How to treat erosion of the duodenum 12. Duodenal erosion symptoms and treatment

You have erosive gastritis. Erosions are often located in the antrum of the stomach, closer to the duodenum, so night hunger pains may occur. Night hunger pains are relieved with milk
You should strictly follow your diet.
Diet 1 is prescribed for stomach and duodenal ulcers, erosive gastritis and gastroduodenitis, and gastritis with increased secretion of gastric juice.
The purpose of the diet is mechanical, chemical and thermal sparing of the mucous membrane of the stomach and duodenum, normalization of secretion and motility (motor function) of the stomach.
Options for this diet: pureed and non-mashed version.
The mashed version is prescribed for a sharp exacerbation of gastric and duodenal ulcers in the first 10-14 days of treatment; sharp exacerbation of chronic gastritis in the first days of treatment; acute gastritis in the first 2-4 days of treatment.
Non-mashed option - the same diseases after diet 1 (mashed version) with improvement in well-being, as preparation for the transition to diet No. 1. By energy value And chemical composition complete diet. Diet 5-6 times a day. The amount of salt consumed per day is up to 12 g. All food is prepared boiled or steamed. Diet No. 1 (mashed version) is used only in the first days of treatment. In case of asymptomatic course of the disease, the untreated version is used immediately.
Diet No. 1 - Sample menu(mashed version)
1st breakfast: soft-boiled egg, pureed rice porridge with milk, tea with milk. 2nd breakfast: baked apple with sugar. Lunch: pureed oat milk soup, steamed meatballs with carrot puree, fruit mousse. Afternoon snack: low-fat, non-sour cottage cheese, rose hip decoction, crackers. Dinner: boiled fish, baked in milk sauce, mashed potatoes, tea with milk. At night: milk.
Diet No. 1 - Sample menu (unprocessed version)
1st breakfast: soft-boiled egg, crumbly buckwheat porridge, tea with milk. 2nd breakfast: fresh non-sour cottage cheese, rosehip decoction. Lunch: vegetarian potato soup, boiled meat, baked in milk sauce, boiled carrots, boiled dried fruit compote. Afternoon snack: decoction of wheat bran with sugar and crackers. Dinner: boiled fish, baked with milk sauce, mashed potatoes, tea with milk, carrot-apple roll.
At night: milk
The main thing is to exclude fried, smoked, salted foods from your diet.
I can recommend some folk remedies; I myself suffer from duodenal erosion. In the morning on an empty stomach, 30 minutes before meals, drink 1 teaspoon of sea buckthorn oil (it is better that after taking the oil you lie down for half an hour before breakfast, the pain syndrome is well relieved by warm water with honey (about 1-2 teaspoons per glass of water, milk (it is advisable to get goat's milk, perfectly scars ulcers, heals erosions and reduces acidity), buy a set of herbs "Stomach collection" at the pharmacy (ask the pharmacist), it is good to relieve heartburn with baking soda (1/2 tsp to 1/2 water). you will be prescribed by a gastroenterologist. I would advise you to take a blood test for Helicobacter pylori bacteria, which is currently a common causative agent of type B gastritis, gastroduodenitis, erosion and ulcers of the stomach and duodenum.. You can read about this microbe in Internet. If this is the cause of your erosion, then the doctor will prescribe the appropriate treatment. I just had an erosion of the duodenum, Helicobacter pylori was found in the blood.
The treatment was as follows:
1. Antacids (Maalox, Almagel)
2. Antibacterial therapy: approximate regimen of flemoxin + De-Nol + omeprazole - 14 days. So, only a gastroenterologist can prescribe it for you after a detailed examination
There are a lot of new medications now, but don’t forget about Vikalin (it should be taken 1.5-2 hours after meals 3 times a day. Vikalin relieves high acidity well)

Erosion of the upper digestive tract during endoscopic examinations is found in 10-20% of patients.

Classification of erosion of the stomach and duodenum

Erosion of the stomach and duodenum is divided into:

  • according to the clinical course - acute and chronic;
  • etiologies - primary and secondary.

Primary defects include coolant defects, the causes of which are unknown. And erosion, the causes of which have been established, is called secondary.

Acute erosion (AE) is a superficial defect of the coolant and duodenum that heals without scar formation. When examined with an endoscope, you can see superficial flat polymorphic defects of the mucous membrane, which are usually covered with fibrin or hematin. They are called superficial necrotic, desquamation or hemorrhagic erosions. In at least half of the cases, multiple erosions are detected.

The formation of acute erosions can be provoked by toxic substances, including alcohol, medications(primarily NSAIDs, hormones), bile acids for duodenogastric reflux, excessively hot and spicy food components. Almost always, acute erosions are formed due to stress, injuries (fractures, burns), operations, blood loss, and severe diseases of the cardiovascular system. The role of HP in the formation of acute erosions is recognized to be significant.

Symptoms and signs of erosion of the stomach and duodenum

Single acute erosions may not appear clinically. If erosions are found on a significant part (half or more) of the surface of the stomach, then this condition is called erosive gastritis. In these cases, symptoms of erosive lesions are expressed: epigastric pain, nausea, sometimes vomiting with blood, belching, bloating, discomfort, loss of appetite, weakness.

Erosive duodenitis is similar in clinical manifestations and necessary therapeutic care to duodenal ulcers.

Bleeding from multiple acute erosions can be massive and pose a threat to the patient’s life.

Clinical manifestations of bleeding: vomiting with blood (“coffee grounds”), melena. With significant blood loss, general symptoms occur: pallor of the skin and mucous membranes, severe weakness, tachycardia, hypotension, low hemoglobin levels.

Acute erosions are detected by esophagogastroduodenoscopy. In the differential diagnostic plan, it is necessary to take into account that in some patients suffering from chronic gastric or duodenal ulcers, exacerbation of the disease is manifested by the development of erosions, while a typical ulcerative defect does not form.

Treatment and prevention of erosion of the stomach and duodenum

Shown dietary food. It is necessary to eliminate factors that damage the coolant. Adequate treatment of reflux gastritis is carried out, if possible, NSAIDs are canceled, and if necessary, they are replaced with paracetamol. Treatment of HP-associated lesions.

Forecast. In most cases favorable.

Prevention. Provides eradication therapy when HP is detected in the coolant; rational use of NSAIDs; elimination of factors causing damage to coolant.

Chronic erosions of the stomach and duodenum

Chronic erosions (AGE) are focal hyperplasia of the surface epithelium in combination with dystrophic and atrophic changes in the pyloric glands.

Chronic erosions are found mainly in patients after 40 years of age. These are limited, most often round or oval-shaped elevations above the surrounding mucous membrane. Often chronic erosions are formed against the background of atrophy of the mucous membrane, while in the center of the erosion a characteristic umbilical-shaped depression is formed, which serves as an important differential diagnostic sign of erosions of this particular type. At the top of chronic erosions, ulceration covered with fibrinous plaque is often found. The diameter of chronic erosions ranges from 0.3 to 1.0 cm, rarely up to 1.5 cm. Multiple chronic erosions are more often detected, less often - single ones. Chronic erosions are located in a chain, like a mountain range, along the stomach, usually in its distal part, in the folds. They may be caused by HP.

Morphologically, chronic erosions are divided into mature and immature types. Mature erosions can persist for years, while immature ones often recur.

Causes of erosion of the stomach and duodenum

The reasons for the formation of chronic erosions have not been established. It is assumed that their formation is associated with reflux of bile into the stomach, long-term persistence of HP and medication use. In isolated cases, chronic erosions can transform into polyps and become malignant.

Particular attention to chronic erosions is explained by the fact that under their appearance not only a benign polyp, but also an infiltrative form of stomach cancer or lymphoma can be hidden. Chronic erosions located in a limited area are suspicious. The final judgment is possible after histological examination.

Clinically, with an uncomplicated course, chronic erosions do not manifest themselves.

Diagnosis of erosion of the stomach and duodenum

Endoscopic with histological examination of the biopsy specimen.

Treatment of erosion of the stomach and duodenum

Treatment of the underlying disease (chronic multifocal and chemical gastritis) and endoscopic diathermocoagulation are indicated.

I was HUGELY PRESSED, 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 from work to the pharmacy, but I know that these ailments respond well to traditional methods recovery.

that's why I got it from the pharmacy SEA BUCKTHORN OIL.

I brewed 5 herbs at home:

Pharmaceutical chamomile– the best natural antiseptic (Moreover, it’s actually available in the pharmacy, because I’ve only seen it in nature a couple of times. It’s easier to buy it at the pharmacy.);

Yarrow (kryvaunik, podbel)– anti-inflammatory, bactericidal antispasmodic (in middle lane grows everywhere);

St. John's wort(perforated) – astringent, anti-inflammatory, antimicrobial, promotes regeneration (in the middle zone it grows everywhere)

Mint– analgesic, sedative, antispasmodic, disinfectant (all numerous types of mint have these properties, but peppermint is considered the best, and it is sold in pharmacies).

Sage– anti-inflammatory healing and soothing antiseptic (if you haven’t planted it on your personal plot, it is sold at the pharmacy).

I poured about one tablespoon without top into a liter mug and poured boiling water to the top.

I sat and breathed this amazing aroma while the grass was brewing, i.e. 15 minutes. Soothing aromatherapy is not the least important thing in treating the stomach!

Strained it. The broth should not be hot. You can add 1 teaspoon of honey to the warm one. Finally, the wait! I drank a whole glass (200ml). Then during the day 5 times 100 ml.

Well, yes, no options, decoction of oatmeal or rice without salt and sugar (I’m lying, I added honey). And 30 minutes before meals 1 teaspoon sea ​​buckthorn oils. And, by tomorrow evening, that is, right now I’m much better.

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 cup 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 3 times a day sea ​​buckthorn oil(1-2 teaspoons each).

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.

30.12.2014

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.

BE HEALTHY!!!

Erosion of the duodenum is a pathology that affects its mucosa, but does not affect the muscle layer. The disease can be diagnosed in almost every person. Early treatment guarantees a good result.

Erosion of the duodenal bulb is a relatively little-studied dysfunction of the digestive tract. Accurate diagnosis has become possible due to the widespread introduction of endoscopes into clinical practice.

Erosion is the second most common pathology after ulcers. gastrointestinal tract. The disease is often detected in patients with severe peptic ulcers, hepatitis, cirrhosis, tumors of the digestive tract, pathologies of the heart, blood vessels and respiratory organs.

Erosion differs from other diseases in etiological factors, severity of the pathological process and healing rate, and general symptoms.

Causes of erosion

The disease can be caused by such reasons.

  1. Exposure to adverse factors, especially stress. The importance of this circumstance in the formation of erosion allows us to assume that the problem is a psychogenic disease.
  2. Long-term consumption of indigestible and spicy foods.
  3. Long-term use alcoholic drinks.
  4. Uncontrolled use of non-steroidal anti-inflammatory tablets, such as Voltaren, Brufen, Indomethacin. Most antibiotics have a similar effect.
  5. Damage to the nervous system.
  6. Heart surgeries, organ transplants, severe injuries.
  7. Erosion often develops in people suffering from acute infectious gastroenteritis. With this disease, symptoms of body poisoning increase.
  8. Erosion of the duodenum can occur due to disruption of blood flow in the portal vein.
  9. Hernias in the esophageal opening.
  10. Inflammation of the vagus nerve.
  11. Severe kidney dysfunction with the development of kidney failure.
  12. Contact with hydrochloric acid. The disease may occur due to reduced tolerance of the duodenal mucosa to the high acidity of gastric juice.

In addition, it has been noted that erosions occur much more often in smoking patients.

Classification of erosions

Duodenal erosions can be benign or malignant.

Benign varieties of the disease include:

  • acute erosion;
  • chronic lesions of the mucous membrane (they can be single or multiple);
  • gastritis with the development of erosive lesions;
  • erosive-hemorrhagic inflammation of the mucous membranes of the stomach and duodenum.

Erosion is defined as acute if it epithelializes within 2 days to a week. If the area of ​​pathology does not undergo regression within a month, then the disease is chronic.

Symptoms of the disease

The clinical course depends on the severity of the hemorrhagic syndrome, the number and size of defects.

Common symptoms of the pathology include:

  • painful discomfort in the area of ​​the duodenum;
  • nausea;
  • feeling of constant discomfort;
  • vomiting, sometimes with a small amount of blood in the vomit;
  • general malaise and weakness (appear against the background of hidden and prolonged bleeding);
  • decreased number of red blood cells;
  • severe pallor;
  • drop in blood pressure and fainting (these symptoms appear as a result of massive bleeding or damage to the inner layer of the intestine).

Different types of mucosal lesions can cause heartburn and sour belching in the patient.

Complications

Sometimes this disease is complicated by massive bleeding. In this case, the stool becomes black. At the same time, coffee-colored vomit appears. The release of blood is dangerous due to the development of acute anemia.

Erosion can develop into an ulcer. The progression of the ulcer is fraught with its perforation. Perforation of an ulcer causes inflammation of the peritoneum - peritonitis. This disease can only be treated surgically, and the clock literally counts.

Finally, untreated erosion can develop into cancer.

Diagnostics

Most often, the patient is prescribed an endoscopic examination of the stomach and duodenum. The procedure is carried out only if there are no contraindications.

X-ray examination is valuable when it is necessary to simultaneously evaluate the presence of infiltrative processes, polypoid formations, fold hypertrophy, and gastric deformation.

Other events are also scheduled:

  • tests for the presence of Helicobacter;
  • biopsy;
  • biochemical blood test.

Treatment

Therapy begins with eliminating the etiological factor. In order to improve the functioning of the digestive tract, patients are prescribed such medications.

  1. Antibiotics. They are needed to fight Helicobacter bacteria. The most commonly prescribed drugs are penicillin and macrolides.
  2. The use of proton pump inhibitors is indicated. The most effective of this group is Omez (Omeprazole).
  3. To reduce the aggressive effect of gastric juice, antacid drugs (Rennie or Almagel) are used.
  4. To restore normal gastric motility and eliminate nausea, use Cerucal or Domperidone.
  5. To strengthen the walls of blood vessels and combat anemia, vitamins are used in the form of injections (B6, B9, B12, PP, C).
  6. Angioprotectors are used to stop internal hemorrhages.

Complicated erosive lesions are treated only in a surgical department. The patient's stomach is washed, hemostatic agents and saline solutions are administered.

How to relieve pain

To relieve pain, the following medications are required:

  • bismuth preparations;
  • anticholinergic drugs (Platifillin, Gastrocepin);
  • ganglion blockers (Quateron).

To prevent an attack of acute pain, it is advisable to drink a little alkaline water such as Borjomi half an hour before its expected appearance. You can take a little milk at night - this is a useful and effective natural antacid..

Folk remedies

If there are no complications, then it is recommended to take folk remedies:

  • sea ​​buckthorn oil (has a pronounced antiseptic and healing effect);
  • infusions of chamomile, calamus, celandine, bearberry and gentian (it is best to drink a collection of these plants);
  • In the morning before meals, eat 1 banana;
  • mixture of walnut tincture, honey, butter and aloe juice (all these components must be taken in equal parts).

Alcohol tinctures for erosive diseases It is not recommended for use in the duodenum.

Recovery criteria

The doctor’s goal is achieved if:

  • pain goes away, a person’s well-being significantly improves;
  • the activity of the digestive tract is normalized;
  • surface erosions begin to heal;
  • swelling and redness of the mucous membrane disappears;
  • chronic affected areas are covered with healthy epithelial tissue.

Forecast

If you follow a diet and avoid alcoholic beverages, the outcome of the disease is favorable. The acute course usually passes after 14 days.

Chronic pathology can last for many years, but with the help of well-chosen therapy it is possible to achieve stable remission. If you ignore treatment and do not seek medical help, erosion can develop into a malignant tumor.

Nutrition for erosion

Properly organized nutrition helps to get rid of the disease even without the use of drugs. The main requirement for nutrition is its regularity. Meals should be small and frequent. It is recommended to consume no more than 300 ml of food at a time. Long breaks in eating are prohibited.

Allowed dishes for erosion:

  • porridge (from rice, semolina);
  • jelly;
  • compotes;
  • vegetables (except radish and cabbage);
  • boiled lean meat (preferably chicken, veal and beef);
  • boiled or steamed fish;
  • oils (the most useful are butter and olive);
  • fresh juices;
  • boiled eggs (no more than 1 per day);
  • mashed potatoes;
  • puddings;
  • cutlets cooked in a steam bath.

It is necessary to exclude from the diet:

  • alcohol;
  • cabbage;
  • coffee;
  • chocolate;
  • dishes with dyes and flavors, preservatives;
  • pickles;
  • marinades;
  • smoked meats

Prevention

Preventive measures consist of strict adherence to the principles healthy image life, doctor's recommendations regarding treatment and proper nutrition. It is necessary to correctly use non-steroidal anti-inflammatory drugs, which can provoke inflammation.

Patients with a history of inflammatory pathologies of the gastrointestinal mucosa should stop smoking and drinking alcohol. It is recommended to maintain physical activity and avoid physical inactivity.

Erosion of the duodenum can sometimes be cured by correcting the diet and using antacids. Early consultation with a doctor helps improve the condition and stable remission. In the absence of medical assistance, complications develop, the most dangerous of which is cancer.

The duodenum is indicated in red. It connects the stomach to the jejunum

Erosion of the duodenum (DU) is a superficial lesion of the mucous membrane of the organ that does not reach the muscle layer.
This disease can occur in almost any person at different periods of life.
The main causes of erosive damage to the stomach and intestines include:

  • errors in nutrition,
  • nervous tension,
  • smoking,
  • frequent use of anti-inflammatory drugs.

Helicobacter pylori infection plays a special role in the development of ulcerative and erosive lesions of the digestive tract.

Symptoms of erosive duodenitis

The main manifestations of duodenal erosions include:

  • pain syndrome,
  • dyspeptic disorders,
  • disturbance of vagus nerve tone.

Pain during duodenal erosion is a variable symptom. It can be dull or pulling, aching, but sometimes it can be quite sharp and cramping. Its intensity, localization and time of occurrence vary depending on the size of the defect and its location.
The higher the erosion is located, the more noticeable the connection between the time of eating and the appearance of pain. Thus, a characteristic sign of postbulbar erosions is the so-called “night pain”. Patients note that pain in the epigastrium disappears or significantly weakens after eating a small amount of food (especially if you drink a glass of milk during a painful attack).

With a higher localization of the process, for example, with erosion of the duodenal bulb, discomfort in the upper abdomen occurs 1.5 - 2 hours after eating.
Also, erosive duodenitis can be manifested by sour belching, heartburn, and unstable stools. Diarrhea is most common, but it can alternate with constipation. The presence of erosion and slight inflammation leads to irritation of the branches of the vagus nerve. Therefore, a reflex decrease in heart rate (less than 50 per minute) is often observed. Patients are often worried about weakness, excessive sweating and irritability.

Sometimes duodenal erosion is complicated by bleeding:

Bleeding erosion of the duodenum, developing into an ulcer

In this case, the stool may become blackish in color. If there is heavy bleeding, vomiting is possible " coffee grounds" If erosion bleeds for a long time, then signs of anemia appear - pallor, headache, brittle hair and nails, tachycardia, etc.

Important: if you suspect duodenal erosion, be sure to consult a doctor. After all, there is always a danger of gastrointestinal bleeding and other complications of the disease.

Treatment of duodenal erosions

With erosive lesions of the duodenum, drug treatment is not required in all cases. Sometimes it is enough to adhere to a diet for erosion to gradually disappear. If there are no complications of erosive duodenitis, then good results can be achieved with the help of folk remedies.

Treatment with medications

In case of minor bleeding, in the presence of severe symptoms or rapid growth of duodenal erosion, drug treatment becomes necessary.
In the classic version, the following groups of drugs are used:

  • proton pump and H2-histamine receptor inhibitors (to reduce gastric acidity);
  • antacids (coating agents);
  • medications that accelerate the healing of erosion (sea buckthorn oil, fish oil, etc.);
  • antibiotics (in the presence of Helicobacter pylori infection).

To stop bleeding, medications that improve blood clotting are prescribed.

Important: if you are diagnosed with erosive duodenitis, you should strictly follow medical prescriptions.

Nutrition for erosive duodenitis

The diet for duodenal erosions is based on the following principles:

  1. food should not cause mechanical irritation (that is, it should be rubbed through a sieve, crushed in a meat grinder or blender);
  2. food must be warm; it is not allowed to give patients hot or too cold food, as this can cause additional irritation and inflammation);
  3. dishes must be chemically neutral: you should not eat foods that have an irritating effect (alcohol, marinades, pickles, fresh and canned tomatoes, sour vegetables and fruits, spices).

Proper nutrition speeds up the healing process, improves the effectiveness of medications and reduces the risk of complications.

Folk remedies for erosive duodenitis

Treatment for duodenal erosions folk remedies can be carried out against the background of drug therapy. If the defect is small, then in some cases you can get rid of erosion without medication. But the final decision on the method of treatment must be made by the doctor. Typically, infusions and decoctions are used for this disease. medicinal plants, as well as their extracts and oils. In the following video you can learn in more detail about herbal medicine for erosive, ulcerative and some other gastrointestinal diseases:

Surgical treatment

Typically, surgical intervention is required in case of heavy bleeding from duodenal erosion, if the vessel located underneath is affected. Open surgery is rarely required. More often, endoscopic electro- or laser coagulation of the vessel is performed.

In the same way, you can cauterize the erosion itself, after which a small scar remains. To avoid complications such as bleeding, anemia, the transition of erosion into an ulcer, you need to take care of your health and consult a doctor in a timely manner.

In addition, it will be useful for people suffering from erosion to learn about how one of the possible complications diseases.