Duodenal ulcers

Duodenal ulcer is a disease that provokes the formation of ulcerative lesions due to the action of acid directly on the mucous membrane. The disease is recurrent. This means that periods of exacerbation of the disease are replaced by remissions. The fundamental difference from erosion, which is a defect on the surface of the mucosa, is that the ulcer heals after the treatment, followed by the formation of a scar.

Globally, about 10% of people are diagnosed with a duodenal ulcer. In men, it is observed more often about twice.

Causes of the disease

Recent studies have confirmed that H. pylori is the cause of the disease in 56% of cases. Other reasons include:

  • gastrinoma;
  • hereditary predisposition;
  • cirrhosis of the liver;
  • metabolic disorders and malnutrition;
  • renal failure;
  • uncontrolled medication;
  • Crohn's disease.

Typical symptoms

The main manifestations of an ulcer are pain and dyspeptic syndrome. Pain in the upper abdomen is experienced by 75% of patients. About half of them feel mild pain, the rest have high intensity.

Pain manifests itself or significantly increases with excessive exertion. It can be triggered by eating fried, salty, spicy foods, alcohol or starvation. Usually, pain is directly related to food intake, and seasonal dependence is also observed (exacerbations occur in spring and autumn). Antisecretory and antacid drugs can reduce pain.

Other symptoms include:

  • regular heartburn;
  • high fatigue and sweating;
  • weakness in the limbs;
  • heart palpitations, drops in blood pressure;
  • shaking hands.

Diagnosis of the disease

Initially, a study is carried out for the presence of Helicobacter Pylori bacteria colonies in the mucous membrane.

A clinical blood test for an ulcer usually does not show complications. A slight increase in hemoglobin is possible, but in some cases anemia is also observed. It is a consequence of hidden bleeding.

The feces are analyzed for the presence of blood in it. Examine the acid-forming function of the stomach.

X-ray examination is performed to detect scar tissue changes. It shows deformation of the duodenal bulb.

For the final diagnosis, the patient is prescribed an endoscopic examination. It determines the exact localization of the ulcer, its size, the depth of tissue damage. Material is taken for biopsy. The examination is carried out on an outpatient basis and takes 5 to 20 minutes.

Modern methods of treatment

The method of treatment is selected individually, depending on the cause of the development of the disease. The degree of neglect of the disease and the presence of concomitant complications are taken into account. Usually, treatment is carried out using conservative therapy. But if there are indications or complications, they resort to surgery.

Medication therapy may include:

  • antibiotics that kill H. pylori bacteria;
  • enzymatic preparations to improve digestion;
  • proton pump inhibitors to help lower stomach acid;
  • prokinetics to improve gastrointestinal motility.

If the disease is caused by H. pylori, treatment takes 7 to 14 days.

Complications of the disease

The danger of duodenal ulcers is the high risk of developing concomitant complications. The most common ones are:

  • ulcerative bleeding - characterized by vomiting of the color of "coffee grounds" or black stools, in parallel, the patient may suffer from weakness, fainting, tachycardia;
  • pyloric stenosis - most often occurs at the initial stage of an ulcer, patients have vomiting and eructation with the smell of "rotten eggs";
  • perforation of the ulcer - usually occurs due to excessive physical exertion, stress experienced, the patient feels acute pain, with late diagnosis, complication of peritonitis is possible;
  • penetration - the spread of the ulcer to the adjacent tissues, there are dull pains in the affected area.

Service record