Very often the cause of gastrointestinal painis the ulcerative process that occurs in them. The ulcer, the symptoms of which depend on the location of the defect, behaves differently in different parts of the digestive tube. Therefore, all the clinical manifestations that gastroenterological doctors can observe in their patients-ulcers are very diverse and depend on the phase of the current that is currently taking place.
Nevertheless, the symptoms of peptic ulcer can be generalized in some way to syndromic complexes: pain, dyspeptic, local changes, asthenovegetative and a complex of complications.
Stomach ulcer
Gastric ulcer, the symptoms of which are pronounced,is localized in the walls of this organ. Her favorite place of defeat is a small curvature. During an exacerbation, a characteristic symptom is pain, which has a clear rhythm. It appears either immediately after ingestion of food in the stomach, or after some time after this. The greatest likelihood of the onset of a painful attack is caused by various kinds of errors in the use of food. If the pain becomes similar to the shroud, then most likely the ulcer, the symptoms of which in this case are even more pronounced, sprouted into the tissues of the pancreas. In addition to pain, patients have complaints of vomiting, a feeling of overflow, raspiraniya, tk. all gastric contents are poorly evacuated from this organ. An obstacle to evacuation is the complication of stenosis of the pyloric, or of the pylorus. Patients often suffer from heartburn and belch rotten. With a strong food delay, it can begin to decompose in the stomach itself, and then the patients get an unpleasant, musty smell from the mouth. Many gastric defects are prone to rapid and progressive malignancy, i.e. transition them in onkoprotsess. Bleeding of erosions and ulcers is a very common phenomenon in peptic ulcer disease.
Ulcerative bowel disease
Symptoms of bowel ulcers differ from thosea picture that takes place with stomach ulcers in that the pains appear more in the night time interval. They are also called "hungry". Defeat more often can be found in the bulb duodenum, on its back wall. As a rule, such an ulcer, the symptoms of which are also seasonal, never get malignant. Seasonality means that intestinal ulcers are more aggravated during the demi-seasonal periods of the year. Vomiting that accompanies the defect of the duodenum has a specific specificity. It occurs mostly at the height of the pain syndrome, bringing some relief to the patients. During the exacerbation of the disease, the psycho-emotional sphere is sharply expressed in patients. They are very vulnerable, quick-tempered, irritated by trifles, tearful. Ulcers of the duodenum are very prone to complications in the form of sprouting into neighboring organs, perforation and profuse bleeding. When intestinal ulcers very often because of the increased level of acidity, heartburn occurs. The eructation in this case has a more acidic taste. Because of the high acidity of patients, constipation is often impaired.
A very effective way of diagnosing allUlcerative defects are fibrogastroduodenoscopy. It helps to establish not only the location of the hearth, but also to accurately know its size, depth, fully characterize the mucosa. On the x-ray, which is carried out using a barium suspension, a niche is visible, which is the ulcer itself. On the X-ray, you can also see a large, overstretched stomach with a liquid level when there is stenosis of the gatekeeper.
Treatment will depend on the stage of the process, as well as on the presence of complications.
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