Duodenal Ulcer: Symptoms and Treatment


Duodenal ulcer - isa fairly common disease, occurring in 8% of adults. Answers to the questions which the external manifestations of the disease, how to treat duodenal ulcer can be found in this article.

Causes of duodenal ulcers

Duodenal Ulcer: Symptoms and TreatmentPeptic ulcer disease doctors call chronica disease that is characterized by the appearance of ulcers in the duodenal mucosa. This problem is chronic, ulcers often heal, and then appear again. Men and owners of the 1st blood group suffer from it more often.

In the intestine, generated a huge amount ofenzymes that break down food to allow elementary constituents. With their "point of view", the intestinal wall - is also a field of activity. "I dissuade" them in this useless, so the body has developed mechanisms to protect the body wall by self-digestion. The duodenum is the mucus, good resilience and sodium bicarbonate to neutralize the hydrochloric acid of the stomach.

If the balance between aggressive and defensivefactors disturbed bowel wall starts to crumble, formed ulcers. For a long time it was believed that this imbalance creates the use of alcoholic beverages, coffee, smoking, irregular and improper diet, use of nonsteroidal anti-inflammatory drugs (including "Aspirin"), chronic duodenitis, diseases of the respiratory and cardiovascular systems. But, as it turned out, the main culprit is one - the bacterium Helicobacter pylori. All other factors are simply its allies. Although 5-10% of cases the disease is not related to infection by this microbe.

Symptoms of duodenal ulcer

Symptoms of duodenal ulcerThe main, and sometimes the only symptom of ulcersduodenum - it's a pain in the epigastric (epigastric region) area, to the right of the median line. If you have the word "epigastric" does not cause any association, found at the end of the sternum and two lower end point of the ribs. Mentally connect these three points and you'll get an isosceles triangle. This is the epigastric region. The pain may be given in the thoracic and lumbar spine, or in the right upper quadrant. For disease typically gain rezey spring and autumn.

A characteristic feature - it's the emergence of painsensations in 2-3 hours after a meal, "hungry" (having an empty stomach and disappearing after meals), as well as night pain. Rarer symptoms of duodenal ulcer - nausea, belching and constipation.

Periods of acute duodenal ulcergut last from 3-4 to 6-8 weeks, alternating with periods of rest lasting from several months to several years. Sometimes the disease can be complicated, which is manifested in the form of bleeding, narrowing of the intestinal lumen, perforation of ulcer or malignant tumors.

Duodenal Ulcer Treatment

Treatment of peptic ulcer disease involves a combination of non-drug and medical methods, and the operation if necessary.

Drug-free methods

Those who do not want a long time to suffer from peptic ulcer disease manifestations have to quit smoking and to review your diet.

Diet duodenal ulcer - one of thethe main components of the treatment. Its purpose - to reduce intestinal irritation caused by food and ensure good nutrition of the body, despite the disruption of the body. The patient will have to give up alcohol, fried, spicy and spicy food, baking, limit the use of raw vegetables. Eat must be at least 5 times a day, warm food paste-like consistency.

drug therapy

In the treatment of peptic ulcer disease must firstachieve scarring ulcers. The researchers found that the most important thing for her healing - is to increase the pH value. Therefore, the leading position occupied by drugs that reduce the acidity in the treatment of peptic ulcer. Also, patients are administered drugs that reduce the enzymatic activity of the intestine, antispasmodics. Upon confirmation of the presence of Helicobacter pylori is required to carry out the antimicrobial therapy.


This is an extreme measure, which is used inthe ineffectiveness of drug treatment for 2 years and the appearance of complications. The purpose of the operation - to reduce the production of hydrochloric acid, and thus to increase pH. This is achieved by removing part of the stomach and vagotomy - cutting off the trunk of the vagus nerve. This nerve has a stimulating effect on the production of hydrochloric acid. Accordingly, it contributes to pH clipping.

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