Is there a characteristic symptom of duodenal ulcer, on the basis of which the doctor can diagnose ulceration of this particular section of the digestive system? It turns out there is! This is pain that radiates to the region of the left shoulder blade or hypochondrium. Is it possible to suspect without special medical knowledge that this pain is not associated with the spine?
Duodenal function
The duodenum of the gastric pylorus is located and belongs to the organs of the small intestine. It is she who secretes intestinal juice with the enzymes necessary for the digestion of food. Due to its contractile ability - motility - it mixes products with this juice, and the contents move to neighboring sections of the intestine.
This intestinal section is covered with a triple membrane, which consists of:
- the serous component also covering the stomach;
- muscle, providing contractility;
- the mucosa on which intestinal villi are located.
Each villus has vascular and lymphatic organs at the end that absorb nutrients and base glands that are involved in the digestive system. If at least one villus is damaged, then an ulcer of the duodenal bulb appears , the symptoms of which can be noticed by unpleasant changes in one's own condition. It is impossible not to pay attention to the appearing pains. Although not all of them can be independently associated with pathology in the digestive system.
Suspected ulcer process
Symptoms that indicate an ulcer in the duodenum include:
- dyspeptic disorders ;
- morning pains, which usually appear on the right under the ribs;
- pain in the absence of food;
- burping;
- excessive gas formation;
- vomiting
- the main symptom of a duodenal ulcer that does not occur with a stomach ulcer is pain under the left shoulder blade.
Also, if there is an ulcer in this section of the intestine, the patient may experience weight loss.
If with inflammation of the bulb only the symptom of a duodenal ulcer makes itself felt, which gives reflected pain to the region of the left scapula, then the doctors cannot diagnose the ulcer process for a very long time. The patient is treated for osteochondrosis, exacerbating ulceration of the intestinal mucosa with the use of non-steroidal drugs. And only when other manifestations of peptic ulcer occur, a special treatment is prescribed.
But the doctor should not be blamed for ignorance or carelessness. Most often, the patient is "to blame" himself. He does not connect these pains with the process of eating, although their manifestation occurs at a strictly defined time. Acute pain often occurs a couple of hours after eating and does not subside even with painkillers.
Causes of an ulcer and its treatment
It is not always possible to establish a diagnosis - duodenal ulcer - symptoms.
A photo or x-ray, fibrogastroscopy - only they are the basis for a diagnosis. Currently, the photographic method is rarely used, it requires preliminary preparation: before the study, you need to drink a contrast agent, which for many patients is an allergen. FGS - an endoscopic examination of the duodenum by introducing a sensor into the patient's body - provides an effective assessment of the state of its membrane.
The causes of duodenal ulcers are considered to be acidity, malnutrition, stressful situations, side effects of the use of drugs and infection with Helicobacter pylori. Therefore, before prescribing treatment, the result of another analysis is needed - for the presence of Helicobacter in the blood. To do this, you still have to donate blood from a vein. If the analysis showed the presence of bacteria, then, in addition to enveloping preparations, agents that reduce inflammation and lower the acidity of the secretion, antibiotics are prescribed.
Currently, if Helicobacter is not detected, Omez, De-nol, Almagel and the like are used to treat ulcers. Their combination, dosage and duration of admission is determined by the attending physician. The most suitable for the destruction of bacteria Helicobacter pylori are considered macrolide antibiotics.
If there is at least one symptom of a duodenal ulcer, then a doctor must be consulted. An untreated ulcer can give a complication in the form of gastric bleeding, and then it will be impossible to do without surgical intervention, during which the affected section will be excised.