My stomach is rumbling and I'm farting

Stomach discomfort is often caused by improper diet. For people who love to eat, eating a variety of different foods every day will cause stomach discomfort. Most people will choose digestive medicine to improve the condition, but you should pay attention to rumbling sounds in the stomach and farting. If this phenomenon persists, you should have a physical examination in time. This may be a symptom of gastritis, which can cause great damage to the body.

Gastritis symptoms

1. Acute gastritis develops suddenly. Mild cases only have loss of appetite, abdominal pain, nausea, and vomiting. Severe cases may cause vomiting of blood, black stools, dehydration, electrolyte and acid-base imbalance, and those with bacterial infection are often accompanied by symptoms of systemic poisoning.

2. Chronic gastritis lacks specific symptoms, and the severity of the symptoms is not consistent with the degree of gastric mucosal lesions. Most patients often have no obvious symptoms or have varying degrees of indigestion symptoms, such as upper abdominal pain, loss of appetite, fullness after meals, acid reflux, etc.

3. Patients with atrophic gastritis may have symptoms such as anemia, weight loss, glossitis, diarrhea, etc. Some patients with mucosal erosion may have obvious upper abdominal pain and may have bleeding.

Treatment

Acute gastritis

1. General treatment: Rest in bed as much as possible and take glucose-electrolyte solution orally to replenish fluid loss. If vomiting persists or dehydration is obvious, intravenous supplementation of 5%-10% glucose saline and other relevant electrolytes is required. Encourage a light liquid or semi-liquid diet to prevent dehydration or treat mild dehydration.

2. Symptomatic treatment: Antiemetics can be injected if necessary: ​​for example, intramuscular injection of chlorpromazine 25-100 mg/day. Antispasmodics: such as Belladonna 8n 11 times, 3 times a day. Antidiarrheal drugs: such as Smecta, 1 bag each time, 2-3 times a day.

3. Antimicrobial treatment: The therapeutic effect of antibiotics on this disease is controversial. For infectious diarrhea, targeted antibiotics can be appropriately selected, such as berberine 0.3g orally, 3 times a day or gentamicin 80,000U orally, 3 times a day. However, the abuse of antibiotics should be prevented.

Chronic gastritis

There is no specific treatment yet, and it is generally recommended that asymptomatic people do not need treatment. If you have symptoms, you can refer to the following methods for treatment:

1. Avoid factors that cause acute gastritis: such as quitting smoking and drinking, and avoiding taking foods and drugs that are irritating to the stomach, such as NSAIDs.

2. Diet therapy: The principles are similar to those for ulcer disease, with frequent small meals, mainly soft food, and avoidance of raw, cold and irritating foods. More importantly, a set of recipes suitable for the patient should be summarized based on the patient's eating habits and years of experience.

3. Drug treatment: Hp-related gastritis requires treatment to eradicate Hp. There is no specific treatment for other chronic gastritis, and most of them cannot reverse gastritis, so the treatment is mainly symptomatic.