Diagnostic points
Nausea and vomiting caused by gastroenteritis are usually acute, starting with abdominal discomfort and then nausea and vomiting. Abdominal paroxysmal colic with diarrhea, watery stool several to dozens times a day, yellow or yellow-green, containing a small amount of mucus. Accompanied by varying degrees of fever, aversion to cold, headache and so on. In a few cases, frequent vomiting and diarrhea may lead to dehydration, electrolyte disorder and acidosis.
Treatment suggestion
When the symptoms are mild, you can buy your own medicine for treatment:
1. You can take motilium when you are sick or vomiting;
2. When abdominal pain occurs, scopolamine, belladonna extract and bromopropylamine can be taken orally.
3. Berberine can be used for diarrhea, and loperamide capsules can be taken if the effect is not ideal.
On the basis of TCM syndrome differentiation and treatment, the following Chinese patent medicines can be selected:
1. belongs to cold-dampness type, and is suitable for dispelling cold, drying dampness and aromatic turbidity. You can take Huoxiang Zhengqi Pill and Liuhe Zhong Ding Pill.
2. It belongs to summer-heat dampness type, and should clear summer-heat dampness and stomach. You can take summer dampness and healthy qi pills.
3. It belongs to stagnation type, and should promote digestion and guide stagnation balance. You can take baohe pills for treatment.
4. It belongs to deficiency-cold type, which should be warm and cold-dispelling, and tonify the spleen and stomach. You can take Fuzi Lizhong Pill, Shen Ling Baizhu Powder, etc.
Matters needing attention
1. Patients with acute gastroenteritis should stay in bed and keep warm.
2. Acute patients often have symptoms such as vomiting and diarrhea, and lose a lot of water. Therefore, it is necessary to replenish liquids, provide fresh fruit juice, lotus root starch, rice soup, egg soup and other liquid foods, and drink plenty of boiled water and light salt water.
3. In order to avoid flatulence caused by gastrointestinal fermentation, we should avoid eating gas-producing foods such as beef in the acute stage and minimize the intake of sucrose. Pay attention to food hygiene. Do not eat high-fat fried, fried, smoked and waxed fish, vegetables and fruits with more cellulose, stimulating drinks, food and condiments.
Patients with stomach cold and chronic gastroenteritis should pay attention to the following points in diet:
(1) Eat regularly and quantitatively to avoid overeating and reduce the burden on the stomach. If the calorie intake is insufficient, it can be supplemented by meals with lean ingredients.
(2) Avoid all kinds of irritating foods, such as spirits, strong coffee, raw garlic, mustard, etc. And avoid eating foods that are too hard, too sour, too spicy, too salty, too hot, too cold and too rough. Mild recipes can remove the factors that cause bad stimulation to gastrointestinal mucosa and create conditions for mucosal repair. Food should be fine, broken, soft and rotten. Cooking methods include steaming, boiling, stewing, stewing, stewing and so on.
(3) Pay attention to the acid-base balance. When the stomach acid is too much, milk, soybean milk or steamed bread with alkali can be used to neutralize the stomach acid.
(4) Smoking will affect the blood supply of gastric mucosa and the repair and regeneration of gastric mucosal cells, so if you have a history of smoking, you should quit smoking or smoke less.
(5) Pay attention to keeping the abdomen warm at ordinary times to avoid catching cold.
2. In terms of treatment, we should improve the quality of life, avoid bad stimulation, adjust diet, strengthen physical exercise, and cooperate with some drugs, and the effect is good.
1, oral antibiotics: chronic gastritis, especially chronic atrophic gastritis, when gastric acid is reduced or deficient, gastric function is disordered or there is retention fluid in the stomach, bacteria are easy to grow and multiply, which aggravates gastritis lesions and symptoms. Therefore, streptomycin, gentamicin, berberine and other antibiotics can be taken orally, and Le Di Granule can inhibit or kill Helicobacter pylori, so it can also be selected.
2. Taking gastric mucosal protective agents: such as sucralfate, Gaiweiping or aluminum hydroxide gel can protect gastric mucosa and enhance its resistance, but aluminum preparations should not be taken for a long time.
3, reduce bile reflux: metoclopramide or modiglin can accelerate the emptying of stomach and duodenum, reduce bile reflux, thus avoiding bile damage to gastric mucosa, but it should be noted that metoclopramide has side effects such as drowsiness.
4. Elderly patients with chronic gastritis, especially those with atrophic gastritis, should go to the hospital for treatment in time under the guidance of a doctor when the symptoms in the upper abdomen are aggravated or aggravated.
5. Chinese medicine treatment.
Greater China Health Network
3. 1, abdominal pain: give anticholinergic drugs, such as atropine 0.3 mg, three times a day; Propranolazine 15 mg, 3 times a day; Dele granules: 1 bag four times a day, 4 ~ 6 weeks as a course of treatment.
2, indigestion, insufficient gastric acid secretion, can take 1% dilute hydrochloric acid 3 ~ 5 ml, 3 times a day; Pepsin mixture 10 ml, three times a day; Modiglin, once 100 mg, three times a day, before meals 15 minutes, can promote gastrointestinal peristalsis and tension to return to normal.
3, anemia: oral folic acid, ferrous sulfate and intramuscular injection of vitamin B 12. Metoclopramide 10 mg can be used for bile reflux, three times a day.
4. For chronic atrophic gastritis with low acidity related to autoimmunity, glucocorticoid can be used for treatment. Such as prednisone 5 mg, 3 times a day or dexamethasone 0.75 mg, 3 times a day, but it should be used with caution under close observation. Suspected peptic ulcer is prohibited.