After the festival, gastrointestinal discomfort, stomach distension, stomachache, acid reflux……It could be mucosal damage!

2022-05-15 0 By

During the Spring Festival holiday, many people’s stomach and intestines are in a state of overload.”Many post-holiday patients often complain of stomach pain and abdominal distension, which is actually caused by irregular diet, drinking, poor sleep and staying up late for entertainment during the holiday, which leads to chronic gastritis.”Professor Li Jingnan, deputy director of the Department of Gastroenterology at Peking Union Medical College Hospital, said that chronic gastritis and gastric ulcer are gastric mucosal damage, and the mucosal barrier is the pathological and physiological basis of all digestive tract diseases. As long as the mucosa is damaged, relevant symptoms and diseases will occur.In December 2021, the Clinical Expert Consensus on GASTROINTESTINAL Mucosal Protection of gastrointestinal Hormones and Mucosal Barrier Group of Gastroenterology Society of Chinese Medical Association was officially released. As the first expert consensus on gastrointestinal mucosal protection in China, it provides the latest strong basis for the protection of gastrointestinal mucosa.A variety of stomach and stomach diseases are concerned with mucous membrane damage, appear 4 symptoms to be careful!From the esophagus, stomach, small and large intestine, the entire digestive tract is covered by mucous membrane, with which the food we eat interacts all the time.Once mucosal damage occurs, disease will occur.Common diseases include chronic gastritis, dyspepsia, gastric ulcer, etc. Acute gastroenteritis, drug-related intestinal mucosal injury, inflammatory bowel disease, etc., are also related to mucosal injury.Irregular diet, stimulating diet and alcohol consumption may cause damage to gastrointestinal mucosa to varying degrees.Professor Li Jingnan introduced that mucosal damage varies from mild to severe. The first most common manifestation is pain.The second is abdominal distension and indigestion;Third, the power is not good, not peristalsis;The fourth is serious, black stool, or blood in the stool.Mucous membrane injury has a wide range of hazards, affecting all gastrointestinal functions, including peristalsis, digestion and absorption. Nutrient deficiency can delay growth and development in children and may lead to the aggravation of primary diseases in adults.Professor Li Jingnan explained that mucosal damage is very common and can occur at any age, and the main causes are different in different age groups.The general elderly are more common in small intestinal mucosa injury caused by drugs;Young people aged between 20 and 30 are more related to mood and stress, and have irregular diet;The young and middle-aged people between 30 and 50 years old are involved in the two, partly because of exogenous stimulation such as irregular diet and life, but also because of the younger onset of chronic diseases such as hypertension and diabetes, the problem of long-term medication.Professor Li Jingnan warns that there is no need to worry about transient digestive tract symptoms, especially after irregular eating, drinking, stimulating eating and other behaviors, which are relieved after dietary adjustment or drug control.But if the symptoms continue or gradually aggravate, two or three days can not improve, it is recommended to go to the hospital in time.Professor Li Jingnan said that the Gastrointestinal hormones and mucosal barrier group of the Gastroenterology Branch of the Chinese Medical Association issued more than 3,800 questionnaires in 42 hospitals across the country in 2019-2020, and conducted a survey on erosion gastritis, which found that the cause was related to diet, drugs, emotions and so on.1. Poor dietary habits “Gastrointestinal mucosa protection of clinical expert consensus” mentioned that long-term drinking of strong tea, liquor, coffee, or eating too hot, too cold or too coarse food, can destroy the mucosal barrier, causing repeated damage and inflammation of the gastrointestinal mucosa.Nicotine in tobacco can also affect blood circulation in the stomach.’Irregular eating will definitely affect gastrointestinal function. The stomach needs rest and is forced to work continuously to digest food, which can lead to problems over time.’At the same time, Professor Li Jingnan introduced that alcohol can also damage the mucosa, middle-aged and young people after drinking a lot of gastroscopy will see obvious damage to the gastric mucosa;In addition, nitrite in preserved food also has chemical damage to mucosa, and may even lead to the occurrence of some tumors.In addition, spicy diet is also a factor, but there is a certain tolerance, and is related to the long-term dietary habits of various regions.If people who never eat spicy food ingest a large amount of chili products, mucosal damage will also occur.In our study of erosive gastritis at 42 hospitals, we found that dietary factors accounted for 30-40% of the total.Bad emotions Bad emotions will also affect the mucosa. Professor Li Jingnan introduced that depression and anxiety will affect the gastrointestinal tract through the brain-gut interaction mechanism, affecting the barrier and protection of the mucosa, resulting in related injuries.In our survey of erosive gastritis involving 42 hospitals, we also found that anxiety, stress, and poor sleep accounted for 30% to 40% of the cases, similar to dietary factors.Aging society today 3. Long-term use of drugs, cardiovascular diseases such as diabetes, high blood pressure, high cholesterol, as well as the joint disease affects a lot of the elderly, in the long-term use of antiplatelet drugs, non-steroidal painkillers such as process, not only on the gastric mucosa can cause loss, also can cause small intestine, large intestine mucosal erosion, ulcer and other damage.4. Other factors affect gastrointestinal tract direct to the outside world, and bacteria and viruses will also destroy gastrointestinal mucosa, such as Helicobacter pylori.”Only by maintaining the integrity of the gastrointestinal mucosa can disease be avoided and more comprehensive and standardized treatment be achieved.”Professor Li Jingnan reminded that gastrointestinal mucosa protection is a three-dimensional protection, involving eating habits, emotional state, drug use and other conditions, especially diet, must be based on individual situation to choose appropriate food.Appear slight intestines and stomach unwell, how should alleviate?1. Scientific use of mucosal protectors Almost everyone has an upset stomach at some time.Professor Li Jingnan suggested that if you occasionally eat inappropriate, stomach some discomfort, you can try to use mucosal protective agent, the first is safe, fewer side effects, the second is relatively fast effect.It can not only neutralize gastric acid, but also repair mucosal damage.Mucosal protective agent can be bought in pharmacies, exogenous mucosal protective agent can form a protective film on the surface of the stomach, immediately effective.Like the classic aluminum magnesium carbonate, it neutralizes stomach acid without affecting its secretion, and forms a protective membrane that prevents further damage and has a restorative effect.”Mucosal damage is a common basis for many diseases.Proper selection of mucosal protectants can better facilitate mucosal repair.”Professor Li Jingnan said that if there is no improvement after taking, you need to go to the hospital, the general mucosal protective agent will not cover up the illness and delay medical treatment.2. Develop good habits Gastrointestinal mucosa itself has a strong repair function, which can be renewed once in 15 days.Professor Li Jingnan introduced that slight mucosal damage can be repaired by itself, but attention should be paid to improving eating habits, and to ensure a good state of mind and good emotional control.”I often tell my patients, you can’t see stomach and intestinal mucosal damage, but mouth ulcers are common, and they are mucosal damage.How food when oral cavity ulcer?Certainly eat light, avoid stimulation, eat slowly, the same gastrointestinal mucosa damage, diet should also be light and eat slowly, to facilitate digestion and absorption.”Professor Li jingnan said.3. The prescribed helicobacter pylori helicobacter pylori eradication on gastrointestinal mucosa damage, even cause ulcers, erosion, but should be combined with individual whether to need to eradicate the case may be, the treatment of helicobacter pylori infection in the fifth national consensus report pointed out that existence of peptic ulcer, gastric mucosa associated lymphoid tissue lymphoma, it is strongly recommended that eradication.Professor Li Jingnan introduced that the eradication of Helicobacter pylori treatment has a bismuth agent quadruplex therapy program, will use bismuth or zinc containing mucosal protective agent, the most important is to help eliminate helicobacter pylori.In addition, some studies and clinical practices have found that bismuth quadruple combined with magnesium aluminum carbonate, a mucosal protective agent, can improve the drug tolerance and treatment compliance of patients, improve the eradication rate, and also play a role in mucosal protection.