- Causes of peptic ulcer
- Symptoms of stomach ulcer
- Diagnosis of peptic ulcer
- Nutrition with stomach ulcer
- Medication treatment of stomach ulcer
- Folk treatment of stomach ulcer
Wounds or ulceration of the walls of the stomach occur in 10% of Russians. Mucous inflammation, the disease is accompanied by painful sensations, digestive disorders. In advanced cases, the lesion reaches the muscle layer. Particular danger is perforation , the formation of a through hole in the wall, through which gastric juice with food remains in the abdominal cavity. When the first symptoms appear, the stomach ulcer should be treated by adjusting the diet in accordance with the health diet.
Causes of peptic ulcer
Gastric ulcer is formed as a result of imbalance between the aggressive action of gastric juice and the functioning of protective mucus.
In addition, the Nobel Prize winners, American scientists Warren and Marshall studied the role of the microorganism Helicobacter Pylori . It turns out that in every fifth case the infection with a given bacterium becomes the cause of peptic ulcer disease.
The formation of ulcers on the walls of the stomach causes the use for a month or longer:
- non-steroidal anti-inflammatory drugs Aspirin , Ibuprofen , Indometacin , Diclofenac a;
- means against tumors that cause necrosis of cancer cells ( Doxorubicin );
- glucocorticoid drugs ( Prednisone , Prednisolone ) – anti-inflammatory hormones, under normal conditions produced by the adrenal cortex. Synthesized artificially, they are used to treat rheumatic diseases, suppressing inflammation and allowing to reverse the course of the disease.
Medications reduce the protective properties of the gastric mucosa, impair motor function and increase the concentration of gastric juice, which ultimately leads to the formation of ulcers.
However, in practically healthy people this happens rarely, ulcerations are more susceptible to those suffering from rheumatic and rheumatic heart diseases, especially in case of insufficient circulation.
As a rule, first the mucous membrane is destroyed. Under the influence of gastric juice, it is inflamed and diagnosed gastritis . On the walls of the stomach are formed cracks. In the absence of treatment, elimination of destructive factors, changes in the diet, their size and depth increase, they reach the muscle layer and eventually become ulcers. Their size rarely exceeds a centimeter, after healing there is always a scar.
As a rule, the disease worsens in the spring or autumn. In the rest of the time, there is remission , almost complete disappearance of the symptoms of stomach ulcers.
Various negative factors can cause ulcerative illness and a number of other diseases.
The formation of gastric ulcers contributes to improper nutrition:
- preference for rough, too hot, spicy or salty foods;
- consumption of monotonous products, lack of micronutrients and vitamins;
- the predominance of canned products with flavors, preservatives, flavor enhancers and color fixers;
- drinking carbonated drinks;
- irregular eating.
Ulcers on the walls of the stomach appear in the case of physical or nerve stress, causing fatigue. The body weakens the lack of rest, lack of sleep.
The motor activity of the stomach and its optimal functioning depends on the state of the nervous system. Stresses, anxieties, negative emotions can also cause a violation of the balance of its protective functions and the aggressive effects of bile, gastric juice and pepsin produced by the mucous enzyme present in it.
Symptoms of peptic ulcer are diagnosed with certain hormonal disorders, violations of the regulatory mechanisms of the central nervous system, inadequate gastric circulation.
The cause of peptic ulcer disease is often damage to mucous toxins, decreased immunity, alcohol and smoking abuse, hereditary factor.
To prevent the formation of ulcers, it is useful to train abdominal muscles, performing exercises for the development of the abdominal press, especially during periods of significant nervous or intellectual stress.
Symptoms of stomach ulcers
In a number of cases, the clinical symptoms of peptic ulcer are not evident. Typically, this happens in the elderly, with diabetes, high pain threshold, alcohol abuse or non-steroidal anti-inflammatory drugs like Aspirin . In this case, the characteristic signs are found only when complications appear.
Common symptoms of stomach ulcers are considered weakness , diarrhea , nausea , vomiting , detection in stool blood .
Pain in the abdomen with peptic ulcer
A painful sensation is a characteristic symptom of a stomach ulcer. It hurts in the upper abdomen, gives near the navel, under the ribs on the left or right side. And also in the lower back, as with urolithiasis, in the sternum behind the heart.
In the stomach appears heaviness, fullness, from within, as it were, bursting and burning.
Pain can be on an empty stomach or immediately after a meal. As a rule, if you take food or a remedy that neutralizes the acid of the gastric juice, the pain stops within an hour or two.
If the ache begins after 2-3 hours after eating or at night, it is a symptom of duodenal ulcer .
Heartburn and vomiting
Another clinical symptom of peptic ulcer, manifested without painful sensations, is considered increased gastric motility, causing an eructation of sour. Esophagus burns, heartburn is felt.
Quite often it makes you sick, tears, then it becomes much easier. In the mouth remains a sour taste. If the disease is accompanied by pain, it tears at the onset of a peak of pain.
Painful condition is often accompanied by constipation.
In a number of cases, the symptom of a stomach ulcer is internal bleeding caused by the erosion of the wall of the blood vessel. Predicting his appearance is difficult. Sometimes it does not appear for years, sometimes occurs at the very beginning of the disease.
In case of massive gastric bleeding, it tears blood. The chair turns black, like tar. If the loss of blood is significant, “flies” appear before your eyes, noise in your ears, your head is spinning, your heart starts to “fragment,” your skin and face turn pale. Emergency medical care is required.
In case of regular small blood loss, anemia develops. After the diagnosis is made, medication is prescribed, including treatment aimed at eliminating the iron deficiency condition.
Perforation (destruction) of the stomach wall
Symptom of peptic ulcer is considered to be perforation ( perforation ) at the site of the stomach ulcer. It is destroyed and food is in the abdominal cavity, causing peritonitis , inflammation of the peritoneum. Procrastination of treatment is life-threatening, urgent surgical intervention is required.
Ulcerative bleeding is characterized by a piercing pain at the top of the abdomen, which increases when the position changes. The pain does not stop and gradually covers an ever larger area.
Diagnosis of peptic ulcer
Before starting treatment of gastric ulcer, gastroenterologist diagnoses the disease. The patient is subjected to various types of research.
If there are symptoms of gastric ulcer for diagnosis, esophagogastroduodenoscopy ( EGDS ) is performed. Often the study is called fibro-gastroduodenoscopy ( FGDS ), or simply gastroscopy .
Esophagus, gastric and duodenal cavity are inspected with gastroscope – a thin flexible tube, the optical chamber of which is part of the fiber optic system connected to the monitor.
Before performing the test, it is necessary to inform the doctor about the drugs currently being taken, about allergies to certain medications, and the diseases that the patient suffers from. For 8-10 hours, you should stop eating.
To eliminate the gag reflex, possible uncomfortable sensation in the throat, local anesthesia is performed with lidocaine .
During the gastroscopy, it is possible to perform biopsy – take a small piece of tissue damaged by the mucosa for later examination for oncological pathology, and Helicobacter Pylori .
The study is painless and takes about 5 minutes. At the end, an unpleasant sensation can remain in the throat, it takes about an hour.
In contrast radiography the patient takes a barium suspension, which allows you to identify on the contour of the mucous membrane a characteristic “niche” formed by an ulcer.
Sometimes the stomach is filled with air and assess the location, shape, size of the ulcerative lesion. Pictures obtained from different projections help to pinpoint the location of the ulcer.
Clinical analysis helps to detect anemia, a decrease in hemoglobin in the blood, indicating a bleeding ulcer.
Blood test ELISA for Helicobacter pylori ( Helicobacter Pylori) allows using biochemical reactions to detect the presence of antibodies to a microorganism.
Analysis of feces
Analysis of PCR on Helicobacter pylori allows in the laboratory to detect bacteria or DNA in the test material.
Fecal occult blood test helps if microscopic examination of red blood cells is not visible, but there is a suspicion of latent bleeding. This study determines the amount of altered hemoglobin.
If the reaction is positive, the patient has a disease of the stomach or intestines, in which the integrity of the mucosa is disturbed, which causes a small loss of blood regularly.
When preparing for a study in three days, you should stop using fish , meat , greens , oils , laxatives .
Nutrition for gastric ulcer
If there are symptoms of stomach ulcers, it is worth taking products that do not irritate the mucosa. Food before consumption is better to carefully grind, eat a little and often, every 3-4 hours.
What can not be eaten with a stomach ulcer
In case of peptic ulcer, it is not worth eating a lot of salt. It is better to completely abandon it, because it slows healing and prevents the elimination of the inflammatory process.
In case of damage to the walls of the stomach, it is necessary to abandon the products that stimulate the production of a significant amount of gastric juice.
Symptoms of peptic ulcer aggravate:
- products from fatty meat, lard, rich broths;
- all kinds of spices: mustard, pepper, cloves, etc .;
- sharp and salty;
- canned, smoked food, sausages;
- bakery products made of dough, pies, rye bread;
- strong tea, coffee;
- carbonated drinks.
It is necessary to abandon the products containing coarse fibers, they mechanically irritate the stomach: radish , turnip , radish , beans , bread with bran .
What to eat with a stomach ulcer
Food should consist of dishes that do not require long chewing.As you know, it stimulates the secretion of gastric juice. Food should not chemically irritate the walls, it should quickly leave the stomach.
During peptic ulcer exacerbations, food should be mushy, dishes must be crushed or grinded thoroughly. Fastest digest carbohydrates, then proteins. Considerable time requires the processing of fatty foods, so at this stage it is better to abandon it.
It is shown the rubbed, easily assimilated food, practically not increasing allocation of gastric juice:
- eggs soft-boiled, scrambled;
- white, slightly dried bread;
- soups, dairy, chicken, vegetables from potatoes, beets;
- boiled vegetables: carrots, potatoes, beets, squash, pumpkin;
- milk and dairy products;
- boiled dishes of beef, chicken, veal, steamed cutlets;
- boiled fish of low-fat varieties;
- buckwheat, semolina, rice, oatmeal, pasta;
- slightly brewed tea;
- sweet kissels, compotes;
- broths of wild rose, wheat bran, non-acid berry juice;
- alkaline mineral water without gas.
употреб To accelerate the healing of ulcers, the use of creamy and vegetable oils is beneficial.
Medicamentous treatment of stomach ulcers
To cure peptic ulcer, first of all it is necessary to eliminate the causes of ulcer formation. Based on the results of the performed studies, treatment is appointed depending on the case, the presence of other diseases of the gastrointestinal tract, the age of the patient, and other factors.
Direction of treatment of stomach ulcers:
- eliminate Helicobacter Pylori ;
- reduce the secretion of gastric juice to cause an early scarring and help to eliminate the bacterium Helicobacter pylori , since the optimal condition for its existence is an acidic environment;
- remove inflammation, stimulate the regeneration of tissues, raising the protective functions of the mucosa to the proper level.
In addition to the treatment of peptic ulcer prescribed by the doctor, it is necessary to eat right, to give up smoking.
People’s treatment of stomach ulcers
Peptic ulcer in the absence of exacerbations can be treated at home using simple cooking recipes.
Prescription for treatment of stomach ulcers with potato juice
Rub potatoes, squeeze the flesh and get juice, dilute with the same amount of boiled water. Take in the morning, on an empty stomach, for half an hour before breakfast.
After a few days, you can get rid of the pain, eventually getting a cure.
Cabbage juice heals stomach ulcer
Get juice from fresh cabbage leaves. Take 3-4 glasses a day.
Sea buckthorn oil for peptic ulcer
Take sea buckthorn oil an hour before meals for 2-3 weeks.
Prescription for peptic ulcer treatment with kefir and sunflower oil
Add 1 tsp to a glass of kefir. sunflower oil, take the mixture for the night.
Treatment of gastric ulcer with plantain
Plantain has a remarkable healing effect. Leaves brew and use the composition instead of tea. To improve the taste, add a little honey.
How to treat a gastric ulcer with honey
Dissolving 1 tsp. honey in a glass of warm water, take two hours before eating.
Liquid to drink in small sips. Water can only be warm, boiling water destroys everything useful in honey.
Treatment of gastric ulcer with propolis
Prepare the formula at the rate of 5 g of propolis per 100 g of butter. Stir in a water bath for 45 minutes. Ready to filter through cheesecloth, store in the refrigerator. Take an empty stomach for 1 hour. with honey twice a day.
Some to enhance the therapeutic effect, first take a tablespoon of alcohol or vodka, then seize the prepared composition. Alcohol destroys bacteria, and propolis and butter promote the healing of ulcers.