong, as they only exacerbate the situation. The body after suffering the need to restore not only strength, but also all damaged tissues. Starvation or malnutrition leads to the fact that the regeneration process is prolonged for a considerable period of time. A weakened body cannot fully perform its functions and therefore limits some of them. The same applies to the drastic change in the power scheme. Fear of eating something superfluous, in order to avoid the manifestation of allergic reactions in a child, also plays a role. Due to this, a meager set of products is reduced even more.

Constipation in a nursing mother can be a consequence of stress experienced. In some cases, the psychological factor comes out on top. Constant disturbances and tests carried over in the last months of pregnancy lay an imprint on the newborn mother's state of mind. Births are the final stage of this process. Only now, everything else is added and the fear for the health of the little man. This decisive factor is able to create all the prerequisites for entering a state of severe stress. It also affects the work of all systems and organs. The intestine is not an exception from the general list. So the formation of constipation when feeding a child may well be associated with this general negative factor.

The beginning of therapeutic activities

Treatment of the primary symptoms of constipation during breastfeeding is based on the introduction of a special diet and carrying out prophylactic methods. More serious degrees of illness may imply a slight medical effect.

The first and most important factor in helping to treat constipation is adherence to the principles of proper nutrition and adherence to a healthy lifestyle. These two criteria are able to quickly neutralize constipation and remove its unpleasant effects. Some fear there are different foods in order to avoid negative effects on the child. In general, there is some truth in this. However, the main thing to remember that most natural products can still be eaten, it is only necessary to subject them to special processing.

Some women stop eating meat immediately after giving birth. Such a decision will not bring anything good, because the body in times of tissue regeneration and restoration of organs needs an abundance of light protein, which is rich in meat products. The refusal of their use entails the fact that the body has nowhere to take this building element, and it simply cannot recover normally and effectively. To eat meat is not only possible, it must be done. Fried, smoked, fatty, heavy versions of this dish, of course, have to be excluded, so that it does not adversely affect the quality of breast milk. But boiled or steamed rabbit meat or chicken will be the best solution to create the necessary supply of energy and building material.

Vegetables are also essential products needed by both mother and child. They contain many vitamins and mineral compounds that are responsible for the normalization of metabolic processes and tissue repair. In their raw form, of course, it is not recommended to use them, but in the cooked version it is quite possible to do this. The general principles of nutrition during breastfeeding are the rejection of heavy and fatty foods, as well as the reorientation of the diet to simpler foods. Various cereals and boiled meat are the main allies in the fight against constipation and the best helpers in the normalization of all metabolic processes in the body, as well as ensuring good nutrition of the baby.

Preventive measures and drug therapy

Preventive measures are essential for the resumption of the normal functions of the digestive system. First of all, these include physical exercises that the newly-made mother should perform. In the first days after birth, I absolutely do not want to do any physical work, and my muscles ache and sore. However, paradoxically, it sounds, feasible exercises for the development of muscles are the best way to eliminate constipation. They should start with a few bends or twists, which will include the weakened muscles and will give an impetus to the normalization of all body systems.

There are cases when there is no other choice, except for the use of drugs. As a rule, these are various complications that block the work of the intestines for a long period. In such circumstances, the best solution would be to report the problem to your doctor, who will make his recommendations and give an opinion. In most cases, doctors prescribe special glycerin suppositories for constipation, which are designed to eliminate the problem at the local level. The principle of their use is the introduction to the anus and a small rest, during which the elements dissolve. Impact on the body begins its process from the moment of dissolution of the capsules. As soon as this has happened, the active elements begin to be absorbed into the rectum, helping it to contract and push the stool. This leads to the release of the chair.

However, it should be remembered that the use of candles from constipation is necessary only on the recommendation of a doctor who observes a woman. Such an appointment, as a rule, is made in the most extreme cases, when the effectiveness of other methods is practically zero.

A complex approach

Constipation in women with breastfeeding is a negative consequence of the past childbirth. Stress, weakened muscles and malnutrition sometimes lead to the formation of intestinal obstruction. Therefore, to prevent such consequences should follow a special diet and do not forget about physical exercise. Proper nutrition is extremely important not only to normalize the metabolic processes of the female body, but also to ensure a full-fledged diet of the child. Physical activity, which is the basis of preventive measures, can have a beneficial effect on weakened muscles and areas, leading to their functioning in a normal mode. It is such an integrated approach that can become a panacea and solve the existing problem as soon as possible.

Indigestion, or dyspepsia  characterized by a violation of the processes of digestion. The reasons for this can be very different - chronic inflammatory diseases of the digestive system, overeating, eating substandard, unusual or heavy, fatty foods. The digestive system does not cope with its function, and as a result - pain and heaviness in the stomach, belching, bloating and rumbling in the stomach, loose stools (or, conversely, constipation), weakness, dizziness, mild nausea.

Lack of enzymes

The most common manifestations of the pathology of the gastrointestinal tract (GIT) are disorders of the processes of digestion and absorption. The development of this pathology may be due to insufficient production of digestive enzymes or a decrease in their activity. For compensation lack of digestive enzymes,  produced by the pancreas, after prior consultation with a gastroenterologist, lactating women can use the drug PANCREATIN (VESTAL, CREON 10,000), which is obtained from the pancreas of animals. Pancreatin contains enzymes: amylase, lipase and proteases (trypsin, chymotrypsin, etc.), which promote the breakdown of proteins, fats, carbohydrates and normalize the processes of digestion. Pancreatin is partially destroyed in the stomach, and therefore drugs resistant to the action of the gastric juice are created, which release the medicine in the intestine. As a rule, they have the form of dragee, coated tablets, or microspheres, placed in a capsule. Often, violations of the production of enzymes are accompanied by dysfunction of other organs that ensure the normal digestion of food - the liver, biliary tract, so additional components are added to the composition containing pancreatin that normalize absorption, biliary excretion and other indicators. These drugs include DIGESTAL, DIGESTAL FORTE, FESTAL(Pancreatin + components of bile + hemicellulase), PANZINORM FORTE  (Pancreatin + cholic acid + pepsin + amino acid hydrochlorides + hydrochloric acid). Preparations containing pancreatin differ in the activity of the enzymes contained in them. The drug is the most “soft” correctors of pancreatic dysfunction. MEZIM FORTE. Pills MEZIM FORTE  covered with a special shell that protects the enzymes from the action of gastric juice. The drug can be taken by pregnant and lactating women, as well as children from an early age.

Heartburn

Another unpleasant symptom that signals diseases of the gastrointestinal tract - heartburn. This is a burning sensation behind the sternum, which often extends up to the pharynx. The appearance of heartburn due to the throwing of gastric contents into the esophagus. To eliminate this symptom, antacids are used (from the Greek. Anti - against, acidus - acid), which reduce the acidity of the gastric juice by neutralizing hydrochloric acid. There are a large number of such drugs. They are divided into suction whose main components are sodium bicarbonate, calcium carbonate, magnesium oxide  and not absorbed (aluminum phosphate, aluminum hydroxide, magnesium hydroxide, magnesium carbonateand magnesium citrate). The use of absorbable antacids is limited due to the development of undesirable reactions. These funds act quickly, but only briefly, and when neutralizing hydrochloric acid they form carbon dioxide, which can cause bloating and belching. In addition, the presence of carbon dioxide can cause a secondary release of hydrochloric acid, which will aggravate the patient's condition. Non-absorbed antactides are insoluble in water, do not slightly or completely penetrate the blood and do not have a systemic effect on the body, only local. They act more slowly, but they give a longer effect, they do not form carbon dioxide, some of them have adsorbing properties, that is, they are able to absorb various substances, including harmful substances, from gases and liquids. In large doses, magnesium compounds cause a laxative effect, and aluminum - a locking effect. Nursing women can take non-absorbable antacids, in the dosages indicated on the packages, the more common name for these products is MAALOX, PHOSPHONYL, ALMAGEL.

Flatulence

When eating certain foods, such as potatoes, milk, black bread, vegetables, or when there is insufficient absorption of gases in the intestine (due to the loss of muscle tone, as well as due to various diseases of the gastrointestinal tract), increased gas production often occurs, or   flatulence.  Usually, it is accompanied by severity and a feeling of fullness in the abdomen, belching, hiccups, paroxysmal pain in the abdomen, disappearing after the discharge of gas, unpleasant smell from the mouth, etc. As traditional remedies for flatulence, often use infusions and tinctures of chamomile flowers, cumin fruits, fennel seeds (fennel) or garden, as well as fennel oil or dill oil. They facilitate the discharge of gases, as they relax smooth muscles (slight antispasmodic action) and at the same time stimulate the motor activity (motility) of the intestine. Herbal tinctures can be combined. Nursing women can also use products based on simethicone - ESPUMIZAN, SAB SIMPLEX.

Constipation

Problems with bowel movement are usually accompanied by weakness, malaise, headache, irritability, insomnia, loss of appetite and other unpleasant effects that are caused by toxic substances absorbed from lingering feces. In many patients, the number of pathogenic bacteria increases, the synthesis and absorption of group B vitamins is disturbed. Laxatives are used for constipation, among which the main ones are herbal medicines. These include rhubarb root, buckthorn bark, Zhostera fruits, senna leaves, sabur, anise and castor oil, aloe juice. Other herbal preparations increase the volume and dilute the contents of the intestine, irritate the intestinal wall, increase peristalsis and accelerate the promotion of feces. This is the way plant fibers and colloidal substances act - sea kale, flaxseed, agar-agar, bran, etc., the effect of which (defecation) occurs after 12-24 hours. In addition, nursing mothers can use such preparations of plant origin as REGULAX  (leaves and fruits of cassia, plum mousse, fig paste), MUKOFALK  (plantain seeds). Saline laxatives can also be used: sodium phosphate, magnesium hydroxide, SALT KARLOVARSKAYA  et al. initiating stools after 3-6 h.

Dysbacteriosis

  Often, with gastrointestinal diseases, there is a change in the composition of the natural intestinal microbial flora, or dysbacteriosis. The human microbial flora is a collection of microorganisms found in healthy people in the intestines. On average, 1 ml of intestinal contents contains from 100 thousand to 1 million microbes. Of these, 90% are so-called bifidobacteria, the rest is lactic acid bacteria, E. coli, staphylococcus, yeast-like fungi, and so on. These microorganisms are involved in the digestion of food, produce vitamins and other beneficial substances, inhibit the reproduction of pathogenic bacteria that enter the gastrointestinal tract. Dysbacteriosis disrupts the body's assimilation of nutrients, causes digestive upset (dyspepsia), reduces the synthesis of vitamins, creates conditions for the multiplication of pathogenic bacteria. As a result, local inflammatory reactions develop, the immunity is weakened, and against this background various infections can occur. For the treatment and prevention of dysbacteriosis in lactating women, means are used that normalize the human microbial flora, first of all, containing bifidobacteria, for example, BIFIDUM BAKTERIN FORTE.

Ulcer

A common pathology of the gastrointestinal tract is peptic ulcer  - ulceration of the mucous membrane of the stomach or duodenum. Usually, for the treatment of this disease, means are used that somehow reduce the production of hydrochloric acid by certain cells of the stomach wall: h 2 blockers - histamine receptors (RANITIDIN, CYMETIDINE, FAMOTIDINE) and proton pump blockers (OMEPRAZOL, LANZOPRAZOL, PANTOPRAZOL). ATTENTION! Preparations of the above groups are contraindicated for nursing mothers.  For the treatment of manifestations of peptic ulcer in lactating women can be applied (strictly following the annotation) gastroprotectors   - drugs that directly protect the gastric mucosa from the damaging effects of acids, enzymes and other chemical or physical factors. These tools include Sukralfat  - is an aluminum salt of sulfated sucrose, which in an acidic environment turns into an adhesive substance covering the affected surface of the gastric mucosa. Another type of gastroprotection that can be taken while breastfeeding is a synthetic analogue. prostaglandin - MIZOPROSTOL. Prostaglandins  - substances that are formed in the cells of the mucous membrane of the stomach and play an important role in its normal functioning. They improve the microcirculation in the mucous membrane, inhibit the release of hydrochloric acid, increase the production of mucus and increase the resistance of cells to it.

Liver problems

  With various inflammatory diseases of the liver and gallbladder occurs impaired production and / or changes in the composition of bile. This leads to the development of the so-called dyspeptic syndrome, which is characterized by heartburn, belching, nausea. To improve the functioning of the gallbladder, means can be used that normalize the motor activity of its muscular layer, reinforce bile formation and contribute to the secretion of this secret into the duodenum. In this case, medicinal plants (flowers of immortelle and tansy, corn silk, extract of artichokes, etc.), as well as preparations based on them, are shown to women who are breastfeeding. Extracts from plants (decoctions and infusions) enhance the production and reduce the viscosity of bile, increase the content of suspended and dissolved substances in it, which, in turn, prevent the formation of gallstones. The release of bile into the intestine is facilitated by drugs that stimulate contractions of the gallbladder or lower its tone (elasticity of the muscular layer), for example, magnesium sulfate (MAGNESIA). Problems with the gastrointestinal tract, unfortunately, not so little. However, there are enough opportunities to cope with them. Breastfeeding moms who are faced with this problem should not forget only one thing: you should consult with your doctor before you start taking medication for any pathology. The specialist will prescribe a survey that allows you to establish the diagnosis and, after weighing all the pros and cons, will select the treatment.

For the period of breastfeeding, mothers try to give up all kinds of culinary delights and junk food - after all, everything eaten affects the condition of the baby. However, even the transition to healthy food does not always protect a woman from manifestations of chronic gastritis. Often this is seasonal. The first and greatest difficulty in the treatment of gastritis is the compatibility of therapy with lactation.

If a child is more than 1 year old, then a decision is often made in favor of the mother. She completes breastfeeding and begins a course of active drug therapy. But if the baby is younger, or the woman for other reasons does not want to complete the feeding - the treatment is a different way.

Breastfeeding or disease treatment

Often mothers are confronted with the fact that doctors confront women with a choice: either breastfeeding or treatment. However, this approach can hardly be called humane, if we are not talking about acute manifestations of gastritis, which do not allow mother to lead a full life.

In addition, more and more often on the forums there are comments that doctors are not competent enough, and prescribe drugs that are incompatible with breastfeeding. Mother's milk, for the benefit of the child, can not be compared with any elite and expensive mixtures. Therefore, it is necessary to do everything to ensure that the baby remains breastfed.

There are a number of drugs that are permissible in the treatment of gastritis during breastfeeding, in addition, traditional medicine is replete with means safe for the baby. It is important for mom to turn to this treatment regimen as soon as she feels disturbing symptoms:

• heartburn after eating;
• pain, discomfort in the epigastric area;
• nausea, vomiting.

Below is selected treatment regimen that you need to follow at least a week. If at the end of this time, improvements are not observed, or the symptoms become more frequent, this signals that you need to change the method of therapy, and seek help from more potent drugs. We are talking about antibiotic therapy if Helicobacter pylori was found in the study of a patient.

Diet for the treatment of gastritis with lactation preservation

If the baby does not suffer from colic and allergic reactions, the mother allows you to pamper yourself with all sorts of goodies in the form of sweets, barbecue, pickled vegetables. At the first suspicion of aggravated gastritis, one should switch to the strictest diet and exclude everything that could provoke unpleasant symptoms from the gastrointestinal tract:

• sauces and marinades,
• fried foods
• sweets,
• hot spices
• carbonated drinks,
• fresh bread and pastry

This is the main list of prohibited products. To add a woman to it will be the food that caused the individual is not the perception of it or the body of the baby. You need to eat by the hour, every day at the same time. When gastritis disrupted the glands responsible for the secretion of hydrochloric acid in the stomach. Therefore, it is necessary to accustom the body to prepare for food intake - to produce it in the required amount.

The amount of food eaten at a time should correspond in the amount of a small handful or glass.

It is important to drink plenty of purified water, it is better if the doctor prescribes medical-table water, which will correspond to the composition. With increased acidity - "Smirnovskaya", "Borjomi", and with low acidity - "Essentuki" No. 17, 4.

Relaxation

A lot of worries, sleepless nights and a huge responsibility for a new life fall on the shoulders of a young mother after the birth of a baby. All this, as well as family conflicts and difficulties adversely affect the psycho-emotional state of a woman. Gastritis that develops on nerve soil is second in the ranking of causes after infection with the bacterium Helicobacter pylori.

Therefore, the need for rest should be satisfied almost “on demand”. Many mothers try to work at a computer when feeding a baby. But this only provokes exhaustion. During feeding, you need to take a prone position, close your eyes. If the procedure is to be long - take a nap.

You need to try to maintain composure, even in difficult situations. If it is difficult to do - you need to drink soothing herbal preparations. You need to be careful with them, as some herbs (for example, mint) soothe lactation. The pharmacy has a fairly wide range of medical sedative drugs that do not affect the baby.

Withdrawal symptoms

You can get rid of pain with the help of No-Shpy, Papaverina. The dosage and duration of admission will determine the doctor. These drugs belong to the group of antispasmodics and are prescribed even at the stage of pregnancy. Herbal painkillers have anti-inflammatory properties:

• chamomile,
• st. John's wort
• yarrow,
• flax or oat seeds.

For the preparation of therapeutic infusion will need 2 tablespoons of a mixture of herbs (or one type), which need to pour 0.5 liters of boiling water, leave for 2 hours. Take this tea should be warm, half a cup after each meal (5-6 times a day).

As for heartburn during lactation, fresh milk helps many to get rid of it. True, doctors point to the ineffectiveness of this method, because after a short time, the discomfort resumes with a new force, and in some milk also provokes bloating, diarrhea. Antacids (Almagel, Maalox) are not prescribed for nursing mothers.

In this difficult period for the body, it is important to support it and take a course of vitamins. According to pharmacists, the most high-quality complexes are drugs designed for pregnant women. But before using it is necessary to consult a doctor.

If you approach the treatment responsibly and follow all these rules in a disciplined manner, soon the symptoms of gastritis will disappear.

From a strict diet you need to go out smoothly, to avoid overeating, a sharp change of diet. Such an approach will not only preserve breastfeeding, but will most favorably affect the quality of milk and the health of the mother and baby.

Treatment without lactation

Refusing to feed the baby with my mother's milk should be, if the treatment according to the scheme mentioned above, did not produce results and the state of health worsens. Most likely, the cause of this condition is the stubborn vital activity of the Helicobacter pylori bacteria in the stomach. In this case, complex therapy will be applied, and it will begin with the administration of antibiotics.

The main stages of drug therapy in the treatment of gastritis:

• Acceptance of antibiotics, special antihelicobacter drugs. They will help get rid of the main cause of the disease.
• Regulation of the acidity of gastric juice. Most patients suffer precisely from the increased acidity of gastric juice. Therefore, it is necessary to receive agents that soothe the secretion of the gland.
• Acceptance of enzymes, drugs to improve digestion. These include: Creon, Festal, Pancreatin.
• Symptomatic treatment. Phosphalugel, Almagel will help relieve pain syndrome. In addition, they have enveloping properties, protecting the mucous membrane from the negative impact on it. Treat gastritis in this way will need up to 2 weeks.

Therefore, in the treatment of gastritis, you need to exert maximum efforts in order to preserve lactation. But if a number of safe medications and popular recipes have failed, and the state of health becomes worse - you need to think about switching to a full-fledged traditional therapy without saving the baby’s breastfeeding.

The lactation period is an important stage in the development of the baby, but a rather difficult period for the mother. The body is “tuned” to lactation, so its defenses are weakened. During this period, chronic diseases are often exacerbated.

Many young mothers are faced with manifestations of gastritis during breastfeeding. To use drugs for the treatment of the disease should be very carefully, since most drugs are contraindicated nursing.

The reasons

Before starting treatment, it is necessary to establish what caused the disease. Only in this case, the appointment of truly effective therapy is possible. Most often, the disease is caused by the following factors:

•   . More recently, it was found that the cause of gastritis can be a bacterial infection. Infection occurs through households, but the infection may not appear immediately. Often, gastritis begins to manifest itself only with a weakened immune system. And pregnancy, childbirth and subsequent feeding are a great stress for the female body.
•   . This type of disease is most often inherited. The disease is caused by a malfunction of the immune system when immune cells begin to attack healthy organisms, which provokes inflammation.

•   . The disease is caused by a negative effect on the gastric mucosa of aggressive factors. It can be poisoning, that is, swallowing caustic substances. But more often occurs due to weakness of the duodenal sphincter. Because of this, the contents of the upper intestine get back into the stomach. Bile acids negatively affect the mucous membranes, causing inflammation.

Symptoms

The symptomatology of gastritis in women during lactation does not differ from the clinical manifestations of the disease in other people suffering from this disease. However, young mothers often do not pay attention to discomfort for a long time, because they have enough other experiences and worries.

The inflammatory process in the gastric wall is manifested by the following symptoms:

•   which may increase at night or after meals;
•   it can be belching with a sour taste or with an unpleasant smell;
•   , the appearance of a burning sensation along the esophagus.

Tip! It is not necessary to postpone the treatment of gastritis, if it manifested during lactation. Mom's poor health can not affect the baby.

Diagnostics

Nursing mothers are no different from the standard diagnostic scheme. Women need to consult a gastroenterologist. The doctor will examine and collect anamnesis, and then he will send you for tests and examinations. Would need:

• pass blood and stool tests;
• undergo an ultrasound to identify or exclude associated diseases (for example, cholecystitis);

• to undergo FGDs procedure, this is an endoscopic examination that allows to conduct a visual inspection of the gastric mucosa

Tip! EGD is not conducted, since this examination may cause even greater irritation of the inflamed mucosa.

Treatment

After the diagnosis, the specialist will prescribe the necessary therapeutic measures. How to treat gastritis young mother, so that the baby is not injured? There are two treatment options for gastritis during breastfeeding:

• With interruption of feeding. This method is used in the acute course of the disease in the mother, when there is no possibility to do without the use of medications, contraindicated in HB. In addition, the doctor may recommend interrupting lactation if the child is already one year old. At this age, the baby is no longer so much in need of breast milk, so refusing to feed will not harm him.

• With preservation of feeding. In the chronic course of the disease, when there is no sharp pain, you can resort to methods that do not affect the quality of breast milk. It may not be possible to completely cure the stomach during lactation, but it will be possible to normalize the condition of the woman without taking antibiotics and other medicines.

In any case, the question of how to treat gastritis to a nursing mother should be solved with a gastroenterologist, and not look for treatment methods on her own. The fact is that treatment is prescribed individually, and the recommendations that were given to one patient may not be suitable for another.

Medications

If the treatment option is chosen for gastritis with HBV, then antibacterial therapy is excluded. But, nevertheless, medications that do not affect the composition of breast milk may be prescribed.

Tip! No need to try to remake all the cases on the "excellent", do not hesitate to shift part of the homework to her husband and other relatives. Do not forget that a young mother needs a good rest.

To normalize the acidity and pain relief is recommended to use:

•   . With high acidity, it is recommended to drink Borjomi, Smirnovskaya. With reduced acidity will help "Essentuki" № 4 and 17.
•   . The use of multivitamin preparations for general body strengthening is shown.
• To relieve pain, it is safe when breastfeeding;
• With very strong pain, you can once.
• Collection number 3 is shown with reflux gastritis and.

Diet

A nursing mother in the treatment of gastritis is recommended to follow a diet. There is a need for 5-6 times, it is recommended on the water, dairy products, chopped lean meat. In addition, you need to try to comply with the regime. It is clear that with a small child it is difficult to comply with this recommendation, but you need to try.

Prevention

Preventing stomach ailments is much easier than treating them. The main preventive measure is proper nutrition. In addition, it is very important to fully relax. In case of chronic course of gastritis, it is recommended to undergo a prophylactic solution even before the beginning of pregnancy planning. This will reduce the risk of recurrence of the disease during gestation and feeding.

So, gastritis can develop at any time, including during the period of breastfeeding of the baby. It is necessary to treat the disease under the control of a gastroenterologist. If it is planned not to interrupt HB, it is necessary to use products that do not affect the composition of breast milk. Women are advised to follow a diet, drinking mineral water, proper rest, and taking safe medications.

Modern rhythm of life and eating habits often have a negative impact on the human digestive system. Such a common problem, like gastritis, occurs in people of different ages, regardless of gender and social status.

Do not bypass the disease and young mothers who have decided to breastfeed. Since many groups of drugs have the ability to penetrate into breast milk, such women face the question of which drugs can be used to treat gastritis without the risk of harming a newborn baby.

Varieties of the disease

Before the start of drug therapy for each nursing woman, it is important to determine the cause that provoked the inflammatory process in the stomach. This disease, as a rule, has a chronic course, which is replaced by periods of exacerbation, especially in the offseason. Gastritis is characterized by the formation of a superficial inflammatory process on the gastric mucosa.

To provoke the formation of the inflammatory process on the walls of the stomach can such factors:

• Irrational food, regular consumption of fatty and fried foods;
• Hyperproduction of gastric juice;
• Autoimmune disorders;
•   and increased emotional stress.

If, prior to the onset of pregnancy, a woman practiced smoking and consumed alcoholic beverages, then these adverse factors could trigger the development of gastritis after childbirth. A less common cause of the formation of the inflammatory process is a decrease in the body's defenses against the background of carrying a child.

Symptoms

The clinical picture of this disease in nursing women has no differences compared with other people. On the emerging inflammation in the stomach indicate the following signs:

• Nausea and vomiting;
• Heartburn;
• Constricting or cramping pain in the epigastric region, aggravated during meals;
• Belching sour contents, having an unpleasant smell;
• Stool disorders in the form of constipation or diarrhea (depending on the nature of acidity).

Each of the signs indicates a functional malfunction of the gastrointestinal tract. The appearance of gastritis in a nursing woman is a problem of increased complexity, which requires timely diagnosis and treatment.

Diagnostics

In order to confirm the diagnosis of a nursing woman, consultation of a gastroenterologist and a general practitioner is necessary, followed by the following types of examination:

1. General clinical blood test performed to detect such inflammatory process markers as leukocytosis and accelerated ESR;
2. Gastroduodenoscopy. This highly informative method allows visualization of the gastric and duodenal mucosa in order to assess its condition;
3. pH metry of gastric juice. The purpose of this diagnostic technique is performed individually, since the reference result can be obtained when performing gastroduodenoscopy.

Treatment

Depending on the duration and severity of the pathological process, the therapy of gastritis in nursing women provides the following options:

1. Gentle therapy that does not require abandonment of natural feeding;
2. Radical drug treatment, which involves refusing to attach the child to the breast during the entire therapeutic course. This scheme includes the use of highly effective medicinal drugs that are able to penetrate into breast milk, causing complications from the body of a child. Radical treatment is used when the inflammatory process is neglected and the clinical picture is bright.

Gentle therapy

If the test results show a mild inflammatory process, the following methods are used to stop the pathological symptoms:

• Compliance with the mode of the day. A nursing woman, faced with gastritis, must comply with the regime of work and rest. If a young mother feels tired, then she should not deny yourself a 30-minute rest;
• Diet. Diet plays one of the most important roles in improving the condition of the gastric mucosa. A nursing woman should exclude the use of sugar, fatty foods, salt and various spices. Fermented milk products, vegetable and cereal soups, natural fruit and berry kissels without added sugar have a positive effect on the gastrointestinal tract;
• Maintaining the pH of the stomach environment. To this end, medical specialists recommend daily alkaline intake;
• Control of the emotional state. Regardless of whether a nursing woman suffers with gastritis or not, she needs to control the psycho-emotional state, avoiding stress and nervous tension;
• Relief of discomfort and pain in the stomach. For this purpose, antispasmodic drugs are prescribed. The selection of the names and dosages of such funds is the responsibility of the attending physician.

Radical therapy

If, against the background of gentle treatment of gastritis, the general condition of the young mother has not improved, then medical specialists will decide on the need for a radical course of treatment, which involves refusal of natural feeding. This type of gastritis treatment involves the use of such medicines:

• Enzyme preparations;
• Antibacterial agents whose action is aimed at suppressing the life of Helicobacter pylori;
• Proton pump inhibitors (omeprazole) and antacids;
• H2-histamine blockers;
• As a symptomatic therapy, antispasmodic drugs can be prescribed, as well as drugs that normalize water and electrolyte metabolism in the body.

In order not to complete early lactation, it is important for breastfeeding women to express breast milk during the entire period of radical therapy to a nursing woman. Strained product is unsuitable for feeding the child. You can resume breast attachment only 3-5 days after the end of drug therapy.