How to treat erosion of the duodenum. Treatment of the duodenum from erosive duodenitis. Therapy with drugs
Erosion duodenum- this is a superficial lesion of the mucous membrane, in which the muscle layer is not touched. This disease is diagnosed by doctors very often. The healing of the pathology occurs without the formation of scars on the organ.
Most often, erosion is diagnosed in people with early liver damage, with hepatitis or cirrhosis. The formation of this disease is also affected by existing tumors in the gastrointestinal tract, diseases of cardio-vascular system and pathology of the upper respiratory tract.
Etiology
The causes of bulb erosion are known today, and it is not difficult to determine them. Clinicians have found that most often the disease develops from the bacterium Helicobacter pylori.
Also, the disease can be formed from such factors:
- infections in the stomach;
- unbalanced diet;
- or venous congestion;
- long-term use of tablets;
- stress;
- smoking.
Classification
Erosion of the duodenal bulb can occur at different stages and degrees of damage to the organ. Clinicians distinguish that the disease can manifest itself in the form of:
- malignant process in the mucosa;
- benign erosion.
In the course of research, doctors revealed that the disease can be formed in two types:
- flat;
- chronic.
Symptoms
Erosion of the duodenum can form without any symptoms. However, the disease has characteristic signs:
- pain attacks in the epigastric region;
- bouts of nausea and vomiting;
- constant feeling of satiety;
- noticeable weight loss;
- apathy.
With erosion of the duodenum, it can develop internal bleeding. This will be reported by such signs - black stools and viscous vomit mixed with blood.
Pain with an illness manifests itself in a periodic aching character, and it can also be cramping. The symptom may appear after eating or on "". Also, painful attacks are accompanied by heartburn and sour belching.
Against the background of neurological changes, additional symptoms may appear - weakness, drowsiness, nervousness, sweating.
Diagnostics
To determine all the symptoms and prescribe treatment, the doctor must diagnose the pathology. To correctly establish the disease, the patient must undergo an external examination, an X-ray of the gastrointestinal tract and an endoscopic examination.
After establishing the diagnosis of duodenal erosion, the doctor can prescribe treatment.
Treatment
Erosion treatment consists in the use of modern therapeutic methods, which take into account signs of pathology, healing time and possible complications.
Medicines are considered the classic method of treating the disease. The drug treatment regimen consists of the following drugs:
- acid secretion inhibitors;
- enveloping agents;
- healing tablets;
- to stop bleeding and restore blood composition.
With this method, the physician sets the task of stabilizing duodenal secretion, the elastic function of the organ. Additionally drug treatment It is aimed at regulating the functioning of the stomach, restoring the intestinal biocenosis and normalizing the functioning of the immune system.
If the Helicobacter pylori bacterium has developed in the patient's body, then the use of antibiotics cannot be avoided in the treatment of the disease.
Doctors allow treatment at home, but if complications or other gastrointestinal diseases begin to develop, then you should immediately switch to inpatient therapy.
For surgical intervention, the doctor needs serious reasons. If the patient:
- internal bleeding;
- vessels are affected.
Intestinal ailment also needs to be treated with a diet. This is one of the components of successful therapy for any gastrointestinal disease. With erosion, the patient must adhere to the following principles:
- eat only light foods that will not irritate the mucous membrane;
- all dishes must be warm;
- you can not overeat;
- food should be at least 6 times a day;
- limit salt intake;
- you can not eat fried, smoked, salty and dried food.
Diet for erosion is aimed at calming the mucosa, helps to restore cells, and speeds up the healing process. Such restrictions and nutritional rules must be followed for at least 2 months from the date of diagnosis of the disease. After relief, the patient can move on to a daily diet, but before that, you need to consult a doctor.
The diet also imposes certain restrictions on foods. Should be excluded from your menu:
- bakery products;
- vegetables and fruits that did not lend themselves to temperature treatment;
- various sweets;
- mushrooms;
- hard boiled eggs;
- marinades;
- conservation;
- margarine;
- fatty meat and fish, and any dishes from them;
- alcohol;
- soda;
- coffee;
- juices from sour fruits and berries.
However, the diet allows more natural and healthy foods. The diet can be varied:
- dairy and sour-milk products;
- meat and fish of low-fat varieties;
- cereals;
- pasta products;
- eggs;
- butter and vegetable oil;
- honey.
As for traditional medicine, then the patient should definitely consult a doctor. Folk methods can be used as an addition to the main therapy, but not to replace it completely. As a rule, with intestinal erosion, it is allowed to use tinctures, decoctions from plants, extracts and oils. Honey and propolis have a good effect on the mucous membrane. They gently envelop the walls of the duodenum 12 and do not allow the disease to develop.
Forecast
Erosion of the duodenum is a disease, for effective treatment which you need to know the symptoms and establish the correct diagnosis. Otherwise, doctors give patients an unfavorable prognosis. Improper treatment of pathology can lead to the development of chronic ulcers or cancer.
Prevention
To preventive measures to be followed include:
- compliance with the recommendations of the doctor;
- restriction in bad habits;
- timely medical treatment with the right means.
Also, the patient needs to regularly drink vitamins and be examined by the appropriate doctors.
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Erosion of the duodenal bulb is a disease of the first part of the small intestine. This is an organ in the form of a C-shaped tube almost 30 centimeters long, extending from the lower end of the stomach.
The other end continues into the jejunum, which is the second part of the small intestine.
Inflammation of the duodenum in medicine is called gastroduodenitis.
Since the duodenum is in close proximity to the stomach, it must withstand the acid produced by the stomach, in addition to digestive enzymes which can also cause irritation.
Treatment of gastroduodenitis depends on the type of disease and its characteristic symptoms.
In particular, erosive gastroduodenitis, the treatment of which is closely related, is treated with both medications and folk remedies.
Description and classification of the disease
Gastroduodenitis is medical term to refer to inflammation of the first part of the small intestine, known as the duodenum.
This disease is in many ways similar to gastritis (inflammation of the stomach lining), and in most cases, these two conditions occur together.
As with gastritis, there are Various types duodenitis, but they all occur due to repeated irritation of the mucous membrane.
Often this condition progresses and leads to the formation of ulcers, which are open sores in the inner lining.
The above organ has several mechanisms to counteract the highly acidic stomach contents that are constantly being emptied.
The two most important of these mechanisms are the influx of a large volume of alkaline and mucous secretions, as well as the release of fluid from the pancreas and gallbladder.
A special type of gland in the wall (submucosa) of the first part of the duodenum, known as Brunner's gland, secretes a large number of alkaline mucus to neutralize the acidic contents of the stomach.
This mucus also helps to coat the inner wall of the duodenum with a protective layer, protecting it from digestive enzymes and stomach acid.
Bile is secreted from the gallbladder and is an alkaline substance that also helps neutralize stomach acid that enters the duodenum.
The large amount of water secreted from the pancreas that accompanies pancreatic enzymes also helps dilute stomach acid.
Despite these mechanisms, the duodenum is not completely impermeable to the effects of acidic stomach contents and digestive enzymes.
The inner wall has the ability to quickly repair and replace any damaged areas.
Gastroduodenitis occurs when these compensatory mechanisms and the regenerative capacity of the duodenum are exhausted and are insufficient to restore the state of the duodenum.
This disease can appear suddenly and persist for short periods, this type of disease is called acute. Its symptoms are often severe.
The chronic form persists for a long time - for several months and even years.
This type of disease is asymptomatic for a long period of time with short phases of recurrence of symptoms (relapses).
Gastroduodenitis can also be classified depending on the degree of damage and inflammation of the duodenal wall. Like gastritis, it can be erosive or non-erosive.
Erosive implies the presence of areas where the inflamed intestinal wall collapses and open ulcers form.
In most situations, erosive gastroduodenitis is a kind of background for the subsequent occurrence of peptic ulcer.
The above type of disease also includes erosive-hemorrhagic gastroduodenitis. Erosive-hemorrhagic is a disease of the duodenum, characterized by a tendency to constant bleeding in this organ.
Non-erosive is inflammation of the duodenal wall without erosion.
Causal factors and symptoms
This inflammatory process often occurs with certain diseases of the abdominal cavity such as hepatitis, dyspepsia or gastritis.
Dyspepsia is characterized by the appearance of pain in the abdomen after eating, and gastritis is the development of inflammation in the gastric wall.
Symptoms of gastroduodenitis consist of:
- pain in the abdomen;
- flatulence;
- urge to vomit;
- dyspepsia;
- the presence of blood in the vomit;
- black stool (blood in stool);
- diarrhea.
As the first segment of the small intestine, the duodenum connects directly to the stomach.
Partially digested food and some liquids pass from the stomach into the small intestine, and provoke even more irritation of the wall of this organ.
Due to the close proximity of the two organs, problems associated with one organ can affect the other and irritate its wall.
One of the most common causes of duodenal inflammation is infection of the stomach with bacteria called Helicobacter pylori.
Although about half of the world's population is affected by this bacterial agent, the disease caused by this infection often does not show any symptoms.
In certain situations, the bacterium leads to the development of gastritis and even contributes to the appearance of ulcers in the stomach and intestines, which is complicated by the occurrence of stomach cancer.
As previously noted, gastritis is inflammatory process in the gastric wall, which can often accompany duodenitis.
Chronic gastroduodenitis can also be caused by an adverse reaction to non-steroidal anti-inflammatory type (NSAID) medications such as indomethacin, ibuprofen, ketoprofin, and peroxicam.
These medicines can suppress the formation of prostaglandins and irritate the stomach wall.
The former protect the gastrointestinal tract by increasing the secretion of protective mucus and decreasing the secretion of digestive acid.
The likelihood of noticeable irritation in the stomach with gastroduodenitis increases with higher doses and longer use of the above drugs.
Gastroduodenitis is also associated with:
- gastroesophageal reflux disease (GERD), a condition in which caustic bile from the patient's stomach enters the esophagus;
- inflammation of the gallbladder;
- viral infections;
- gastrointestinal bleeding;
- low blood flow to the intestines;
- Zollinger-Ellison syndrome, which causes excess acid production;
- Crohn's disease, which causes intestinal inflammation for unknown reasons.
Gastritis and erosive gastroduodenitis are often diagnosed using a procedure known as gastrointestinal endoscopy (fibrogastroduodenoscopy).
During this procedure, a narrow tube passes through the mouth and esophagus and enters the stomach and duodenum. Doctors can then find any tissue damage that can be examined and removed.
Therapy Methods
Clinical picture duodenitis and gastritis is almost the same, so it becomes difficult for a doctor to accurately indicate the condition.
In such a situation, endoscopy and biopsy of the tissues of the gastrointestinal tract provide a clinical diagnosis of the disease. How to treat erosive gastroduodenitis?
Erosive gastroduodenitis in most cases is easily treatable due to the intake effective drugs and lifestyle changes. Treatment depends on the underlying cause of the disease.
Symptoms also play a role in the appointment of a course of therapy.
As in most cases of other diseases of the gastrointestinal tract, the main causative factor of this disease is Helicobacter pylori infection, so the doctor usually recommends a course of antibacterial drugs to destroy the microorganism.
The patient may have to take them for two to three weeks, after which a course of normalization of the microflora will be necessary.
At the same time, the patient is also prescribed acid-reducing agents such as antacids and proton pump inhibitors.
Lifestyle and dietary changes also play an important role in the healing of an inflamed duodenum.
The patient must quit bad habits in the form of a drink alcoholic beverages and smoking cigarettes.
He should not take steroids and drugs like NSAIDs, especially at the stage of exacerbation of gastrointestinal diseases.
At the same time, he must comply light diet and avoid eating spicy foods that cause irritation in the stomach and duodenum.
Treatment of gastroduodenitis is quite long and is associated with a large number of medications. It is important to note that some of them can cause negative reactions in some patients.
In this situation, the issue of alternative methods therapies, among which the most common is the use of traditional medicine (that is, home methods).
Treatment with natural products, as a rule, can be called a reliable and safe way to help restore the condition of a diseased duodenum.
Phytosols are most often used, which can alleviate many symptoms of gastroduodenitis even during an exacerbation of the disease and alleviate the course of the disease.
What folk remedies in the form of herbs can treat gastroduodenitis?
First, people often use mint. To prepare a medicinal decoction, you need to take fresh or dried mint leaves (half a cup) and pour them with one liter of boiling water.
After that, the mixture is infused, filtered and poured into a thermos. In the future, you can take 100 ml of this decoction on an empty stomach.
Secondly, effective tool, with which gastroduodenitis can be treated, is celandine. Based on it, you can prepare both water and alcohol tincture.
In the first case, you need to take one tablespoon of celandine and pour it with a glass of boiling water. After that, the resulting mixture should be boiled over low heat for 10 minutes.
Such a decoction in the amount of one tablespoon should be taken before meals for one month. An alcoholic solution of celandine is made differently.
To prepare it, you need to take any enameled pan and pour celandine grass into one third of the container hot water and then pour alcohol into it.
The mixture should be infused for three weeks. The resulting tincture is used daily, starting with 5 drops, and then each day the dose is increased by one drop.
Also useful tool, which can be used to treat gastroduodenitis, may be flax. It is necessary to take the herb of this plant in the amount of one tablespoon and pour it with a glass of boiling water into an enamel bowl.
After that, the mixture is brought to a boil and boiled for 15 minutes. After this period, remove the mixture from the stove and let it brew for an hour.
You can use this infusion before meals for three times a day. This treatment is for one month.
Before using folk remedies for the treatment of gastroduodenitis, in particular, during an exacerbation of this disease, it is recommended to consult a medical specialist.
Useful video
The duodenum is marked in red. It connects the stomach to the jejunum
Erosion of the duodenum (DUD) is a superficial lesion of the mucous membrane of an organ that does not reach the muscle layer.
This disease at different periods of life can occur in almost any person.
The main causes of erosive lesions of the stomach and intestines include:
- nutritional errors,
- nervous stress,
- smoking,
- frequent use of anti-inflammatory drugs.
A special role in the development of ulcerative and erosive lesions digestive tract treated for Helicobacter pylori infection.
Symptoms of erosive duodenitis
The main manifestations of duodenal erosions include:
- pain syndrome,
- dyspepsia,
- violation of the tone of the vagus nerve.
Pain during duodenal erosion is a variable symptom. It can be dull or pulling, aching, but sometimes it is quite sharp, cramping. Its intensity, localization and time of occurrence vary depending on the size of the defect and its location.
The higher the erosion is located, the more noticeable is the relationship between the time of eating and the appearance pain. So, a characteristic sign of postbulbar erosions are the so-called "night pains". Patients note that pain in the epigastrium disappears or significantly weakens after taking a small amount of food (especially if you drink a glass of milk during a painful attack).
With a higher localization of the process, for example, with erosion of the duodenal bulb, discomfort in the upper abdomen occurs 1.5 - 2 hours after eating.
Also, erosive duodenitis can be manifested by sour belching, heartburn, and unstable stools. Diarrhea is more common, but it may alternate with constipation. The presence of erosion and slight inflammation leads to irritation of the branches of the vagus nerve. Therefore, a reflex decrease in heart rate (less than 50 per minute) is often observed. Patients are often concerned about weakness, excessive sweating and irritability.
Sometimes duodenal erosion is complicated by bleeding:
Bleeding erosion of the duodenum, turning into an ulcer
In this case, the stools may acquire a blackish color. With heavy bleeding, vomiting of "coffee grounds" is possible. If erosion bleeds for a long time, then signs of anemia appear - pallor, headache, brittle hair and nails, tachycardia, etc.
Important: if you suspect duodenal erosion, be sure to consult a doctor. After all, there is always a danger of gastrointestinal bleeding and other complications of the disease.
Treatment of erosions of the duodenum 12
With an erosive lesion of the duodenum, drug treatment is not required in all cases. Sometimes it is enough to stick to a diet so that erosion gradually disappears. If there are no complications of erosive duodenitis, then good results can be achieved with the help of folk remedies.
Treatment with medications
In the case of minor bleeding, severe symptoms, or rapid growth of duodenal erosion, medical treatment becomes necessary.
In the classic version, the following groups of drugs are used:
- inhibitors of the proton pump and H2-histamine receptors (to reduce the acidity of gastric juice);
- antacids (enveloping agents);
- drugs that accelerate the healing of erosion (sea buckthorn oil, fish oil, etc.);
- antibiotics (in the presence of Helicobacter pylori infection).
To stop bleeding, drugs are prescribed that improve blood clotting.
Important: if you have erosive duodenitis, you should strictly follow medical prescriptions.
Nutrition for erosive duodenitis
The diet for duodenal erosions is based on the following principles:
- food should not have mechanical irritation (that is, it must be rubbed through a sieve, chopped in a meat grinder or blender);
- foods should be warm, it is not allowed to give patients hot or too cold food, since this can cause additional irritation and inflammation);
- dishes should be chemically neutral: you can not eat foods that have an irritating effect (alcohol, marinades, pickles, fresh and canned tomatoes, sour vegetables and fruits, spices, spices).
Proper nutrition speeds up the healing process, improves the effectiveness of medications, and reduces the risk of complications.
Folk remedies for erosive duodenitis
With erosions of the duodenum, treatment with folk remedies can be carried out against the background of drug therapy. If the defect is small, then in some cases erosion can be eliminated without medication. But the final decision on the method of treatment should be made by the doctor. Usually, in this disease, infusions and decoctions of medicinal plants, as well as their extracts and oils, are used. In the following video, you can learn more about herbal medicine for erosive, ulcerative and some other gastrointestinal diseases:
Surgical treatment
Usually, surgery is required in case of heavy bleeding from duodenal erosion, if the vessel located under it is affected. Open surgery is rarely required. More often, endoscopic electro- or laser coagulation of the vessel is performed.
In the same way, you can cauterize the erosion itself, after which a small scar remains. To avoid complications such as bleeding, anemia, the transition of erosion into an ulcer, you must take care of your health and consult a doctor in a timely manner.
In addition, it will be useful for people suffering from erosion to learn about how one of possible complications diseases.
Erosion of the duodenum is a harbinger of an ulcer. If you notice the signs of the disease in time and start competent treatment, further health complications can be avoided.
Most often, it is erosive bulbitis that is diagnosed - inflammation of the bulb 12pc, but with the same success, the disease can affect absolutely all parts of the digestive organ.
If a person has a genetic predisposition to this disease or abdominal pain is periodically observed, he needs to know the first symptoms of duodenal erosion in order to contact a gastroenterologist in a timely manner and begin treatment.
Causes
Erosive bulbitis, like other diseases of the digestive tract, originates from the patient's wrong lifestyle, a tendency to abuse bad habits and love for harmful, but such tasty food.
The main causes of the development of the disease:
- irrational nutrition;
- smoking and drinking alcohol on an empty stomach;
- uncontrolled intake of certain groups of drugs that contribute to the destruction of the duodenal mucosa 12;
- peritoneal trauma;
- prolonged stay in stressful situations;
- infection with the microorganism Helicobacter pylori;
- heredity.
Often there is a complex of factors predisposing to the disease, as well as a history of other diseases digestive system(gastritis, pancreatitis, intestinal motility dysfunction and other problems).
Symptoms
Symptoms of erosion for a long time may not be noticed by a person. The clinical picture is erased, the patient often writes off the primary signs of the disease for overeating or does not pay due attention to them at all. The stronger the wall of the organ begins to collapse, the more pronounced the symptoms will be.
Erosive bulbitis and duodenitis are manifested:
- pain of varying intensity in the epigastric region, which is not permanent, often associated with meals (the higher the lesion is located, the more intense and more often the pain is felt after a snack);
- an appetite disorder (unusual eating habits, a tendency to overeat, or a complete lack of appetite may appear);
- morning, "hungry" nausea.
Less common is tarry stools and dark brown streaked vomiting. This condition requires immediate hospitalization and examination by the attending physician.
Treatment
Erosion of the intestine requires an integrated approach to treatment. The patient is prescribed a course of a certain group of drugs, and he is also shown compliance with nutritional recommendations for this disease.
A gastroenterologist will advise a diet for duodenal erosion, some of the rules of which are recommended to be followed throughout life.
Medicines
Treatment with drugs is the administration of several groups of drugs. Enveloping preparations, as well as anti-inflammatory, protective agents, are shown for use. The course of taking tablets and emulsions is selected individually.
The goals of treatment of erosive organ damage:
- Protect the mucosa from external acid exposure.
- Reduce the concentration and amount of gastric juice.
- Contribute to the speedy regeneration of epithelial cells.
Sometimes antibiotics are used for therapy, to which the bacterium Helicobacter pylori is not resistant.
Surgery
If bleeding has opened or the severity of erosion of the 12th duodenum causes concern to the doctor, he may recommend diathermocoagulation or laser coagulation (cauterization). This method of treatment is highly effective, but is not indicated in all cases. A similar procedure is sometimes performed during EFGDS. It helps to solve several problems at the same time.
Fundamentals of nutrition in case of illness
Diet with erosion of the stomach and duodenum plays no less a role than the use of drugs. Moreover, if such an exacerbation occurs, the patient is advised to monitor his diet on an ongoing basis, not allowing himself food liberties.
What is forbidden to eat and drink with erosive bulbitis:
- spices, marinades, vinegar;
- carbonated drinks, alcohol, coffee, tea;
- heavy meat broths;
- yeast, pastries;
- raw vegetables and fruits;
- fast food;
- chew gum, eat sweets.
It is not recommended to eat hot food, and snacking on the run should also be avoided. Meals should be fractional, frequent and useful. Food should be thoroughly chewed or ground in a blender until pureed. Only in this case it will be possible to achieve a stable remission.
Prevention and prognosis
Erosion of the stomach and intestines, which made itself felt once, requires constant adherence to preventive measures. With indifference to one's health, the development of an ulcer of the gastrointestinal tract will not take long.
You should give up junk food in favor of a healthy and balanced diet. It is better to discuss all the drugs taken with your doctor, especially if you need to use them for a long time.
If there is an erosive bulbitis in the anamnesis, the patient needs to reconsider his bad habits, limit the use of alcohol and cigarettes.
At right approach to therapy, the prognosis is favorable. Many manage to achieve a stable remission, subject to all medical recommendations. Ignoring the rules of nutrition is fraught with the development of an ulcer in the very near future.
Erosion of the duodenum is a superficial defect on the inside of the intestinal wall.
Such a relatively shallow injury heals without leaving scars, redness, or other marks, but this requires special treatment.
In addition to taking medications, for the treatment of erosions of the duodenum and stomach, a diet is required that is designed to reduce the effects of acids and enzymes on the mucous membrane of these organs.
Symptoms of an erosive process in the duodenum
- colonization of the mucous membrane with Helicobacter pylori bacteria;
- improper and irregular nutrition;
- inadequate medical treatment.
Many medications affect the mucous membrane of the duodenum and stomach.
So, erosion can appear due to the daily intake of conventional aspirin, which is sometimes taken by people to prevent cardiovascular disease.
The cause of erosion in the duodenum and stomach can be the systematic use of steroid drugs, some antibiotics.
The erosive process can begin against the background of damage to other organs of the gastrointestinal tract, for example, with cirrhosis of the liver, chronic pancreatitis, circulatory disorders in the duodenal mucosa, stomach and intestines.
The erosive process in the duodenum can be asymptomatic for a long time. But more often patients with erosions in the duodenum complain of the following symptoms:
- pain in the epigastric region, starting some time after eating;
- nausea;
- vomit;
- unexplained loss of appetite and weight loss.
Such symptoms are not specific, so the doctor will not be able to make a diagnosis based on them alone.
Having palpated the epigastric region and found soreness in the region of the duodenum, the doctor will be able to say with greater certainty that the symptoms that disturb the patient are caused by problems of this organ. The diagnosis can only be definitively confirmed by endoscopy.
The higher the erosions are located, the faster after eating it starts to hurt in the pit of the stomach. So, with the erosion of the bulb, the pain begins an hour and a half after the meal.
Erosion of the bulb occurs more often than damage to other parts of the duodenum.
In this case, the erosion of the bulb carries a higher potential danger, since the vagus nerve passes near the bulb.
If inflammation from the bulb passes to it, then complications from neurology will arise.
If for a long time you do not pay attention to the symptoms that indicate violations in the work of the duodenum 12, then the matter may end peptic ulcer which will require more serious treatment.
Therefore, if you find any symptoms that indicate a malfunction in the stomach or duodenum (constant heartburn and / or belching, pulling, cutting or sucking pain in the pit of the stomach associated with eating, nausea), you need to go to the endocrinologist and undergo an examination.
Once the diagnosis is made, immediate treatment should begin. The sooner you start treating erosion of the duodenum, the more chances there will be for a quick return of the mucosa to its normal state.
Treatment of duodenal mucosa from erosion
Treatment of erosive lesions of the stomach and duodenum is always based on the suppression of the acidity of gastric juice. Due to the variety of causes that cause erosion, several treatment tactics have been developed.
The doctor will choose suitable treatment, based on what exactly caused the erosion and what type it is: local or total.
It does not matter in which part of the intestine the damage is located - the erosion of the bulb is treated according to the same schemes as those located in other parts of the duodenum.
To suppress the acidity of gastric juice, antacids and alginates are used. At the same time, antisecretory drugs, proton pump inhibitors and histamine receptor blockers are taken.
One of the drugs in this class - Omeprazole - is considered the standard in the treatment of ulcers and erosions of the stomach and duodenum 12. Omeprazole is a classic proton pump inhibitor.
The drug has passed numerous clinical trials and meets all medical criteria.
When Helicobacter pylori bacteria are found in the mucous membrane of the duodenum and stomach, treatment with antimicrobial agents is started.
Such a scheme (antimicrobial + antacid treatment) allows you to quickly get rid of pain and dyspeptic syndromes, avoid exacerbations, remove unpleasant symptoms and discomfort.
Anti-Helicobacter therapy consists of taking the antibiotics amoxicillin and clarithromycin.
Successful antibiotic treatment leads to rapid healing of erosive mucosal defects.
Simultaneously with taking medications, you can use the treatment of folk remedies. The classic drug for the treatment of duodenal erosion is sea buckthorn oil.
This folk remedy should be used with caution for those who have problems with the liver or gallbladder.
Now pharmacies sell sea buckthorn oil in capsules. This form of release is more convenient than the usual bottle with a screw cap - you can carry the oil with you without fear that it will spill and spoil the contents of the bag. For problems with the gastrointestinal tract, take one capsule 3 times a day before meals.
With erosive lesions of the stomach and duodenal bulb, you can use a collection of five herbs: yarrow, chamomile, St. John's wort, mint and sage.
Such a collection anesthetizes, has an anti-inflammatory effect, fights bacteria. Herbs are taken in equal parts, one tablespoon each and brewed with a liter of boiling water. Drink one glass before meals.
Carrot juice and fresh chicken eggs have a healing effect. They are taken two to three times a day before meals. Eggs, before breaking, are washed with soap or scalded with boiling water.
Health food
Diet is an important component of the treatment of erosive lesions of the bulb and other parts of the duodenum.
The basic rule of the diet is not to overeat and eat foods that irritate the mucous membrane. Meals should be regular, 5-6 meals a day.
The diet is mainly aimed at calming the mucosa. In addition, a diet for duodenal erosions helps to restore cells and speed up recovery.
Medical nutrition limits salt intake. You can eat no more than 12 grams per day (a teaspoon with a slide). Ideally, salt intake should be kept to a minimum.
The diet includes only properly prepared dishes, that is, boiled, stewed, baked and steamed.
All meals included in the diet should be consumed at a temperature not lower than 18 degrees and not hotter than 50 degrees Celsius.
The diet is followed for at least 2 months. After the disappearance of the symptoms of the disease, you can switch to everyday meals, but first you need to consult a doctor.
What foods can be included in the diet? First of all, these are dairy and sour-milk products, lean meat and fish, cereals, pasta, eggs, butter and vegetable oils.
Bread, pastry and unleavened dough products, raw vegetables and fruits, sugar and sweets are limited. Juices are diluted with water or jelly is made from them.
Fruits and dried fruits in compote are ground through a metal sieve, removing hard particles and peel.
Foods that should not be included in the diet:
- mushrooms and mushroom decoctions;
- hard-boiled eggs;
- pickled and canned foods;
- margarine;
- rich meat and fish broth.
The diet prohibits alcoholic and carbonated drinks: kvass, lemonade. It is necessary to exclude coffee, strong tea, sour juice from the menu, as these drinks irritate the mucous membrane.
Those who like to be treated with folk remedies can include natural honey and propolis in their diet. These products act very well on the inflamed mucous membrane of the gastrointestinal tract.
The diet involves the restriction of sweets, so honey should be eaten in moderation, and for it to work better - on an empty stomach.
In the morning, before breakfast, eat one tablespoon of honey or dilute a spoonful of honey in warm water and drink.
Erosions in the stomach and duodenum respond well to treatment, but it is important not to be limited to folk remedies, but to take tests and undergo drug therapy.