Symptoms and treatment of duodenal erosion

2023 Author: Alfred Shackley | [email protected]. Last modified: 2023-05-21 13:14

Erosion of the duodenal bulb is a violation of the integrity of the inner epithelial cover of the duodenum, which does not involve the muscle layer of this organ in the inflammatory process. With adequate treatment, healing takes place without the formation of scar tissue.

The disease is quite common and requires compulsory treatment. With an aggravation of the condition, acute bleeding occurs, requiring the patient to be placed in a hospital.

Causes of the appearance of erosion of the duodenal bulb

Most often, the onset of the disease occurs under the influence of psychogenic factors - the constant presence of 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 drugs containing corticosteroids;
• postoperative conditions;
• diseases of the heart and vascular systems.

Often, the treatment of erosion of the duodenal bulb must be carried out simultaneously with the restoration of renal function, stabilization of the acute condition in 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.

Until now, there are disputes among medical luminaries whether the activity of Helicobacter pylori affects the occurrence of erosion of bulbs - an unambiguous answer has not yet been received.

The occurrence of lesions of the duodenal bulb is affected by ischemic diseases, hemorrhagic shock, prolonged fasting. The stress that these conditions provoke aggravates the increase in the permeability of the mucous barrier, which increases the possibility of erosive lesions.

Symptoms of erosion of the duodenal bulb

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

1. Melena (black feces) appears only in 2% of patients, in the rest, latent blood is found in the analysis of feces.
2. Depending on the severity of bleeding in patients, occult blood may be detected in the analysis of feces, vomiting of "coffee grounds" or viscous mucus may appear. Against the background of blood loss, anemia develops.
3. The accompanying symptoms of the disease resemble the clinical signs of ulcerative lesions, but the painful sensations are not permanent.
4. They can occur in the form of cramping pains or have a pulling character. In most cases, they appear 2 hours after eating. In addition to the painful effect, sour belching and heartburn occur. Symptoms largely depend on the nature and size of the lesion.
5. In inflammatory processes, the branches of the vagus nerve are affected, which leads to neurological changes. The heart rate decreases, chronic fatigue and drowsiness appear, and sweating increases.

Diagnosis and treatment of erosion

• Diagnosis of the disease is quite simple - FGS and radiography - if the FGS procedure was not sufficiently informative. To prescribe a 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 up to 6 weeks.
• In the presence of bleeding, the patient is hospitalized in a hospital, where treatment is carried out with the help of hemostatic agents: "Ditsinona", "Etamzilata", "Tranexam". Medicines are administered by injection, intramuscular injection and intravenous injection.
• At the same time, treatment is carried out with drugs that lower the secretory function of the stomach, reduce the acidity of the stomach. Antacids are prescribed - "Almagel", "De-nol" - the last 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 tissues.

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 food regimen:

1. switch to fractional meals;
2. refuse meals that increase gastric secretion;
3. do not heat food over 40 ° C.

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

Alternative methods treat only those erosions that do not cause hemorrhagic symptoms. Despite the advice of healers, in whose arsenal there are recipes for hemostatic agents, in this case it is better to resort to traditional medicine. The diet is followed during home prescription treatment.

Wound-healing effect is rendered by marsh grass.

• Tea is brewed from plant materials - a tablespoon in a glass of boiling water - insist for 2 hours.
• A glass is drunk a day in small portions before meals.

A delicious treat for adults - ayr wine.

1. 100 g of a finely chopped plant is poured into 1 liter of good white wine;
2. Insist 2 weeks in a dark place.
3. You need to drink up to 12 sips a day before and after a meal.

Walnut tincture is made according to the following algorithm:

• 15 unripe peeled nuts are pounded;
• placed in a bottle of vodka;
• they seal it tightly;
• removed for 14 days in a dark place.

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

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

Creamy honey ointment increases the regeneration of the mucous membrane - 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 of bleeding of an erosive defect, then this medicine should be taken within 14 days:

1. olive oil is mixed in equal amounts with sea buckthorn oil;
2. insist 3 days in the refrigerator - not in the freezer;
3. take in the morning, before meals.

A very simple and affordable treatment - "mixture" is made from a product that can be found in almost every home.

• The potatoes are grated together with the peel;
• And they drink juice before meals for 50-70 g.
• The therapeutic course is quite long - up to a month.

If you want to heal faster, then the following recipe is used.

1. Wheat is germinated by spreading it in small slides on gauze moistened with water.
2. From above - so that the sprouts do not dry out - they are also covered with gauze.
3. The first shoots appear somewhere in 3-4 days - all this time you need to monitor so that the fabric does not dry out.
4. Grind 3 tablespoons of wheat germ, add 1 tablespoon of olive oil to them and put them in the refrigerator in a glass container, carefully corking it.
5. After 3 days, the medicine is ready. It should be taken in a teaspoon in the morning for 5-7 days.
6. Sprouted wheat germ can effectively stimulate the regenerative functions of the body.

For 5 days, milk decoction of chamomile heals uncomplicated erosion:

• 2 tablespoons of raw materials are poured into a glass of milk;
• bring to a boil and leave for about 40 minutes.

Strain, drink on an empty stomach.

You should not use folk methods if the diagnosis has not been carried out - you must first make sure that erosive lesions are not the first symptoms of the oncological process. With adequate treatment, relapses of exacerbation of the erosion of the duodenal bulb do not occur.