Symptoms: pain, vomiting, heartburn, belching, nausea The main symptom of peptic ulcer is pain, which is often the only complaint of the patient. It can have a different character: compressive, pulling, cutting, stitching. Localized pains are most often in the epigastric region, rarely - behind the breastbone. With peptic ulcer of the duodenal, pain is often given to the left hypochondrium, under the scapula.
Depending on the time of appearance, there are early pains( 1-2 hours after eating), late( after 2-6 hours), night and "hungry" pains. Late and hungry pains are common in duodenal ulcers.
An important symptom of peptic ulcer is the pain periodicity .This means that they can make themselves felt at any moment. Usually, exacerbations of the disease occur at certain times of the year, most often in late autumn and late winter. The reason for this has not yet been clarified, but it is assumed that in the autumn-winter period, exacerbation of the disease provokes hypovitaminosis.
The second important symptom of peptic ulcer is vomiting of , which is often observed with gastric ulcer and less often with ulcer of duodenum.
Among the dyspeptic phenomena that occur with peptic ulcer, heartburn is often seen, which usually appears after eating, less often - on an empty stomach and at night. Heartburn is not always associated with increased secretion of gastric juice, and its appearance is associated with peristaltic throws of gastric juice into the lower part of the esophagus.
Sour belching and nausea are common symptoms of peptic ulcer. The tongue is usually not imposed, weight loss is not always observed.
Complications of
Peptic ulcer is terrible with its complications. The main ones are perforation of the ulcer( perforation is characterized by a sharp "dagger" pain), stenosis of the pylorus( pyloric stenosis) and cancerous degeneration.
For centuries, patients suffering from stomach ulcers and duodenal ulcers were looking for simple and affordable means of help. Generations of herbalists and healers have developed the basic principles of treatment of peptic ulcer. These principles are based, first of all, on a healthy lifestyle and the most rational nutrition. Here are some of them:
Treatment of peptic ulcer of the stomach and duodenum
Folk remedies at home
Recommendations and advice of healers
- The patient must quit smoking.
- Exclude from food acute, salty, acidic and irritating dishes.
- Food should always be under-salted.
- At all times in the treatment of peptic ulcer medicine men and herbalists believed that the emergence of the disease primarily to blame for nervous shocks and the overload of the nervous system."The soul is not in order," they said. Therefore, in the treatment of peptic ulcer disease, healers first of all used soothing agents( motherwort, valerian root, cucumber grass, melissa, hop cones and many others).And only later, when the "soul was in place," they began to give the money that cures the ulcer.
As NA Nossal points out: "Most types of stomach ulcers do not need medicines, and if they have to resort to them, they give only temporary relief, which does not need to be rejoiced. On the contrary, for stomach ulcers, a diet for the stomach and careful care of the patient from the emotional experiences is that the lifebuoy for the drowning. We only need rest for our nerves and for the stomach, and those remedies and medicinal herbs that we will talk about below are only an addition to the diet, filling in the ingredients necessary for nerves and for the stomach. "
- In cases of stomach diseases, fresh milk should be avoided, as with fermentation it releases gases that propel the walls of the stomach and intensify pain.
- Useful sour milk, yogurt, yogurt( for dinner, you should always take 1-2 glasses of sour milk without sour cream with a small amount of bread or bread).
- It is necessary to give the patient fresh, well-pressed cottage cheese, mixed with cream and rubbed through a sieve.
- Sweets for ulcers are best served by honey. It inhibits the secretion of gastric juice, soothes nerves and replaces sugar. If there is heartburn from honey, then you need to chew 5 oat grains( chew until there is left in the mouth chaff, which should be spit).
- Unwanted flour products with the addition of yeast. The less yeast - the better for the patient.
- Coffee is a "grater" for the stomach. Its use is very undesirable for a patient with peptic ulcer.
- In duodenal ulcer, when nightly "hungry" pains, you need to drink honey at night( 2 teaspoons of honey for 200 ml of boiled water) or sugar water( 2 teaspoons of sugar for a glass of boiled water).
For the treatment of peptic ulcer, folk medicine advises the following remedies.
Home remedies: fruits, infusions, juices
Fruits of sea buckthorn in the form of juice, water infusion, alcohol tincture or oil take inside.
Fresh white cabbage grind, pound in enameled dishes, squeeze out the juice. Take 1 glass 4 times a day for 30 minutes before eating. The course of treatment is 40 days.
3 cups chopped chaga , 50 g yarrow , 50 g pine bud , 50 g dogrose , 5 g wormwood fill with 3.5 liters of cold water. Boil for two hours over low heat under the lid. Put the pan in a warm place for a day. In a day, strain, add 200 g of aloe juice, 250 g of cognac, 400 g of honey and four days, insist, stirring daily. Take 1 tablespoon three times daily before meals. To cure sometimes one 0.5-liter bottle is enough. With peptic ulcer this remedy is one of the strongest. The agent can also be used to treat gastritis, dyskinesia of the biliary tract.
Two teaspoons of dandelion roots pour a glass of cold water and leave for 8 hours. Take one quarter cup four times a day for 15 minutes before eating.
Slightly preheated pickled cabbage brine take half a glass daily.
Onion juice drink 1 tablespoon 3-4 times a day.
1 tablespoon flower baskets tansy infuse 4 hours in 500 ml of boiled water in a closed jar. Strain. Take one third of the glass three times a day for 20 minutes before eating.
Fresh juice potato tubers drink 2-3 times a day for half an hour before meals for one second - one third of the glass.
Several cleaned, well-washed potatoes boil in unsalted water until cooked. Broth drink with peptic ulcer 100 ml three times a day before meals.
Take a small high pot and a jar with a wide throat. At the bottom of the pot, put a piece of asbestos of any thickness, put on it a jar filled to the top with dried herb, , add oil of oil in it so that it covers the top layer of grass. Take another saucepan. Fill both pans with water and boil. Hold the main pot with the medicine in the boiling state of water in the additional saucepan until 150 ml of water is left in the first pan. Then add this amount from the extra pan. After 6 hours, the medicine is ready. Strain and keep in a dark, cool place. Take 2 tablespoons half an hour before meals.
One of the simplest and most reliable means for peptic ulcer is the following: three year old centrifuge wash, cut the needles, pass through the meat grinder. Then squeeze through 250 ml three-layer gauze. Add 250 g of honey and 250 ml of alcohol. Mix and place for a day in a warm place. After a day, whisk the mixture like butter for an hour. Take the resulting mixture for 1 tablespoon three times a day.
1 kg flower honey , 250 g dry glucose , 1 kg walnuts , 50 g valerian root , 50 g birch kidney , 3 crushed nutmeg , insist 2 weeks in two liters of cognacin a dark place. Take 1 tablespoon three times a day for 30 minutes before meals with peptic ulcer and 12 duodenal ulcer.
Juice of celandine .For a liter of fresh juice, add 0.5 liters of vodka( or 250 ml of alcohol).Insist 24 hours and drink 1 teaspoon three times a day for 20 minutes before meals.
Infusion of eucalyptus .20 grams of leaves for a glass of boiling water. Strain. Take 50-60 grams 4-5 times a day.
0.5 liters of fresh juice leaves of plantain mix with 0.5 kg of liquid honey and cook in enameled dishes for 20 minutes. Take 1-2 tablespoons three times a day before meals. Keep the mixture in a refrigerator in enamel or glassware.
Diet for peptic ulcer, nutrition, medical means
One of the main factors in the treatment of peptic ulcer is diet. Nutrition of the patient should be high-grade in a caloric ratio and meet the following requirements:
- Do not stimulate the secretory activity of the stomach.
- To provide the patient with the need for vitamins.
- Eliminate stomach cramps.
- To reduce peristalsis of the stomach.
The diet should exclude meat, fish and mushrooms, sharp and salty foods, fried foods, alcohol. Smoking should stop. Prohibited salted cheese, strong tea and coffee, garlic, mustard, horseradish, etc.
Fats and carbohydrates as products that do not increase the secretory activity of the stomach, occupy an important place in the nutrition of patients.
In a hospital, patients are fed by a so-called "antiulcer diet".These are tables 1a, 16 and 1. Each of the rations is prescribed for 7-14 days, depending on the patient's condition.
In the treatment of peptic ulcer drugs are used, acting on the central and autonomic nervous system. Among the agents weakening the increased excitability of the cortex and suppressing reflexes from the mucous membrane of the stomach include bromide preparations, aminazine, andaxin.
Patients with an excitable type of nervous system are recommended to prescribe Phenobarbital( 0,03-0,15 g for 1-2 times a day).
Extensive use for peptic ulcer is found in alkalis. It is established that they suppress secretion, stop the pyloric spasm and accelerate the evacuation of stomach contents.
It is prescribed Vikalin, which give 1-2 tablets 3 times a day after meals. The course of treatment is 1-3 months.
Along with alkalis in the treatment of peptic ulcer is used sulphate atropine( in drops 1: 1000 for 10 drops per reception or subcutaneously 1-2 times a day for 1 ml of 0.1% solution), Belladonna( 0.015-0.02 perreception three times a day) and Platyphylline( subcutaneously or inward).
For severe pain, prescribe papaverine in powders or pills.
In Russia, for the treatment of peptic ulcer successfully used drugs such as Gangleron( 0.04 to 1 powder three times a day or as a subcutaneous injection of a 1.5% solution of 1 ml) and Quatarone 30 mg 3 times a dayfor 1 month. These drugs reduce secretion and have analgesic effect.
Other anticholinergics are prescribed Gastricone 1-2 tablets three times a day( or subcutaneously 2 ml 2-3 times a day) and Gasprobomat 11 tablets three times a day.
To improve the healing of ulcers, a blood transfusion of 100 ml is indicated at intervals of 7-10 days.
From enveloping agents prescribe drugs like Almagel.
During the exacerbation, vitamins B and U are prescribed( antiulcer vitamin from cabbage juice).
Medications, preparations for peptic ulcer of the stomach and duodenum
A brief description of the main drugs used to treat peptic ulcer.
The history of treatment of ulcers began with the use of antacids, or alkalizing substances that neutralize excess acid in the contents of the stomach. These include various drugs, and you can also use traditional medicine.
Antacids and enveloping
Baking soda , or Sodium bicarbonate. In the stomach there is an irreversible interaction of soda with hydrochloric acid to form carbon dioxide. The advantage of baking soda is the instantaneous neutralization of the acid. Disadvantages: the release of carbon dioxide, which again stimulates gastric secretion;as well as the absorption of unreacted amounts of soda into the blood, which causes alkaline shifts in the body.
Calcium carbonate ( lime, chalk).He is stronger than baking soda, provokes secondary secretion and causes constipation with prolonged admission.
Magnesium oxide .On the contrary, it has a relaxing effect.
Magnesium Trisilicate .In the stomach, the drug passes into a gel-like state. The resulting silica gel has protective and absorbing( suction) properties. There is a lenient action.
Aluminum hydroxide .The drug is used in gel-shaped medicinal forms, which have enveloping and adsorbing action. Can promote the development of constipation.
A mixture of Bourges , consisting of sodium hydrogen carbonate, sodium phosphate and sodium sulfate. Take half a teaspoon in half a glass of warm water.
The alkalizing substances are in such dosage forms as tablets of vocalin, bellalgine, vicair, bicarbonate , as well as in gelled liquid substances - almagel ( magnesium and aluminum oxides), phosphalugel ( aluminum phosphate gel), Maalox , etc.
The effect of antacids is expressed in the reduction of pain and heartburn and is achieved by reducing the acidity of gastric contents. The duration of action of antacids depends on their acid capacity( alkalinity) and ranges from 20 minutes to an hour. Therefore, it is better to take antacids in small fractions, 4-6 times a day or more. Appointed before meals, 2 hours after meals and at night.
By reducing the symptoms of peptic ulcer, antacids contribute to the healing of ulcers, but do not at all affect its cause. But you will not feel pain.
Gastric secretion inhibitors - cimetidine derivatives
The first drug of this group was cimetidine .The main property is the interruption( blockade) of the neuro-reflex and hormonal chain that triggers the production of hydrochloric acid.
The blockers are available under various commercial names: Cimetidine ( Cynamet, Histodyl, Tagamet, Belomet), ranitidine ( Ranthak, Gistak, Ranisan, Peptoran), Nisotidine ( Aspid), famotidine ( Pepsid, Gaster, Lecidil).
Under the influence of these preparations, the production of hydrochloric acid and pepsin is reliably suppressed, spasms and pains in the stomach are eliminated, which, as it were, "rests".The action comes immediately, the pain completely disappears after 4-5 days of treatment, heartburn and vomiting - after a week. Healing of ulcers in conditions of paralysis of secretion occurs within 4-6 weeks of treatment;this period is significantly less than when treated with other drugs.
Side effects of : loose stool at the beginning of therapy( 2-3 days, then normalized);with prolonged administration of large doses - cardiac arrhythmias, decreased potency in men( only under the influence of cimetidine).
Blockers of secretion of other pharmacological groups
This includes substances that, in have a nonspecific effect, differ from cimetidine and its derivatives. In addition to blocking the gastric secretion, they act on other organs and systems.
A natural blocker of plant origin is the extract of the belladonna ( belladonna) containing the substance atropine. Atropine reduces not only the production of hydrochloric acid, but also the motor activity of the gastrointestinal tract, causes palpitation, dilates the pupils, dry mouth, relaxes the musculature of the biliary and urinary tracts, etc. The krasavka extract containing atropine is contained in tablets of Bicarbon( soda), Bellastesin( with anesthesin) and Bellalgina( with soda, analgin and anesthetine).These drugs have an auxiliary value in the treatment of ulcers.
Less active than Atropine, is platyphylline, isolated from the leaves of the snowdrop. It is produced in tablets and ampoules.
methacine, , has a significantly lower concomitant effect, which basically relaxes the musculature of the stomach( relieves spasm) and gently reduces gastric secretion.
More specific for gastric secretion is the property of pirenzepine, or gastrocepin. The motor activity of the stomach is almost not affected;good and for a long time reduces the secretion of acid. Promotes healing of ulcers and prevention of relapses. We highly recommend this good remedy.
Substances that prevent the formation of hydrochloric acid in the secreting cells of
The very effective and selectively acting substance of this group is the preparation omeprazole ( Losek, Logastrin).It has a long effect( it is taken 1 time per day);used for intolerance to cimetidine and for maintenance therapy.
Reduction of gastric secretion can be achieved with other drugs: hormonal - somatostatin ( Octreotide, Sandostatin); dalargin, diuretic - diacarba and other groups.
But before it is better to consult a doctor.
Cytoprotectors - "protectors" of cells of the mucous membrane of the stomach
Treatment is especially important for gastric ulcers, in which the protective properties of the mucous membranes are sharply reduced. There are a lot of cytoprotectors. Some of them preferentially increase the formation of protective mucus - these are preparations from the root of licorice ( syrup, extracts, liquid pills, granules of Flacarbin) and rhizomes ( Vikair, Vikalin, etc.).
Other substances improve the protective properties of mucus - it is the juice of raw cabbage, containing vitamins U( antiulcer vitamin, from Latin ulcus - "ulcer"), decoction of the roots of elecampane( the drug Alantoin in tablets).
A group of substances called "prostaglandins"( obtained from the juice of the prostate gland, has a pronounced protective property on the cells of the gastric mucosa).
This includes the drug Zipotek( Misoprostol), especially effective in ulcers caused by prolonged intake of irritating and stomach-damaging medicines( Aspirin, Brufen, Prednisolone, etc.).To this group are adjacent vitamins E and B1, stimulating the production of the body's own prostaglandins, which gives a protective effect on the mucous membranes.
Finally, the group of cytoprotectants includes natural wound-healing substances contained in honey, sea-buckthorn oil, plantain, carrot( carotolin), mountain wax, or mummies, etc. Their application in combination with secretory blockers accelerates the healing of ulcers. To substances that protect the mucous membrane of the stomach and duodenum, include film-forming agents, or "mechanical" cytoprotectors. The main representative of this group is Sukralfat( Keal, Carafate, Ulkogant, etc.).This substance creates a film on the defect of the mucous membrane( ulcer), which protects it from the action of acid. The drug is especially indicated for deep, fresh ulcers, sudden bleeding, etc.
Bismuth preparations
These are substances of combined action. On the one hand, Bismuth envelops the defects of the mucous membrane, forming a protective barrier. On the other hand, bismuth has a direct preventive effect - it inhibits in the experiment the damaging effect of various acids on the stomach. Finally, Bismuth kills microbes( Helicobacter), participating, along with hydrochloric acid, in the formation of ulcers.
Bismuth is contained in complex dosage forms( Vikalin, Vicair), which provide a versatile therapeutic effect for ulcers.
But the most effective preparations of colloidal Bismuth( De-nol, etc.).True, with their long-term use may develop side effects( dizziness, diarrhea, effects on the kidneys, etc.).Knowing this, think about how to dispense.
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. Source: NGNogov. Official and traditional medicine. The most detailed encyclopedia.- Moscow: Izd-vo Eksmo, 2012.
