Gastric ulcer and duodenal ulcer symptoms
ulcer gastric (and duodenal ulcer) - a disease that occurs for a variety of causes (genetic, bacterial, psycho-emotional, and others.).
disease characterized by the appearance on the mucous tissues of the stomach (or duodenum) defect of varying depth.The patient feels pain in the upper abdomen, the pain often occurs after a meal (within 20 minutes or 1.5 hours, depending on the location of the defect of the mucous), may sometimes appear hungry, night pain, which disappear after a meal.
Gastric ulcer and duodenal ulcer - a crater-like holes in the tissues lining the stomach, the duodenum (part of the small intestine, immediately adjacent to the stomach), and sometimes the esophagus.duodenal ulcer occurs about three times more common than gastric ulcer .Typically gastric glands produce acid and the enzyme pepsin which promote fragmentation of food during digestion.The stomach and duodenum in the meantime produce mucus to protect against gastric acid and pepsin.In duodenal ulcer of the digestive tract
insidious stomach ulcers and duodenal ulcers lies in the fact that it can:
• asymptomatic (silent ulcer);
• complicated by sudden bleeding;
• transformed into cancer;
• wall lead to perforation of the stomach or duodenum.
ulcers danger lies in the fact that this disease can be an indirect cause of lung tuberculosis.Currently, the relationship between these diseases has been proved.Diseases of the gastrointestinal tract are the second place among all diseases associated with pulmonary tuberculosis.
Why ulcer patients often suffer from pulmonary tuberculosis? assumed that long-term low-calorie antiulcer diet, an imbalance in the nervous system of the body, frequent indigestion reduce the body's resistance to infectious diseases, including tuberculosis.In patients who underwent gastric resection for peptic ulcer disease, impaired absorption of fats, proteins, carbohydrates, minerals, vitamins, even in the more increases the risk of pulmonary tuberculosis.
Pulmonary tuberculosis may develop after 5 years of disease ulcer or gastric resection.
often ulcer patients at the start of TB take the symptoms of the disease (weakness, weight loss, loss of appetite) for the consequences of an ulcer and not go to the doctor.If any such indication is very important to go through fluorography examination of the lungs.
ulcer can develop at any age (even children), although most ulcers are observed at the age of 30 years.Ulcers are usually repeated: even after an ulcer has healed, new sores often occur during life or on the old or the new place.Therefore, modern medicine for ulcers, which are mainly aimed at to reduce the level of stomach acid, often need to be taken for a long term.New drugs are short-term use, to combat H. pylori, can significantly reduce ulcer recurrence.Though gastric ulcer and duodenal ulcer rarely pose a great threat to health, they sometimes lead to serious complications, such as bleeding, blockage of the digestive tract due to scarring or the formation of the hole (perforation) in the digestive tract, which can cause severe, life-threateninginfection of the abdominal cavity (peritonitis).In addition, a small percentage of cases, permanent gastric ulcer can be malignant.The same applies to the duodenal ulcer.In most cases, treatment is highly effective in controlling the symptoms and prevent serious complications.
• Absence of symptoms in some patients
• Corrosive and pain in the upper abdomen after a few hours after a meal (duodenal ulcer) or a dull ache often right after a meal (stomach ulcer).Pain in the back can give IPT behind the breastbone, reminding heartburn.
• Upset stomach, nausea, vomiting and weight loss
• Emergency symptoms: black tarry or bloody stools;vomiting blood or a substance resembling coffee grounds (possible symptom of a potentially severe bleeding).Termination of stomach pain may mean that the ulcer is completely broken through the digestive tract (perforation)
ulcers of the stomach and duodenum are wet spots or sores that can occur anywhere in the tissues lining the stomach (gastric ulcer) or duodenum (ulcersduodenum).
• It is believed that at least 80 percent of ulcers are caused by an infection of the digestive tract by the bacterium H. pylori.It is not known exactly how the spread of infection, although it is possible that it is transmitted orally.H. pylori is about 60 percent of Americans aged 60 years, but the majority of infected people do not have an ulcer.Rather, the bacteria simply increase the possibility of development of ulcer, gastric protective mechanisms weakening and making the tissue lining the digestive tract, susceptible to erosion by stomach acids.Once an ulcer has appeared, it can enhance a variety of secondary factors, including alcohol, caffeine, dietary factors, smoking and stress.
• It used to be that excessive production of stomach acid is the basis of ulcers.It is now recognized that many people with ulcers have a normal or even slightly reduced the amount of stomach acid.However, since the mechanisms that protect the tissue lining the digestive tract, relaxed, even a small amount of stomach acid can cause (or prevent healing) ulcers.Exceptions are ulcers caused by certain types of tumors of the pancreas or duodenum, which secrete gastrin hormone production and cause a large amount of acid (Zollinger-Ellison syndrome).
• Long-term use of aspirin and other nonsteroidal anti-inflammatory drugs, such as naproxen or ibugtrofena can lead to ulcers in the stomach primarily due to irritation of the tissues lining it.
• Hereditary factors may also play a role.
• necessary medical history and physical examination.
• X-ray of the upper gastrointestinal tract (in which the patient swallows a barium solution, to create a clear picture of the digestive tract on the X-rays) can show active ulcers or scars of the former ulcers.
• Endoscopy (in which a flexible tube inserted through the throat into the stomach and duodenum) treat ulcers.Endoscopy also allows the doctor to take a small sample of the ulcer (biopsy);This sample is analyzed pas presence of cancer.
• A biopsy may also detect the presence of the bacteria H. pylori, but this method is invasive and expensive.
• Now there are rapid tests for the detection of this bacterium.
• For patients with moderate disease development (one or two periods of symptoms in a year), drugs that reduce the production of stomach acid (cimetidine, ranitidine, famotidine, nizatidine and omeprazole) or which are coated cloth lining the stomach (sucralfate) usually reducepain in a week, though ulcers may heal only about eight weeks.Antacids may also help, but they may interfere with the effects of prescription drugs, if they are taken with a short interval of their reception.
• Antibiotics to fight the bacterium H. pylori is usually recommended only for those who have seen a strong development of the disease that is not treatable by other means;however, long-term effects and side effects of this treatment is still not fully established.Two antibiotics (tetracycline, metronidazole and more) are typically taken jointly for at least two weeks, along with the bismuth-containing antacid (peptobismola type).Antacids or drugs which reduce acid secretion can also be used.The combination of antibiotics to prevent recurrence of ulcers in about 90 percent of cases.
• Surgery may be needed in case of bleeding, block or perforation of the digestive tract, or severe pain due to ulcers.
• Eat a well balanced diet rich in fiber.It is obvious that many of the dietary measures that were previously considered to be effective, for example, using soft foods, eating a lot of times a day in small portions or drink milk are not effective.Milk can increase the production of stomach acid, although one or two glasses a day is usually not harmful.Coffee, tea and soda with caffeine can increase the production of acid.Avoid excessive alcohol consumption.
• Contact your doctor if you have symptoms of gastric ulcer or duodenal ulcer.
• Attention!In patients with any symptoms ulcer bleeding or perforation (including vomiting blood, black fatty stools or severe pain in the abdomen) requires immediate medical care.
• If possible, avoid long-term use of aspirin or non-steroidal anti-inflammatory drugs.Everyone should take these drugs for a long time, for example, arthritis patients can protect themselves by using the drug misoprostol.Your doctor may also advise on one of a new anti-inflammatory drugs called tsilooksigenazy inhibitors, such as celecoxib and rofecoxib, which cause less side effects in the gastrointestinal tract as compared to other non-steroidal drugs.
• Adoption of prescription drugs from an ulcer and not smoking and food or drink that has strengthened the sores before, can help prevent ulcer recurrence.