Spa-resort treatment of chronic gastritis
Greetings, friends! In this article we will tell you about the spa treatment of such a disease as chronic gastritis: we will briefly remember what it is, tell you about what natural and instrumental methods are used for its treatment.
Thus the most popular among people with chronic gastritis are such resorts as Karlovy Vary, Marianske Lazne, Luhacovice, Frantiskovy Lazne, the Serbian resort Vrnjacka Banja, Druskininkai, Birstonas and the famous resort Borjomi - all of them are presented on the portal sanatoriums.com. You can also use the filter on the website to see a complete list of resorts that treat this disease.
Etiology and types of gastritis
Chronic gastritis is a chronic inflammatory dystrophic disease of the gastric mucosa, which is characterized by changes in its structure and remodeling of the glandular epithelium. At the same time, secretory, motor and often insulin functions of the stomach are disturbed. Chronic gastritis is subdivided according to its etiology (origin):
- autoimmune, fundal gastritis - chronic gastritis type A;
- antral gastritis associated with Helicobacter pylori - chronic gastritis type B;
- chronic gastritis caused by alcohol use, medication or non-steroidal anti-inflammatory drugs - chronic gastritis type C;
- mixed type of gastritis, such as chronic gastritis type A+B.
There are also special types of chronic gastritis, such as lymphocytic, eosinophilic, granulomatous, hyperplastic. Separately, specialists distinguish idiopathic gastritis - gastritis of unexplained etiology.
The goals of spa treatment of chronic gastritis
The main companions of chronic gastritis are inflammatory, painful and dyspeptic syndromes, as well as a disturbance of the secretory function of the stomach. The main tasks of treatment are to normalize secretory and motility functions of the stomach, reduce inflammatory process, decrease or eliminate symptoms of the disease, prevent pathology progression, achieve clinical remission and improve quality of patient's life. Therefore, patients with chronic gastritis are referred to balneological and climatotherapy resorts throughout the year.
Contraindications to the treatment of gastritis in spa resorts
At the outset, the following are contraindications to the spa treatment of chronic gastritis: rigid and hypertrophic gastritis, Menetries disease, hyperplastic changes in the mucous membrane of the stomach if malignant degeneration cannot be excluded, stomach polyposis, presence of bleeding polyps, adenomatous polyps with a tendency to increase over the last year, and complications after surgical treatment of the stomach.
Methods of spa treatment of chronic gastritis
Now let's consider the methods of treatment of chronic gastritis in resort environments. The main therapeutic factor, of course, is drinking mineral waters, which are prescribed to patients depending on the stage and course of chronic gastritis, as well as taking into account the basic secretory function of the stomach in order to restore its disorders. To stimulate the secretory activity of the stomach, patients are prescribed bicarbonate-chloride-sodium-calcium mineral waters, such as "Yessentuki № 4", waters of Zheleznovodsk, water "Borjomi", as well as chloride-sodium waters of Druskininkai and Birstonas resorts. All these waters are taken at the rate of 3 ml / 1 kg of human weight (the initial dose is 75-100 ml) 15-20 minutes before meals and 3-4 times a day. The temperature of these mineral waters is 20-25 °C, they are drunk slowly, in small sips. The duration of the drinking course should be from 1 to 1.5 months, and it can be repeated after 4-6 months.
The sulphate-sodium-magnesium mineral water of the resort Rogaska Slatina has the same dosage and duration of the drinking course, which can be repeated after six months, and its temperature varies from 25 to 40 °C. Hydrocarbonate-sodium and sulfate-hydrocarbonate-sodium waters of low and medium mineralization, such as "Slavyanovskaya" and "Smirnovskaya", are prescribed for patients who have normal and increased secretory activity of the stomach. At one time you can drink from 100 to 150 ml, depending on the level of secretory activity: at an elevated level the water is taken 1.5 hours before a meal, at normal - 45 minutes. The temperature of these mineral waters is 25-35 °C, and they are drunk in large sips.
Physical methods are also used in spa treatment of chronic gastritis. These include such methods that activate neurohumoral regulation of motor and secretory functions of the stomach as transcranial electrostimulation and transcranial low-frequency magnetic therapy. Infrared laser therapy and DMV therapy, immunomodulatory techniques such as laser irradiation of blood are used to regenerate disturbed gastric mucosa. In order to relieve inflammation in the gastric mucosa, patients are prescribed low-frequency magnetic therapy, diadynamic therapy and pulsed low-frequency electrotherapy to reduce pain syndrome. To improve the psycho-emotional status the patient is prescribed sedative techniques: coniferous and iodobromine baths, electrosleep, galvanization of the collar zone according to Scherbak's method.
The treatment of patients with chronic gastritis also includes therapeutic exercises, but they are prescribed only after the acute pain has resolved. Initially, exercises are performed on the back or lying on the left side, with a small amplitude of limb movements for 10-15 minutes. Then there are exercises aimed at working on strength and endurance, with changes in the position of the body, and exercises for training diaphragmatic breathing. Of course, there are also contraindications to engaging in therapeutic exercises: acute inflammatory diseases of the gastrointestinal tract, such as polyposis of the stomach, gastric ulcers, gastroptosis II-III degree, pylorostenosis, erosive gastritis with a tendency to bleeding, achylia, and intolerance of the physical factor.
Medical consultation
My name is Elena Khorosheva, I am the chief doctor of sanatoriums.com, specializing in pediatrician, physiotherapist and balneologist, candidate of medical sciences, practicing since 2004
I personally visit the resorts presented on our website, communicate with doctors and study the treatment bases of spa hotels in order to give you the most comprehensive and useful advice!
Elena Khorosheva
Head doctor of sanatoriums.comAsk our doctor a question
Depending on the secretory activity of the stomach, there are nuances in the prescription of a therapeutic diet. Patients with increased activity are prescribed a diet that will not have chemical and mechanical effects on the gastric mucosa, so patients are contraindicated from spicy and juicy foods, smoked foods and pickles. In the case of reduced secretory activity of the stomach, food must contribute to its stimulation, so the presence of strong broths, decoctions, lean meat and fish dishes, baked and roasted vegetables in butter, juices, fruits, coffee and cocoa is mandatory in the diet.
It is possible to say that the spa treatment of chronic gastritis was successful when the patient feels a reduction of clinical symptoms of the disease or their disappearance at all, reduction of pain, including palpation, restoration of acid-forming motor function of the stomach and endoscopy will show a reduction of gastritis signs, as well as, with an expansion of dietary regime and reduction of the medication load. The patient is prescribed fewer medications and within 10-12 months there is remission. Note that the success of treatment also depends on you. You have to follow all the doctor's instructions and, most importantly, follow a strict diet: eat regularly, 4-6 times a day, don't eat before going to bed, avoid alcohol and smoking. It is important to note that if you have chronic gastritis, then physical activity such as brisk walking, running or swimming will be very useful for you.