Peptic ulcer is a disease that provokes the formation of ulcerative defects in the lining of the gastric mucosa and duodenum. It proceeds with seasonal exacerbations.

According to statistics, the symptoms of gastric ulcer (PUD) are manifested, on average, in 7-10% of the adult population, while ulcers can be single and multiple.

Typical localization of pain in peptic ulcer disease:

pain in the pit of the stomach - an ulcer of the entrance (cardiac);
pain in the center - an ulcer of the bottom and body of the stomach;
pain on the right - an ulcer of the outlet (lower) stomach;
pain on the left - duodenal ulcer.

Typical symptoms:

heartburn;
belching and "sour" vomiting;
high fatigue;
sweating;
weakness;
cardiopalmus;
shaking hands.

During the period of exacerbations, pain is observed daily, often on an empty stomach (more likely with an ulcer in the duodenum). After a meal, the pain may subside and disappear altogether, reminding of itself again after 0.5-1 hour in case of stomach ulcer and after 1.5-2.5 hours in case of duodenal ulcer. Quite often the patient experiences acute night pains. Constipation is a faithful companion of duodenal ulcers.

CAUSES OF THE DISEASE

The main cause of the development of gastric and duodenal ulcers is infection with Helicobacter pylori bacteria. Infection is detected in 85-90% of patients with peptic ulcer disease.

The causes of peptic ulcer disease can be:

infection with Helicobacter pylori bacteria;
hereditary predisposition;
long-term use of drugs that aggressively affect the gastric mucosa (non-steroidal anti-inflammatory drugs, some hormonal drugs);
metabolic disease;
unbalanced and irregular nutrition;
frequent consumption of alcoholic beverages and smoking.

It is also believed that constant stress and psycho-emotional stress can provoke the development of the disease. Previously, the development of ulcers was associated with excessive production of hydrochloric acid and its aggressive effect on the mucous membranes of the digestive tract. In 2005, as a result of a number of clinical studies, it was found that the main cause of the disease is an infection with Helicobacter pylori.

DIAGNOSIS OF STOMACH AND DUODENAL ULCERS

The main method for diagnosing stomach ulcers is esophagogastroduodenoscopy (EGDS), which is often called simply gastroscopy. This is an endoscopic examination of the esophagus, stomach and duodenum.

Gastroscopy is performed on an outpatient basis. The whole procedure takes no more than 5 minutes. During the examination, the doctor inserts a narrow, flexible tube equipped with a miniature video camera through the mouth. The endoscope allows you to examine the mucous membranes of organs and, if necessary, conduct a biopsy - take a tissue sample for cytological and histological examination. For treatment ucler you can to buy aciphex. An analysis is also made for Helicobacter pylori. To carry it out, a tissue sample from the stomach or duodenum can be used. In some cases, rapid breath tests are used. In addition, the patient can be assigned to monitor the level of acidity of the stomach during the day, blood, feces and urine tests, ultrasound and X-ray of the chest and abdominal organs.

Before prescribing examinations, Oxford Medical doctors will find out all complaints from the patient, study the medical history, and clarify the presence of concomitant diseases. They then determine which studies will be most informative.

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