Can a duodenal ulcer be infected by kissing?
Duodenal ulcer is classified as chronic, severe and fairly common gastrointestinal diseases. According to research, it is sick to ten percent of the world's population. Moreover, it is noted that men are more susceptible to this disease than women, and as to age, the ulcer manifests itself most often to thirty or forty years. Although, of course, you can get sick at any age and without regard to sex.
Symptoms of duodenal ulcer
To features duodenal ulcers refers to the appearance of a defect (in the form of ulceration) on the gastric mucosa or directly of the duodenum, which is characterized by a disturbed and distinctly delayed healing process. This defect, depending on the severity of the disease, can affect the area from a few millimeters to several centimeters. It is noted that in the duodenal ulcer is formed four times more often than in the stomach. Less often noted ulceration of mucous membranes of both these organs - then a combined ulcer of the stomach and duodenum is diagnosed. In contrast to the mucosal lesions in the form of duodenal eruption, the ulcer always heals with the formation of scar tissue.
Most often, duodenal ulcer occurs as a consequence of the already existing gastritis (i.e. inflammation of the gastric mucosa) or duodenitis (inflammation in the duodenal mucosa). These conditions are often associated with ingestion of the human body and the activity of the bacterium Helicobacter pylori. Also, the causes of the disease include increased acidity: in people who have increased sensitivity, the effect on the duodenal mucosa of pepsin and acid can cause its transformation and, as a consequence, the appearance of ulcers. To provoke the disease can and the intake of individual medications - most often anti-inflammatory (aspirin, diclofenac, ibuprofen and the like), as these drugs can eat away mucous.
If the disease is caused by the activity of Helicobacter Pylori, it may well be a person's infection with a person, especially with close and prolonged contact, kisses. The source of infection with a peptic ulcer can be the personal belongings of the ill: utensils, bed linen and towels that he used.
Provocators of the disease can be smoking, love of alcohol, as well as an unhealthy lifestyle with irregular meals. It is also noted that the risk of duodenal ulcers may increase in people who are forced to work on night shifts - according to studies, in this case, the risk of getting sick increases by fifty percent. An important role in the development of the disease can also play a bad heredity, innate features of the body and serious stress (an ulcer can often occur in people with "nervous" professions).
This disease lasts for a long time and is characterized by periods of exacerbation of ulcers and remission, the severity of the disease may depend on the age and sex of the patient, the time of the year and the stage of the disease itself. Exacerbations are associated with the seasons - the largest number of acute conditions are recorded during the periods of spring and autumn. In the acute phase, the disease can last from one week to almost a few months. The combined ulcer of the stomach and duodenum may appear with time, that is, first the patient is diagnosed with a ulcer in the duodenum, and then, years later, a stomach ulcer is added to it. In rare cases, multiple ulcers can be detected in patients.
Symptoms of the disease
If to speak about symptoms of duodenal ulcer, the main one is pain, and the onset of the disease (or periods of its exacerbation) is characterized by acute pains, but before that less expressed symptoms of pain can be observed. Localized pains usually in the upper abdomen - in the area under the spoon, or slightly to the right of the middle. But there may be observed chest pains (most often in the presence of an ulcer bulb of the duodenum with a change in the gatekeeper) or there is a pain sharply receding into the back. Approximately one third of patients speak of strong pains of a different nature - they can be pecking and blunt, aching and in the form of fights, the rest of the pain less pronounced. A painful attack can go through twenty to thirty minutes or continue for several hours. Often the pain can go away after eating, and patients often try to "catch" unpleasant symptoms, but sometimes the pain comes after eating, along with a feeling of heaviness in the stomach.
With the development of peptic ulcer, they speak of frequent night and hungry pains. Hungry can occur about six to seven hours after a previous meal. You can usually remove them by drinking milk or eating. There may also be a feeling of an acute need to eat something after a short time after eating. About eighty percent of patients report that they wake up at night from painful sensations. This is because acidity increases during the night period - the greatest amount of acid secretion is produced at about two o'clock in the morning. About fifty percent of patients complain of concomitant constipation - they can be a consequence of both intestinal peristalsis and medication.
Another frequent symptom of duodenal disease is heartburn - a characteristic burning sensation behind the sternum, closer to the neck, resulting from the fact that the contents of the stomach enter the esophagus. Symptoms of inflammation of the duodenum often include bloating, eructations, flatulence, nausea. At the peak of pain, vomiting may occur, after which the pain may decrease, and the patient feels relieved.
However, it happens that the signs of ulcers do not reveal themselves in any way, the disease is completely asymptomatic - in the latent form, often the aggravation of the disease is carried by elderly patients.
Complications of duodenal ulcer
In addition to unpleasant sensations, peptic ulcer can also threaten complications, the most frequent of which include bleeding, which manifests itself in the form of blood in the stool or vomit. Internal bleeding is very dangerous for the possibility of a lethal outcome - after detecting blood, you should immediately consult a doctor!
Sometimes blood can be detected only by indirect signs: the feces turn almost black, this indicates a slight bleeding, which nevertheless requires consultation with the attending physician. Another dangerous consequence of inflammation of the duodenum is perforation of the ulcer. The integrity of the wall of the duodenum is broken, an opening appears through which its contents enter the abdominal cavity, resulting in peritonitis - infection of the abdominal cavity, a condition that directly threatens the patient's life. This exacerbation is characterized by very acute pain, combined with deterioration of well-being and flatulence. In this case it is important to consult a doctor right away - in the first hours after deterioration. Since peritonitis is treated exclusively by surgical intervention, and the absence of treatment directly leads to the patient's death. Scars, which are formed on the site of ulceration of the mucosa, can cause obstruction, which is also a serious condition. The duodenal ulcer also causes bulbitis of the bulb of the duodenum (otherwise it is called chronic duodenitis) - the disease occurs when a large amount of acid from the stomach enters the duodenum, the symptoms of the disease are similar to those seen in an ulcer.
Malignancy, that is, the transformation of the disease into a malignant tumor, defined as duodenal cancer, also applies to dangerous consequences in the form of complications of peptic ulcer. As with peptic ulcer, pain is the main and earliest symptom of duodenal cancer (along with anorexia, heartburn, weakness and weight loss) - aching pain is most often permanent and has no connection with eating.
Peptic ulcer detected in children is usually less severe than in adults and gives significantly less complications.
Diagnosis of the disease
Since the clinical manifestations of duodenal ulcer are quite diverse, the description of the symptoms by the patient is invariably combined with the examination. A number of studies can be used to correctly diagnose a disease. The most relevant diagnostic method today is called fibrogastroduodenoscopy: in addition to confirming the presence of ulceration in the duodenum, this study can determine the depth of the lesion, its location, size, depth and shape, and fix changes in the mucosa. In addition, modern devices allow also to take samples of tissue and gastric juice to test the acidity and the presence of Helicobacter pylori.
To exclude the malignant nature of the disease, a biopsy can be taken, followed by a histological examination. The detailed diagnosis includes also blood and urine tests. Blood, stool and vomiting for Helicobacter pylori are tested (separately, feces can be checked for the presence of hidden blood). X-ray studies are now considered obsolete, however, they can still be used to detect ulcerative or cicatricial deformity in the bulb of the duodenum, as well as to determine violations of gastroduodenal motility.
With a duodenal ulcer, ultrasound is usually not prescribed, whereas with a stomach ulcer this study can be useful - if suspected of a combined ulcer, this method of investigation can be assigned. When the patient is initially treated, the physician can use the palpation method, which allows the good specialist to make an initial diagnosis even before receiving the results of the study.
Treatment of duodenal ulcer
Usually, methods and methods of treating duodenal ulcers suggest a multicomponent approach. It should be borne in mind that when applying for a treatment regimen, an individual approach is always applied, including the patient's condition, the results of the research, and this again confirms that self-treatment is unacceptable, that is, in any case, you should show all the results of your research to your gastroenterologist. Usually, the ulcer responds well to conservative treatment and in 90% of cases, surgery is not required. Operations can be prescribed for complications or if the disease is resistant to drug treatment. Surgical intervention in modern conditions is the local excision of the ulcer or carrying out vagotomy (reducing the acidity of gastric juice in an operative way).
With the pharmacological approach to how to treat duodenal ulcer, the main goal is to kill Helicobacter pylori (if it is found in the research) and restore the mucosa, as well as to prevent the occurrence of possible complications. Prescribed can be: medicines and antibiotics of the third generation. When appointing pills, the attending physician will start from the peculiarities of the course of your disease - localization of the ulcer, acidity indicators and other things.
Prevention and diet in case of illness
In order to prevent duodenal ulcers and to prevent exacerbations of its course, it is recommended to take measures to reduce nervous tension, improve the quality of food and normalize the diet, and completely give up smoking and alcohol. Once a year it is recommended to visit the resort with a bias for the prevention and treatment of digestive diseases. It is also recommended to adhere to a special diet with a duodenal ulcer, the diet of which must be well balanced and free from irritating mucous components.
In addition to alcohol, all the carbonated drinks, as well as strong coffee and tea, are excluded from the diet. Spicy seasonings also fall into a number of forbidden, especially in the case of mustard, hot pepper and horseradish. All canned food, as well as cooked by frying should be prohibited. It is undesirable to ingest excessively boiled broths (fish, meat and even mushrooms), foods that are rich in fiber (legumes, corn, asparagus, radish), fruits and berries with a hard skin. Bread with wholemeal flour is banned, as well as rye. Do not eat very hot and very chilled foods. A similar diet should be followed in the treatment of duodenal erosion.
Eating with ulcer of the duodenum should be as gentle as possible, but at the same time full, nutritious and rich in vitamins. Periodicity of food intake - at least six times a day, in small portions, avoiding overeating. It is necessary to reduce the amount of salt in the diet, butter (cream and vegetable) add to the already prepared food. It is desirable to replace sugar with honey, which improves the condition in patients, sweets with pectin (marshmallow, marmalade, pastilles) will also be useful. Boiled and baked fruits with ulcer are more useful than fresh ones (with fresh ones you need to peel and preferably pure them).
The benefits come from low-fat, mashed soups, steamed fish and meat (extremely low-fat varieties, recommended in a soufflé-flavored form), boiled soft boiled eggs, milk soups and cereals, low-fat ground curd with cream in small quantities. As beverages, decoctions of broth and wheat bran are good. You can also drink mineral water, but beforehand letting out of it carbon dioxide.
In general, the diet is designed to normalize the secretory function in the stomach - since it is it that irritates and damages the mucous membrane of the duodenum.
Treatment of duodenal ulcer with folk remedies
In folk medicine, there are many recipes for how to overcome duodenal ulcer with non-medicament means. But remember that when deciding to resort to folk methods, you still need to get advice from your gastroenterologist and consult with him about the possibility and expediency of using these funds. It is especially important to remember that treatment outside the hospital walls is unacceptable in case of complications of the course of the disease, as these complications can lead to death.
The decoction of St. John's wort is attributed to a sufficiently effective means for treating folk remedies with a duodenal ulcer. To prepare, you need to fill a half-liter jar of dried ground grass of this plant, then top up it with vegetable oil (preferably olive). The resulting composition is set for six hours in a water bath, after which it is allowed to cool and filter. The prepared preparation is taken half an hour before meals until the condition improves - store the medication with St. John's wort preferably in the refrigerator.
A well-known folk remedy for an ulcer is cabbage juice (from fresh white cabbage) - in a concentration of three to one it can be combined with juice from cauliflower celery. Drink the drink for three weeks, 250 milliliters at a time, on an empty stomach.
Honey is an indispensable remedy for an ulcer. To make a medicine from it, half a liter of honey should be mixed with a half-liter of olive oil, then adding juice from a pair of lemons. The jar in which everything was mixed, capped and sent to the refrigerator. Before use, shake each time. Take three times a day for half an hour before meals on a tablespoon - along with this tool you can eat five or six nucleoli of walnut.
Another product of beekeeping, which is recommended to facilitate the flow of duodenal ulcers, is propolis. 150 grams of this product should be carefully diluted in a kilogram of warm butter and a teaspoon take an hour before eating, the duration of the drug - one month. Propolis can also be dissolved in alcohol - 200 grams of the crushed product is taken per 100 milliliters of alcohol with a strength of at least seventy degrees. Three days is given to soak, then the tincture will need to be shaken and filtered. Twenty drops are added to a glass of warm water, take the drug two or three times a day, then stand for an hour before eating.
To good remedies in the treatment of ulcers can also be attributed mummy - it is well-bred in warm milk, maintaining a proportion of twenty to one, or can be stirred in whipped egg yolks. This means must be drunk before and after sleep, the proportions are calculated depending on the weight of the patient - 0.2 grams mum for those who weigh less than 70 kg, if the weight is less than 80 - you need 0.3 g of product, those who weigh more than 90 kg, You need 0.4 to 0.5 g of mummy, diluted in the already mentioned proportion.
Good healing properties in the presence of peptic ulcer can please the plant aloe. Its leaves (it is believed that it is necessary to take an old plant, with fleshy leaves) to chop the meat grinder, getting half a glass of gruel. Raw materials are mixed with a glass of sugar and aged for three days in the dark. Then we pour a glass of natural red wine into the container and let it stand for another hour. The medicine is drunk on a tablespoon once a day, the course of intake is one month.
It's easy to do - eat a four-centimeter piece of aloe leaf every day. The taste is extremely unpleasant (it is bitter), but it acts as an effective antiseptic and helps to heal the ulcer.
Duodenal ulcer is one of the diseases that can not be cured completely, but it can be avoided if you take care of your own health in time: to lead a classically correct way of life, to give up harmful habits, to eat fully. The same simple rules will avoid exacerbations of those who have already experienced the manifestations of this disease.