The therapeutic treatment of peptic ulcer should be comprehensive, differentiated, taking into account all the factors causing the development of the disease, its development mechanism, localization of ulcers and complications.
During an exacerbation of peptic ulcer, treatment is carried out in a hospital until the ulcer is completely scarred. After inpatient treatment, the patient is prescribed a course of outpatient therapy for three months, since gastroduodenitis associated with the disease remains throughout this time.
Treatment for peptic ulcer includes:
- medical nutrition
- elimination of all causes contributing to the development of relapse
- drug therapy
- physiotherapy.
Diet for peptic ulcer disease should contain the physiological norm of nutrients, as well as vitamins and minerals. In the phase of exacerbation of the disease, one should adhere to the principle of sparing the mucous membrane of the digestive tract, protection from chemical, mechanical and thermal factors.
Drug treatment for peptic ulcer
The number of drugs used to treat peptic ulcer disease reaches one thousand names. The selection of adequate drugs for the treatment of patients is determined by many criteria, which include the localization of the ulcer, the severity of symptoms of concomitant gastroduodenitis, the severity of relapse and the course of the disease, concomitant pathology.
The purpose of drug therapy pursues the following goals:
- inhibition of excessive synthesis of hydrochloric acid and digestive enzymes or their neutralization
- normalization of the motor function of the stomach
- increased production of protective mucus and alkaline secretion
-stimulation of recovery processes in the mucous membrane and the elimination of inflammatory and dystrophic processes in it.
In the treatment of patients with peptic ulcer, it is necessary to prescribe double, triple or even more intensive anti-Helicobacter therapy. The most effective drug for controlling Helicobacter pylori infection is De-nol in combination with Omeprazole, H2-blockers of histamine receptors, which reduce the acidity of gastric contents. This creates the conditions for rational therapy with other antimicrobial agents - Amoxicycin and Clarithromycin.
To reduce the aggressiveness of the acidity of gastric juice, antacids and adsorbents are used. For this purpose, soluble and insoluble antacids are prescribed.
Stimulation of recovery processes and healing of a ulcerative defect in the mucous membrane is achieved by the appointment of drugs that affect tissue metabolism. For this, vitamin preparations, biogenic stimulants, "Oksiferroscorbon sodium", "Metronidazole" are used.
Treatment of peptic ulcer with physiotherapeutic methods is prescribed during the period of exacerbation of the exacerbation of the disease with uncomplicated course and the complete exclusion of symptoms of occult bleeding. Physiotherapy consists in thermal procedures in the form of paraffin or ozokerite applications, hyperbaric oxygenation, laser irradiation of an ulcer through a fibrogastroscope.
In the remission stage, it is necessary:
- complete exclusion of etiological factors
- adherence to a sparing diet
- mode of work and rest
- Spa treatment
- medical supervision of the patient at the place of residence.
Thus, if a peptic ulcer is diagnosed , the treatment of this disease is not limited to taking medications. The use of various therapeutic methods prevents the progression of the disease and the development of complications. Peptic ulcer, the treatment of which is carried out in full, does not require surgical intervention, which is inevitable with the development of complications.