Stomach ulcer and duodenal ulcer is a common chronic disease. It is characterized by the formation of local defects on the gastrointestinal mucosa, which are called peptic ulcers. The peculiarity of this ailment is that it has the tendency to recur and progress, involving various digestive organs in the pathological process.
Development of peptic ulcer disease
The main pathogenesis of peptic ulcer of the stomach and duodenum always begins with the penetration into the body of the bacterium Helicobacter pylori and the disturbance of the diet, which is expressed in:
- frequent and very strict restriction of themselves in any food;
- reception of monotonous products and food;
- overeating in the evening.
To the rapid development of this disease also leads to a violation of the secretion of GIT hormones, thyroid hormones and various neuropsychic overstresses. In some cases, this disease appears after taking certain medications. These include drugs such as:
- Butadiene;
- Acetylsalicylic acid;
- Reserpine;
- corticosteroid hormones.
Symptoms of peptic ulcer
Symptoms of peptic ulcer of the stomach and duodenum depend on the patient's age, what stage and duration of infection, and where the pathological focus is located. Most patients have such symptoms:
- Pain syndrome - with aggravation of the ailment of pain, paroxysmal or long and aching, may appear after eating or on an empty stomach, all unpleasant sensations decrease after taking anticholinergics or antispasmodics. In the chronic course of the disease, the intensity of pain slowly decreases and acquires a noisy character.
- Dyspeptic syndrome is a sour eructation, vomiting and nausea, heartburn, usually such a syndrome manifests itself in the acute phase.
- General nonspecific intoxication is very severe headaches, vegetative disorders, constant sleep disorders, sweating and emotional lability.
Signs of peptic ulcer of the stomach and duodenum almost never appear in the period of remission. Its duration varies. It can last several years.
Diagnosis of peptic ulcer
If this disease is not treated, it leads to a rapid development of very unpleasant consequences, which can not be eliminated. The most common and serious complications of peptic ulcer of the stomach and duodenum are:
- fatty hepatosis ;
- dyskinesia of the gallbladder;
- reactive pancreatitis;
- degeneration of the ulcer in tumor formation;
- gastroduodenal bleeding;
- pyloroduodenal form of stenosis.
Diagnosis of peptic ulcer of the stomach and duodenum should be carried out by the method of sensing the stomach (fractional).
Treatment of peptic ulcer
In all cases, the peptic ulcer has a conditionally favorable prognosis. Basically, with competent timely treatment, the patient's work capacity is fully restored. The volume of therapeutic measures depends on the location of ulcers and the presence of complications.
The range of drugs prescribed to patients is quite wide. Without fail, all patients should take one or more antibiotics. It can be:
- Clarithromycin ;
- Metronidazole;
- Amoxicillin.
To reduce acidity use:
- blockers of histamine receptors (Ranitidine);
- antacid preparations (Almagel or Fosfalugel);
- inhibitors of the proton pump (Omez or Nexium).
To mucous quickly healed, you should take drugs, the active substance of which is sucralfate or actovegin.
To prevent peptic ulcer disease of the stomach and duodenum, you must follow a diet, take anti-ulcer drugs and visit a gastroenterologist at least once a year.