Duodenal ulcer - symptoms and treatment, diet, medications. How to cure a duodenal ulcer at home Medicine stomach and duodenal ulcer

The main symptoms of a stomach ulcer (peptic ulcer) are pain and dyspeptic syndromes (a syndrome is a stable set of symptoms characteristic of a given disease).

Pain is the most typical symptom of gastric and duodenal ulcers. It is necessary to find out the nature, frequency, time of onset and disappearance of pain, and the connection with food intake.

Up to 75% of patients complain of pain in the upper abdomen (usually in the epigastric region). Approximately 50% of patients experience pain of minor intensity, and about a third of patients experience severe pain. Pain may appear or intensify with physical activity, eating spicy foods, a long break in eating, or drinking alcohol. In the typical course of a peptic ulcer, pain has a clear connection with food intake; it occurs during exacerbation of the disease and is characterized by seasonality - most often occurring in spring and autumn. In addition, it is quite common to see a decrease or even disappearance of pain after taking soda, food, antisecretory (omez, famotidine, etc.) and antacid (almagel, gastal, etc.) drugs.

Early pain occurs 0.5-1 hour after eating, gradually increases in intensity, persists for 1.5-2 hours, decreases and disappears as the gastric contents move into the duodenum; characteristic of ulcers of the body of the stomach. When the cardiac, subcardial and fundic regions are affected, pain occurs immediately after eating.

Late pain occurs 1.5-2 hours after eating, gradually intensifying as the contents are evacuated from the stomach; characteristic of ulcers of the pyloric stomach and duodenal bulb.

“Hungry” (night) pains occur 2.5-4 hours after eating, disappear after the next meal; characteristic of ulcers of the duodenum and pyloric stomach. A combination of early and late pain is observed with combined or multiple ulcers.

The intensity of pain may depend on age (more pronounced in young people), and the presence of complications.

The most typical projection of pain, depending on the location of the ulcerative process, is considered to be the following:

for ulcers of the cardial and subcardial parts of the stomach - the area of the xiphoid process;
for ulcers of the body of the stomach - the epigastric region to the left of the midline;
for ulcers of the pylorus and duodenum - the epigastric region to the right of the midline.

Palpation of the epigastric region may be painful.

The absence of a typical pattern of pain does not contradict the diagnosis of peptic ulcer.

Dyspeptic syndrome is characterized by heartburn, belching, nausea, vomiting, stool disturbances, as well as changes in appetite, a feeling of fullness or bloating in the stomach, and a feeling of discomfort in the epigastric region. Heartburn is observed in 30-80% of patients; it can be persistent and usually appears 1.5-3 hours after eating. At least 50% of patients complain of belching. Nausea and vomiting are not uncommon with peptic ulcer disease; most often, vomiting develops at the height of pain and brings relief to the patient, so patients can induce vomiting artificially. Almost 50% of patients suffer from constipation, which is more often observed during exacerbation of the process. Diarrhea is not typical. As a rule, there are no pronounced disturbances in appetite during peptic ulcer disease. The patient may limit himself in nutrition during severe pain, which happens during an exacerbation.

It is imperative to check with the patient for episodes of vomiting blood or black stools (melena). Additionally, during the physical examination, a deliberate attempt should be made to identify signs of a possible malignant nature of the ulceration or the presence of complications of a peptic ulcer.

With a favorable course, the disease proceeds without complications, with alternating periods of exacerbation, lasting from 3 to 8 weeks, and periods of remission, the duration of which can range from several months to several years. An asymptomatic course of the disease is also possible: the diagnosis of peptic ulcer during life is not established in 24.9-28.8% of cases.

Symptoms of peptic ulcer depending on the location of the ulcer

Symptoms of ulcers of the cardial and subcardial part of the stomach

These ulcers are localized either directly at the esophagogastric junction or distal to it, but not more than 5-6 cm.

The following features are characteristic of cardiac and subcardial ulcers:

Men over 45 years of age are more often affected;
pain occurs early, 15-20 minutes after eating and is localized high in the epigastrium near the xiphoid process;
pain quite often radiates to the heart area and can be mistakenly regarded as angina. In differential diagnosis, it should be taken into account that pain due to coronary heart disease appears when walking, at the height of physical activity and disappears at rest. Pain in cardiac and subcardial ulcers is clearly associated with food intake and does not depend on physical exertion, walking, and calms down not after taking nitroglycerin under the tongue, as with angina, but after taking antacids, milk;
characterized by mild pain syndrome;
pain is quite often accompanied by heartburn, belching, vomiting due to insufficiency of the cardiac sphincter and the development of gastroesophageal reflux;
often ulcers of the cardial and subcardial part of the stomach are combined with a hiatal hernia, reflux esophagitis;
the most common complication is bleeding; perforation of the ulcer is very rare.

Symptoms of an ulcer of the lesser curvature of the stomach

The lesser curvature is the most common location of gastric ulcers. The characteristic features are the following:

the age of patients usually exceeds 40 years, often these ulcers occur in the elderly and elderly;
pain is localized in the epigastric region (slightly to the left of the midline), occurs 1-1.5 hours after eating and stops after food is evacuated from the stomach; sometimes there are late, “night” and “hunger” pains;
pain is usually aching in nature, its intensity is moderate; however, in the acute phase, very intense pain may appear;
heartburn, nausea, and less often vomiting are often observed;
gastric secretion is most often normal, but in some cases it is also possible to increase or decrease the acidity of gastric juice;
in 14% of cases they are complicated by bleeding, rarely by perforation;
in 8-10% of cases, malignancy of the ulcer is possible, and it is generally accepted that malignancy is most typical for ulcers located at the bend of the lesser curvature. Ulcers localized in the upper part of the lesser curvature are mostly benign.

Symptoms of an ulcer of the greater curvature of the stomach

Ulcers of the greater curvature of the stomach have the following clinical features:

are rare;
Among the patients, older men predominate;
the symptoms differ little from the typical clinical picture of a stomach ulcer;
in 50% of cases, ulcers of the greater curvature of the stomach turn out to be malignant, so the doctor should always consider an ulcer of such a localization as potentially malignant and repeat multiple biopsies from the edges and bottom of the ulcer.

Symptoms of an ulcer of the antrum of the stomach

Ulcers of the gastric antrum (“prepyloric”) account for 10-16% of all cases of peptic ulcer and have the following clinical features:

found predominantly in young people;
the symptoms are similar to those of a duodenal ulcer, characterized by late, “night”, “hungry” pain in the epigastrium; heartburn; vomiting of sour contents; high acidity of gastric juice; positive Mendelian sign on the right in the epigastrium;
It is always necessary to carry out differential diagnosis with the primary ulcerative form of cancer, especially in older people, since the antrum is the favorite localization of stomach cancer;
in 15-20% of cases they are complicated by gastric bleeding.

Symptoms of a pyloric ulcer

Pyloric ulcers account for about 3-8% of all gastroduodenal ulcers and are characterized by the following features:

persistent course of the disease;
a pronounced pain syndrome is characteristic, the pain is paroxysmal in nature, lasting about 30-40 minutes, in 1/3 of patients the pain is late, at night, “hungry”, but in many patients it is not associated with food intake;
pain is often accompanied by vomiting of acidic contents;
Characterized by persistent heartburn, paroxysmal excessive secretion of saliva, a feeling of fullness and fullness in the epigastrium after eating;
with long-term recurrence, ulcers of the pyloric canal are complicated by pyloric stenosis; other common complications are bleeding (the pyloric canal is heavily vascularized), perforation, penetration into the pancreas; 3-8% have malignancy.

Symptoms of duodenal ulcer

Ulcers of the duodenal bulb are most often localized on the anterior wall. The clinical picture of the disease has the following features:

the age of patients is usually younger than 40 years;
Men get sick more often;
epigastric pain (more on the right) appears 1.5-2 hours after eating, often at night, early morning, as well as “hungry” pain;
vomiting is rare;
seasonality of exacerbations is characteristic (mainly in spring and autumn);
a positive Mendelian sign is determined in the epigastrium on the right;
the most common complication is ulcer perforation.

When the ulcer is located on the posterior wall of the duodenal bulb, the clinical picture is most characterized by the following manifestations:

the main symptoms are similar to the symptoms described above, characteristic of the localization of an ulcer on the anterior wall of the duodenal bulb;
often observed spasm of the sphincter of Oddi, dyskinesia of the gallbladder of the hypotonic type (feeling of heaviness and dull pain in the right hypochondrium with irradiation to the right subscapular region);
the disease is often complicated by penetration of the ulcer into the pancreas and hepatoduodenal ligament, and the development of reactive pancreatitis.

Duodenal ulcers, unlike gastric ulcers, do not become malignant.

Symptoms of extrabulb (postbulbar) ulcers

Extrabulb (postbulbar) ulcers are ulcers located distal to the duodenal bulb. They make up 5-7% of all gastroduodenal ulcers and have the following characteristic features:

most common in men aged 40-60 years, the disease begins 5-10 years later compared to duodenal ulcer;
in the acute phase, intense pain in the right upper quadrant of the abdomen, radiating to the right subscapular region and back, is very characteristic. Often the pain is paroxysmal in nature and may resemble an attack of urolithiasis or cholelithiasis;
pain appears 3-4 hours after eating, and eating food, in particular milk, relieves pain not immediately, but after 15-20 minutes;
the disease is often complicated by intestinal bleeding , development of perivisceritis, perigastritis, penetration and stenosis of the duodenum;
perforation of the ulcer, in contrast to localization on the anterior wall of the duodenal bulb, is observed much less frequently;
In some patients, mechanical (subhepatic) jaundice may develop, which is caused by compression of the common bile duct by an inflammatory periulcerous infiltrate or connective tissue.

Symptoms of combined and multiple gastroduodenal ulcers

Combined ulcers occur in 5-10% of patients with peptic ulcer disease. In this case, a duodenal ulcer initially develops, and after a few years a gastric ulcer develops. The putative mechanism for this sequence of development of ulcers is as follows.

With a duodenal ulcer, swelling of the mucous membrane, intestinal spasm, and often cicatricial stenosis of the initial part of the duodenum develop. All this complicates the evacuation of gastric contents, stretching of the ashral region (antral stasis) occurs, which stimulates hyperproduction of gastrin and, accordingly, causes gastric hypersecretion. As a result, prerequisites are created for the development of a secondary gastric ulcer, which is often localized in the area of the angle of the stomach. The development of an ulcer initially in the stomach and then in the duodenum is extremely rare and is considered an exception. Their simultaneous development is also possible.

Combined gastroduodenal ulcer has the following characteristic clinical features:

the addition of a gastric ulcer rarely worsens the course of the disease;
epigastric pain becomes intense, along with late, night, “hungry” pain, early pain appears (occurring soon after eating);
the area of localization of pain in the epigastrium becomes more widespread;
after eating, there is a painful feeling of fullness in the stomach (even after eating a small amount of food), severe heartburn, and vomiting is common;
when studying the secretory function of the stomach, pronounced hypersecretion is observed, while the production of hydrochloric acid can become even higher compared to the values that were present with an isolated duodenal ulcer;
the development of complications such as cicatricial pyloric stenosis, pylorospasm, gastrointestinal bleeding, perforation of an ulcer (usually duodenal);
in 30-40% of cases, the addition of a gastric ulcer to a duodenal ulcer does not significantly change the clinical picture of the disease and a gastric ulcer can only be detected during gastroscopy.

Multiple ulcers are 2 or more ulcers simultaneously localized in the stomach or duodenum. The following features are characteristic of multiple ulcers:

tendency to slow scarring, frequent recurrence, and development of complications;
In some patients, the clinical course may not differ from the course of a single gastric or duodenal ulcer.

Ulcer symptoms of giant gastric and duodenal ulcers

According to E. S. Ryss and Yu. I. Fishzon-Ryss (1995), ulcers with a diameter of more than 2 cm are called giant. A. S. Loginov (1992) classifies ulcers with a diameter of more than 3 cm as giant.

Giant ulcers are characterized by the following features:

located mainly on the lesser curvature of the stomach, less often - in the subcardial region, on the greater curvature and very rarely - in the duodenum;
the pain is significantly pronounced, its frequency often disappears, it can become almost constant, which requires differential diagnosis with stomach cancer; in rare cases, the pain syndrome may be mild;
characterized by rapidly occurring exhaustion;
Complications very often develop - massive gastric bleeding, penetration into the pancreas, less often - perforation of an ulcer;
careful differential diagnosis of a giant ulcer with a primary ulcerative form of gastric cancer is required; malignancy of giant gastric ulcers is possible.

Symptoms of long-term non-healing ulcers

According to A. S. Loginov (1984), V. M. Mayorov (1989), long-term non-healing ulcers are those that do not scar within 2 months. The main reasons for the sharp prolongation of ulcer healing time are:

hereditary burden;
age over 50 years;
smoking;
alcohol abuse;
the presence of pronounced gastroduodenitis;
cicatricial deformation of the stomach and duodenum;
persistence of Helicobacter pylori infection.

Long-term non-healing ulcers are characterized by erased symptoms; with therapy, the severity of pain decreases. However, quite often such ulcers are complicated by perivisceritis, penetration, and then the pain becomes persistent, constant, and monotonous. There may be a progressive decline in the patient's body weight. These circumstances dictate the need for a careful differential diagnosis of a long-term non-healing ulcer with the primary ulcerative form of gastric cancer.

Peptic ulcer disease in old age and old age

Senile ulcers are defined as ulcers that first developed after the age of 60 years. Ulcers in the elderly or older people are ulcers that first appear at a young age, but remain active until old age.

Features of peptic ulcer disease in these age groups are:

an increase in the number and severity of complications, primarily bleeding, compared to the age when the ulcer first formed;
a tendency to increase the diameter and depth of the ulcer;
poor healing of ulcers;
pain syndrome is mild or moderate;
acute development of “senile” ulcers, their predominant localization in the stomach, frequent complication of bleeding;
the need for careful differential diagnosis with gastric cancer.

A duodenal ulcer affects the mucous membranes; the symptoms of the pathology usually worsen in the autumn and spring seasons, when the period of remission turns into an exacerbation stage, requiring mandatory treatment.

When the disease occurs, ulcerations form on the mucous membranes - deep single or extensive defects that result in life-threatening complications. The disease is treated with therapeutic and surgical methods, traditional medicine.

Scientists have proven that duodenal ulcer is formed under the influence of harmful bacteria - Helicobacter pylori. Microorganisms create pathogenic microflora in the intestines, which leads to peptic ulcers.

There are many carriers of Helicobacter Pylori among people, but a small proportion of them develop the disease. The majority of infected people have no symptoms of the disease. Helicobacter bacteria are in a “dormant state” in their body.

The manifestation of the disease is facilitated by:

disrupted diet;
rough and spicy food;
nicotine, alcohol;
genetic predisposition;
stress;
systematic use of a number of medications;
high acidity of gastric juice.

Therapy directly depends on the etiology of the disease. Therefore, treatment of duodenal ulcer is prescribed after establishing the symptoms and causes that led to its development.

Symptoms

When the disease progresses, the following symptoms occur:

Pain of varying intensity, localized in the epigastrium and under the sternum. If an ulcer of the duodenal bulb occurs, the pain is similar to that which appears with cardiac pathologies, or radiates to the back.
Painful sensations appear when the stomach is empty and at night.
The pain subsides after consuming antacids - drugs that neutralize hydrochloric acid, or milk.
Pain increases when a bolus of food, saturated with hydrochloric acid, exits the stomach into the cavity of the duodenum.
Attacks of pain occur up to several times a day. The further the disease progresses, the more often they appear, and their intensity increases.

In children and elderly patients, signs of the disease are mild. If the symptoms are erased, the duodenal ulcer is detected late, and treatment begins in advanced conditions. Sometimes this leads to a dangerous complication - perforation (a through ulcer through which intestinal contents leak into the abdominal cavity) and, as a consequence, to peritonitis.

Complications

If duodenal ulcers are not treated, severe complications develop that threaten the patient's life. The disease, as it progresses, causes:

Internal bleeding. Blood vessels affected by ulcerations bleed. Internal blood loss is indicated by hematemesis and anemia. Surgery helps save the patient.
Perforation. Open ulcers form on the intestinal drains. Through the lesions, intestinal contents leak into the abdominal cavity, causing peritonitis. In such a situation, treatment of the duodenum is performed only surgically. Otherwise the patient will die.
Penetration. Ulcerated intestinal fluids penetrate the liver or pancreas. Conservative therapy brings temporary relief. The patient is relieved of the pathological condition through surgery.
Stenosis. The affected areas of the intestine swell and scar, which ends in narrowing of the lumen and blockage. Intestinal obstruction is accompanied by vomiting, constipation and flatulence, heaviness and pain in the stomach. Edema is eliminated using medications. The question of how to cure a duodenal ulcer complicated by adhesive stenosis has only one answer - surgery.
The appearance of a cancerous tumor in areas of ulceration. In this case, treatment of the duodenum is carried out using chemotherapy, radiation, and surgery.

Drug therapy

Treatment of duodenal ulcer is carried out using the following medications:

Pain syndrome is relieved using medications that inhibit the production of gastric juice: Omez, Gastrozol, Bioprazol.
Products that form a protective film on the intestinal walls are used: Almagel, Maalox.
To destroy bacterial infection, antibiotics are prescribed: Amoxicillin, Clarithromycin, Metronidazole. If the therapy has not achieved its goals, a new ulcer treatment regimen is drawn up, which includes other antibacterial drugs: Omeprazole, De-Nol, Ranitidine, Tetracycline.
To stimulate intestinal motility, the following are prescribed: Trimedat, Cerucal, Motilium.
Therapy includes analgesics, antispasmodics, multivitamins, sedatives, and antidepressants.

Exacerbated and chronic ulcers are treated with conservative methods from 2 weeks to 1.5 months. The duration of treatment is influenced by the patient’s condition and the size of the lesions. Treatment regimens are selected only by a doctor.

In case of exacerbation, a strict therapeutic diet is followed - table No. 1. When remission occurs, variety is added to the diet. But in both cases, they adhere to fractional meals, take only gentle food, exclude fried, fatty, salty, smoked, and spicy foods. Products are boiled or steamed.

Surgery is performed if an emergency situation arises caused by a serious complication: intestinal obstruction, peritonitis, bleeding.

Folk recipes

Treating duodenal ulcers at home is a long process. In addition to medications, patients are recommended to use folk remedies. Herbal remedies, honey, aloe, sea buckthorn oil, and mineral water help fight the disease.

Products with sea buckthorn oil

The disease is treated with agents that can envelop the mucous membranes, tighten ulcerative formations on them, and regenerate damaged cells and tissues. Sea buckthorn oil has these properties. The medicine heals damage to the mucous membranes. To suppress the disease, pure malo or its combination with other natural remedies is used.

Recipes revealing how to treat duodenal ulcers with sea buckthorn oil:

Before breakfast, drink 1 teaspoon of oil on an empty stomach. After taking the medicine, spend 1 hour in bed, periodically changing body position. Therapy is carried out daily until 200 ml of oil is drunk. At the beginning of treatment, heartburn sometimes appears. Tea soda dissolved in water (0.5 teaspoon per glass of liquid with a temperature not exceeding 60 °C) helps relieve the discomfort.
Recurrence of the disease is prevented by consuming a mixture of oil (1 teaspoon) and honey (1 tablespoon) once a day. They are treated with the drug for a whole year. With daily use of the medicine, symptoms of the disease do not appear.
To get rid of duodenal ulcer, make a mixture of a 2% solution of baking soda and oil. For one dose, prepare a mixture of 50 ml of soda solution and 1 teaspoon of sea buckthorn oil. Drink the product for 30 days.

Traditional preparations with aloe

Aloe heals ulcers and erosions that occur on the intestinal mucosa. The juice of the plant enhances the effect of the components used in mixture with it and accelerates healing.

The following preparations are prepared based on aloe:

Combine aloe, honey and butter in equal parts. The mixture is consumed 3 times a day. First, drink 1 tablespoon of homemade medicine, then eat. Honey inhibits the development of bacteria, oil, protecting the mucous membrane with a film, eliminates pain, aloe heals ulcerations.
From a three-year-old aloe plant, the leaves are cut off and crushed. To 150 g of aloe add 50 g of honey and butter, pour in 10 ml of Cahors. Place in a water bath and heat until the components dissolve. Take 1 tablespoon three times a day on an empty stomach, washed down with milk or soda solution. After 30 minutes they eat. Treatment lasts 30 days. A repeat course is carried out after 10 days.
Healers have created an effective method that explains how to treat ulcers of the duodenum and bulb. Before breakfast, drink 1 raw egg. Maintain a five-minute interval, eat 1 teaspoon of honey. Then, after a 5-minute break, take a small piece of aloe and eat the pulp. Complete the procedure by taking 1 teaspoon of sea buckthorn oil. Have breakfast 30 minutes later.

Recipes with honey

It is useful to use honey for duodenal ulcers; it improves the functioning of the digestive organs, has an anti-inflammatory effect, relieves heartburn and irritation, nourishes the mucous membranes, and promotes the healing of ulcers.

Treatment of duodenal ulcers is carried out using the following recipes:

Add 35 g of honey to 250 ml of warm water. Stir until dissolved and drink. Food is taken after 1.5 hours, provided that the acidity of gastric juice is increased. When acidity is low, drink the mixture 10 minutes before meals. Treatment lasts for 2 months. During the treatment period, sweets are completely removed from the menu. If heartburn occurs, it can be neutralized by drinking 125 ml of milk.
Prepare a mixture from 500 g of honey, 500 ml of olive oil and freshly squeezed juice of 2 lemons. The mixture is made in a glass bottle, capped, and stored in the refrigerator. Before drinking the medicine, shake it up. Drink 1 tablespoon 3 times a day before meals. The interval between taking the medicine and food is half an hour. The pain syndrome subsides on the 5th day. Take the medicine again after a month. Treatment of duodenal ulcers according to this recipe is carried out twice a year: at the end of autumn and at the beginning of spring.
Combine 500 g of honey and butter. Add 200 g of powder obtained from walnut partitions. The mixture is mixed, consumed on an empty stomach before breakfast, 4 teaspoons.

Herbal infusions

You can treat duodenal ulcers with folk remedies using herbs. Symptoms of the disease will disappear if you take decoctions of the following medicinal plants:

A collection is prepared from elecampane, licorice, chamomile, calendula, yarrow, marshmallow and blueberry flowers. Measure out 2 teaspoons of each herb. Pour the mixture into 1 liter of boiling water. To infuse, leave for 1 hour. Drink ½ glass three times a day. The interval between taking the decoction and eating is 30 minutes. A home remedy is indicated for the treatment of ulcers with high acidity of gastric juice.
For low acidity, prepare a collection of aralia, chamomile, St. John's wort, dandelion root, calendula, wormwood, mint, plantain, calamus, and sage. Mix 2 teaspoons of raw materials. Add 1 liter of boiling water to the prepared mixture. Let the mixture stand for 1 hour. Use 125 ml. Food is taken after 30 minutes.
To 20 g of mint add 10 g of fennel and caraway seeds. The collection is poured into ½ liter of boiling water. Leave to infuse for 30 minutes. The decoction is used for ulcers, which are accompanied by indigestion, intestinal cramps, and bloating.

Mineral water

After the disease transitions from an acute state to the remission stage, patients are recommended to drink non-carbonated alkaline mineral water. The following mineral water is suitable for treatment:

Borjomi;
Essentuki No. 4;
Slavyanovskaya;
Berezovskaya;
Smirnovskaya No. 1;
Jermuk.

Drink healing waters three times a day, 200 ml. If acidity is high, drink warm water, taking small sips. A glass is drunk within 7 minutes and eaten after 30 minutes. Drinking water is allowed 1.5–2 hours after eating.

If the goal is to relieve heartburn, drink water slowly, in small doses (no more than 50 ml) with an interval of 20 minutes.

Before treatment, mineral water is heated to 40°C in order to release gases that provoke increased secretory function.

If secretion is reduced, drink cool water before meals. An interval of 30 minutes is maintained between the treatment procedure and food intake.

If an exacerbation occurs when drinking water, reduce the dose, frequency of administration, or interrupt treatment for 1–2 days. If individual side effects occur, consult a doctor or stop treatment.

The pathology quickly recedes and does not produce side effects if treatment with folk remedies is combined with drug therapy, physiotherapy, diet, and drinking mineral waters. Recovery is accelerated by quitting alcohol and smoking. The risk of relapse is minimized if the patient eliminates provoking factors, strengthens the immune system, and increases stress resistance.

A chronic, protracted disease, a stomach ulcer, is a common and common disease in people. The answer to whether a stomach ulcer can be cured depends on a number of internal factors in the body and external influences.

The disease affects the organs of the digestive system. If timely diagnosis is not carried out and treatment is not prescribed, the disease becomes chronic and protracted or develops into a malignant tumor in the stomach or intestines. Frequent complications of peptic ulcer disease sometimes lead to death.

It is rarely possible to completely get rid of gastrointestinal ulcers. Similar cases have been recorded. To finally get rid of a peptic ulcer, you need to undergo a full medical examination and strictly follow the recommendations of your doctor. Treatment and rehabilitation for the disease can be lengthy and multi-stage.

General goals of therapy

For uncomplicated duodenal ulcers, the main way to cure a gastric ulcer is drug treatment. Unlike the latter, surgical treatment is more often used for stomach ulcers.

Planned surgical treatment for ulcerative process in the duodenum is prescribed when the disease is malignant and aggressive in nature. In the above case, there is no effect from conservative therapy, even with proper selection. As a rule, such ulcers are many years old; patients report that they have already suffered gastric or intestinal bleeding several times. It is possible to completely cure the consequences of an ulcerative process that affects the intestines only in a radical way.

If the patient has developed cicatricial ulcerative stenosis, surgery is indicated; this is the only way to cure the consequences of the ulcer. The location of the ulcer does not matter. It may disappear, but the remaining scar narrowing of the lumen is an independent nosological entity that requires separate surgical intervention. Urgent surgery affecting the stomach and intestines.

Drug treatment

For decades, people have wondered how to cure duodenal ulcers forever. For treatment, antacid substances were the first to be used to neutralize excess hydrochloric acid in the body.

The first treatment was baking soda. The substance leads to instant neutralization of hydrochloric acid. The use of the product has a number of disadvantages. First of all, when an acid is combined with soda, an intense release of carbon dioxide occurs, which enhances the production of acid. The part of the soda that has not reacted with the acid is absorbed into the blood, leading to an acid-base shift in the body.

Alkalizing agents

Aluminum hydroxide has an enveloping and absorbing effect. Disadvantages include the frequent development of constipation.
Vicalin, bellalgin, becarbon tablets. Almagel, Maalox, and Phospholugel are available in liquid form.

When taking antacid medications, pain and heartburn are reduced. The duration of action depends on the alkalizing ability of the drugs, ranging from 10 minutes to 1 hour. It is better to take antacids in small portions, multiple times throughout the day. An additional portion is prescribed at night.

Antibacterial drugs

If Helicobacter bacteria are detected in the body, it is necessary to prescribe antibacterial drugs according to separate regimens. The drugs act on the causative agent of the disease; whether the stomach ulcer is cured will depend on correct use.

The following drugs are often used for treatment:

Clarithromycin.
Amoxicillin.
Tetracycline.
Metronidazole.

There are three known schemes according to which antibacterial therapy is prescribed for. The correct and timely administration of treatment will determine whether the ulcer is completely cured or the disease becomes chronic.

Traditional recipes for the treatment of ulcers

Treatment of duodenal ulcers with folk remedies over many centuries has accumulated a rich range of effective recipes.

Sea buckthorn oil is useful for ulcers. Used internally as an independent remedy, in combination with honey and St. John's wort. The drug is taken in courses with breaks of 10 days. This biologically active substance, which sea buckthorn is filled with, has an anti-inflammatory, biostimulating and wound-healing effect. Sea buckthorn is rich in fat-soluble vitamins and antioxidants and contains a full range of microelements.

St. John's wort has powerful anti-inflammatory, wound-healing and antimicrobial effects. You can brew St. John's wort with boiling water or prepare an oil extract from fresh leaves of the plant, take a teaspoon in the morning. The product helps to get rid of ulcers quickly and easily.

It is allowed to prepare decoctions and infusions of medicinal plants; they will contribute to the healing of ulcerative lesions of the mucous membranes, and will help solve the problem of curing duodenal ulcers completely. It is recommended to prepare medicinal infusions and decoctions immediately before use in the morning, and use fresh on an empty stomach. Permission from the attending physician is required! Regular complex treatment using traditional medicine will forever allow you to forget about peptic ulcers of the stomach and duodenum. A necessary condition for proper treatment will be strict adherence to the recipe for preparing alternative medicine.

It is possible to prepare the products at home. It is better to use in combination with doctor's prescriptions. If the disease has entered an acute phase, a clinical complication has appeared, it is better to postpone treatment with folk remedies for a while until the disease enters the stage of remission.

Nutritional Features

Poor nutrition, improper diet and regimen are a common cause of the development of peptic ulcers. Adequate nutrition is the key to health for a person at any age. During the period of treatment and rehabilitation, the patient is advised to strictly adhere to a certain diet and a specially designed menu. Foods harmful to the body should be excluded from the diet during treatment.

Requirements for food products for ulcers:

Food is enriched with carbohydrates and proteins, vitamins.
To prevent the development of bleeding, a high content of vitamin K in food is encouraged.
Products should be taken slightly warm or at room temperature, not hot or from the refrigerator.
Food should not have a choleretic effect.
Products should not be rough, so as not to mechanically injure the intestines. Food is consumed in pureed, crushed form.

Meals should be fractional, every 2-3 hours in small doses. This prevents the appearance of hunger pains and leads to rapid healing of wounds and ulcers in the intestines. Each meal includes a minimum of products.

The prescription of the diet is controlled by the attending physician. It is periodically necessary to undergo a course of diagnostic examinations to clarify your health status.

If the peptic ulcer is in the acute stage, the diet is supposed to be especially strict. Products that irritate the mucous membrane must be eliminated immediately. Food is recommended liquid or semi-liquid, at room temperature. It is better to drink milk, low-fat lean soups, and drink weak tea when it has cooled. To speed up the regeneration process, it is better to cook food with sunflower or linseed oil.

Only careful adherence to the listed recommendations and doctor’s prescriptions will allow you to get rid of the disease forever. Maintaining a healthy lifestyle and giving up bad habits plays an important role in treatment.

Duodenal ulcer is one of the diseases that is currently diagnosed in approximately 10% of the population. It is formed four times more often than gastric.

People with special sensitivity of the mucous membrane to acid and pepsin are susceptible to ulcers. They complain of pain in the upper abdomen, an acute reaction to spiced foods, and drinking alcohol.

There are many folk recipes for the treatment of duodenal bulbitis, treatment with folk remedies. In combination with the prescriptions of gastroenterologists, such therapy gives good results.

Let's try to take a broader look at the problems that patients with peptic ulcers face at home.

How to organize the treatment of duodenal ulcers with folk remedies in order to achieve the best results?

The most common signs of this disease:

Aching pain in the upper abdomen.
Pain that occurs after eating certain foods (meat, coffee).
Heartburn.
Lack of appetite.
Bitter or sour belching.
, which alternates with diarrhea in the intestines.
Hiccups.
Bloating.
Weight loss.

Symptoms requiring urgent help:

Severe abdominal pain, accompanied by bleeding and vomiting.
Black or bloody stools and vomiting blood.

Exacerbations of duodenal ulcers are observed in autumn or spring. If duodenal ulcers are not treated with folk remedies, this can lead to very serious consequences and even risk to the patient’s life.

How to treat with drugs

How to treat a duodenal ulcer? This disease of the duodenum requires urgent help at home; in the early stages of the disease, conservative methods can be used.

If the disease shows an association with Helicobacter pylori, then some effective scheme is used that allows you to get rid of the bacteria forever. This regimen is called eradication (one is chosen at the discretion of the attending physician):

Omeprazole, Metronidazole and Clarithromycin.
Omeprazole, Metronidazole and Amoxicillin.
Ranitidine and Clarithromycin (or Tetracycline) or Metronidazole and Amoxicillin.
Omeprazole, Metronidazole and De-Nol.

All schemes are effective. Any of them is designed for seven days. When eradication comes to an end, it is necessary to continue treatment of the ulcer 12 for another five weeks with Ranitidine or analogue medications.

The duration of treatment with these drugs, as well as the choice of which regimen will be most optimal, is finally determined by the doctor.

If there are no symptoms of a complication, then it is carried out at home. The use of antacids is especially important for duodenal bulb ulcers.

Traditional methods for the treatment of duodenal ulcers

It is easy to treat duodenal ulcers with folk remedies!

Potato juice

Potatoes are a valuable and healthy vegetable; if prepared correctly, they will saturate the body with essential nutrients such as magnesium, potassium, phosphorus and iron.

A drink made from raw potatoes has been used in home medicine for a long time, as it brings the desired effect and also helps to quickly recover from ulcers 12. Potato juice for ulcers has anti-inflammatory, wound-healing and enveloping properties.

In order to prepare a medicinal drink from potatoes at home, you need to take whole healthy onions, then peel them and grind them in a juicer. Since potatoes contain a lot of starch and darken when exposed to oxygen, the freshly squeezed drink is drunk immediately.

Drinking can be done with the addition of carrot juice, then the patient will no longer be tormented by reflux, heartburn, flatulence and constipation. Drink two tablespoons 10 minutes before meals. The course of treatment is at least six months.

The efficiency is very high. But we must remember that taking such potatoes is dangerous and before you start drinking this drink, you should consult with your doctor.

(video recipe for duodenal ulcer)

Oils

This is a very powerful remedy that helps in healing wounds and ulcers of internal organs, improves digestion, and also helps improve the general condition of the patient. It has healing properties, which has anti-inflammatory, antibacterial and wound-healing properties.

Sea buckthorn oil is consumed one teaspoon in the morning, just before breakfast.

In order to successfully cure the duodenum, milk thistle oil is used, which promotes the rapid healing of erosions and wounds. Drink 1.5 tablespoons of it immediately before bed. The same recipe for using calendula oil, which promotes very rapid healing of wounds, while preventing the formation of scars.

Vegetable juices

Erosion of the duodenum is perfectly treated with such a folk method as vegetable juice (melon, beets). Vegetables such as beets, melon, watermelons, cabbage, carrots, etc. are used for its preparation.

Cabbage juice is made from juicy and fresh cabbage leaves. They must be passed through a juicer, or crushed in a blender, and then squeezed through cheesecloth. The drink is taken 20 minutes before meals for ten days. Then they take a two-week break and continue again if necessary.

(video: folk remedies for treating duodenal ulcers)

They do it almost the same way, but the finished concentrate must be diluted with water in a 1:1 ratio. The product should be taken half a glass half an hour before meals. Drinking celery is suitable for patients with low acidity because it stimulates the production of hydrochloric acid.

This product is also taken before meals, half a glass. Chamomile, or rather its oil, helps well in the fight against inflammation, helps reduce pain, and accelerates the healing of ulcers and erosions. Take one tablespoon three to four times a day before meals.

Herbal tinctures

Herbal tinctures are used in the treatment of the duodenum. But before using tinctures, you should consult a doctor, since herbs not only provide benefits, but if used incorrectly they can cause harm and lead to the development of various complications.

The most effective tinctures are based on the herbs of plantain, calendula, St. John's wort, and burdock root.

Recipes for preparing herbal drinks and their use are as follows:

25 g of dry St. John's wort is poured with 1.5 cups of boiling water. Let stand for about 25 minutes. Add a little honey to this St. John's wort drink and drink half a glass 30 minutes before meals.

20 g of medicinal calendula are poured into 250 ml of boiling water. Then the container is placed in a water bath and allowed to brew for another half hour. After removing from the water bath, filter and add 20 ml of boiled water. The infusion is taken 1.5 tablespoons four times a day.

An infusion of birch buds in alcohol is prepared in the same way. Take 50 g of kidneys and pour half a glass of alcohol.

Aged for a week. Use half a teaspoon, dilute in half a glass of water in advance.

Honey for treatment

To treat duodenal ulcers, medicinal beekeeping products - propolis and honey - are used. This folk method has very powerful antibacterial, regenerating and wound-healing properties. But we must remember that honey for duodenal ulcers is safe only if the patient has increased production of hydrochloric acid.

Recipe for a folk remedy based on honey: take butter and honey in equal proportions. These ingredients are combined, mixed well and placed in the refrigerator to cool the mixture. Take one tablespoon each time before meals. The course of treatment is from a month or more, depending on what kind of lesion the patient has.

Honey is taken as an independent product, eating one tablespoon each time before meals, washed down with a glass of lukewarm water.

When using propolis at home, it is necessary to prepare it correctly. For duodenal ulcers, it is not recommended to use a recipe for preparing a mixture with alcohol, because such a tincture will irritate erosions and the general condition will worsen.

The best option in this case would be a base based on regular butter. To prepare this product, take 150 g of propolis and then mix it with oil in a ratio of 1:9. Take 1.5 teaspoon daily before meals. The course of treatment with propolis is from 1.5 months, which can be extended if necessary.

Blooming Sally

Ivan tea is considered one of the most useful teas. Ivan tea has a beneficial effect on the human body. Widespread throughout Russia, Ivan tea has been famous for its healing properties since ancient times. This tea can also treat ulcers.

When treating ulcers, you need to mix fireweed juice and honey in the same ratio and drink 100 g three times a day before meals. Drink Ivan-tea (tea for 100 diseases) instead of the usual one, and after a month or two you will notice a significant improvement in your overall health.

Shilajit for ulcers

Shilajit for peptic ulcers is used in various ulcerative ways. When preparing an aqueous solution, take 2 g of mumiyo for an ulcer and combine it with 250 ml of boiled water. Take 1.5 tablespoons on an empty stomach for a week.

A week later, a seven-day break is taken, and then therapy is continued. Milk is often used as a solvent, which will take half a glass. This drink is consumed throughout the month, one tablespoon in the morning before breakfast.

Decoctions for peptic ulcers

In the treatment of peptic ulcers, decoctions of pharmaceutical herbs and fruits are used. To prepare such a decoction, viburnum and rose hips, mint herbs, chamomile and complex mixtures are suitable. To prepare the infusion, take 15 g of rose hips in a thermos, add a liter of boiling water, and infuse for 3 hours.

This . It contains a lot of useful microelements and vitamins. In addition to its healing properties, this decoction has the ability to improve the general condition of the human immune system.

Duodenal ulcer can also be treated with chamomile decoction. Treatment - take one tablespoon of dried flowers and pour 1.5 cups of boiling water. Infuse for 15 minutes.

The drink can be consumed as tea; honey is often added to taste. This tea for ulcers is prepared with the addition of lemon balm and mint, which are taken in equal proportions with chamomile. You have to brew it the same way.

Other folk remedies

What folk remedies for duodenal ulcers have we forgotten about?

Badger fat has been known since ancient times as a healing, antibacterial and wound-healing raw material. Consume lard in melted form, one tablespoon half an hour before meals.

Aloe juice is also beneficial. To prepare it, take the fleshy, juicy leaves of the flower, then grind it in a meat grinder and add honey. Take one tablespoon before meals for a month.

Now you are familiar with folk remedies for treating duodenal ulcers.

Peptic ulcer is a chronic disease that results in the destruction of the mucous membrane of the digestive organs and the formation of ulcers. Depending on their location, ulcers of the intestine, stomach and duodenum are distinguished.

Signs of a stomach ulcer

This disease is chronic. It is characterized by the formation of ulcers in the gastric mucosa. It is more often observed in men under 50 years of age. What are the signs of a stomach ulcer you need to know?

Pain for a long time. They may not stop for weeks, months, and sometimes last for six months. If you don’t get examined, you may notice that pain appears in spring and autumn. They are absent in summer and winter.
Periodic spasms of the pylorus.
Constant irritation of the ulcerated organ walls with acid.
Colic of moderate intensity, accompanied by aching pain. It is felt after eating. If there is nothing to eat, it subsides.
Stomach and intestinal ulcers make themselves felt in rainy and windy weather.
The pain intensifies due to quarrels, scandals and stress.
They can be triggered by excessive positive emotions.
Diseases of the joints, respiratory organs, and colds cause pain after treatment with appropriate medications.
Signs of an opening of a stomach ulcer are always noticeable. The patient experiences constant excruciating pain, which is accompanied by frequent vomiting. After it comes temporary relief.
Internal tension and irritability appear.

For some people, stomach ulcers are painless. And if it does exist, it is classified as another disease.

Stomach ulcer: treatment

Treatment of the duodenum using folk methods

To heal the ulcers, you should take a teaspoon of sea buckthorn oil three times a day. You can eat a mixture prepared from cocoa powder in the amount of 50 grams, 2 raw eggs, 100 grams of butter and 50 grams of honey. One teaspoon is enough. During this time, the patient should be provided with five meals a day.
In case of exacerbation of the disease, a collection of yarrow, calendula, chamomile, knotweed, celandine, St. John's wort, flax seeds and dill, marshmallow and elecampane roots helps well. Herbs are crushed and mixed in equal proportions. A tablespoon of the prepared mixture is poured with half a liter of cold water and left overnight. In the morning, as soon as it boils, remove the broth from the heat and steam for another 40 minutes in a water bath. Then it is infused for two hours and filtered. Drink a quarter glass of tincture before eating.
During treatment with herbal decoction, you need to drink activated charcoal after meals. And two hours later - sodium bicarbonate, but not more than ten days and two grams per dose.

Duodenal ulcer: signs

If you know the signs of a stomach and intestinal ulcer, you can promptly consult a doctor for examination and diagnosis. At an early stage, any disease can be successfully treated.

The signs are:

Pain on an empty stomach. They are felt in the upper abdomen and can radiate to the chest area. They are aching in nature and go away immediately after eating food or water in small quantities. A person feels signs of a duodenal ulcer even at night, when pain suddenly occurs. To relieve it, the patient is forced to wake up and eat something.
Bloating.
Stomach upset: diarrhea or constipation.
Frequent heartburn and sour belching.
Pain when pressing on the stomach.
In severe cases, signs of a duodenal ulcer always cause great concern. The listed symptoms are accompanied by vomiting blood. Blood can also be found in stool.
This disease has seasonal exacerbations.

It is very important to identify signs of stomach and intestinal ulcers in time. In some cases, the disease occurs without any symptoms. This is typical for older people. If the ulcer is not treated, complications arise. Bleeding and a perforated ulcer may open. It spreads to neighboring organs, and peritonitis begins to develop.

Treatment of duodenal ulcers

The uncomplicated form of the disease is treated at home under the supervision of a doctor.
If complications arise, the patient is hospitalized in the surgical department of the hospital. During an exacerbation, the diet is strictly followed. Spicy and irritating foods are excluded.
It is very important to destroy pathogens during the treatment of ulcers. For this, the patient undergoes eradication therapy. He also takes antibiotics for a week. Then a re-examination is carried out. If the signs of an intestinal ulcer have not disappeared, treatment continues according to a different regimen.
To heal ulcers on the mucous membrane, the patient takes rosehip or sea buckthorn oil.
To relieve severe pain, medications that eliminate spasms are prescribed.
Physiotherapeutic methods are used.
If conservative treatment does not produce results, surgical intervention is used.

Intestinal ulcer: signs

The most common place where ulcers appear is the duodenum. Our stomach produces hydrochloric acid. It helps digest food and kills bacteria that cause pain. Acid is a caustic substance.

Signs of an intestinal ulcer become noticeable when the balance of acid and mucus, which protects the lining of the stomach and intestines from damage, is disrupted.
When the gastrointestinal tract is affected, the human psyche changes. He is constantly afraid that the pain will recur, and that an exacerbation and a long stay in the hospital are possible again. The patient begins to visit doctors and consult with everyone. Eventually, he develops insomnia and disruption of daytime activities.
Signs of intestinal ulcers are more difficult to detect in a child than in an adult. Children often carefully hide them, because they do not like to be examined, much less stay in the hospital.
People with diseases of the intestines and stomach experience constant stool upset. Usually it is not pronounced and may be completely absent for several days. Signs of stomach and intestinal ulcers are more noticeable during an exacerbation. Stool upset, along with pain, is the main complaint of patients.
Frequent constipation with pain in the colon area. It is the intestinal walls that are irritated by the contents, which is why the spasm occurs. In addition to stool retention, there is a decrease in stool quantity.
Gastric and intestinal ulcers are also characterized by unstable stools. The symptoms of peptic ulcer of the gastrointestinal tract are specific and cannot be confused with anything else.

Intestinal ulcer: treatment

If intestinal diseases are confirmed, you should immediately switch to a healthy diet. To do this, you need to reduce dairy products and fiber content in your diet. Remember: low-residue diets do not cure intestinal ulcers. But they reduce the frequency of bowel movements and may influence symptoms.

The main thing in treating ulcers of this organ is to relieve inflammation, which will eliminate the symptoms and allow the tissues to recover. Once they are under control, all efforts must be directed toward suppressing outbreaks. They are eliminated with drugs. First, the doctor prescribes gentle treatment. If it does not help, therapy continues with aggressive means. When conservative treatment methods do not lead to recovery, surgical methods are used.

Esophageal ulcer: signs

This disease has several names:

A peptic ulcer develops in the digestive tract. Its occurrence is facilitated by the aggressive effects of gastric juice, which includes pepsin and hydrochloric acid. Presumably, the disease develops when some of the stomach contents, hydrochloric acid and pepsin, are thrown into the esophagus. The mucous membrane is damaged because it does not have proper protection. But no one knows the exact causes of esophageal ulcers.
A symptomatic ulcer occurs when the esophagus is affected by: infection, drugs, injury, burns.

There are acute and chronic ulcers of the esophagus. Signs by which the disease can be recognized:

Pain behind the chest. It usually occurs during meals, sometimes after meals. It is much more intense when a person lies or bends over.
Food enters the oral cavity from the esophagus.
Frequent regurgitation occurs, which is called esophageal vomiting. This occurs when the esophagus narrows.

Esophageal ulcer: treatment

Any treatment for this disease begins with diet. During an exacerbation, food should be liquid, chilled and pureed. Spicy, sour, irritating foods and dishes made from them are strictly prohibited.

Treatment is carried out with astringents and mucus-forming drugs that stimulate the lining of the esophagus.
An anti-diarrhea drug is prescribed.
Physiotherapeutic procedures are carried out.
If treatment continued for a long time, but there was no improvement, surgical intervention is used. In case of complications, surgery is performed.

Perforated ulcer: causes

This disease is a consequence of severe complications, which result in the development of peritonitis. How does this happen? A through ulcer appears in the walls of the stomach or intestines. The contents exit into the peritoneal cavity. This disease is typical for older people. What contributes to its development?

Alcoholic drinks.
Great emotional and physical stress.
Unbalanced diet, consumption of salty, pickled, smoked, sour, spicy foods.
Damage to the mucous membrane during probing of the organ.

Signs of stomach and intestinal ulcers will help establish the correct diagnosis and begin treatment on time.

Perforated ulcer: signs

Severe sharp pain.
The urge to vomit.
The person turns pale, becomes very weak and dizzy. He breaks out in a cold sweat.
If you lie down with your legs pressed to your stomach, the pain subsides.

After 5-6 hours there will be improvement. The acute pain will stop. The person will feel relief. But it is at this time that peritonitis usually occurs. It is characterized by a bloated abdomen, fever, and tachycardia. Signs of perforation of a stomach ulcer are similar to renal colic or appendicitis. You should seek immediate medical attention. Lost time poses a threat to human life.

Perforated ulcer: treatment

This disease is treated surgically. With its help, the defect is eliminated. The key to a patient’s recovery after surgery is the correct treatment.

Maintaining bed rest.
Meals are strictly based on a therapeutic diet. It will eliminate inflammation and help the stomach recover.
Consumption of liquid, salt and simple carbohydrates in strictly limited quantities.

Diet in the postoperative period

Three days after the operation, the patient can drink still mineral water, weakly brewed tea or a little lightly sweetened fruit jelly.
In the following days you can: drink a little decoction of rose hips. Eat a couple of soft-boiled eggs and a small portion of heavily boiled and pureed rice or buckwheat porridge, liquid puree soup from pureed vegetables.
When 8-10 days have passed after the operation, pureed vegetables and steamed meat or fish cutlets are added to the diet.
After a month, you can add a little day-old bread to your diet. Under no circumstances should you eat fresh baked goods!
After two - a little kefir and sour cream.

The patient’s menu should not include: baked goods, spicy, smoked and salty dishes. The use of marinades, canned food, sausages, kidneys, liver, and lungs is contraindicated. Eliminate cocoa, coffee, chocolate, jam, honey from your diet. You should not eat mushrooms, cabbage, onions, garlic, sorrel, spinach, radishes. To fully recover, you need to give up alcohol, carbonated drinks, and ice cream.

When four months have passed, you can little by little, with the permission of your doctor, add previously prohibited foods to your diet.