What causes stomach ulcers? Types, causes, treatment, diet, remedies

by admin / Oct 03, 2016 / 0 comments

Duodenal ulcer or gastric processes is the inflamation of the lining of the stomach or delineated the duodenum. They are always accompanied by a loss of tissue substance that decomposes ulcers. Gastric ulcers are called ventricles within ulkus scientific and duodenal ulcers, duodenal ulkus - often described together as ulcers. If ulcers continue to occur throughout the years, we are dealing with a recurrent ulcer. Gastric (ulkus ventricles) is less than the duodenal ulcer, duodenal ulkus.

Gastric ulcers are registered with the same frequency among both women and men, and the ulcer is 3.5% more common among men. The maximum value of the frequency of illness in terms of age is 60-65 years and 75-80 years for ulkus duodenum. When close relatives (children, parents, grandparents) suffer from ulcers or blood group zero risk of illness for both forms grow by 1.5%. Gastric ulcer is a mucosal defect that reaches deeper layers of the stomach wall and is described as an ulcer whose diameter exceeds three centimeters. From an inflammation of the gastric mucosa for weeks, months or years, representing so-called chronic gastritis, ulcers can form.

Causes

According to opinions of older people, the disease could be due to an imbalance between aggressive factors (which attacks the lining) and the defensive (which protects the lining). This understanding of the disease have completed a significant factor: in recent years, it has been discovered that the bacterium Helicobacter pylori would be guilty of ulceration.

About 60% of the world population is a carrier of the pathogen Helicobacter pylori in gastric mucosa. We are dealing with a bacterium that forms cellular enzymes that participate in the destruction of the gastric mucosa. Ulcers can occur singly or multiple. Another important factor is the trigger psychosocial stress. The autonomic nervous system is overexcited and formed by influences biochemical mechanisms aggressive yet unestablished lead to increased production of gastric juice.

But these mechanisms become aggressive only effective in certain hereditary conditions. It would seem that even personality plays a major role in ulcer formation. Thus, psychosocial stress and context are not the only determinants, but also how we combat stress depending on personality: patients suffering from ulcer suffer from feelings of guilt, frustration and state of permanent conflict. The mechanisms that cause ulcers depend on many factors.

In gastric ulcer, besides factors and biochemical mechanisms of defects reaction of hydrochloric acid secretion would seem to play an important role and consumption of analgesic drugs and alcohol. In the case of duodenal ulcers would appear to be involved circulatory disorders as a result of the abnormal activity of nerve vessels. Purely statistically zero blood group appears to occur more frequently among those suffering from an ulcer. Might as lack of specific active substances other blood groups is a factor.

One thing is clear: a gastric and duodenal ulcer is growing among residents of developed countries. Modern lifestyle, physical and emotional problems also play a role definitely. In addition, the peculiarities related to the context of each individual are also important. People sensitive nerve with the long line constitution is more prone to illness. It would seem that ulcers are formed as a result of poor digestion in the stomach wall that duodenal digestion enzymes present in the digestive juices. Among the factors that increase the risk of illness include:

Consumption of food contaminated with the bacterium Helicobacter pylori
Drinking water contaminated with the bacterium Helicobacter pylori
Old age
Autoimmune diseases (thyroid)
Chronic diseases that require regular and long-term administration of analgesic tablets and / or cortisone
Excessive consumption of alcohol, nicotine, caffeine further increased the risk of illness.
 
Symptoms, Diagnosis, evolution

Both types of ulcer are accompanied by cramps, pain gloomy, dull or sharp localized in the upper abdomen, usually on the left side of the body. Often the pain is directly related to food consumption: instead ulcers are typically either a curvature of the stomach or leaving the stomach, the pyloric orifice or in the capture of the duodenum. In the case of gastric ulcers, pain disappears for several hours after eating. But pain is present at night.

Pain that accompanies hunger and that usually on an empty stomach is typical of duodenal ulcer;
Especially early pain which stops directly at the end of the table is typical of gastric ulcers;
Late pain that occurs after 1-3 hours after a meal is common especially in the pyloric orifice or ulcers in areas directly adjacent.
Both types of ulcer can remain undetected for long periods of time because the discomfort is not very clear. Some patients show no pain. As a result of bleeding that occurs repeatedly in ulcers, anemia may occur accompanied by fatigue and pale skin color. Bleeding strongest stands in seats with blood that is very dark and sticky. In addition, these bleedings may also lead to vomiting blood (hematemesis). In such cases, the patient may become dramatic situation very quickly by installing a hemorrhagic shock.

When the bleeding, tract or stomach wall is perforated bowel or stomach contents into the abdominal cavity reach that infects. Besides peritonitis and acute abdomen form and intestinal obstruction. Once in this situation, surgery should be performed immediately or risk dying patient.
Generally not registered decreased appetite. Can form intolerant to certain foods, typically after the drooling, which stimulates the production of gastric juices, such as fried meat, fried fat, alcohol concentrate, sour wine, black coffee, hot spices.

The patient's facial expression is marked by sagging cheeks, the nose wrinkles that start and reaches the corners of the mouth. If the patient goes through repeated episodes of vomiting, they may be a sign of acute peptic ulcers or scars. Vomiting may occur as a symptom of ulcers without affecting gastric emptying. The mechanism is not yet clear. Weight loss is the case with many patients following vomiting, accompanied by loss of appetite or deficiency in the diet (avoidance of ulcer pain). A duodenal ulcer healed by scar tissue can lead to a narrowing of the diameter of the small intestine, thus affecting gastric emptying. This thus leads to repeated vomiting.

Each review begins with a series of questions for the patient on the disease history (history). These may provide clues to the presence of an ulcer, but without certainty because of no specific discomforts. In the foreground will find questions related to older ulcers (endoscopically confirmed) and their treatment, possibly on combinations of antibiotics used in the past to treat Helicobacter pylori infection. With questions for the patient, will collect information on any chair and vomiting blood. Also, alcohol, drugs painkillers, cortisone, nicotine also play a role, since these substances attack the stomach lining, facilitating ulceration.

After anamnesis full body examination takes place. Palpation of the abdomen is not critical in most cases, insignificant due to the discomfort. In cases of extensive inflammation of the gastric mucosa ulcerations and concomitant pain on palpation can occur in the abdominal cavity. A perforation of the ulcer can lead to extreme hardening of the abdominal cavity or even an intestinal obstruction-free bowel sounds. Anemia, a decrease in concentration, fatigue and pale skin color can indicate blood loss from repeated upper gastrointestinal tract.

This gastric and duodenal ulcers can be established by a gastro-esophageal duodenoscopy (endoscopy of the esophagus, stomach and small intestine). Endoscopy of the stomach and duodenum through tissue sampling method is that you can call to examine this part of the digestive tract. Given that they can hide behind an ulceration and stenosis malignant (cancer of the stomach), sampled tissue sample is checked for determination of the microscopic tumor cells.
Bleeding coming from the upper gastrointestinal tract may lead to a situation that may endanger the patient's life, such as endoscopic method can not be avoided. ( for more health tips visit http://health-tips.ca )

Mucous membranes can be investigated both individual organs, and even bleeding can be stopped by injections. By this method, adrenaline (stress hormone of the adrenal glands) is injected into the source of bleeding, and the ship is so strong narrowed, stopping the bleeding. In addition, it will conduct a rapid urease test to verify the presence of infection with the bacterium Helicobacter pylori which may be responsible for gastric ulcers.

A bleeding ulcers activity is determined according to a specific classification (Forrest). Thus, if Type Ia ulcers we are dealing with an acute bleeding form the jet, while the type Ib, bleeding is in the form of drops. In ulcers IIa based blood vessel can be identified, but not bleeding. A IIb ulcer is covered with blood thrombus and ulceration of type III is already in the healing phase.

Radiographs are necessary only in situations where ulcers in the stomach wall destroyed to such an extent that there is a danger of perforation of the abdominal wall and acute. Setting the blood (red cells, white hemoglobin) is required to demonstrate a possible anemia. Anemia can be a result of bleeding gastric mucosa. Weather is favorable for this disease. Germany 6 of 100 000 inhabitants lose their lives following a gastric ulcer, from 100 000 in April from a duodenal ulcer. Fatal complications are found mainly among people over 70 years with a dual-frequency among men compared to women.