Peptic ulcer and 12 duodenal ulcer
General
description
Peptic ulcer of the
stomach and duodenal ulcer is a chronic, seasonal recurrent disease of the
stomach and duodenum, manifested by a defect in the mucous membrane
(ulcers). These disorders occur against the background of destabilization
of the nervous and humoral mechanisms in the human body, which regulate
secretory-reparative processes in the stomach and duodenum. Peptic ulcer
disease is characterized by periods of exacerbation (spring and autumn) and
remission. Ulcer healing results in scar formation.
The prevalence of the
disease in all countries is about 4-6% of the adult population. With a
full-fledged medical screening of patients, this percentage increases to
20-25%.
The peak incidence
occurs at the age of 30-45 years. Mainly in men aged 35-50 years, gastric
ulcer and duodenal ulcer occurs 3-4 times more often.
Causes of occurrence
- The presence of Helicobacter pylori in the
stomach and duodenum, which is the main etiological factor in the
occurrence of ulcers. The
influence of other bacteria has not been proven
- Violation
of the diet
- Alcohol and
tobacco abuse
- Long-term use of drugs that affect the gastric
mucosa, the main ones: NSAIDs and glucocorticosteroids (prednisolone)
- Emotional
stress, stress
- Genetic
predisposition
- Metabolic
disorders
- Hypoavitaminosis
Symptoms of the disease
- Aching or cramping pains, weak in the epigastric
region, more often occur on an empty stomach or immediately after eating
- Constant heartburn, especially at night and
morning hours, sour belching
- Nausea
- Belching of air, sour or bitter taste
- Severity in the epigastric region after a meal, a
feeling of fast stomach filling
- Decreased
appetite
- When bleeding from ulcers, vomit of "coffee
grounds" appears, dark stools (melena)
- With perforation of ulcers -
severe, dagger pain in the epigastric region, nausea, vomiting, painful
tension of the abdominal muscles
Diagnostics
- General clinical analysis of blood, urine
- Stool
analysis for coprogram
- Fecal
occult blood test
- Biochemical blood test (liver function tests,
cholesterol, alkaline phosphatase)
- ECG
- X-ray of the chest organs in 2 projections and
X-ray of the abdominal organs (to exclude perforation of ulcers)
- X-ray of the esophagus, stomach with barium
mixture
- Ultrasound
of the hepatobiliary system
- Daily pH monitoring in the lower esophagus and
stomach
- EGDS
- Non-invasive tests for the
determination of Helicobacter pylori. (Respiratory)
Treatment
The main treatment for chronic gastritis consists of adhering to a healthy lifestyle and proper balanced nutrition or you can buy buy aciphex.
Components of a
healthy lifestyle and proper balanced nutrition:
- Refusal to use alcoholic, strongly carbonated
drinks
- Weight loss
with obesity
- To give up
smoking
- Avoiding large meals and late
hours
If these non-drug
treatments do not bring relief, drugs are used.
It is recommended to start treatment already at the first signs of
inflammation in the stomach.
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