Do you know the symptoms of 'duodenal ulcer'?

 

There are various types of gastrointestinal diseases, but duodenal ulcer is one of the recent trends in the number of patients. Although it may be a relatively new disease compared to gastric ulcer, it is a gastrointestinal disease to watch out for that can lead to serious symptoms. Let's improve our understanding of what kind of disease a duodenal ulcer is, such as the difference from gastric ulcer and treatment methods, and think about gastrointestinal health.

Characteristics of a duodenal ulcer

What is duodenal ulcer?

Duodenal ulcer is a disease in which the mucous membrane of the duodenum between the stomach and small intestine in the epigastrium is damaged and ulceration occurs.

The stomach is an organ that digests food, but during digestion, it secretes digestive juices such as hydrochloric acid and pepsin. When this digestive juice damages the mucous membrane of the duodenum for some reason or removes the tissue, it becomes a duodenal ulcer. A duodenal ulcer is an ulcer with a clear border with the surrounding tissues and is characterized by a deep progression beyond the mucous membrane. It is common in the 20-40 years of age and the number of patients is increasing.

Please tell me the main symptoms

The main symptoms of duodenal ulcer include body pain, nausea, vomiting, anorexia, heartburn, abdominal pain, and back pain. Although many people tend to feel pain in the area of ​​​​the medulla oblongata, there are many people who do not have any symptoms at all. On the other hand, as the ulcer progresses, it may be accompanied by bleeding and perforation. Bleeding from a duodenal ulcer may result in dark blue stools. Even if there is bleeding, there is no pain due to internal bleeding, and there are many cases where the disease progresses without any symptoms. Some people have duodenal ulcers without knowing it because they have no symptoms. The fact that it is not necessarily a disease with subjective symptoms is something to be wary of for duodenal ulcer.

What causes duodenal ulcers?

The cause of duodenal ulcers is the breakdown of mucus by stomach acid. Stomach acid to digest food is necessary for the body, but normally the mucous membrane protects the stomach acid and does not damage the stomach or duodenum.

However, when the balance between mucosal defense function and gastric acid is disturbed, gastric acid damages the mucous membrane.

• Drinking
• smoking
• binge eating
• side effects from drugs
• stress
• pylori infection

The reasons for the disruption of the mucosal defense function and the balance of gastric acid include the above. In addition, genetic factors are also known to be involved. It is known that most of the duodenal ulcer patients are infected with pylori bacteria, and the infection rate is said to be more than 97%. Fatigue bacteria are thread-like bacteria that live in the stomach. It is thought that the cause of duodenal ulcer is that the gastric mucosa is damaged by the pylori bacteria and becomes susceptible to damage by gastric acid. It is also known that the secretion of gastric acid is excessive when infected with pylori bacteria. Excess stomach acid flowing into the duodenum also causes duodenal ulcers.

Duodenal ulcer screening and treatment methods

When duodenal ulcer is suspected, the condition is mainly confirmed by endoscopy and X-ray examination. By performing compression imaging by X-ray examination, deformation and depression of the duodenum can be detected. An X-ray examination of a duodenal ulcer will take barium. The barium test can be tested faster than the above camera test, but it cannot test for pylori.

Gastric camera examination directly observes the condition of the esophagus, stomach, and duodenum by inserting an endoscope through the nose or mouth. It is possible to confirm the condition of the mucous membrane, which cannot be known by X-rays, and at the same time to perform a pylori test.

Therefore, in most cases where duodenal ulcer is suspected, it is diagnosed by endoscopy using a gastric camera.

Please let me know if there are any indications that the examination should be reviewed.

If stomach pain or sciatica pain persists, even if it is not a duodenal ulcer, it may be a gastrointestinal disease. If stomach pain or discomfort persists, consider a medical examination. Also, if the stool is black, there is a possibility that there is bleeding somewhere in the digestive system. Even if there is no pain, if you notice changes in the stool, go to the Department of Gastroenterology and Gastroenterology as soon as possible for an examination.

I want to know how to treat.

Treatment of duodenal ulcer is usually drug therapy. A drug that suppresses gastric acid secretion and a drug that protects the gastric mucosa, aimed at improving symptoms. If bacterial infection is recognized during fatigue, antibiotics or ingredient ratio inhibitors are used to eliminate bacteria during fatigue. A duodenal ulcer is basically a disease that can be treated with medication without the need for surgery. However, if the symptoms progress and bleeding or perforation is seen, surgery is required. Most of the surgery is hemostasis treatment through endoscopy. Although it depends on the size of the ulcer and the degree of bleeding, in most cases, it can be treated with an endoscope without open surgery.

If there is no bleeding, it's drug therapy.

If there is no bleeding and no surgery is required, medication will be used to treat it. When it comes to duodenal ulcer, some people are anxious about whether it will be possible to have surgery, but since it is a disease that can be treated with medicine, there is no need to take it more seriously than necessary. However, the treatment of duodenal ulcers takes time to heal. Most of the symptoms improve after 1-2 months of drug therapy, but after that, you need to continue taking the drug.

How to prevent duodenal ulcer

Are duodenal ulcers at risk for recurrence?

It is known that the recurrence rate of duodenal ulcer is about 35%, the recurrence rate within 1 year is about 44%, and the recurrence rate within 2 years is about 75%. Although causes vary, duodenal ulcer is a disease with a high risk of recurrence. Repeated recurrence may lead to symptoms such as dysfunction, indigestion, weight, and strictures due to gastric deformation or worsening of gastric movement. Once you have a duodenal ulcer, understand that there is a risk of recurrence and take care not to repeat it. It is also important that you do not stop taking the medicine by your own judgment just because your symptoms have improved.

If there is a preventive method or a relapse prevention method, please tell me.

In order to avoid duodenal ulcer, it is important to pay attention to a diet that does not burden the stomach, such as avoiding binge drinking, binge eating, and excessive drinking. Avoid fatty foods and spicy foods, and be careful not to run out of vegetables. Also, stress is one of the causes, so take a good rest and sleep to avoid stress. And the biggest prevention method for duodenal ulcer is to remove pylori. Pylori bacteria removal also prevents recurrence. It is known that the recurrence rate of duodenal ulcer is greatly reduced by the removal of bacteria during fatigue. Fatigue bacteria are closely related to not only duodenal ulcer but also gastric ulcer and gastric cancer. Pylori bacillus removal is an effective method for preventing and recurring duodenal ulcer as well as gastric ulcer and gastric cancer.

I want to know the point of early detection of duodenal ulcer.

If symptoms progress and bleeding or perforation occurs, surgery is required. In addition, if there is a perforation in the wall of the stomach or duodenum, peritonitis may occur as a complication, requiring open surgery. Early detection of duodenal ulcers is important, even to prevent serious conditions. However, many people with duodenal ulcer have relatively mild symptoms, and there are many cases where there are no symptoms.

• If stomach pain or discomfort in the stomach persists, see
• get regular stomach camera exams
• test for pylori on a regular basis
• If a pylori infection is recognized, treatment is performed to remove it.

These are the points of early detection of duodenal ulcers. Because it is a disease that is difficult to notice with subjective symptoms, regular examinations are performed to ensure that there are no abnormalities.

In addition, the bacteria during fatigue are the bacteria to watch out for, which leads to not only duodenal ulcer but also gastric cancer. Checking for the presence of bacteria during fatigue and prompt treatment if infection is recognized also leads to maintaining health.

Duodenal ulcer is a disease in which some people do not have any symptoms, and often realize it after symptoms have progressed. It is a disease that can be treated with medicine, but if bleeding or perforation occurs, surgery is required and the recovery period will be longer. Early detection is an important point in order to treat duodenal ulcer with less burdensome treatment. If the discomfort or mild pain in the stomach persists even if it is not severe pain, do not overconfidence in saying “it is okay” and consult a doctor.

In addition, it is known that Pyrobacterium, which is strongly related to duodenal ulcer, is involved in various gastrointestinal diseases. Pylori bacteria test can also be performed simultaneously with the above camera test.

Get regular check-ups and make sure you don't overlook any abnormalities in your stomach or pyrrolidosis.

organize

In today's stressful world, we often suffer from stomach upset. If it's a little uncomfortable, it's probably 'because it's normal' or 'simple pain'. However, there are cases where the damage of camouflage is progressing without you even knowing it. Even duodenal ulcers, which can be treated with drugs, can become serious and painful if left untreated. One of the causes is Pyrobacteria, which is known to have about 30 million infections. It is not unusual even if you are infected, so let's keep the duodenum and stomach healthy and healthy every day with regular examinations.