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К ним относятся инфекции, неправильное питание, стресс и приём некоторых лекарственных препаратов [1](https://wmtmed.ru/about/blog/kak-ponyat-chto-u-vas-gastrit/)[4](https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/)[21](https://www.phag-rostov.ru/articles/lekarstvennyj-gastrit-simptomy-i-lechenie/). \n\nПри возникновении первых симптомов заболевания необходимо обратиться к гастроэнтерологу, не занимаясь самолечением [14](https://kreon.ru/pitanie-i-obraz-zhizni/pravilnoe-pitanie-pri-gastrite/).\n\n\n\n## Инфекции\n**Наиболее частая причина** — заражение бактерией **Helicobacter pylori** (хеликобактер пилори) [5](https://gemotest.ru/info/spravochnik/zabolevaniya/gastrit/)[8](https://omez.ru/articles/bolezni-zhkt/hronicheskij-gastrit-simptomy-prichiny-i-profilaktika/). Микроорганизм живёт и размножается в кислой среде желудка, вызывая воспаление слизистой [5](https://gemotest.ru/info/spravochnik/zabolevaniya/gastrit/). \n\nРеже гастрит может быть вызван и другими инфекциями: цитомегаловирусом, вирусом Эпштейна-Барр, микобактериями, грибами рода Candida, некоторыми паразитами [8](https://omez.ru/articles/bolezni-zhkt/hronicheskij-gastrit-simptomy-prichiny-i-profilaktika/). \n\n## Питание\n**Жирная, острая, копчёная или чрезмерно солёная еда** перегружает желудок и повреждает его слизистую оболочку [4](https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/). Также гастрит может быть вызван: \n* частыми перекусами или редким обильным приёмом пищи в течение дня или к вечеру [10](https://www.invitro.ru/moscow/about/press_relizes/kakie-zabolevaniya-mozhno-sputat-s-gastritom-obyasnyaet-gastroenterolog/); \n* недостаточно пережёванной пищей [10](https://www.invitro.ru/moscow/about/press_relizes/kakie-zabolevaniya-mozhno-sputat-s-gastritom-obyasnyaet-gastroenterolog/); \n* употреблением слишком горячих или холодных блюд [10](https://www.invitro.ru/moscow/about/press_relizes/kakie-zabolevaniya-mozhno-sputat-s-gastritom-obyasnyaet-gastroenterolog/). \n\n## Стресс\n**Хронический стресс** может негативно влиять на работу желудка [15](https://www.phag-rostov.ru/articles/vliyanie-stressa-na-rabotu-zheludka-mehanizmy-razvitiya-gastrita/)[17](https://meteospasmyl.ru/statyi-o-rabote-kishechnika/psikhosomatika-pishchevareniya-vliyanie-stressa/). Некоторые механизмы: \n* выброс гормонов стресса — кортизола и адреналина, которые увеличивают выработку желудочной кислоты и уменьшают кровоток в области желудка, что ослабляет защитный слизистый барьер [15](https://www.phag-rostov.ru/articles/vliyanie-stressa-na-rabotu-zheludka-mehanizmy-razvitiya-gastrita/); \n* нарушение секреции желудочного сока — при хроническом напряжении организм может вырабатывать больше или меньше желудочной кислоты, чем необходимо [16](https://Medgorod-clinic.ru/stati/kak-stress-vliyaet-na-zdorove-zhkt-i-chto-s-etim-delat-/). \n\nРазличают два типа гастрита, связанного со стрессом: острый (возникает как реакция на внезапное сильное эмоциональное потрясение или физическую травму) и хронический (формируется постепенно на фоне длительного воздействия стрессовых факторов) [15](https://www.phag-rostov.ru/articles/vliyanie-stressa-na-rabotu-zheludka-mehanizmy-razvitiya-gastrita/). \n\n## Медикаменты\n**Длительный и бесконтрольный приём некоторых групп медикаментов** может оказывать раздражающее действие на слизистую оболочку желудка [21](https://www.phag-rostov.ru/articles/lekarstvennyj-gastrit-simptomy-i-lechenie/). К таким препаратам относятся: \n* нестероидные противовоспалительные средства (НПВС): аспирин, ибупрофен, диклофенак и др. [21](https://www.phag-rostov.ru/articles/lekarstvennyj-gastrit-simptomy-i-lechenie/); \n* глюкокортикостероиды: преднизолон, дексаметазон и др. [21](https://www.phag-rostov.ru/articles/lekarstvennyj-gastrit-simptomy-i-lechenie/); \n* некоторые антибиотики: тетрациклин, клиндамицин и др. [21](https://www.phag-rostov.ru/articles/lekarstvennyj-gastrit-simptomy-i-lechenie/). \n\nРиск развития лекарственного гастрита повышается при длительном приёме препаратов, а также при использовании их в высоких дозах [21](https://www.phag-rostov.ru/articles/lekarstvennyj-gastrit-simptomy-i-lechenie/). 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Симптоматика вариативна, и при появлении первых тревожных признаков рекомендуется обратиться к терапевту или гастроэнтерологу [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/).\n\n## Острый\n**Некоторые характерные проявления острого гастрита**: \n* **Боль в эпигастральной области** — в большинстве случаев дискомфорт сосредоточен в верхней части живота (между рёберной дугой), иногда отдаёт влево или в центр [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/). Боль может быть острой, ноющей, тупой или приступообразной [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/). \n* **Тошнота, переходящая в рвоту** [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/). Если воспаление связано с существенным повреждением слизистой, в рвотных массах может появиться слизь, а в тяжёлых случаях — даже примеси крови [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/). \n* **Изжога и кислота во рту** — когда слизистая нарушена, кислотность в желудке может колебаться, что приводит к неприятному жжению (изжоге) и кислой отрыжке [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/). \n* **Чувство распирания, вздутие** — пациент нередко ощущает тяжесть после еды, вздутие, урчание, иногда отхождение газов [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/). \n* **Изменения стула** — у одних людей это проявляется склонностью к диарее, у других — к запорам, могут наблюдаться чередующиеся эпизоды [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/).\n\n## Хронический\n**Некоторые характерные проявления хронического гастрита**: \n* **Боли и дискомфорт в эпигастральной области** — могут быть продолжительными или случайными, усиливаться после приёма пищи и ночью [10](https://xn--35-vlciiiddr.xn--p1ai/khronicheskiy-gastrit-u-vzroslykh). \n* **Нарушения пищеварения**: чувство переполненности желудка после небольшого приёма пищи, отрыжка воздухом, тошнота [10](https://xn--35-vlciiiddr.xn--p1ai/khronicheskiy-gastrit-u-vzroslykh). \n* **Изменения аппетита**: некоторые пациенты испытывают потерю аппетита и снижение веса, у других — избыточное поедание [10](https://xn--35-vlciiiddr.xn--p1ai/khronicheskiy-gastrit-u-vzroslykh). \n* **Изменения стула**: диарея или, наоборот, запоры [10](https://xn--35-vlciiiddr.xn--p1ai/khronicheskiy-gastrit-u-vzroslykh). \n* **Слабость и утомляемость** — пациенты нередко испытывают чувство слабости и утомляемости даже при небольшой физической нагрузке [10](https://xn--35-vlciiiddr.xn--p1ai/khronicheskiy-gastrit-u-vzroslykh). \n\n**Важно**: некоторые формы гастрита (например, хронический атрофический) могут протекать длительно и почти бессимптомно [1](https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/).","linksData":[{"sourceId":1,"url":"https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/","shownUrl":"https://Medgorod-clinic.ru/stati/kak-ponyat--chto-u-vas-gastrit--i-chto-s-etim-delat-/","title":"Как понять, что у вас гастрит, когда обращаться к врачу?","shortUrl":"Medgorod-clinic.ru","isTranslated":false,"description":"","greenUrl":"Medgorod-clinic.ru"},{"sourceId":2,"url":"https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/","shownUrl":"https://citilab.ru/articles/gastrit-nevidimyy-vrag-zheludka/","title":"Гастрит: симптомы, причины и методы лечения","shortUrl":"citilab.ru","isTranslated":false,"description":"","greenUrl":"citilab.ru"},{"sourceId":3,"url":"https://mositalmed.ru/stati/gastrit/","shownUrl":"https://mositalmed.ru/stati/gastrit/","title":"Гастрит желудка - симптомы, причины, лечение у взрослых и диагностика","shortUrl":"mositalmed.ru","isTranslated":false,"description":"","greenUrl":"mositalmed.ru"},{"sourceId":4,"url":"https://wmtmed.ru/about/blog/kak-ponyat-chto-u-vas-gastrit/","shownUrl":"https://wmtmed.ru/about/blog/kak-ponyat-chto-u-vas-gastrit/","title":"Как понять, что у вас гастрит: основные симптомы и жалобы","shortUrl":"wmtmed.ru","isTranslated":false,"description":"","greenUrl":"wmtmed.ru"},{"sourceId":5,"url":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/gastritis","shownUrl":"https://www.KrasotaiMedicina.ru/diseases/zabolevanija_gastroenterologia/gastritis","title":"Гастрит - причины, симптомы, диагностика и лечение","shortUrl":"KrasotaiMedicina.ru","isTranslated":false,"description":"","greenUrl":"KrasotaiMedicina.ru"},{"sourceId":6,"url":"https://center-light.ru/bolezni/gastrit-ostryj","shownUrl":"https://center-light.ru/bolezni/gastrit-ostryj","title":"Гастрит острый: симптомы и диагностика | Лечение острого гастрита | «Лайт»","shortUrl":"center-light.ru","isTranslated":false,"description":"","greenUrl":"center-light.ru"},{"sourceId":7,"url":"https://ProBolezny.ru/gastrit-ostryy/","shownUrl":"https://ProBolezny.ru/gastrit-ostryy/","title":"Гастрит острый: причины, симптомы и лечение в статье эндоскописта Ситало И. 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