Erosion of 12 intestines. Duodenal erosion symptoms and treatment. Causative factors and symptoms

A shallow defect in the inner surface of the organ wall. With proper treatment, it heals without leaving scars, scars or other changes. In addition to drug treatment, this disease requires adherence to a special diet aimed at reducing the acidity of gastric contents and eliminating the negative effects of enzymes on the intestinal mucous membranes.

1 Clinical picture of the disease

The following factors contribute to the development of erosive defects in the duodenum:

• active activity of a pathogenic microorganism;
• Not proper nutrition;
• use of certain medications.

Frequent use of simple aspirin, which is used to prevent cardiovascular diseases, can lead to the development of erosion. Pathology can also develop against the background of long-term use of antibacterial and hormonal drugs. Often erosion 12- duodenum accompanied by other pathologies of the digestive system: hepatitis, chronic pancreatitis, liver cancer, impaired blood supply to the intestines and stomach.

Disease on early stages is asymptomatic. With the further development of the pathological process, the following signs appear:

• pain in the epigastric region that occurs after eating;
• nausea and vomiting;
• loss of appetite leading to weight loss.

For erosion duodenum symptoms are nonspecific, so diagnosis can be difficult. The examination of the patient begins with an examination that involves palpation of the epigastric region. If pain appears in the area, the doctor may suspect problems with this organ. A final diagnosis can only be made based on the results of an endoscopic examination.

The time at which pain appears after eating depends on which parts of the intestine are involved in the inflammatory process. For ulceration upper parts discomfort appear an hour after eating. Damage to the bulb is detected much more often than erosion of the remaining parts of the duodenum. This is the most dangerous form of the disease, since it is near this part of the intestine that the vagus nerve is located. When it is damaged, neurological disorders develop.

Long-term erosion contributes to the development of peptic ulcer disease, which requires serious treatment. Therefore, if any signs indicating dysfunction of the digestive tract (heartburn, belching, acute or aching pain in the epigastric region) appear, you should consult a doctor. Once the cause is established, therapy must be started. The sooner it is started, the greater the chance of rapid restoration of the intestinal mucous membranes.

2 Methods of therapy

For duodenal erosion, treatment begins with reducing the acidity of gastric contents. There are several therapeutic regimens, the choice of which depends on the cause of the disease. The need to prescribe certain drugs is also determined based on the type of erosion: local or widespread. In this case, the location of the affected area does not matter much; erosion of the bulb is treated in the same way as lesions of the mucous membranes of other parts of the intestine.

Antacids and inhibitors are used to reduce the acidity of gastric contents proton pump. At the same time, it is recommended to take histamine receptor blockers and antisecretory agents. Omeprazole is the most effective drug used to eliminate erosion and peptic ulcers. It belongs to the first generation proton pump inhibitors. The drug has the fewest contraindications and side effects. If erosion of the duodenum was caused by the active activity of Helicobacter pylori, the course of treatment includes taking antibacterial drugs.

Application medicines allows you to quickly deal with pain syndrome and signs of digestive disorders, avoid re-development of the pathological process, improve the general condition of the body. Clarithromycin and Amoxicillin are used to treat bacterial forms of the disease. Correct treatment leads to rapid restoration of the intestinal mucous membranes. As auxiliary therapeutic agents use folk recipes. Sea buckthorn oil has a protective and healing effect. It is not recommended to use it for diseases of the liver and gall bladder. Currently, sea buckthorn oil can be purchased in convenient capsule form. To get rid of problems with the digestive system, it is enough to take 1 tablet before each meal.

For erosion, various herbal teas: mint, yarrow, St. John's wort and chamomile. A decoction of these plants has anti-inflammatory, analgesic and antibacterial properties. Herbs are mixed in equal proportions, 1 tbsp. collection, pour 200 ml of boiling water. Leave for 3 hours and take before meals. A mixture of raw chicken eggs and carrot juice has a healing effect. Before preparing this product, eggs are washed with soap and scalded with boiling water.

3 Rules for healthy eating

A special diet is an integral part of the treatment of any disease. gastrointestinal tract. The basic rules of nutrition for erosion are to avoid eating food that irritates the mucous membranes and avoid overeating. You need to eat small portions 5-6 times a day. The diet is aimed at reducing the acidity of gastric juice, restoring and protecting the intestinal mucous membranes. It is recommended to consume no more than 12 g per day table salt. During an exacerbation, a salt-free diet is recommended.

Dishes should be steamed, boiled or stewed. Fried, fatty, smoked and salty foods should be avoided. Avoid eating foods that are too cold or too hot. A special diet must be followed for at least 60 days. After signs of the disease disappear, changes can be gradually made to the diet. The introduction of any new product must be agreed with the attending physician. Products allowed for consumption are: lean meat, cereals, pasta, yoghurts, low-fat cheeses, eggs, vegetable oils. It is necessary to limit consumption confectionery, yeast bread, sugar. It is recommended to dilute juices with boiled water. It is better to remove fruits and dried fruits from compote.

Products that should not be included in the diet: mushrooms, canned food, fatty meat and fish broths, hard-boiled eggs, margarine, pickled vegetables. It is necessary to completely avoid drinking alcoholic beverages and fast food. Coffee, black tea and sour fruits irritate the mucous membranes of the stomach and intestines, so they are removed from the diet. Propolis and honey can be used as a food additive. These products have a beneficial effect on the inflamed mucous membranes of the digestive system. Honey should be eaten on an empty stomach in small quantities. It is diluted with boiled water and taken 1 hour before meals. Erosion in the duodenum is easy to treat, but folk methods alone cannot get rid of them. When the first symptoms of the disease appear, it is necessary to undergo examination and begin drug treatment.

Erosion of the duodenal bulb is a violation of the integrity of the internal epithelial cover of the duodenum, not involving inflammatory process muscle layer of this organ. With adequate treatment, healing occurs without the formation of scar tissue.

The disease is quite common and requires mandatory treatment. As the condition worsens, acute bleeding occurs, requiring the patient to be admitted to a hospital.

Causes of erosion of the duodenal bulb

Most often, the onset of the disease occurs under the influence of psychogenic factors - constant being in a stressful state causes an anxiety reaction, which causes neurovegetative changes, provoking a violation of the integrity of the mucous membrane.

Destroy the mucous membrane of the duodenum:

• hot food;
• alcohol;
• medications - especially non-steroidal and hormonal medications containing corticosteroids;
• postoperative conditions;
• diseases of the cardiac and vascular systems.

Often, treatment of erosion of the duodenal bulb must be carried out simultaneously with the restoration of kidney function, stabilization of the acute condition in case of liver cirrhosis or vasculitis.

All these conditions affect the decrease in the secretion of gastric mucus, as a result of which the acid-peptic factor has an increased effect on the surface of the duodenal mucosa: hydrochloric acid, pepsin and bile.

There is still debate among medical luminaries whether the activity of Helicobacter pylori affects the occurrence of erosions of the bulbs - a definite answer has not yet been received.

The occurrence of lesions of the duodenal bulb is influenced by ischemic diseases, hemorrhagic shock, long fasting. The stress that these conditions provoke increases the permeability of the mucosal barrier, which increases the likelihood of erosive lesions.

Symptoms of duodenal bulb erosion

Symptoms of the disease resemble ulcerative lesions, but in 20% of cases chronic hemorrhagic lesions are observed, which is indicated by the general condition of the patient - lethargy, anemia.

Melena (black stool) appears in only 2% of patients; in the rest, occult blood is detected in stool analysis.

Depending on the severity of bleeding, occult blood may be detected in stool analysis and vomiting may occur in patients. "coffee grounds" or viscous mucus. Anemia develops against the background of blood loss.

Concomitant symptoms of the disease resemble clinical signs ulcerative lesions, but the painful sensations are not constant.

They can occur in the form of cramping pain or have a pulling character. In most cases, they appear 2 hours after eating. In addition to the painful effect, sour-tasting belching and heartburn occur. Symptoms largely depend on the nature and size of the lesion.

During inflammatory processes, branches are affected vagus nerve, which leads to neurological changes. Heart rate decreases, chronic fatigue and drowsiness, sweating increases.

Diagnosis and treatment of erosion

Diagnosis of the disease is quite simple - FGS and radiography - if the FGS procedure did not turn out to be sufficiently informative. For appointment therapeutic regimen A blood test is performed to detect Helicobacter pylori.

With adequate treatment, erosive lesions heal within 10 days; less often, therapeutic measures have to be extended to 6 weeks.

If there is bleeding, the patient is hospitalized in a hospital, where treatment is carried out using hemostatic agents: "Dicinona", "Etamzilata", "Tranexama". Medicines are administered by injection, intramuscularly and intravenously.

At the same time, treatment is carried out with drugs that reduce the secretory function of the stomach and reduce gastric acidity. Antacids are prescribed - "Almagel", "De-nol"– the latter drug stops the activity of Helicobacter pylori.

Antibiotic therapy may be required. Vitamin therapy is used - B vitamins can be injected. Treatment with sedatives and antidepressants is mandatory.

Therapeutic measures are aimed at normalizing gastric secretion and restoring the plastic properties of duodenal tissue.

Diet for duodenal erosion is one of the therapeutic measures.

In order for the mucous membrane to regenerate faster, it is necessary to change the diet:

• switch to fractional meals;
• avoid foods that increase gastric secretion;
• Do not heat food above 40ºС.

If exacerbations of the disease are not observed, hemorrhagic manifestations are absent, then the doctor may decide to allow the patient to treat duodenal erosion with folk remedies.

Folk remedies for eliminating duodenal erosion

Traditional methods treat only those erosions that do not cause hemorrhagic symptoms. Despite the advice of healers, who have recipes for hemostatic agents in their arsenal, in this case it is better to resort to traditional medicine. The diet is followed during treatment according to home recipes.

The herb marsh cudweed has a wound-healing effect. Brew tea from plant materials - a tablespoon per glass of boiling water - leave for 2 hours. A glass is drunk a day in small portions before meals.

A delicious treat for adults – calamus wine. 100 g of finely chopped plant is poured into 1 liter of good white wine, left for 2 weeks. dark place. You should drink up to 12 sips per day before and after meals.

Tincture for walnuts is produced according to the following algorithm:

• 15 unripe nuts without peel, crushed;
• placed in a bottle with vodka;
• seal it tightly;
• put away for 14 days in a dark place.

Take a tablespoon after meals, diluting it in half a glass of water.

With fractional nutrition for duodenal erosion, treatment with eucalyptus tincture is used. A tablespoon of eucalyptus leaves is infused in 0.5 liters of boiling water, then 50 g are taken before meals.

Creamy honey ointment increases mucosal regeneration - these components are mixed in equal quantities and 15 g are taken before meals up to 4 times a day.

If there is a suspicion that the erosive defect is bleeding, then you should take the following medicine for 14 days: olive oil is mixed in equal quantities with sea buckthorn oil, left for 3 days in the refrigerator - not in the freezer - taken in the morning, before meals.

A very simple and affordable treatment - the “potion” is made from a product that is found in almost every home. The potatoes are grated with the skins together, and the juice is drunk before meals, 50-70 g each. The therapeutic course is quite long - up to a month.

If you want to heal faster, then use the following recipe. Sprout the wheat by spreading it in small slides on gauze moistened with water. The top is also covered with gauze to prevent the sprouts from drying out. The first shoots appear somewhere on the 3-4th day - all this time you need to make sure that the fabric does not dry out.

Erosive duodenitis is a common disease associated with the area of ​​the duodenum, which is known to be responsible for the digestive process. Erosions are formed as a result of certain processes affecting the walls of the organ represented. It should be noted that the disease can have not only an acute, but also a chronic form.

Factors in the development of duodenal erosion

A variety of factors can influence the formation of erosive duodenitis and, first of all, poisoning with chemical components. We are talking about alcohol, acids and technical fluids. In addition, the need for treatment can be affected by the consumption of expired products, strong alcohol intoxication and prolonged nervous tension.

Erosive duodenitis in the duodenum area is also associated with the presence of any bad habits, eating rough food - one that irritates the mucous membranes in the area of ​​the digestive organs. This applies to spicy, fatty, fried and peppered foods, as well as coffee. In addition, the presented process can be influenced by Helicobacter pylori infection, which generally plays a significant role in the development of erosive lesions.

It is noteworthy that treatment may also be required with excessively frequent, uncontrolled use of anti-inflammatory components. Also, the presented form of the disease can develop as a result of catarrhal duodenitis if its treatment is not carried out in a timely manner. The symptoms associated with damage to the duodenum will be discussed below.

Symptoms of duodenitis

Manifestations this state differ from all others associated with the duodenum region. Experts consider cramping painful sensations to be the leading symptoms. The patient encounters them constantly, and this does not depend on food intake. The extent of the lesion and other characteristics are influenced by the location and size of the inflammatory process.

The need for treatment is also indicated by nausea and vomiting, which do not bring relief to the patient.

In this case, vomit may include a small amount of blood and its impurities. Permanent bloating in the abdomen, rumbling and a feeling of fullness in the stomach are identified even when not eating. No less pronounced symptom Experts call it a bowel disorder, which can result in the formation of diarrhea. In some cases, it alternates with constipation.

With duodenitis, other symptoms also appear, namely a high degree of irritability, weakness and sweating. In addition, it is necessary to note bleeding from the anal area, which occurs quite rarely and the stool takes on a black tint. Depending on the features general condition health, bleeding may take protracted forms. How exactly the treatment is carried out will be discussed below.

Features of therapy

In some cases, the recovery course for the duodenum may not be medicinal and may be limited to following a strict diet. Experts pay attention to the following features:

1. consuming products that spare the mucous membranes of the gastrointestinal tract to the maximum extent, the damage may disappear on its own;
2. exacerbation of the chronic form, severe conditions are treated exclusively in a comprehensive manner. The use of medications is necessary therapeutic nutrition and compliance with bed rest;
3. Availability heavy bleeding, damage to the vessel is a reason for surgical intervention.

At the same time, the need for open intervention arises quite rarely. Most often they resort to an endoscopic procedure or electrocoagulation of the vessel. Erosion itself is treated in the same way. What treatment with medications is like will be discussed below.

Use of medications

In order to restore the functioning of the duodenum, medications are widely used. They are used mainly for minor bleeding and rapid increase in erosion.

Traditionally, such categories of medicinal components as proton pump inhibitors are used, which are necessary to reduce the degree of acidity of gastric juice.

In addition, treatment involves antibiotics, which are necessary as part of the Helicobacter pylori infection. Next it may turn out necessary application antacids - they make it possible to neutralize hydrochloric acid and are characterized by local effects in terms of anesthesia and enveloping. Equally important in therapy should be considered drugs that accelerate the healing algorithm of damaged mucous membranes.

Specialists may also insist on the use of painkillers and antispasmodics. All of them help to overcome a condition such as duodenal erosion. Read on to learn more about what exactly the diet should be and its features.

Diet food

Special nutrition speeds up the healing process, reduces pain and reduces the likelihood of complications. During the first three to five days it will be extremely important for the patient to adhere to such a diet.. We are talking about the use of pureed mucous soups, which include semolina, rice, oatmeal and other cereals. In addition, it is permissible to take jelly, and once a day - mashed potatoes or meat soufflé.

No less healthy are boiled grated vegetables, steamed cutlets and omelettes, baked fruits and sweet juices. However, they are introduced into the menu only after the relative stabilization of the state. It is important that the dishes used are neither cold nor hot. In addition, it is advisable to consume certain components at regular intervals. We are talking about six sessions, insignificant volumes. It is advisable to exclude all foods and dishes that irritate the mucous membranes and aggravate the digestion process. This is the treatment through diet, and what the prevention of erosive duodenitis should be is further.

Prevention of the condition

Considering that the likelihood of duodenitis formation increases significantly precisely as a result of poisoning, it is necessary to monitor the quality of products as carefully as possible.

It is strongly recommended to stop drinking alcohol. In addition, a diet that minimizes fried, fatty and spicy foods, as well as smoked meats and coffee.

It is very important to avoid overeating, as well as fasting, and also not to neglect the timely treatment of any ailments associated with the gastrointestinal tract system. In order to avoid worsening the condition, you will need to avoid exposure to stressful situations and nervous overstrain. It is advisable to undergo all the necessary diagnostic examinations once a year in order to maintain 100% confidence in the health of the digestive organs and the duodenum in particular.

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1.Can cancer be prevented?
The occurrence of a disease such as cancer depends on many factors. No person can ensure complete safety for himself. But everyone can significantly reduce the chances of developing a malignant tumor.

2.How does smoking affect the development of cancer?
Absolutely, categorically forbid yourself from smoking. Everyone is already tired of this truth. But quitting smoking reduces the risk of developing all types of cancer. Smoking is associated with 30% of deaths from oncological diseases. In Russia, lung tumors kill more people than tumors of all other organs.
Eliminating tobacco from your life - best prevention. Even if you smoke not a pack a day, but only half a day, the risk of lung cancer is already reduced by 27%, as the American Medical Association found.

3.Does excess weight affect the development of cancer?
Look at the scales more often! Overweight will affect not only the waist. The American Institute for Cancer Research has found that obesity promotes the development of tumors of the esophagus, kidneys and gallbladder. The fact is that adipose tissue not only serves to preserve energy reserves, it also has a secretory function: fat produces proteins that affect the development of a chronic inflammatory process in the body. And oncological diseases appear against the background of inflammation. In Russia, WHO associates 26% of all cancer cases with obesity.

4.Do exercise help reduce the risk of cancer?
Spend at least half an hour a week training. Sport is on the same level as proper nutrition when it comes to cancer prevention. In the United States, a third of all deaths are attributed to the fact that patients did not follow any diet or pay attention to physical exercise. The American Cancer Society recommends exercising 150 minutes a week at a moderate pace or half as much but at a vigorous pace. However, a study published in the journal Nutrition and Cancer in 2010 shows that even 30 minutes can reduce the risk of breast cancer (which affects one in eight women worldwide) by 35%.

5.How does alcohol affect cancer cells?
Less alcohol! Alcohol has been blamed for causing tumors of the mouth, larynx, liver, rectum and mammary glands. Ethanol decomposes in the body to acetaldehyde, which then, under the action of enzymes, turns into acetic acid. Acetaldehyde is a strong carcinogen. Alcohol is especially harmful for women, as it stimulates the production of estrogens - hormones that affect the growth of breast tissue. Excess estrogen leads to the formation of breast tumors, which means that every extra sip of alcohol increases the risk of getting sick.

6.Which cabbage helps fight cancer?
Love broccoli. Vegetables not only contribute to a healthy diet, but they also help fight cancer. This is also why recommendations for healthy eating contain the rule: half of the daily diet should be vegetables and fruits. Particularly useful are cruciferous vegetables, which contain glucosinolates - substances that, when processed, acquire anti-cancer properties. These vegetables include cabbage: regular cabbage, Brussels sprouts and broccoli.

7. Red meat affects which organ cancer?
The more vegetables you eat, the less red meat you put on your plate. Research has confirmed that people who eat more than 500g of red meat per week have a higher risk of developing colorectal cancer.

8.Which of the proposed remedies protect against skin cancer?
Stock up on sunscreen! Women aged 18–36 are especially susceptible to melanoma, the most dangerous form of skin cancer. In Russia, the incidence of melanoma has increased by 26% in just 10 years, world statistics shows an even greater increase. Both tanning equipment and Sun rays. The danger can be minimized with a simple tube of sunscreen. A 2010 study in the Journal of Clinical Oncology confirmed that people who regularly apply a special cream have half the incidence of melanoma than those who neglect such cosmetics.
You need to choose a cream with a protection factor of SPF 15, apply it even in winter and even in cloudy weather (the procedure should turn into the same habit as brushing your teeth), and also not expose it to the sun's rays from 10 a.m. to 4 p.m.

9. Do you think stress affects the development of cancer?
Stress itself does not cause cancer, but it weakens the entire body and creates conditions for the development of this disease. Research has shown that constant worry changes the activity of immune cells responsible for turning on the “fight and flight” mechanism. As a result, the blood constantly circulates a large number of cortisol, monocytes and neutrophils, which are responsible for inflammatory processes. And as already mentioned, chronic inflammatory processes can lead to the formation of cancer cells.

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   Erosion of the walls of the duodenum is a very common disease that affects people regardless of age and gender. The disease is accompanied by superficial damage to the mucous membrane, which naturally affects the functioning of the digestive system. Treatment of duodenal erosion can be successfully carried out with the help of properly selected medications and diet, but only if the disease was diagnosed on time.

   That is why it is worth familiarizing yourself with additional information about the disease. Why does erosion and then duodenal ulcer develop? Symptoms and treatment, causes and risk factors are important information that should not be ignored. So is it possible to protect yourself from developing the disease?

   Where is the duodenum located? General information about the organ

   To begin with, you should familiarize yourself with anatomical features intestines. Where is the duodenum located? What functions does this organ perform? This information needs to be studied.

   The duodenum is primary department small intestine. It begins immediately after the pylorus of the stomach and consists of an upper, descending, horizontal and ascending part. It is in this part that intestinal digestion begins.

   Food enters the duodenum from the stomach. Here the pH of the gruel (initially it is acidic) is brought to alkaline, which is necessary for normal digestion processes in the distal sections small intestine. This part of the digestive tract also initiates and regulates the secretion of bile and pancreatic juice (in the pancreas).

   The mucous membrane of the duodenum has a special structure that makes it resistant to the aggressive effects of gastric and pancreatic juice, concentrated bile. Erosion is said to occur when the mucous membrane begins to gradually collapse. Such pathological process negatively affects the digestive processes and, in the absence of therapy, entails dangerous consequences.

   The main causes of the disease

   Modern medicine There are a huge number of factors known, the impact of which leads to the destruction of the mucous membranes of the digestive tract. First of all, it is worth mentioning that the vital activity of Helicobacter pylori is often accompanied by damage to the walls of the stomach and intestines. Aphthous erosions of the duodenal bulb often occur against the background of an existing inflammatory process in this part of the digestive tract.

   

   Of course, these are not all factors. The causes of duodenal erosion may be as follows:

   • acute form of infectious gastroenteritis, especially if the patient has not received timely medical care;
   • chronic inflammation of the intestinal mucous membranes, which is in no way related to the activity of Helicobacter pylori infection;
   • poor nutrition(constant consumption of hot, too spicy and fried foods, addiction to spices, alcohol and coffee negatively affect the functioning of the digestive system, increases the level of acidity, which ultimately leads to irritation and destruction of the mucous membranes);
   • long-term use non-steroidal anti-inflammatory drugs (Paracetamol, Ibuprofen), improper use of antibiotics, hormonal therapy;
   • liver diseases, chronic form of pancteatitis;
   • Smoking is potentially dangerous.

   The psycho-emotional factor should not be discounted. Depressive disorders, constant stress, emotional stress - all this directly affects the level of certain hormones and affects the functioning of all organ systems, including the digestive ones.

   What symptoms should you pay attention to?

   

   Of course, the disease can progress in different ways. Here, much depends on the form of the disease and the degree of damage to the mucous membranes of the organ. Acute erosions of the duodenum are usually accompanied by severe pain in the stomach. Sometimes discomfort appears on an empty stomach, and sometimes intensifies after eating. The pain may be aching or cramping. Patients also complain of periodic nausea, vomiting, and loss of appetite.

   Sometimes vomit contains blood impurities, which indicates vascular damage. If there is hidden bleeding, That clinical picture is complemented by other symptoms, in particular pale skin, weakness, lethargy, apathy, dizziness (these disorders are associated with a drop in hemoglobin levels and the development of anemia).

   Diagnostics: how to determine the presence of a disease?

   

   Extremely important in in this case is the correct diagnosis. Erosion of the duodenum is certainly accompanied characteristic symptoms, but to make an accurate diagnosis, the doctor needs to familiarize himself with the results of medical tests.

   • It is very important to collect as complete anamnesis as possible. Statistics show that in approximately 10-15% of cases, the development of erosion is due to genetic predisposition.
   • The patient is then referred for tests. A blood test allows you to notice a decrease in hemoglobin and diagnose anemia. It is mandatory to analyze stool for the presence of occult blood.
   • Additionally, tests for bacterial microflora are carried out.
   • The most informative is fibroesophagogastroduodenoscopy. Using a special probe, the doctor carefully examines the mucous membranes of the esophagus, stomach and duodenum, which makes it possible to detect areas affected by erosion. Sometimes the procedure is complemented by a biopsy (sampling is necessary in order to exclude the possibility of developing malignant tissue degeneration).
   • Additionally, fluoroscopy, computed tomography or magnetic resonance imaging are performed. Such procedures make it possible to determine the presence of tumors, examine nearby lymph nodes, etc.

   Basic principles of drug therapy

   

   Such a pathology requires integrated approach. All medications are selected by the attending physician. In this case, it is necessary not only to stop further progression disease, but also to eliminate the cause of erosion.

   • If there is a bacterial infection (including Helicobacter), patients are prescribed macrolides or antibiotics penicillin series.
   • Antisecretory drugs and antacids are another part of the treatment of duodenal erosion. Tablets "Omez", "Maalox", "Phosphalugel", "Ranitidine" have enveloping properties. These drugs also suppress the production of of hydrochloric acid, thereby protecting the mucous membranes from irritation and further destruction.
   • Domperidone, Cerucal and other prokinetics help cope with nausea and vomiting and normalize the motility of the walls of the digestive tract.
   • Patients are also prescribed vitamin complexes in the form of injections. This helps to cope with anemia, strengthen the walls of blood vessels, and speed up tissue healing processes.
   • If bleeding occurs, doctors recommend taking angioprotectors.
   • For anemia, iron supplements may be included in the treatment regimen.
   • Probiotics help restore normal microflora and improve digestion processes.
   • If the cause of the development of the disease is psycho-emotional stress, then the treatment regimen includes taking sedative medications.

   Diet therapy

   

   As a rule, it is possible to bring it under control with the help of medications. further development erosion of the duodenum. Diet for such a disease is extremely important, since many foods irritate the mucous membranes of the digestive tract, only further aggravating the situation. That is why patients are advised to adhere to certain rules:

   • Fractional meals are mandatory - it is better to eat 5-7 times a day, but in small portions.
   • Particular attention should be paid to the cooking process. Boiled or steamed foods are allowed.
   • Food cannot be hot or cold - it is best to eat warm dishes.
   • Doctors recommend eating cereals, soups, in short, liquid and soft foods, since solid foods will only irritate the mucous membrane of the digestive tract.
   • It is important to avoid foods that increase the secretion of gastric juice, as this also negatively affects the condition of the mucous membranes. Prohibited are alcohol, carbonated drinks, mushrooms, meat, canned food, spices (including salt and pepper), herbs, baked goods yeast dough, fresh bread, cabbage, radishes, corn, onions, strong coffee and tea, chocolate.
   • It is allowed to eat fruits and vegetables, but only boiled or baked, as well as in pureed form.
   • In order to saturate the body with proteins, you need to include in your diet eggs, dairy products (yogurt, milk, sour cream, kefir, cottage cheese, but low-fat), low-fat varieties fish. As you recover, you can gradually introduce meat into the menu, but only boiled, lean and without tendons.
   • Fats are healthy plant origin. For example, olive, sunflower and other types of oil accelerate the healing process of the mucous membrane, have enveloping properties, and protect tissues from the effects of digestive juice.

   It is very important to adhere to the principles of proper nutrition - this is the key to a quick recovery.

   Duodenal ulcer: symptoms and treatment

   It is worth noting that in the absence of timely treatment, erosion can turn into a full-fledged one. In this case, we are talking not only about damage to the intestinal mucous membranes - the pathological process penetrates into the deeper layers of the digestive tract, which is fraught with massive bleeding, perforation and other complications.

   Symptoms of duodenal ulcer are more specific. Patients continue to suffer from pain, nausea and vomiting, but these symptoms are also accompanied by bloating, severe heartburn, frequent sour belching, heaviness in the abdomen, which intensifies after eating.

   As statistics show, quite often the disease occurs hidden - the patient consults a doctor after the onset of intestinal bleeding, and this condition requires surgical intervention. As for drug treatment, patients take the same antibiotics, as well as antispasmodics and antacids.

   When is surgery necessary?

   

   As a rule, the disease can be managed with the help of properly selected medications and diet. However, sometimes it is necessary surgery erosion of the duodenum. Indications for the procedure are bleeding, which occurs if, as the area of ​​erosion expands, a blood vessel is affected.

   In this case, abdominal operations are performed extremely rarely. Typically, access to the intestine is achieved using endoscopic equipment. The doctor cauterizes the damaged vessel (and at the same time the area affected by erosion) with a laser or electrocoagulator.

   In no case should you refuse the procedure, since in the absence of therapy this pathology can easily lead to ulcers.

   Traditional methods of treatment

   Drug treatment duodenal erosion helps to cope with the problem. However, sometimes taking pills can be supplemented with drugs homemade. Treatment of duodenal erosion with folk remedies helps speed up the healing process. Of course, there are a huge number of recipes, but below are only the most effective and safe ones:

   • Traditional healers recommend taking a small amount of sea buckthorn oil (can be bought at a pharmacy) every day. This substance has a beneficial effect on the mucous membrane of the digestive tract, has a regenerative effect, and has antiseptic properties.
   • Instead of tea, you can drink decoctions and infusions of herbs such as calamus, medicinal chamomile, and bearberry. These plants have pronounced anti-inflammatory properties and have a calming effect on the mucous membranes of the stomach and intestines.
   • It is considered beneficial to take olive oil (a teaspoon per day), a mixture of honey and butter- this also speeds up the healing process.
   • Bananas have enveloping properties, so many experts recommend eating one on an empty stomach in the morning.

   But it is worth understanding that treatment of erosion of the duodenal bulb must be carried out under the supervision of an experienced doctor. Application alcohol tinctures in this case, it is strictly contraindicated, since ethanol only further irritates the mucous membrane. Homemade medications can only be used with the permission of a specialist and only after the inflammatory process has been brought under control.

   Prognosis for patients. Preventive actions

   Statistics show that proper treatment of duodenal erosion allows one to achieve stable remission. Of course, the patient must be registered with a doctor, undergo regular preventive examinations, and undergo tests - this way the specialist will have the opportunity to notice the emergence of any complications in a timely manner.

   Of course, it is very important to adhere proper diet, refuse spicy, fatty and fried foods, spices, and canned food. Patients are also advised to give up soda, alcoholic drinks, as they irritate the intestinal mucosa. Smoking is also contraindicated.

   In no case should the symptoms of this disease be ignored - if left untreated, erosion can develop into a full-fledged peptic ulcer.

   Causes of gastric erosion

   Symptoms of gastric erosion

   Treatment of gastric erosion

   Gastric erosion is one of the common gastrointestinal diseases, many of the symptoms of which are similar to such a serious illness as an ulcer (may be its predecessor). Up to twenty percent of patients, after a study in the form of endoscopy, receive a diagnosis of erosion (of the stomach or duodenum). Despite its prevalence, this disease is also one of the least studied diseases. At the same time, erosion is considered the second cause of bleeding from the gastrointestinal tract after duodenal ulcers.

   Gastric erosion is one of the most common diseases

   The name of the disease is translated from Latin as “corrosion,” which indicates its nature - gastric erosion actually eats away at the surface of the mucous membrane, creating one or more focal lesions.

   They can be single (up to three) or multiple (more than three), being located in different parts of the gastrointestinal tract. The sizes of erosions are usually small (no more than 15 mm), the shape can be varied - from simple to intricate.

   If the disease has spread to most of the mucous membrane, it is already called erosive-hemorrhagic gastritis.

   Erosion most often forms on the superficial tissue of the stomach, not reaching the muscular tissue. And with the right timely treatment, healing occurs fairly quickly, and without the formation of scars. The disease occurs most often in adults, but in in some cases can also be diagnosed in children.

   Causes of gastric erosion

   There are several causes of gastric erosion, but they all stem from the occurrence of a sharp imbalance between the protection of the mucous membrane and the impact of the external aggressive environment on it.

   One of the main causes of erosion is the introduction of Helicobacter pylori into the body.

   Another common cause is the use of pills and other medications that have a destructive effect on the protective lining of the stomach. A psychoemotional disorder—severe or prolonged stress—can also serve as a provocateur. The lining of the stomach can be destroyed by spicy, too hot, or rough food (causing burns or mechanical damage), smoking, or prolonged consumption of strong alcohol (it does not directly cause the erosion processes themselves, but provides the prerequisites for damage to the walls of the stomach and is contributing factor development of the disease).

   Cirrhosis of the liver is also a provocateur, along with similar diseases that can impair blood supply internal organs, increase the pressure in their vessels.

   Many diseases can give impetus to the appearance of erosion of the gastric mucosa, among them: diseases of the digestive system (liver failure, pancreatitis in its chronic manifestation), diabetes, diseases respiratory system(provoke oxygen starvation, weakening the immune system and the very protection of the gastrointestinal mucosa), oncology localized in the colon or stomach. Another danger of getting sick is working with harmful/toxic substances. Once in the body, they corrode tissues, creating favorable conditions for a variety of severe conditions– including for the occurrence of gastric erosion. Erosion can also be caused by injuries and operations in the gastrointestinal tract.

   Junk food can also cause stomach erosion.

   According to the form of erosion, they are divided into three types.

   • The first is flat surface lesions, either clean or covered with fibrinous plaque, usually with low edges. In this case, it can only be affected covering epithelium, or the mucosal stroma is involved.
   • The second type is hemorrhagic erosion of the stomach; they can have different sizes, as well as shape and depth (superficial and deep ones are found). Their surface may be covered with hemorrhagic plaque or blood. The appearance of the mucous membrane around is pale and swollen. Often having asymptomatic, this form of the disease can manifest itself internally stomach bleeding and anemia. It occurs in an acute form.
   • The third type is inflammatory-hyperplastic erosion - oval or round polyp-like formations on the mucosa. Often form on the folds of the stomach.

   There are acute and chronic erosions by type. Acute forms usually occur in the form of several lesions on the mucous membrane of the fundus and/or walls of the stomach. Chronic forms most often represent numerous erosions of the antrum of the stomach. In its chronic form, the disease can last five or more years; this form is also called complete erosion of the stomach.

   This disease can occur either independently (or primary) or develop against the background of existing pathologies (secondary erosion of the stomach).

   Symptoms of gastric erosion

   Erosion can often be practically asymptomatic - or manifest itself in the form of symptoms that are insignificant for most patients: heartburn, nausea, and mild discomfort. All such conditions are easily eliminated by taking regular soda (or antacids) - unfortunately, this only delays the start of treatment while pathological condition continues to develop.

   Damage to the stomach lining causes pain and nausea

   However, there are also quite obvious symptoms of gastric erosion that cannot be ignored. These include severe - persistent and constant pain, almost twisting the patient. The pain can come both after eating and on an empty stomach. In the chronic form, pain may visit the patient infrequently and be less severe. But in this case, bleeding may be observed, indicating that not only the stomach, but also the duodenum is affected. Blood may come out with vomit and feces - in this case they may have a dark color.

   With erosion of the stomach and duodenum, dry skin, as well as brittleness in the structure of nails and hair, are often observed as symptoms. Also, indirect signs of the presence of erosion include a change in the patient’s taste habits - he often wants to taste non-food products. Other symptoms include: nausea, vomiting, heartburn, belching, disturbances in the digestive process, decreased hemoglobin levels, problems with bile excretion. Blood streaks may appear in the stool.

   Opening the inner heavy bleeding is one of the terrible consequences of erosion - it can be difficult to stop, even if you call a doctor in a timely manner. Especially when severe cases development of bleeding, surgery may be used surgical intervention, in which it is even possible to remove part of the stomach.

   Therefore, it is so important to be attentive to yourself (especially if you have the above symptoms), as well as as much as possible early diagnosis. Despite the fact that the disease has been known and described for a long time, its identification and detailed study became possible with the advent of the fiber endoscope. In addition to endoscopic examination, when any type of erosion is detected, a biopsy is also necessary to exclude oncological development of the disease.

   Very important when full examination also correctly identify the nature and cause of erosive lesions - the success of further treatment will depend on this.

   Treatment of gastric erosion

   If the cause of erosion is chronic gastritis– Most likely, antibiotics will be prescribed. It is important to begin the process of treating the disease before it reaches an advanced stage in which bleeding occurs. Early detection is also important because the acute form of erosion, if the healing process begins in a timely manner, can close in just ten days (or a little later - after two weeks). But in more serious cases and, especially, chronic forms, treatment of gastric erosion will require a very long period - up to five years or more.

   When answering the question of how to treat gastric erosion, it is worth mentioning two important success factors:

   • medications
   • dieting

   Drug therapy includes the use of drugs that reduce secretory functions in the stomach. As accompanying medications, medications are prescribed that have a positive effect on gastric motility to prevent food from stagnating in it.

   Even with a successful solution to the question of how to cure gastric erosion, the disease can return, that is, recur, if the cause of its occurrence is not found out and, most importantly, eliminated.

   In any case, it is impossible to refuse treatment, because if there is a delay, the disease will continue to develop, affecting adjacent organs, and can ultimately cause destabilization throughout the body.

   The second very important factor when prescribing a treatment regimen is giving up bad life habits and proper nutrition for gastric erosion. It is important to remember the importance of compliance temperature regime– it is forbidden to consume hot drinks and dishes (hot food can not only injure, but also provoke bleeding), and you should also not eat or drink cold food – only moderately warm food.

   Hot food is contraindicated for patients with gastric erosion

   The prescribed diet for gastric erosion is focused on providing the stomach with gentle working conditions. Thus, it is necessary to remove from the diet all foods that irritate and stimulate the stomach, as well as drinks.

   If erosion is established, you should not use:

   • alcohol
   • roast
   • spices
   • marinades and canned food
   • smoked meat products
   • rich soups
   • all types of soda, fresh juices (especially citrus fruits)

   Products with excess fiber and those that contribute to the formation of gases are undesirable; citrus fruits are also prohibited.

   Instead, the menu for stomach erosion should include products that will help with mucosal regeneration:

   • natural homemade jelly
   • dishes made from oatmeal and semolina
   • dairy products (hard low-fat cheeses, low-fat sour cream, butter, milk)

   According to the cooking method, preference should be given to steam products, and it is advisable to cook them without adding flavor enhancers (spices, salt, seasonings). Portions should be kept small, but eaten often (up to six times). This type of diet should be followed for at least two months.

   And then, after the symptoms of erosion have subsided, in order to prevent relapses, you should still avoid foods and factors that provoke a new development of the disease (such as taking hot medications and irritating the stomach).

   Traditional methods of treating gastric erosion

   In parallel with conservative (prescribed by the attending physician based on examination results) treatment, some traditional methods. But you need to understand very clearly that they cannot replace treatment, but are only permissible as a aid and only after discussion with your doctor. Moreover, he must approve the use of the specific regimen you proposed for treating gastric erosion with folk remedies, and not approve the use of alternative medicine in general.

   Speaking of recipes, an interesting option for getting rid of erosion is making calamus wine. For it, grind one hundred grams of fresh calamus root and pour it with a liter of natural white wine. After sealing the jar, leave the mixture in a dark place for a two-week period. Next, strain the liquid and take a single sip before each meal (no more than twelve sips per day).

   An excellent remedy for erosion ethnoscience admits honey - if you take a tablespoon of this high-quality (exclusively natural, no counterfeit) product every morning on an empty stomach, the mucous membrane will be able to recover faster, and this will have a positive effect on the entire body (unless, of course, you are allergic to bee products).

   Another superfood for stomach erosion is sea buckthorn oil. It should be drunk in a small spoon at intervals half an hour before meals - two or three doses per day are enough.

   Lingonberries are also good for this disease, which should be harvested in the fall - pour boiled but cool water over the berries. Then in winter, drink the resulting drink, sixty milliliters, half an hour before meals.

   In the presence of erosion in the stomach, taking grapes - one hundred to one hundred and fifty grams shortly before meals - can have a positive effect on the stomach.

   Honey - a sweet cure for stomach erosion

   A good folk remedy for quickly getting rid of erosion is to take a mixture of butter and honey - the proportions are taken one to one, you should eat a tablespoon of the mixture, three to four times a day.

   Raw potatoes (grown organically) can also be good alternative medicine- rinse it, grate it together with the peel, squeeze out the liquid and take it three times before meals, sixty milliliters each, shaking each time beforehand to lift the starch from the bottom.

   TO effective means for stomach diseases, also include tincture of walnuts - they need to be taken unripe in quantities of ten to fifteen pieces, pour half a liter of vodka, cork and lock in a dark place for two weeks. Next, dilute a tablespoon of the product with one hundred and twenty-five grams of water. Drink after meals, three times a day.

   One more good product, which should still be used with extreme caution, is celandine. The danger is that this plant itself is poisonous, and exceeding the recommended proportions can result in disaster. The drug is prepared as follows: a tablespoon of the plant’s leaves, taken in crushed form, is poured with a glass of boiling water, after which it is infused for two hours. Drink strictly one tablespoon of the resulting liquid, three times a day, an hour before meals. Do not drink the infusion less than a month, then a ten-day break and, if necessary, the course is repeated.

   Remember that all products (decoctions, infusions, etc.) are used only in fresh– storage, especially long-term, reduces the concentration of nutrients.

   Erosion of the stomach and 12 p/intestines

   Treatment of erosions of the stomach and 12 p/intestines

   intestines: outpatient, outpatient, advisory.

   normalizing and stabilizing gastric secretion, normalizing the trophism and plasticity of the tissues of the duodenum, normalizing the intestinal biocenosis, harmonizing the sympathetic and parasympathetic processes of the vegetative nervous system, local and general immunostimulating, reparative, regenerating, anti-inflammatory, absorbable, desensitizing, normalizing the function of the sphincter of Oddi, antibacterial, restorative, general health-improving, normalizing digestion.

   3 times a day, 30 minutes after meals, the patient takes 1 tablet of multivitamins orally. The course of treatment is 1-2 months; 4 times a day, 30 minutes before meals, the patient takes 2 capsules of the biological product orally. The course of treatment is 1-2 months; 2 times a day, after meals, 1.5 hours later, the patient takes 1 powder orally. The course of treatment is 1-2 months; 3 times a day, 15 minutes before meals, the patient takes 3 drops of herbal extracts in 1 tablespoon of corn oil orally. The course of treatment is 1-2 months; 5 times a day, 45-90 minutes before meals, the patient takes herbal infusions orally. The course of treatment is 1 month; In the morning, at noon, during the day, in the evening and at night, the patient treats the skin of the abdomen, sides of the torso and lumbar region with liquid No. 1, liquid No. 2, gel, cream and emulsion. The course of treatment is 1-2 months; Once a day, the patient receives physiotherapy sessions using four standard methods of treatment for erosions of the stomach and duodenum from our full physiotherapy arsenal. The duration of a session with one device is 10-20 minutes. Course of treatment - 12 procedures; Once every 1-2 days, the patient comes to the clinic to receive aromapuncture. Session duration is up to 45 minutes. Number of procedures - 14 pcs.

   and duodenal gastrointestinal infections, the original naturopathic treatment program will necessarily be expanded due to the additional use of factory-made forms synthetic drugs— antibiotics, antiprotozoal, protective, antifungal, antihistamine and desensitizing drugs.

   for individual medical prescriptions (for one or several items, or for small quantities of all medicines that make up the author's medical complex), or exclusively by existing standards of chemotherapy treatment, but with the risk of obtaining an incomplete and/or unstable effect.

   erosions of the stomach and duodenum for up to 5 days with certain medications and/or acupuncture, laser therapy and physiotherapy.

   the primary subjective result is already noticeable on the 3-5th day of treatment, the final objective one - after 20-30 days, but will significantly depend on the initial characteristics (what stage and features of the course of erosions of the stomach and duodenum, the nature of complications and concomitant pathology, condition immunity, the presence of erosions simulating side effects from treatment incorrectly selected by the previous doctor or receiving incorrect self-medication, lifestyle and nutrition, the presence of occupational hazards and bad habits, attitude towards the prescribed treatment, etc.).

   Gastritis, duodenal erosion - treatment at home

   Something GRIPPED me, at first I didn’t understand. PAIN in the pit of the stomach and in the right hypochondrium - I can’t breathe or……. EVERYTHING around you is annoying and you feel disgustingly cold. Belching unnaturally often and quickly makes you tired and bloated. Imagine how “good” it is! When I put all the symptoms together, I understood, I came back either Gastritis or duodenal erosion. I immediately rushed to the pharmacy from work, but I am a supporter of natural methods of treatment and recovery, folk remedies and methods

   that's why I bought it SEA BUCKTHORN OIL.

   At home I carried out the following procedure - a herbal collection of 5 herbs:

   pharmaceutical camomile- an excellent natural antiseptic

   Yarrow- antispasmodic, anti-inflammatory, bactericidal.

   St. John's wort(perforated) – relieves spasms, improves blood circulation

   Mint– calms, relieves spasms, relieves pain.

   Sage- antiseptic, anti-inflammatory and soothing effect.

   in equal parts, 1 tablespoon each, brewed with 1 liter of boiling water.

   I sat for 15 minutes breathing this decoction - aromatherapy - and almost fell asleep.

   I strained it and drank 1 glass at once warm. Then during the day, half a glass whenever you feel thirsty. Well, I eat, of course. oat and congee without salt and sugar (I’m lying, I added a little sugar). And in between meals 1 teaspoon sea ​​buckthorn oil. Well, by tomorrow evening, that is. I feel much better at this moment.

   P.S. If I had heartburn (i.e. increased acidity), then I would exclude St. John's wort and yarrow.

   And if you don’t have time to brew, you can buy tinctures of valerian, wormwood and mint at the pharmacy, mix and take 30 drops in 1/2 cup of warm water. (the finished medicine is called “Stomach Drops”, JSC “Valentis” Lithuania - it costs a penny and it also contains belladonna)

   Licorice root syrup helps me the same way. (It’s convenient to keep a bottle in your desk at work. She took a sip and put it back in the desk drawer. And the employees think: “Is she drinking cognac or something?!”)

   If you don’t like to use herbal preparations. For any acidity, excellent folk methods are:

   1)freshly squeezed carrot juice(drink 1/3 glass 2-3 times a day, healing juice for 40 minutes)

   2) drink fresh chicken eggs(be sure to ensure that the shell is intact and wash the egg with hot running water and soap).

   3) drink sea buckthorn oil 3 times a day (1-2 teaspoons).

   Gastritis, erosion of the duodenum - treatment at home - a little scary, what if an ulcer breaks out. Therefore, if you are not sure, go to the doctor and swallow the light bulb. As my employee used to say, referring to the Japanese probe.

   Now, by the way, a new service has appeared. You don't have to swallow anything. Testing for Helicobacter bacteria, responsible for ulcers, is done using exhaled air. Just a little expensive.

   New information. I found a wonderful remedy. It’s a pity that it has disappeared from pharmacies in Belarus. This is a Russian dietary supplement. Sea buckthorn oil. I take 8 balls during lunch and forgot that my stomach exists. Quite inexpensive and very convenient.