Gastroduodenal ulcer disease


Gastroduodenal ulcer disease

Description of gastroduodenal ulcer disease

Gastroduodenal ulcer disease, as the name implies, is a diseaseof the stomach (Gaster) and the duodenum (duodenal).Nowadays, it is a very common disease. It often has a long-term course and the patient may bother for many years or even a lifetime. She suffers from multiple males (especially in the productive age), than women.

In Western countries during her life ill, about 10% of the population. The increased number of cases of the disease emerged in the early 20th century, which can be attributed to the changed lifestyle.

In this disease, it is typical that alternating periods of remission, when the patient without difficulty, with the period of acute when the disease manifests symptoms described below.

Its essence is the disruption of the mucosa or even deeper layers of the wall of the digestive tract, in places where it is exposed to corrosive action of gastric juice. Therefore formed in the stomach and duodenum.
The wall of the digestive tract, under normal circumstances, before samonatrávením, protected by mucus mucin. But if in the digestive tract formed imbalance between protective and damaging factors occurs digestion mucosa, namely the occurrence of peptic lesion. One form of this lesion isan ulcer.

Peptic lesions can be divided into several groups.
The first is known as erosion, which are superficial damage to the lining of the stomach or duodenum.

The second type is acute ulcer penetrating into the deeper layers of the mucosa. Heals relatively quickly and remains after scar.

The last type is chronic ulcers that heal slowly, and when it is present and the inflammatory reaction that makes the well distinguishable from the surrounding tissue.

 

The causes of gastroduodenal ulcer disease

The emergence of this disease involving many causes of same, but generally can be said that the peptic ulcer occurs when the factors affecting the mucosa in the digestive tract (aggressive factors), gain the upper hand over the protective factors (projective).

For the protective factors are considered normal blood perfusion of the stomach and duodenum, restoring topsheet mucosa, normal production of gastric mucus which covers the mucous membranes, and the basic reaction of gastric contents.

Among the main factors, which harm the mucosa and allowing ulcer, include the presence of pepsin and aggressive hydrochloric acid in the stomach. Furthermore, the presence of the bacteriumHelicobacter pylori, which can survive in harsh stomach environment and impairing healing disorder of bowel movements, duodenogastric reflux (rewind the digestion of food from the duodenum into the stomach) and blood circulation mucosa.

Infringement balance between projective factors contributes to a number of internal and external influences.
Among the external factors we calculate the composition of the food and the irregular adoption,smoking tobacco and drinking alcohol and concentrated black coffee.

Finally, these also include the misuse or overuse, some ulcerogenic drugs, ie drugs that can cause an ulcer penetration. These include some kortokoidy, NSAIDs and certain analgesics. The emergence of disease caused by these drugs, today is unfortunately very common.

For external influences are considered a genetic predisposition and prolonged, repetitive stress.

 

Signs and symptoms of gastroduodenal ulcer disease

As gastric, and duodenal ulcer, is located in the digestive tube through which food accepted by man.For this reason, also show the painful symptoms, in both of these types of ulcers, certaindependency on food.

If a person eats, the formation of gastric juices naturally increases and is used to digest the food.Under normal circumstances, protects the gastric mucosa mucus and sour juice and mucosal damage, or cause pain. If, however the above described process of balance and protection disturbed gastric juice mucosa directly exposed, causing, in addition to deterioration of the ulcer and pain response, which is the dominant symptoms. Pain patient feels most nearby epigastrium.

For duodenal ulcer pain occurs fasting. Most often after two or more hours after the last meal. It will allay again after eating. Pain patient often wakes up at night. Often are present hyperacidity symptoms such as heartburn, sensation of acidity in the mouth, or even vomit gastric juices. The patient, in an attempt to avoid the pain, a lot of it, and thus gain weight.

Gastric ulcers hurts conversely soon after a meal and is usually within two hours. You can also say that the closer the mouth ulcer is localized, the sooner the pain occurs. The patient often afraid to eat and lose weight. In gastric ulcer may be present digestive problems such as indigestion,belching and nausea.

In peptic ulcer disease is a typical seasonal rhythm problems, which are most common in springand autumn, in the meantime, the patient feels completely healthy.

Exacerbations difficulty takes a week or several weeks, and the patient during this period annoy day.

Sick sometimes does not even know about ulcer and he rarely occur suddenly up in the form of one, described below, of complications of this disease.
It should also be noted that the size of the ulcer is not in any way proportional to its manifestations.

 

Risk factors for gastroduodenal ulcer disease

Among the risk factors for this disease include irregular receiving food, drinking black coffeeand smoking and heredity.

Furthermore, the risks considered for the use of certain drugs (see. Above) and excessive environmental stress.

 

Treatment of gastroduodenal ulcer disease

In suspected peptic ulcer disease, it is necessary to carry out a proper examination and then determine the specific treatment. A doctor from the patient must first find a detailed description of his difficulties, his eating habits, lifestyle and any bad habits.

Then he listens with a stethoscope and Palpating abdomen of the patient. Following various tests, such as fibroscopy stomach and duodenum, accompanied by removing small portions of tissue and a simple, breath test to detect the presence of Helicobacter.

The treatment itself, then begins the regime in place. It consists in maintaining physical and mental rest and enough sleep mode.

In the period of acute problems, always apply incapacity. The patient should not smoke at all, and especially not fasting. Not recommended alcohol (especially spirits and white wine), strong tea, and caffeinated beverages. The food should be, in smaller portions, but several times a day is recommended predominance dairy products. After consulting with the doctor, you should be discontinued as described above, ulcerogenic drugs.

After determining routine measures, followed by the election of pharmacotherapy, a therapy using drugs. If the stomach showed the presence of Helicobacter administered medicaments from the group of proton pump inhibitors and antibiotics, and is usually for a period of seven days.

Important is the cooperation of the patient, because if not complied with prescribed medication, thereby significantly reducing the probability of, for eradication of Helicobacter, and may arise as resistance to administered antibotika.

Other drugs that are used in the treatment, antacids, reducing
the acidity of gastric juices.

Sometimes, the doctor chooses and medications from H₂ receptor antagonists.

A suitable sequential therapy is a spa.

If using drugs is not enough, or if there is a complication, at least, the treatment using endoscopyor radical surgical approach.

 

How can I help myself

It is important to note that compliance režimového measures, it is possible that a lot of influence.Although smoking is definitely hard to stop, for the treatment of this disease, it is very important. If you can not manage to stop completely, at least limit smoking to a minimum and most importantly always after a meal. Do not smoke on an empty stomach. Smoking stimulates the production of gastric juices, which irritate the stomach and duodenum.

Do not eat foods which are stilling fats and many spices. Engage in your diet more dairy products.Arrange the food into smaller batches and eat more often.

Avoid drinking beverages containing caffeine, strong tea, and especially black tea and mate type.Be careful on some herbal tea (which also stimulates the production of gastric juices), such as St. John’s wort tea, bitter, peppermint, chamomile or lemon balm. Totally inappropriate, drinking alcohol, especially spirits and white wine.

At a time when the disease is harassing you with their typical symptoms, it is suitable incapacity, no effort and most importantly peace of mind. If your doctor offers hospitalization, consider it. It is not necessary, but even though it may seem strange to some people, then you realize that the hospital have much more peace than at home, where they are beset all sorts of problems and challenges.You should take no medications without consulting your doctor. Even ordinary painkillers, because this disease can cause or worsen it considerably.

 

Complications of the disease gastroduodenal ulcer disease

Complications of the disease is called bleeding ulcer penetration into the depths, puncturing the wall of the stomach or duodenum and pyloric narrowing.

Bleeding can be a little long and can prove examination stool for occult blood. Ulcer but also may break near an artery and then bleeding is sudden, massive and has dramatic symptoms. The patient has severe abdominal pain and vomiting blood. Threatening bleeding. It required immediate transportation to a hospital.

The term penetration (penetration) ulcer means a condition where the ulcer goes through a wall of the stomach or duodenum and the adjacent organs, most commonly on the head of the pancreas.When this complication is present pain that spreads to the back between the shoulder blades, and nustálá is no longer dependent on food intake.

Puncture (perforation) of the stomach wall is more common than the duodenum. Acidic stomach contents to get out into the abdominal cavity and cause peritonitis. This condition is known as one of the acute abdomen and is very serious. Ill feeling severe pain in my stomach. It must be immediately admitted to the hospital for surgery.

The last complication is narrowing (stenosis) pylorus or lower part of the stomach which opens into the duodenum. It is caused by a scar after healing ulcers or swelling in his surroundings. With this narrowing is not food from the stomach to proceed. Stomach will begin to expand. The patient experiencing malodorous belching and vomiting of stomach contents, with the remnants of food from the second day.

Other names: ulcers of the stomach and duodenum, stomach ulcers, duodenal ulcers, peptic ulcers, ulcers

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