Gastric ulcer defect called deep gastric mucosa resulting from the inflammatory process caused by damaging factor. The disease, in which stomach ulcer forms, called a gastric ulcer. This frequent disease, which affects about 10% of the population and the men several times more often than women.
Causes of peptic ulcer
In the formation of stomach ulcers involves several factors, the main of which is an infection with Helicobacter pylory. It was long thought that the highly acidic environment of gastric bacteria do not survive until the end of the twentieth century has not been conclusively proven that the microbe Helicobacter pylory not just survive out there, but is the main link in the mechanism of inflammatory diseases of the stomach and duodenum.
Other factors contributing to the development of gastric ulcer are:
- The frequent use of non-steroidal anti-inflammatory drugs (aspirin, naklofen, ibuprofen, indomethacin, Nemesu and so on.)
- Genetic predisposition;
- Gross error in the diet;
- Psychogenic factors (stress);
- Alcoholism, whose symptoms are quite common;
- Permanent burn the mucous membrane of the stomach hot food.
Symptoms of gastric ulcer
The main symptom of stomach ulcer - severe pain in the upper abdominal (epigastric) region. Gastric ulcer peculiar hunger pains that occur a few hours after eating, and often at night. The pain subsides after ingestion or antacid (reduce acidity) preparations.
For the rest of the symptoms of stomach ulcer dyspepsia are pointing to a disorder of the digestive system: heartburn, belching, nausea, sometimes vomiting, acidic gastric contents that occurs when severe pain and brings some relief, and therefore sometimes patients with gastric ulcer themselves cause vomiting during pain attack. A person suffering from stomach ulcer, losing weight, his skin looks pale, appetite and vitality decrease.
Sometimes in gastric contents, and sometimes there is blood in the stool. This happens when the ulcerative process involves the vessel. Blood clots can be red, but can be dark, almost black, sometimes misleading. Isolation of blood with vomit or stool can be a symptom of stomach ulcers, but also a sign of a malignant tumor, and therefore requires urgent treatment to the doctor.
Diagnosis of gastric ulcers
Currently, diagnosis of gastric ulcer is based on endoscopy. The method is called fibrogastroscopy (FGS), during it through the esophagus into the stomach introduced a thin, flexible instrument equipped with a light source and a camera broadcasting the image on the monitor. This allows you to see the ulcerative defect of the gastric mucosa, to determine its location and size. Previously widely used method of X-ray contrast is still in use, but has only secondary importance.
Conduct laboratory studies of gastric and intestinal contents for the presence of Helicobacter and occult blood, to assess the overall condition of the body are appointed by common blood and urine tests.
Treatment of stomach ulcers
Dozens, if not hundreds of years, peptic ulcer disease is considered incurable, which help you, and that is not always effective, could only surgery. After the opening of the main causes of the disease, namely the infection of Helicobacter pylori, the treatment of gastric ulcer was held therapeutic agents, particularly antibiotics. Currently the gold standard for the treatment of gastric ulcers is trehkomponetntaya therapy, comprising: a drug which is an inhibitor of the proton pump (omeprazole, and the like), bismuth preparation, simultaneous two antimicrobials.
Parallel antacids - means reduces the acidity of gastric contents. Such treatment can cure in most cases ulcer within two weeks.
One of the most important moments of the treatment of gastric ulcers is a diet and nutrition
. It also serves as the main preventive measure aimed at preventing relapses
. Diet for gastric ulcer should be balanced, containing sufficient nutrients to the exclusion of products that irritate the stomach lining (alcohol, coffee, strong tea, hot spices, smoking, salting, etc.
. The food is served in heat-treated (braising, boiling, baking or steaming, roasting in oil is excluded) and a frayed
. Nutrition should be a fraction - small meals 4-5 times a day at specific times
. Diet for gastric must become a way of life if not for life, then for a few years, even after remission, at least in this period, it is permissible for a softening, otherwise possible recurrence of gastric ulcer, as is a predisposition to it and the ability to H. pylori reinfection
Surgical treatment of gastric ulcers is used for persistent, not giving therapy ulcers, as well as at high risk of complications (perforation of the stomach wall, bleeding). In this case, the excised portion of the stomach containing ulcerative defect, concurrently assigned to drug treatment of gastric ulcers, to prevent recurrence of the disease.
For rehabilitation treatment of gastric ulcer is carried out with the help of physiotherapy and balneological methods. Spend restorative procedures, it is recommended lifestyle changes to a healthy and avoiding harmful habits (smoking, alcohol intake, eating fast food and other junk food).