How to treat a stomach ulcer with your own remedies. Stomach ulcer - symptoms and treatment, folk remedies

Acute pain in the stomach, nausea and vomiting - these manifestations accompany various diseases of the digestive system. And, perhaps, the most dangerous of them, if you do not take into account malignant tumors, should be considered gastric ulcer (GU). This disease is often fatal and requires a lot of effort in treatment, as well as a revision of the lifestyle on the part of the patient.

Description of the disease

The stomach is the main organ of the human digestive system, where food received from the oral cavity undergoes primary chemical processing and is prepared for the process of absorption of substances necessary for the body - proteins, fats and carbohydrates in the small intestine. The task of processing the food bolus is taken over by an extremely caustic liquid - gastric juice. It consists of several enzymes, but its main component is hydrochloric acid.

The main reason that gastric juice does not begin to digest the stomach itself is the protective properties of the gastric mucosa lining the walls of this organ. However, if the integrity of the mucous membrane for any reason is violated, then the acid begins to corrode the underlying layer of the walls of the stomach - the muscular one.

A similar process leads to a violation of the integrity of the wall and the appearance of a formation called an ulcer. However, in this case, gastric ulcers and erosions, which can also occur on the surface of the walls of the stomach, should be clearly separated. Although in most cases, erosions are the precursors of an ulcer. With erosion, damage to the gastric mucosa is observed, but the muscular layer of the walls itself is not affected. Erosions usually heal on their own within a few days and do not damage the walls of the organ. The ulcer can also be delayed, but in such a case, a scar remains on the surface of the walls. If this does not happen, then the ulcer becomes chronic. In other cases, an ulcer can lead to the destruction of a section of the stomach wall.

YABZH, unlike gastritis, is not accompanied by significant variations in such a parameter as the acidity of gastric juice. In most cases, the acidity of the ulcer is within the normal range or slightly increased. With low acidity, gastric ulcers cannot form, unlike gastritis, which can also be observed in similar conditions.

Spread of disease

GU is a predominantly male disease. Women suffer from it several times less often, but there are more and more cases of women every year. Also, the majority of cases (80%) are people 20-50 years old. However, peptic ulcer disease can also be found in younger people. Approximately 1% of cases are children, 8% are teenagers, and the rest are elderly people. According to various data, GU is found in 5-15% of people. In Russia, this figure is 10%. Urban residents get sick 5 times more often than rural ones. YABZH is somewhat less common than duodenal ulcers. In recent years, there has been an increase in the relative number of cases worldwide.

Varieties of the disease

Peptic ulcer disease is often classified depending on which part of the stomach it affects - the cardia, the central part of the stomach (body), antrum or pylorus. Also in the stomach there may be either a single ulceration, or several. The size of a stomach ulcer can vary from a few millimeters to several centimeters. A small ulcer is considered to be a formation with a diameter of less than 5 mm, a medium one - 5-20 mm, a large one - 20-30 mm, a giant one - more than 30 mm.

GU is predominantly a chronic disease that may have periods of exacerbations and longer periods of remission. During remissions, the size of gastric ulcers decreases, and during exacerbation, they increase.

Causes

GU is a polyetiological disease. And this means that the disease, as a rule, does not have a single root cause, the combination of several adverse factors affects at once.

One of the factors causing peptic ulcer disease was discovered relatively recently. It is a conditionally pathogenic microorganism - the bacterium Helicobacter pylori, which lives on the gastric mucosa. The bacterium can be easily transferred from one person to another - by kissing, through shared cutlery and unwashed dishes.

The source from which the bacterium receives energy is certain chemical reactions that occur in the stomach. For reasons that have not yet been fully elucidated, the bacterium at a certain point begins to behave aggressively, forms colonies on the gastric mucosa, changes the composition of gastric juice and eventually destroys the tissues of the mucous membrane, usually in a small area. Many stomach ulcers form in this way, however, not all of them. At least about 40% of cases of this disease are reliably considered to be associated with a bacterial infection.

Therefore, other factors leading to the disease cannot be discounted:

• severe stress;
• depression;
• abuse of drugs or their intake in large quantities (glucocorticosteroids, antacids, non-steroidal anti-inflammatory drugs, antibiotics, cytostatics, antihypertensives);
• immunodeficiency states (AIDS, taking immunosuppressants);
• improper diet or eating habits (eating too cold or hot food, irregular meals);
• hereditary factors;
• severe somatic diseases (tuberculosis, hepatitis, cirrhosis, pancreatitis,);
• stomach injury;
• the impact of other organs on the stomach;
• massive burns and frostbite, shock conditions;
• chronic alcoholism;
• abuse of coffee and other caffeinated drinks;
• smoking;
• other diseases of the stomach (, duodenal-gastric reflux).

In people with the first blood type, the risk of developing a stomach ulcer is 40% higher than in the rest. The risk of developing a disease resulting from the use of anti-inflammatory drugs increases significantly after age 65. It is not excluded the occurrence of ulcers and as a result of penetration into the stomach of indigestible foreign bodies.

Symptoms of peptic ulcer

The main symptom of a stomach ulcer is pain. The pain in the stomach can be sharp and sharp, or it can be relatively mild. The onset of pain is usually associated with eating. The time of onset of symptoms depends on the location of the ulcer. If it is located near the esophageal sphincter (in the cardia), then the pain occurs almost immediately after eating, after 20-30 minutes. If in the middle part of the organ (body of the stomach), then after about an hour. Ulcers of the pyloric canal (lower part of the stomach), as well as similar formations in the duodenum, make themselves felt through pain 2-3 hours after eating. In some cases, so-called hunger pains, that is, pain on an empty stomach, can also be observed. Sometimes the pain can be aggravated by physical activity, alcohol intake.

With pain accompanying peptic ulcer, applying a heating pad to a sore spot, drinking milk, taking antacids, proton pump inhibitors, and antispasmodics help.

The intensity of pain in the stomach and the presence of other signs also depend on the location of the ulcer. When the cardia is affected, pain usually has a low intensity, accompanied by belching and heartburn. If the formation is in the body of the stomach, the pains are of medium intensity, but they increase with exacerbation. Nausea occurs frequently, vomiting is rare.

With the defeat of the antrum, pain occurs at night and in the evening. In this case, symptoms such as belching and heartburn often appear. If the location of the ulcer is the pyloric canal, then the pain is intense. It appears in attacks, and the duration of the attack can be up to 40 minutes. Other manifestations characteristic of this localization are prolonged heartburn, increased salivation.

Localization of pain can also be different depending on the location of the ulcer. With damage to the body of the stomach, pain is observed on the left side of the body, in the epigastric region, with damage to the pyloric section - on the right. With damage to the cardia, pain is observed very high, almost in the chest area, at the xiphoid process and can be given to the heart.

Approximate characteristics of pain in the stomach, depending on the location of the ulcer

Places where pain may radiate:

• left side of chest
• small of the back,
• spine,
• scapula,
• right iliac,
• right hypochondrium.

Sometimes the pain from an ulcer can be confused with the pain of angina pectoris.

In about 20% of cases, pain is absent and the disease manifests itself with other signs.

Other common negative effects in the disease are heaviness in the abdomen after eating, nausea, heartburn, loss of appetite, belching, pain with pressure on the stomach area and vomiting. Vomiting most often occurs at the time of severe pain and brings relief to the patient. Heartburn is a burning sensation in the epigastric region. It is observed in 80% of patients, usually after meals.

With an exacerbation of the disease, vomiting with blood can be observed, looking like coffee grounds. This is a very dangerous sign, indicating gastric bleeding. With intense bleeding, the patient's blood pressure may drop, the pulse increase, weakness and confusion appear.

Exacerbations of the disease most often occur in the autumn-winter period.

The disease is often accompanied by stool disorders. Most often, it is constipation. They are experienced by about half of the patients. There may also be a coating of the tongue with a white coating, flatulence, bad breath, increased salivation.

Unpleasant manifestations characteristic of the disease often lead to a psychological decrease in appetite and, as a result, to weight loss.

In women, the disease is usually milder than in men. Perhaps this factor is associated with the protective effect of female hormones.

Diagnostics

At the beginning of the diagnostic process, the patient is examined by a gastroenterologist. Symptoms, first of all, localization, intensity and time of onset of pain, can allow a specialist to assert with a high degree of probability that it is a gastric ulcer. However, a series of procedures must be followed to make a definitive diagnosis. The most informative of them is the endoscopic method - FEGDS (fibroesophagogastroduodenoscopy). The procedure consists in introducing a special fiber into the patient's esophagus with a camera installed at its end, with the help of which the doctor can examine the internal surfaces of the esophagus, stomach and duodenum, confirming or refuting the diagnosis of PUD.

If the assumption about the diagnosis of GU is confirmed, then the number of ulcers, their size, location, and degree of development are determined. If necessary, the doctor can take a microscopic piece of tissue from the stomach wall for analysis. FEGDS is informative in the vast majority of cases (95%). Of course, for FEGDS, the patient must comply with several conditions - do not eat or drink anything a few hours before the study.

Less informative, however, still used, is the method of radiography of the stomach with a contrast agent. Its accuracy in making a diagnosis is approximately 70%. The method can be carried out in cases where FEGDS is contraindicated for some reason. On x-ray examination, gastric ulceration can be seen as a small niche in the thickness of the wall.

Intragastric pH-metry is used to determine the level of stomach acidity.

Other methods in the diagnosis are of auxiliary importance. In particular, ultrasound is used to detect concomitant diseases of the digestive system, such as the pancreas, liver and gallbladder.

Also, if a stomach ulcer is suspected, blood and urine tests are done. Inflammatory processes in the body are usually indicated by a decrease in the number of red blood cells and a simultaneous increase in ESR. A stool test for occult blood is also given. The presence of blood in the stool indicates bleeding in the gastrointestinal tract. Determination of the presence of Helicobacter pylori (on which the treatment strategy largely depends) can be carried out both using a blood test and using respiratory methods.

Treatment

Not so long ago, the main way to treat stomach ulcers was surgery. However, at present, when many progressive drugs have been developed, the treatment of the disease is most often carried out in a conservative way.

So, what drugs do gastroenterologists use to treat ulcers? In the event that a Helicobacter pylori bacterium is found in a patient, then any treatment will be meaningless until it is destroyed. Different types of antibiotics are used to fight bacteria (tetracycline, amoxicillin, clarithromycin, metronidazole). Treatment with antibiotics is carried out according to the scheme prescribed by the doctor.

However, ulcers are not always caused by a bacterial infection. And even if this is so, then the treatment can not do without additional drugs. Since in most cases the development of the disease occurs in conditions of increased acidity of gastric juice, the main task of the gastroenterologist is to reduce the level of acidity to an acceptable level. This function can be performed by the following classes of drugs:

• antacids,
• histamine receptor blockers,
• proton pump inhibitors.

The word "antacids" is composed of two parts "anti" (against) and "acidus" (acid). These terms well explain the principle of action of these drugs. Most of them are alkaline substances that react with hydrochloric acid and neutralize it. The advantage of antacids is the high speed of action. They begin to work immediately after taking, so they can be taken to stop acute ulcer attacks. However, antacids also have disadvantages. The most important of them is the resistance on the part of the stomach to such a factor as alkalization of its internal environment. Secretory cells begin to produce even more acid, and as a result, a short-term decrease in acidity is replaced by its increase. It is for this reason that peptic ulcer disease is now rarely treated exclusively with antacids. These drugs are usually combined with other types of drugs. The most commonly used antacid class agents are Phosphalugel, Almagel, Maalox.

More modern drugs for the treatment of the disease are classes of drugs such as histamine H2 receptor blockers and proton pump inhibitors. Histamine receptor blockers, such as ranitidine, act on special cells in the stomach lining that stimulate acid production. Proton pump inhibitors act even more subtly. They interrupt the chemical cycle of production of hydrochloric acid in the stomach, blocking the transport of its constituent hydrogen ions (protons). Proton pump inhibitors, such as omeprazole and rabeprazole, are considered the most advanced of those that affect acidity and are most often prescribed.

Other classes of drugs used in the treatment of GU

Sometimes drugs from the NSAID group (ibuprofen, metamizole sodium) can also be used to relieve pain. However, they should be taken carefully, after a doctor's prescription, as their side effect may be increased stomach bleeding.

Other treatments include physiotherapy (microwave exposure, electrophoresis) and exercise therapy. But the most important method to stop the progression of the disease is diet.

During an exacerbation of the disease, any food is contraindicated. During the period of remission, the patient also needs to observe a number of dietary restrictions. Spicy, salty, fried smoked foods, canned food, fatty meats, carbonated water, fast food, sour vegetables and fruits (citrus fruits, cranberries) are contraindicated. Vegetables with coarse fiber (cabbage) are also not recommended. Food should only be eaten cooked. You should eat as often as possible - 5-6 times a day. It is unacceptable to eat dry food, on the run, to chew food badly.

Surgery

If conservative treatment, carried out for three years or more, does not lead to an improvement in the condition, then surgery becomes the only way out. It consists either in the resection of a part of the organ affected by the pathological process, or in the suturing of the edges of the ulcer. Also, the operation is indicated in case of severe bleeding, perforation of the ulcer.

There is another type of operation - the removal of a branch of the vagus nerve, which is involved in the process of secretion of gastric juice (vagotomy). This operation reduces the acidity of the gastric environment and promotes self-healing of the walls of the organ.

Complications of gastric ulcer

YABZH is dangerous not in itself and not by the digestive disorders that it causes, but by its complications. Complications in many cases can lead to death. The most dangerous complications include:

• massive bleeding
• ulcer perforation,
• malignancy (the transformation of an ulcer into a malignant tumor).

Massive bleeding is one of the main factors responsible for the death of people suffering from the disease. They occur in 20% of patients with GU. When bleeding in patients, there are signs of anemia, vomiting with blood, black stools. The drop in blood pressure caused by bleeding can lead to collapse, shock, and death. Therefore, with signs of internal bleeding, the patient must be immediately taken to the hospital.

Another dangerous complication is the destruction of the wall. A relatively successful option in this case may be when some other organ is behind the wall of the stomach. Most often it is the pancreas. Hydrochloric acid will begin to corrode this organ, resulting in acute pancreatitis.

Also, with perforation of ulcerative formations, the intestines, gallbladder, lesser omentum, and liver can be affected.

However, it often happens that the contents of the stomach simply pour into the peritoneum and a person develops acute peritonitis, accompanied by severe pain and fever. The reason for this development of events may be physical stress, alcohol intake. Peritonitis also threatens the patient with a fatal outcome, and without immediate medical attention, it is inevitable.

Another dangerous complication is stenosis of the pylorus of the stomach. This is the name of the sphincter that separates the stomach from the first section of the small intestine - the duodenum. Pyloric stenosis is always a complication of pyloric ulcer. Narrowing of the pylorus leads to stagnation of food in the stomach, and ultimately to obstruction of the pyloric canal. Treatment of severe stenosis is always surgical.

Malignant tumors are also among the dangerous complications. However, a tumor at the site of an ulcer develops less frequently than is commonly believed - in only 3% of cases. However, the risk of oncological neoplasms in patients with GU is several times higher than in the rest of the population.

Patients with GU require lifelong follow-up. They should be tested for Helicobacter pylori approximately every six months.

Diagnosis: Peptic ulcer of the stomach is ...

So, let's sum up some results. What is YABZH, what kind of behavior does it require behavior from the patient? Of course, this is a serious disease, and in some cases it threatens with death. You have to be aware of this. However, this disease is by no means a sentence, but an occasion to treat it and reconsider your lifestyle and eating habits. It should be remembered that ulcers often develop against the background of stress and other ailments, so it is necessary to strengthen the nervous system and health in general. With a serious approach, victory over the disease is quite possible.

It is quite possible to improve the condition of the digestive tract and cure a stomach ulcer at home, but, as a rule, the best effect that allows you to achieve remission of the disease has an integrated approach that combines both folk recipes and the use of medications recommended by a gastroenterologist. To prevent exacerbations, the examination by a specialist must be carried out regularly, especially if there are unpleasant symptoms and the treatment prescribed earlier does not bring relief. How to treat a stomach ulcer at home?

It is possible to alleviate the condition of a patient with a stomach ulcer at home

People suffering from an ulcer usually recognize the onset of an aggravation in advance and take appropriate measures to ensure that an attack does not occur. And yet, sometimes pain overtakes unexpectedly. How to treat an exacerbated stomach ulcer at home?

The most effective folk remedies used for stomach ulcers:

1. The fastest way to relieve pain symptoms is to use a mixture of chicken yolk, butter, honey and cocoa powder. All components are combined in equal volumes and mixed. This remedy for stomach ulcers must be consumed every 4 hours, while eating can only be done after 40-50 minutes. Traditional medicine includes this method for at least 2 weeks, even with a rapid improvement in the condition.
2. Potato juice has been used to treat stomach ulcers since ancient times. From the grated tuber you need to squeeze the juice and drink 0.5 cups twice a day on an empty stomach for a month.

   

   You can help with a stomach ulcer by preparing an infusion from flaxseeds

3. Traditional medicine allows the use of beet juice, diluted with liquid in equal volumes, with changes in the gastric mucosa. You need to take the remedy for 0.5 tbsp. on an empty stomach
4. Stomach ulcer is effectively treated with infusion of flax seeds, which has enveloping and nourishing properties. A couple of tablespoons of the product should be poured with boiling water (420 ml) and insisted overnight, it is advisable to use a thermos for this. In the morning, the infusion must be poured into a container and boiled for no more than a minute. The drink should be drunk 1/3 tbsp. in the morning before meals. The use of such a remedy for stomach ulcers involves the use of whipped raw protein three times a week, which should be drunk 1.5 hours before meals.
5. If there is any sign of an exacerbation of the disease, you can take a pre-prepared mixture that needs to be stored in the refrigerator. The remedy is prepared from crude protein, powdered sugar and olive oil (1 l.) and taken on an empty stomach, 2 tsp. This alternative treatment for an exacerbation of an ulcer improves the condition after two days.

   

   Beet juice can relieve the symptoms of ulcers

6. Aloe, honey and alcohol quickly help with ulcers and inflammation of the stomach. These components are combined in equal parts and infused for a day. Used 1.5 months. spoon three times a day.

Course treatment with folk methods

How to cure a stomach ulcer permanently? There are methods that provide a course approach, for example, the use of sea buckthorn oil, potato juice and propolis.

All the first week, you should take potato juice daily at 0.5 tbsp. twice. At the same time, you need to prepare a propolis tincture for further treatment. To do this, the product must be crushed (1 tsp) and poured with alcohol (100 ml), leave for a week, shaking regularly. After strain and drink for 3 weeks, 25 k, previously diluted in liquid. The elixir is taken 1.5 hours after the meal. Treatment of stomach ulcers with alcohol and infusions from it should be carried out carefully, without exceeding dosages, since the remedy can burn the mucous membrane.

Propolis tincture is indicated for course treatment.

Then treatment with folk remedies involves the use of sea buckthorn oil. First, the juice is squeezed out of the berries, then the peel and seeds are dried, and ground. A portion of the powder is mixed with two portions of olive oil and infused for 3 weeks. To improve the condition of the stomach, treatment with sea buckthorn is carried out for a month, 1 tsp.

To treat a stomach ulcer with the folk remedies listed above, it is necessary to take courses - twice a year.

Herbal treatment

Folk recipes used for stomach ulcers include herbal therapy, which has analgesic, regenerating and antiseptic effects. Such treatment of stomach ulcers with folk remedies gives a good result, and the most effective herbal methods are as follows:

Application of activated carbon

Some patients with stomach ulcers use activated charcoal to treat flatulence, intoxication and diarrhea, but, as a rule, relief does not come for long, followed by deterioration. Gastroenterologists do not recommend the use of activated charcoal for ulcers, because during adsorption it can penetrate into the upper layers of the mucosa and cause irritation.

The use of activated charcoal aggravate the course of the disease

Activated charcoal is dangerous for developing bleeding in the digestive tract, which can occur with ulcers. In this case, there is a possibility that activated charcoal will enter the blood vessels, forming a thromboembolism.

Activated charcoal is contraindicated in cases of suspected intestinal obstruction. At the first signs of poisoning, even if there is constipation, it is necessary to use a cleansing enema when taking the tablets.

Health food

One of the most important conditions for gastric ulcer is compliance with the rules of therapeutic nutrition. If the patient regularly uses useful decoctions, mixtures, infusions for therapy, while not adhering to a diet, the effect will be insignificant. Diet is necessary for stomach ulcers.

An important point in the treatment of ulcers is nutrition.

The diet should contain cereals with a small amount of milk, butter. Vegetable oil can be added to such dishes. It is also useful to eat vegetable broths with homemade noodles. If the soup is made from chicken, the broth should not be too rich, while it is better to chop the meat before serving. Pumpkin and oil from it can be introduced into the patient's diet. Salt and fat intake should be moderate.

Forbidden with ulcers of the gastrointestinal tract, strong broths from meat, mushrooms, spicy and pickled foods, muffins. Sausages and smoked meats should be completely removed from the diet. As drinks, it is better to give preference to jelly, for example, oatmeal, sea buckthorn, compotes and rosehip decoctions. Cream, milk, milk puddings are not contraindicated. The patient can eat vegetable purees with the addition of vegetable oil. Portions should be small, and it is better to eat often.

Along with nutrition, patients should avoid serious stressful situations, as they can lead to an exacerbation of the disease and even bleeding. You can not overload yourself with intense loads, at the same time, simple sports exercises must be done daily. Hygiene is an important preventive measure.

It is necessary to monitor the cleanliness of the oral cavity, wash hands after walking and before eating. At the first signs of exacerbation, it is advisable to visit a gastroenterologist. Along with folk recipes, you need to use the healing methods recommended by your doctor. Only an integrated approach will allow keeping the disease in remission for a long time.

Gastric ulcer occurs in 40% of the world's population. This disease is chronic. As a rule, periods of exacerbation disturb the patient in spring and autumn. Men over the age of 30 are most susceptible to developing stomach ulcers. In order to achieve a long-term remission, it is not at all necessary to use medications throughout life, their use is relevant only during exacerbations. The basis of treatment is a strict diet. How to treat a stomach ulcer, consider in our article.

Reasons for the development of the disease

A few years ago, the cause of the development of peptic ulcer of the stomach or duodenum was considered poor nutrition or excessive drinking. Thanks to modern research, scientists have found that in most cases the bacterium Helicobacter pylori becomes the cause of the disease. Many people wonder where this microorganism came from in the body? In fact, becoming the owner of this type of bacteria is very simple, since they are transmitted by airborne droplets. In addition to the main cause, there are some factors that contribute to the development of stomach ulcers:

• uncontrolled intake of medications;
• the presence of chronic diseases of the gastrointestinal tract (especially gastritis with high acidity of gastric juice);
• abdominal trauma;
• malnutrition: fast foods, carbonated drinks, dry food;
• hereditary factor;
• smoking;
• frequent depression and stressful situations.

Symptoms of the disease

It is very important to recognize this disease in time in order to seek help from a gastroenterologist in time and avoid complications. Unfortunately, often a stomach ulcer occurs in a latent form and has no visible symptoms. In this case, the presence of the disease is known only after the death of the patient with an ulcer.

The following signs that disturb the patient will help to find out about the presence of this ailment:

Possible Complications

If an ulcer in the stomach is not detected in time and timely treatment of the ulcer is not started, the disease is fraught with the development of some complications that are extremely dangerous for human life:

1. Discovery of internal bleeding. Occurs due to rupture of blood vessels in the damaged stomach. When bleeding, the patient is tormented by severe pain, which is aggravated by eating or physical exertion. The feces become black in color, vomiting with blood impurities is possible. Arterial pressure drops to a critical level. When these signs appear, you must urgently call an ambulance.
2. Perforation. There is a breakthrough of an ulcer in the stomach, a through hole is formed through which the contents of the stomach enter the abdominal cavity. With this type of complication, urgent surgical intervention is required. Cutting pains will help to detect the development of a complication.
3. Penetration. It consists in infection of neighboring organs: gallbladder, pancreas.

Diagnosis of the disease

As soon as the patient sees a doctor, the specialist prescribes the appropriate diagnosis to confirm the presence of an ulcer in the stomach. Diagnostics consists of the following manipulations:

With the help of these types of diagnostics, the doctor examines the damaged organ, the condition of the gastric mucosa. Based on the data, appropriate treatment is prescribed, depending on the severity of the disease.

Medical treatment

Doctors advise during an exacerbation of a stomach ulcer to carry out treatment in stationary conditions. In the early days, the patient needs rest and bed rest. For the treatment of stomach ulcers, medications are used that reduce the production of hydrochloric acid and relieve the unpleasant symptoms of the disease:

Please note that the above treatment is not a guide to self-medication. At the first symptoms of an ulcer in the stomach, be sure to consult a gastroenterologist to prescribe individual treatment.

Alternative treatment

Simultaneously with drug treatment, doctors recommend the use of folk remedies. Consider the most effective of them:

Treatment with diet

Compliance with a diet for peptic ulcer disease is an important component of treatment. Only with strict adherence to certain nutritional nuances can positive results be achieved. Consider the basic rules for nutrition:

What foods to eat with a stomach ulcer

Here is a list of products that are allowed for stomach ulcers. Fortunately, there are quite a lot of allowed products, so the patient's diet should be varied. Please note that these dishes are allowed only during the remission of the disease.

1. For dressing salads, it is allowed to use a small amount of vegetable oil. When preparing viscous cereals, you can add a small piece of butter to the dish.
2. It is worth giving preference to dried wheat bread.
3. From sweet you can eat marshmallows, marshmallows, biscuits.
4. When preparing soups based on meat, the first broth must be drained.
5. As a side dish, you can use any cereal, durum wheat pasta. Periodically, it is necessary to eat cereals or soups of a viscous consistency.
6. With a stomach ulcer, you can eat any fermented milk products with a low percentage of liquid.
7. Vegetables and fruits are preferably consumed after heat treatment.
8. From drinks it is allowed to drink decoctions of herbs, berries, non-acid fruit drinks, weakly brewed tea. Once a week, you can treat yourself to a cup of cocoa.
9. It is advisable to eat dietary meat (chicken, rabbit). Fish must be lean.

What foods should be avoided

With peptic ulcer, those products that irritate the gastric mucosa and cause increased gas formation are banned. Consider the list of products:

Menu for the week

Consider how a patient with an ulcer should eat during the week. Please note that a single serving should not exceed the capacity of the glass. The menu is approximate, dishes can be replaced with similar ones from the list of allowed products.

Few people are not familiar with heaviness in the stomach after eating. And most do not honor such sensations with their attention, believing that this is a temporary consequence of overeating or malnutrition.

However, if such sensations begin to visit you more and more often, and pain in the stomach is added to them, then you need to urgently take care of yourself. After all, this may indicate a nascent ulcer.

A stomach ulcer is a disease that manifests itself in the formation of chronic ulcerative defects in the gastroduodenal zone (in the stomach and duodenum). Ulcers can be either single or multiple (more than three).

The main difference between chronic gastric ulcer and erosion is a deeper penetration into the wall of the stomach, penetration not only into the cells of the mucous membrane, but also into the submucosal layers, healing of the defect with the formation of a scar.

As you know, in the treatment of stomach ulcers, it is important to eliminate the following symptoms - severe pain in the stomach, frequent vomiting, heartburn, "hungry pains" that stop after eating. Exacerbation of the disease may be accompanied by unbearable night pain. Therefore, in drug treatment, an integrated approach should be used with the obligatory consideration of the individual characteristics of the course of the process in order to effectively eliminate the causes of the disease.

Causes

What it is? The development of a stomach ulcer is mainly associated with the presence of a long-term current that has arisen against the background of an infection (Helicobacter Pylori). This microbe is transmitted from a sick person to a healthy person through close interaction with him (through saliva, with insufficient observance of personal hygiene rules, eating food from the same dish, etc.).

However, the presence of infection is not yet a guarantee of gastritis or ulcers. One disease or another develops under the influence of provoking factors:

• alcohol abuse;
• irregular meals;
• continuous use of certain medications;
• the predominance of coarse, spicy and salty foods in the diet;
• physical and nervous strain;
• vitamin deficiency;
• severe stress and depression;
• spinal and abdominal injuries;
• the presence of blood clots in the vessels of the stomach;
• lack of rest and sleep.

A stomach ulcer is not inherited, but the likelihood of infection with Helicobacter bacteria in living conditions is significantly increased, so the disease is often diagnosed in members of the same family. It must be remembered that the development of gastric ulcer occurs against the background of several risk factors, but the constant whirlpool of negative emotions and nervous breakdowns come first.

Symptoms of gastritis and ulcers

A huge load is constantly placed on the human stomach. And often in the normal functioning of the digestive system failures occur, which are often the result of various stomach diseases that require immediate treatment. They have clear symptoms. This is:

• change in appetite;
• feeling of thirst;
• pain sensations;
• dyspepsia;
• belching;
• heartburn.

These symptoms are observed both if a person has gastritis, and when he has an ulcer.

What causes an ulcer in the stomach?

A stomach ulcer is a defect in the gastric mucosa, rarely ˃1 cm (sometimes submucosal), surrounded by an inflammatory zone. Such a defect is formed as a result of the action of some factors that lead to an imbalance between protective factors (gastric mucus, gastrin, secretin, bicarbonates, gastric muco-epithelial barrier and others) of the gastric mucosa and aggression factors (Helicobacter Pylori, hydrochloric acid and pepsin).

As a result of the action of some reasons, there is a weakening of the action and / or a decrease in the production of protective factors and an increase in the production of aggression factors, as a result of which the non-resistant area of ​​the gastric mucosa undergoes an inflammatory process, followed by the formation of a defect. Under the influence of treatment, the defect is overgrown with connective tissue (a scar is formed). The area on which the scar has formed does not have a functional ability (secretory function).

signs

Manifestations of signs of a stomach ulcer are directly related to the location of the ulcer, the age of the patient, as well as individual pain tolerance.

Among the various signs of a stomach ulcer, pain in the epigastric region can be distinguished, which usually occurs after eating. Patients often report symptoms of stomach ulcers such as heartburn, sour belching, nausea after eating, vomiting, and weight loss.

In order to correctly diagnose the disease, the doctor examines the data of the fibrogastroscopic study, as well as the radiograph. In some cases, a biopsy is performed and an analysis of gastric juice is taken.

To other signs stomach ulcers include:

• nausea;
• vomiting that brings relief;
• sleep disturbances, irritability;
• (with hidden frequent bleeding);
• belching sour;
• slowdown of heart contractions due to the increased influence of the parasympathetic nervous system;
• weight loss, especially if the patient is deliberately fasting for fear of pain or induces vomiting for relief.

Signs of bleeding from a stomach ulcer are "coffee ground" vomiting and dark, almost black stools.

Symptoms of a stomach ulcer

Certain symptoms are characteristic of stomach ulcers: acute pain, gnawing, constant or burning in the epigastric region or in the stomach, sometimes radiating to the back.

Usually, with gastric ulcer, the symptoms begin to bother 20-30 minutes after eating, and with pain on an empty stomach that subsides after eating and reappears after 1.5-2.5 hours, as well as night pains. The ulcer may be accompanied by nausea and vomiting. Sometimes there is heartburn. Often there are constipations.

A stomach ulcer is dangerous because it can lead to bleeding, in which case black stools appear. It is also possible to develop obstruction of the digestive system due to the formation of scars and adhesions with frequent exacerbations of the ulcerative process. Exacerbations occur in the spring-autumn period.

If you do not think in a timely manner about how to treat a stomach ulcer, severe complications can develop - gastric bleeding, perforation of the wall of the stomach or intestines, stenosis (narrowing) of the stomach or intestines, the appearance of a malignant tumor at the site of the ulcer.

The manifestation of symptoms of peptic ulcer is aggravated by:

• fatty meat products, lard, rich broths;
• roast;
• all kinds of spices: mustard, pepper, cloves, etc.;
• spicy and salty;
• canned, smoked food, sausages;
• pastry bakery products, pies, rye bread;
• strong tea, coffee;
• carbonated drinks.

Also, don't eat too much salt. It is better to completely abandon it, since it slows down healing and interferes with the elimination of the inflammatory process.

Diagnostics

For an accurate diagnosis and, accordingly, the appointment of adequate treatment of gastric ulcers, the following methods are used:

1. FGS with a sample of the mucous membranes around the ulcer;
2. Bacteriological examination of samples for the presence of Helicobacter pylori;
3. X-ray with barium contrast;
4. Blood tests - and;
5. Study of the functions of the duodenum and stomach.

It is necessary to consult a doctor at the first symptoms of a stomach ulcer in order to diagnose the disease in a timely manner and receive the necessary treatment.

If the ulcer is not treated

Peptic ulcer disease is a disease that must be treated, otherwise it will give you a lot of trouble.

1. It can become a constant source of pain.
2. Ulceration of the stomach wall can lead to bleeding. And frequent bleeding can even cause anemia.
3. - a serious complication in which a through hole appears in the wall of the stomach. Then the contents of the stomach can spill into the abdominal cavity and cause peritonitis.
4. Spasm of the walls of the stomach can cause food to be unable to pass through it and move along the gastrointestinal tract.

Do not tolerate pain and do not wait for complications. Treat the disease and feel like a healthy person!

Prevention

You can prevent the occurrence and development of stomach ulcers through prevention:

• avoidance of psychotraumatic, stressful situations;
• timely diagnosis of Helicobacter pylori infection and its treatment;
• refusal of uncontrolled intake of drugs;
• normalization of the diet.

Perforated stomach ulcer: symptoms

A perforated stomach ulcer (or perforated ulcer) is essentially the appearance of a through hole in the wall of the stomach and the leakage of the contents of the stomach into the abdominal cavity of the patient and its parts.

This phenomenon is very dangerous in itself, a fairly large number of deaths occur in cases where the diagnosis of the disease was carried out too late, or in the case when the patient ignored the simple rules of treatment and recovery after surgery.

Symptoms of a perforated stomach ulcer cannot be missed, since they are very intense and pronounced and appear in stages:

1. First, there is a sharp pain in the stomach, radiating to the chest, collarbone or back, similar to pain from a knife strike. Some patients compare the sensations of pain with the sensations of a strong and sharp burn.
2. The pain has the ability to grow, intensify with movement and encircles the entire body.
3. After some time (from 4 to 6 hours), the pain decreases, false relief occurs.
4. At this time, the abdomen becomes swollen and hard to the touch - "stone belly" - due to the accumulation of gases under the diaphragm. Basically, these are radiological signs of a stomach ulcer, which indicate a lesion of the abdominal cavity when the contents of the stomach enter it.
5. The temperature rises, the skin turns pale, dryness in the mouth is felt.
6. Gradually, the pain syndrome returns, tachycardia, stool disorders, and a general strong deterioration in well-being can be observed. This is a critical condition in which an urgent operation is vital.

A through hole in the wall of the stomach is a rather dangerous sucking for the human body, which, if not properly treated and carefully monitored, can be fatal. Adequate treatment includes mandatory surgical intervention, since this pathological condition is not amenable to conservative treatment.

Treatment of stomach ulcer

When a stomach ulcer is diagnosed, treatment should include measures to heal the ulcer and eliminate the causes that caused it. Reduce the irritating factor of gastric contents through the use of sparing diets and drug treatment.

It can be both surgical and medicinal. If the treatment does not lead to the desired effect, an operation is prescribed so that the ulcer does not develop into a malignant tumor. The larger the ulcer and when it is located closer to the esophagus, the more indicated the operation. Especially if the patient is elderly and has low stomach acidity.

The course of treatment of stomach ulcers with drugs may consist of the following items (duration - up to 7 weeks):

1. Antacid tablets, emulsions, gels, solutions to reduce the influence of aggression factors. Mostly non-absorbable antacids are used (almagel, gastal, maalox, gaviscon, bismuth preparations, vikalin, vikair, topalkan).
2. Antisecretory agents to reduce the production of hydrochloric acid and histamine blockers (omeprazole, pirenzepine, ultop, famotidine, ranitidine, rabeprazole, torsid, lecedil, gastrosedine).
3. Cytoprotectors to increase the protective function of the mucous membrane (sucralfate, licorice preparations - carbenoxalone, andapsin).
4. Antiulcer drugs: calcium channel blockers, lithium preparations (nifedipine, cordafen, verapamil, isoptin).
5. Antibiotic treatment if H. Pylori bacteria are detected (amoxicillin, metronidazole, amoxiclav, azithromycin, clarithromycin).
6. , prebiotics to eliminate the phenomena of dysbacteriosis (linex, normobact, bifidumbacterin, lactobacterin, colibacterin).
7. Prokinetics to reduce the effects of reflux (dommperidone, motillium, chaga preparations, cerucal, propulse).
8. Sedatives(valerian, motherwort, antipsychotics).
9. Vitamins, antioxidants(sea buckthorn oil, triovit, triviplus).

The patient has been in the dispensary for at least 5 years since the scarring of the ulcer. With the ineffectiveness of conservative therapy, surgical treatment of the disease is prescribed.

Surgery for peptic ulcer

Surgery is currently considered the most adequate treatment for gastric ulcers, since ulcerative formation tends to degenerate into a malignant one.

At the moment there are several types of operations:

1. Resection - during this operation, both the ulcerous formation and the part of the stomach around this formation, which produced an increased amount of hydrochloric acid, are removed. During resection, at least 2/3 of the stomach tissue is removed.
2. Vagotomy - this type of operation is relatively recent and is a fairly popular method of treating stomach ulcers. It consists in stopping the nerve endings responsible for the production of gastric secretions. After surgery, the ulcer heals on its own. Vagotomy is also used for duodenal ulcers. The disadvantage of this operation is a possible violation of the motor function of the stomach.

Rehabilitation after and during the treatment of stomach ulcers necessarily includes a special therapeutic diet, the essence of which is the consumption of the most sparing food according to the fractional nutrition system.

stomach ulcer after surgery

After the operation, the patient can start working in about two to three months. It all depends on how the stomach ulcer behaves after the operation, when the stitches are removed and discharged from the hospital. All this depends on the course of recovery and wound healing. If everything is in order, the stitches are removed after about 7-9 days, but they are discharged from the hospital a little earlier.

It is very important to follow a diet after surgery. As a rule, it is allowed to drink liquid after two days, half a glass of water per day, dosing with a teaspoon. Gradually every day the water is replaced by soup or broth. Then, after about eight days, they are allowed to eat meat, potatoes, cereals, and so on, but only in pureed form. In order not to harm the postoperative condition, it is necessary to follow a strict diet and obey the doctor.

How to treat a stomach ulcer with folk remedies?

Over the years of studying numerous herbs, fruits of trees and other products of nature, traditional healers have compiled a huge number of recipes for various diseases, including peptic ulcer.

The success of the treatment of stomach ulcers with alternative methods depends on the correctness of their choice in each case, so that these procedures are not useless, it is best to discuss them with your doctor.

1. Squeeze the juice from 2 kg of fresh cabbage, to improve the taste, add celery juice to it in a ratio of 3: 1, which, like cabbage, has an anti-ulcer effect. Instead, you can add a few tablespoons of tomato, pineapple or lemon juice to the cabbage. Store the mixture in a cool place and drink 250 ml daily in the morning on an empty stomach. Course of treatment: 3 weeks.
2. Sea buckthorn oil. It is best to buy in a pharmacy. You can, however, cook at home. To do this, squeeze the juice from the berries and put it in a cold place. The oil will gradually float. It is scooped up and stored in the refrigerator. Take a teaspoon before meals 3 times a day. The course is 3-4 weeks.
3. By following a diet, you can cure stomach ulcers with potato juice. To do this, squeeze the juice from grated potatoes. It is taken in the morning, on an empty stomach, diluted one to one with water. Food after taking it can be consumed only after half an hour. After a week, you can already feel relief. Treated this way for four to eight weeks
4. To prepare an effective cure for stomach ulcers, you need aloe aged 3-5 years. Before harvesting the leaves, it does not need to be watered for 2 weeks. After this time, it is necessary to carefully cut off about 250 grams of leaves and place them in a dark, cool place. After a couple of days, the leaves should be passed through a meat grinder and add about 250 grams of honey, mix everything thoroughly and put on fire. The mixture must be constantly stirred and brought to a temperature of 50-60 degrees. Then half a liter of red wine is added to the warm mixture. All together you need to mix thoroughly and put for a week in a dark place. Take this medicine 3 times a day for a tablespoon about an hour before meals, in the first 5-7 days it is better to start with a teaspoon.
5. Chop a pound of nuts. Eat the kernels, and collect the shells in one glass. Fill a glass with a shell with alcohol, and let it stand for a week and a half. You need to take one tablespoon on an empty stomach 20 minutes before you eat. And so three times a day.

Remember, in order to cure a peptic ulcer, it is first necessary to eliminate the causes of the formation of an ulcer.

Diet for exacerbation of stomach ulcers

During exacerbations of peptic ulcer, food should be mushy, dishes must be carefully chopped or ground. Carbohydrates are digested the fastest, followed by proteins. Considerable time is required for the processing of fatty foods, so at this stage it is better to refuse it.

Pure, easily digestible food is shown, which practically does not increase the secretion of gastric juice:

• soft-boiled eggs, steamed omelet;
• white, slightly dried bread;
• milk, chicken, vegetable soups from potatoes, beets;
• boiled vegetables: carrots, potatoes, beets, zucchini, pumpkin;
• milk and dairy products;
• boiled dishes of beef, chicken, veal, steamed cutlets;
• boiled fish of low-fat varieties;
• buckwheat, semolina, rice, oatmeal, pasta;
• weakly brewed tea;
• sweet kissels, compotes;
• decoctions of wild rose, wheat bran, non-acidic berry juices;
• alkaline mineral water without gas.

To accelerate the healing of ulcers, it is useful to use butter and vegetable oils.

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When diagnosing a stomach ulcer, in addition to medications, traditional methods of treatment help to cope with pain and unpleasant symptoms. With the help of centuries-old methods of healing with herbs, vegetable oils, you can not only remove the symptoms, but also completely cure the disease.

How to identify an ulcer

Gastric ulcer is a chronic disease caused by an imbalance between the protective mechanisms of the stomach and various aggressive factors.

The following signs indicate the disease:

• Constant nausea, often ending in vomiting. At the same time, the contents of the vomit have an unpleasant sour smell with the content of undigested food particles and an admixture of blood.
• Belching. It has an unpleasant smell of rotten eggs. Often occurs with liquid or undigested food rolling up to the throat.
• Heartburn. characteristic in the early stages of the disease. Appears after a few hours of eating. The larger the ulcer, the less pronounced this sign becomes.
• Violation in the work of the intestine. Frequent stool retention, sudden diarrhea, flatulence. At the same time, the feces may have a black color, which does not indicate a serious stage of the disease, but may be red, which indicates the criticality of the situation.

Important! By the nature of the pain, one can understand that a stomach ulcer begins if there is pain in the abdominal cavity. It can have a chaotic periodic character or appear immediately after a hearty meal. The pain may be sharp, aching or stabbing.

Rice. 1 - infographic about peptic ulcer and duodenal ulcer

Treatment of ulcers with folk remedies and methods

Recipe with propolis

10 grams of propolis is mixed with 100 grams of butter (necessarily unsalted and melted). In a glass dish, bring to uniformity, languishing in a water bath. The cooled potion should be taken within 40 minutes. before meals 3 times a day, 1 tsp. In order for the taste of water to be pleasant, honey and milk are added to taste. The duration of the course of treatment is at least 1 month.

Recipe with honey

Honey water has a very positive effect on the acidity of the stomach. 2 hours before a meal and 1.5 hours after a meal, drink a glass of warm water, after dissolving a tablespoon of fresh liquid honey in it. Drink should be 3 times a day for three weeks. After that, they take a short break for 5-7 days and resume the course of treatment until complete recovery. As a rule, it takes another month for the signs of an ulcer to go away forever.

cabbage juice

Gut a fresh head of cabbage and rinse well, remove spoiled leaves. Scroll the leaves chopped with a knife in a meat grinder and squeeze the juice out of the resulting mass with gauze. A glass of juice should be drunk half an hour before meals three times a day. Treatment is carried out for one week, and then a three-day break is taken. Then the course of recovery is resumed again according to the same scheme.

Reference! In total, it is enough to drink medicinal juice for two months so that the ulcer resolves. But in especially severe cases, the course of treatment can be up to 3 months.

Beet

Raw beet juice is prepared on a juicer. If there is no device, then rub the vegetable on a fine grater and squeeze it through cheesecloth. Half a glass of juice is diluted with the same amount of boiled water at room temperature. Half a cup 30 minutes before meals is taken three times a day. The course depends on the stage of the ulcer and can last 3-4 months.

gooseberry leaves

Dry crushed leaves in the amount of two tablespoons pour 400 ml of boiling water. Close the container tightly and insist the broth for an hour. If fresh leaves are used, then they are taken in the lowest concentration. Finely chopped leaves are placed in a saucepan in the amount of 4 tablespoons. 800 ml of boiling water is added there and simmered over low heat for 15 minutes. The resulting broth is filtered and cooled. Take half a cup a day 15 minutes before meals three times a day.

mint recipe

Take 2 tbsp. chopped mint and diluted with 1 liter of hot water. Insist for 10 - 20 minutes and take a glass of infusion daily in the morning on an empty stomach and in the evening 30 minutes before bedtime. To enhance the therapeutic effect, the infusion is also made with the addition of oregano, chamomile, yarrow and valerian. Herbs are taken in equal proportions. The methods of use are similar.

Attention! It is not worth treating an ulcer with alcohol, although there are a lot of such recipes. Alcohol strongly irritates the mucosa and is harmful to ulcers. All medicines are made with water.

Herbs for the treatment of peptic ulcer

Diet treatment for stomach ulcers

When diagnosing a stomach ulcer, it is important not only to follow the doctor's recommendations, take medications on time and be treated with folk methods, but also adhere to a certain daily routine with a strict diet:

• Before starting therapy, it is better not to eat for one day. You can drink as much liquid as possible.
• After that, you should reduce the amount of food taken at a time, but increase the number of snacks. You can not overeat, and the number of meals should not be less than 5 per day. Ideally 4 meals and 2-3 snacks.
• You can not eat spicy, fatty, spicy and salty foods.
• Acidic foods need to be reduced in your diet. At the same time, fruits and vegetables with a sour tint are recommended to be avoided altogether.

Reference! Acidic vegetables and fruits can occasionally be eaten only cooked to neutralize the irritating effect on the pancreas.

• You can not eat fatty meats, mushrooms, drink strong drinks such as alcohol, black tea.
• The diet should be saturated with dietary soups, milk porridges, food cooked in a double boiler or oven.
• Do not drink with meals. You need to drink liquid half an hour before meals and one hour after.

Remedies for stomach pain with ulcers

Pharmaceutical remedies for ulcers

Antacids

Complex therapy takes place with the obligatory use of the following drugs:

1. Almagel. All ulcers without exception should take this remedy. This is due to its adsorbing and analgesic action. Effectively protects the gastric mucosa from the effects of hydrochloric acid. Almagel quickly eliminates unpleasant symptoms, but does not take part in the direct treatment of ulcers. Use the medicine according to the instructions that are included in the package. Since ulcers have pain symptoms quite often, the use of the medicine is allowed several times a day.
2. Maalox. Allows you to quickly neutralize excess acidity in the stomach. Take after every meal. The dosage depends on the stage of the disease and is prescribed by the attending physician.
3. Gastal. The main substance included in the medicine is magnesium carbonate, which quickly restores the pH level. Literally a couple of hours after eating, gastric juice becomes of normal consistency and does not irritate the walls.
4. Phosphalugel. Neutralizes hydrochloric acid within 1.5 - 2 hours after eating. It is recommended to use after every snack.

Important! The course of treatment and the number of doses per day is determined by the attending physician after a complete examination of the stomach and diagnosis of the stage of the disease.

Antispasmodics for the stomach

This group of drugs includes:

1. Halidor. Acts as a blocker of serotonin receptors and eliminates vasospasm. Due to this action, it lowers the pressure in the circulatory system and effectively copes with pain symptoms.
2. Dibazol. Apply twice a day, following the instructions.
3. Papaverine. Eliminates pain in the stomach by relaxing muscle tone. It has a short-term effect, unlike previous drugs, and is prescribed by doctors at the initial stage of an ulcer.
4. No-shpa. Prevents the penetration of calcium into the structure of smooth muscles. It has a strong and long lasting effect.

At home, it is possible to cure an ulcer at any stage of its manifestation. But this should be done in conjunction with the therapy prescribed by the doctor. In this case, you should adhere to a certain diet, which is mandatory for ulcers throughout the course of treatment.