No treatment for ulcers is performed without an accurate diagnosis, which, in turn, can not be established, without information from the patient about his feelings and visible signs of the disease.
Symptoms of duodenal ulcer 12
The most obvious symptoms of duodenal ulcers are:
- pain in the upper left part of the abdomen or under the rib, giving in the period of exacerbation in the area of the left collarbone;
- frequent constipation;
- "Hungry" pain that occurs after eating;
- nausea;
- frequent eructations.
Often the manifestations of the ulcer of the duodenum are indicated by the cyclicity of pain symptoms, which are intensified in the autumn and spring periods. But there are cases when peptic ulcer is asymptomatic. The patient begins to feel its signs only in the acute stage. This is the most dangerous form of the disease, threatening a sudden rupture of the membranes of the duodenum.
Ulcer of duodenum - causes
Ulcers of the duodenum are a consequence of impaired blood circulation and secretory function of the stomach. The reasons for such violations are:
- frequent stressful situations;
- irregular meals;
- frequent intake of drugs containing salicylic acid;
- alcoholism;
- diseases of concomitant digestive organs (cholelithiasis, cholecystitis, chronic appendicitis);
- infectious disease of the stomach and duodenum (Helicobacter pylori bacterium).
Perforated ulcer of duodenum
The rupture of the duodenum 12 shells in the place of occurrence of the ulcer occurs more often than in the case of peptic ulcer. Among the first symptoms of the perforated ulcer of the duodenal ulcer, observe:
- acute "dagger" pain in the region of the left hypochondrium, radiating to the collarbone and neck;
- a single vomiting;
- hardening of the muscles of the abdominal cavity ("dorsco-like abdomen").
- cold sweat;
- cyanosis of the visible mucous membranes.
At the second stage of the course of the disease, a period of imaginary well-being is observed. The pain is less intense, or can disappear completely. At the same time, there are signs of penetration of the contents of the stomach and duodenum into the abdominal cavity and air filling of the abdominal space. The abdominal muscles still remain firm, the pulse of the periapical vein is not tapped. After 8-10 hours from the onset of the attack, the pain grows and passes into a very intense stage. There is a tachycardia, an increase in body temperature to 38.5 degrees, chills. These signs indicate a peritonitis. Treatment of the perforated ulcer of the duodenum should be performed only in the clinic with the help of immediate surgical intervention.
Operation with duodenal ulcer 12
In addition to eliminating the causes of peritonitis with a perforated ulcer of the 12 intestine, surgery in cases of peptic ulcer of this organ is extremely rare. The surgeon's help may be needed in the following cases:
- bleeding ulcer 12 duodenum;
- polyposis with ulcer - the appearance of polyps, increasing the secretion of the stomach;
- degeneration of the ulcer into a malignant tumor;
- not amenable to drug treatment ulcer.
At an operative measure carry out either local excision of an ulcer, or a resection of a 12 primary intestine. The latter type of surgery is a more effective method of treatment, giving a more stable result, which eliminates the re-occurrence of ulcers.
Exacerbation of duodenal ulcer 12
Symptoms of exacerbation of the disease are intense frequent pain for 7-8 days. Typically, the pain occurs after 2 hours after eating or at night. Treatment of exacerbation of ulcers of the duodenum is performed in the hospital. Since in most cases the examination and analysis of the secretory fluid reveals the presence of the Helicobacter pylori bacterium, the patient undergoes antibacterial therapy with two drugs at the same time. Also recommend drugs to reduce the acidity of the stomach and to form a protective layer on the mucosa. During the exacerbation of ulcers of the duodenum, a special diet is recommended, which excludes fatty, spicy, acidic food, alcohol.
Chronic ulcer of duodenum
A special place in the healing process of chronic ulcer of the duodenum is nutrition and way of life. There are several stages of treatment of chronic ulcers:
- Regular endoscopic examination, allowing to follow the development of the disease.
- Medicamentous treatment, eliminating the causes of ulcers, providing a neutralizing effect of increased gastric secretion.
- Seasonal prophylaxis of ulcers of the duodenum,
including a regular and sparing diet, lack of physical and emotional loads. - A special diet that is based on fractional frequent meals.
- Visiting of specialized sanatoriums with courses of gastroenterological preventive treatment.
It should be noted that the correct approach to treatment, compliance with all medical recommendations, as well as careful treatment of your body will help reduce the consequences of ulcers of the duodenal ulcer, and thereby give the opportunity to return to normal life.