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Может возникать в острой или хронической форме [5](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/). В зависимости от характера поражения гастрит может быть поверхностным, эрозивным или атрофическим [1](https://medlabspb.ru/pacientam/articles-about-health/methods-of-treatment-and-prophylaxis/gastrit-kogda-zheludok-byot-trevogu/). \n\n**К какому врачу обратиться**: гастроэнтерологу [1](https://medlabspb.ru/pacientam/articles-about-health/methods-of-treatment-and-prophylaxis/gastrit-kogda-zheludok-byot-trevogu/).\n\n\n\n## Причины\nНекоторые причины гастрита: \n* **Бактериальная инфекция** — бактерия Helicobacter pylori, которая проникает в желудок, разрушая его защитные барьеры [9](https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/). \n* **Неправильное питание** — жирная, острая, копчёная или чрезмерно солёная еда перегружает желудок и повреждает его слизистую оболочку [9](https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/). \n* **Стресс** — увеличивает кислотность желудочного сока, разрушая слизистую оболочку желудка [9](https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/). \n* **Алкоголь и курение** — разрушают слизистую желудка [9](https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/). \n* **Длительный приём некоторых лекарственных средств** — например, нестероидных противовоспалительных препаратов (НПВП) при неправильном использовании [5](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/).\n\n## Симптомы\nСимптомы гастрита зависят от его формы [1](https://medlabspb.ru/pacientam/articles-about-health/methods-of-treatment-and-prophylaxis/gastrit-kogda-zheludok-byot-trevogu/): \n* **Острый гастрит** — резкая боль в верхней части живота, тошнота, рвота, изжога и чувство тяжести после еды [1](https://medlabspb.ru/pacientam/articles-about-health/methods-of-treatment-and-prophylaxis/gastrit-kogda-zheludok-byot-trevogu/). \n* **Хронический гастрит** — периодические ноющие боли в желудке, отрыжка, вздутие, снижение аппетита, ощущение переполнения после еды [1](https://medlabspb.ru/pacientam/articles-about-health/methods-of-treatment-and-prophylaxis/gastrit-kogda-zheludok-byot-trevogu/). \n* **Атрофический гастрит** — может сопровождаться слабостью, анемией и нарушением усвоения витамина B12 [1](https://medlabspb.ru/pacientam/articles-about-health/methods-of-treatment-and-prophylaxis/gastrit-kogda-zheludok-byot-trevogu/). \n\nУ некоторых пациентов симптомы отсутствуют, и заболевание выявляется случайно при обследовании [1](https://medlabspb.ru/pacientam/articles-about-health/methods-of-treatment-and-prophylaxis/gastrit-kogda-zheludok-byot-trevogu/).\n\n## Диагностика\nДля диагностики гастрита врач может назначить ряд исследований [14](https://nevrocel.ru/blog/lecheniye-gastrita-u-gastroenterologa): \n* **ФГДС (гастроскопия)** — осмотр внутренней поверхности желудка с помощью тонкой трубки с камерой [14](https://nevrocel.ru/blog/lecheniye-gastrita-u-gastroenterologa). \n* **Биопсия** — во время ФГДС врач может взять крошечный образец ткани для анализа под микроскопом [14](https://nevrocel.ru/blog/lecheniye-gastrita-u-gastroenterologa). \n* **УЗИ живота** — обследование нужно, чтобы проверить состояние других органов (печени, поджелудочной железы) и убедиться, что проблема именно в желудке [14](https://nevrocel.ru/blog/lecheniye-gastrita-u-gastroenterologa). \n* **Измерение кислотности (pH-метрия)** — тест определяет, сколько кислоты производит желудок [14](https://nevrocel.ru/blog/lecheniye-gastrita-u-gastroenterologa). \n* **Анализы крови, кала или дыхательный тест** — необходимы, в первую очередь, для поиска бактерии Helicobacter pylori — частой причины гастрита [14](https://nevrocel.ru/blog/lecheniye-gastrita-u-gastroenterologa).\n\n## Лечение\nТерапия гастрита проводится под контролем гастроэнтеролога [14](https://nevrocel.ru/blog/lecheniye-gastrita-u-gastroenterologa). Некоторые методы лечения: \n* **Диета** — при хроническом заболевании в стадии ремиссии рекомендуется избегать пищи, которая негативно влияет на работу желудка (острые блюда, жареные, жирные продукты, газированные и алкогольные напитки) [16](https://doct.ru/articles/khronicheskij-gastrit.html). \n* **Медикаментозная терапия** — назначают препараты для повышения защитных функций, понижения выработки соляной кислоты, восстановления слизистой желудка [16](https://doct.ru/articles/khronicheskij-gastrit.html). \n* **Антибактериальные средства** — назначаются при обнаружении Helicobacter pylori [16](https://doct.ru/articles/khronicheskij-gastrit.html). \n\n**Самодиагностика и самолечение недопустимы** — аналогичные симптомы могут сопровождать и более серьёзные патологии, такие как язвенная болезнь или даже онкологические процессы 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