What distinguishes the symptom of duodenal ulcers from the symptom of a stomach ulcer?

Is there a characteristic symptom of duodenal ulcers, on the basis of which the doctor can diagnose the ulceration of this particular part of the digestive system? It turns out there is! This is the pain that gives to the area of the left scapula or in the hypochondrium. Is it possible to suspect without special medical knowledge that this pain is not related to the spine?

Functions of the duodenum

The duodenum is located in the gastric pyloric and refers to the organs of the small intestine. It is she who secretes intestinal juice with the enzymes necessary for digesting food. Thanks to its contractility - motor skills - it mixes products with this juice, and the contents move to the neighboring parts of the intestine.

This section of the intestine is covered with a triple shell, which consists of:

• Serous component, also covering the stomach;
• Muscular, providing contractility;
• The mucosa, on which the intestinal villi are located.

Each villus at the end has vascular and lymphatic organs, sucking nutrients, and glands at the base, participating in the digestive system. If at least one villi is damaged, then an ulcer of the bulb of the duodenum appears , the symptoms of which can be noticed by unpleasant changes in one's own condition. Do not pay attention to the emerging pain is impossible. Although not all of them can be independently associated with pathology in the digestive system.

Suspicions for the presence of ulcerative process

To the symptomatology that indicates the ulcer in the duodenum, you can refer:

• Dyspeptic disorders ;
• Pain in the morning, which usually appear on the right under the ribs;
• Pain in the absence of food;
• Eructation;
• Excessive gassing;
• Vomiting;
• The main symptom of an ulcer of the duodenum, which does not occur with a stomach ulcer, is pain under the left scapula.

In the presence of an ulcer in this part of the intestine, the patient may have weight loss.

If the inflammation of the bulb makes itself felt only by the symptom of duodenal ulcer, which gives reflected pain to the area of the left scapula, the doctors for a very long time can not diagnose the ulcerative process. The patient is treated for osteochondrosis, aggravating the ulceration of the intestinal mucosa with the use of nonsteroidal drugs. And only when there are other manifestations of peptic ulcer, special treatment is prescribed.

But the doctor should not be blamed for ignorance or inattention. Most often the patient is "guilty" himself. He does not connect these pains with the process of eating, although their manifestation occurs at a strictly certain time. Acute pain often occurs a couple of hours after eating and does not subside even when using pain medications.

Causes and Treatment of Ulcers

Do not always give a diagnosis - duodenal ulcer - symptoms. Photo or X-ray, fibrogastroscopy - only they are the basis for diagnosis. Currently, the photographic method is rarely used, it requires preliminary preparation: before the study you need to drink a contrast medium, which for many patients is an allergen. FGS - endoscopic examination of the duodenum by introducing a sensor into the patient's body - gives an effective assessment of the state of its shell.

The causes of duodenal ulcers are increased acidity, eating disorders, stressful situations, a side effect of drug use and infection with the Helicobacter pylori. Therefore, before the appointment of treatment, the result of another analysis is needed - for the presence of Helicobacter in the blood. For this, we have to donate blood from the vein. If the analysis showed the presence of a bacterium, then, in addition to enveloping drugs, agents that reduce inflammation and reduce the acidity of the secret, antibiotics are prescribed.

Currently, if Helicobacter is not found, the drugs "Omez", "De-nol", "Almagel" and the like are used to treat ulcers. Their combination, dosage and duration of admission is determined by the attending physician. The most suitable for the destruction of Helicobacter pylori bacteria are antibiotics-macrolides.

If there is at least one symptom of an ulcer of the duodenum, it is absolutely necessary to contact a doctor. An untreated ulcer can give a complication in the form of gastric bleeding, and then without surgical intervention, during which the affected department will be excised, it will be impossible to do.