How to treat ulcers in the intestines


Symptoms and treatment of bowel ulcers

Ulcerative lesion of the intestine can develop with various diseases of the digestive tract: inflammatory, dystrophic, invasive. Ulcer of the intestine is not an independent disease, therefore, a detailed examination of a person is necessary to establish the cause of its formation and determine the tactics of treatment.

Among the most common causes of ulcerative bowel disease are:

  • actually a peptic ulcer (only the upper part of the intestine is affected - the duodenum);
  • nonspecific ulcerative colitis;
  • oncological processes;
  • Crohn's disease;
  • shigellosis;
  • amebiasis.

If ulcers occur, consult a gastroenterologist. A person can not see an ulcer in the intestine, but it is accompanied by other signs, which should be noted.


This acute disease is infectious nature, which is caused by a whole group of microorganisms called shigella. These microbial agents are highly resistant to the environment, in particular in water and various products. A person can catch them fairly eas


  • with direct contact with a sick person;
  • when using common household items and utensils;
  • when using poorly washed fruit and vegetables, as well as thermally not treated or poorly processed products.

In shigellosis, ulcers form in the region of the terminal parts of the intestine (in the sigmoid and rectum). The following symptoms are typical for this disease:

  • increased temperature and severe general weakness;
  • rapid dynamics of the disease;
  • frequent loose stools with an admixture of blood and mucus;
  • pain in the rectal zone, which is intensified during defecation.

The diagnosis of shigellosis is confirmed as a result of a laboratory examination (sowing stool and detection of shigella) and sigmoidoscopy (visible inflamed mucosa, multiple separately located ulcers). Treatment of an ulcer of the intestine in shigellosis is a systemic therapy of the whole organism with the help of antibiotics and detoxification with saline solutions.


This disease is also of an infectious nature. It is more relevant for countries with a tropical climate, and the European continent can be brought by numerous tourists. The causative agent of amebiasis is the specific protozoa - Entamoeba histolytica, which persists for a long time in soil, water and some products. Symptoms of intestinal ulcers with amoebiasis and shigellosis are similar in many respects. Amoebiasis can be distinguished (it can be done by a specialist) on the following grounds:

  • the disease begins gradually, sometimes a person for many months and even years is a carrier of amoebiasis, isolates the pathogen, infects others, but no symptoms of the disease in themselves notes;
  • symptoms of general intoxication grow slowly, the condition resembles the course of a malignant neoplasm;
  • pain in the abdomen is localized in its left half;
  • feces of usual volume, but liquid consistency, with an admixture of blood (the so-called "raspberry jelly").

The final diagnosis of amebiasis is confirmed by microbiological examination and sigmoidoscopy. In this disease, rectal ulcer is located on virtually unchanged mucosa. The main direction of treatment are antibiotics (Metronidazole), which affect all types of pathogens. If the treatment of amebiasis is not effective enough and intensive, then it is possible to form secondary foci in the tissues of the brain and liver.

Oncological processes

May occur in any part of the intestine. For most invasive processes of the intestine, there is very little clinical symptomatology: colon ulcer (or small intestine) is completely invisible, and other symptoms appear only when the size of the tumor node. For malignant neoplasms of the thick and thin intestine are characterized by:

  • abdominal pain without clear localization, not related to food intake, not responding to taking analgesics;
  • the intensity of pain increases as the tumor node increases: from moderate at the beginning - to intolerable in the terminal stage of the disease;
  • when the tumor is located in the rectal area, constipation may occur;
  • when the small intestine is affected, a blood admixture in the fecal masses is observed, in the worst case, the ulcer of the small intestine of such origin is complicated by massive bleeding;
  • As the tumor node grows, symptoms of general cancer intoxication develop (weakness, lack of appetite, anemia in the general blood test).

The diagnosis of malignant neoplasm of the intestine is difficult to establish. It is necessary to conduct a special examination - irrigoscopy and colonoscopy. These diagnostic manipulations differ in the height of penetration of the optical cable and, accordingly, in the ability to assess the condition of the thick and small intestine. Cardinal means of treatment is only surgical intervention and subsequent chemotherapy and radiation therapy.

Crohn's disease and nonspecific ulcerative colitis

These diseases are in many respects similar and in many respects poorly or insufficiently studied. NNC is a disease of an autoimmune nature, in which ulcers are located on unchanged mucosa. The process is characterized by a chronic course, exacerbation can provoke bias in the diet, emotional stress, infectious disease.

Ulcerative lesion of the intestine is revealed during a special examination. The clinical picture is similar in many ways to invasive infectious diarrhea (abdominal pain, blood in feces). For a full-fledged diagnosis, instrumental examination and negative microbial seeding results are necessary. Systemic corticosteroids are used in treatment.

To distinguish Crohn's disease from ulcerative colitis by clinical signs is almost impossible. Certain differences are detected only with a special examination and can only be properly assessed by a specialist.

Duodenal ulcer: causes and symptoms

A defect that forms on the inner shell of the duodenum, a chronic disease that affects the mucosa above the said organ, is called a peptic ulcer. Often this disease is manifested due to the occurrence of a chronic inflammatory process of the gastric mucosa. This defect is characterized by exacerbations in the autumn-spring period. Sometimes peptic ulcer 12 duodenal ulcer has a similar symptomatology with a stomach disease, because the infection manifests itself almost identically. Read about the symptoms and treatment of celiac disease.

The figure shows an ulcer of the duodenum


According to the data provided by the statistical department, this type of ulcer occurs, approximately, in 5% of the total population of Russia. It should be noted that people most often suffer from it in the age range from 23 to 27 years. In men, the disease occurs several times more often.

If we talk about elderly people, then ulcer 12 duodenal ulcer occurs at times less often, because few people "for 50" consumes alcohol and tobacco. At an early age, only one percent of all children are affected. Read the indications for ultrasound of the pancreas on this page.

Many patients suffering from this disease are asked: for how long from a peptic ulcer it is possible to get rid of? Doctors say that the period is individual, because it all depends on the degree of development of the disease. On average, it lasts about two weeks.

Refers to this defect "will pass by itself" absolutely not worth it, because an ulcer is the beginning of the formation of a hole. Sometimes the disease can lead to death.

When making a diagnosis - an ulcer of the duodenum doctors recommend quitting smoking, because nicotine is one of the factors contributing to the development of peptic ulcer in the cavity of any organ of the digestive system tract.
Still it is necessary to remember and that at a course of a peptic ulcer it is necessary to refrain from sunburn. In combination with ultraviolet rays can develop an oncology.


There are two main causes that contribute to the development of duodenal ulcers:

  1. Infection caused by the Helicobacter pylari bacterium. It can exist in the digestive tract for several years. The consequence of its development is the death of the cells of the internal organ. In addition, it has a huge impact on the level of acidity;

Ulcer of duodenum in the picture

  • Excessive release of hydrochloric acid. If the contents of the gastric cavity get into the cavity of the duodenum, the inflammatory process begins. The consequence is an ulcer.
  • Effects

    Doctors say that peptic ulcer of the duodenum leads to the formation of various chronic diseases that affect the organs of the digestive tract. And the most dangerous of them should be considered oncological formations. Still need to understand that with this disease can occur a serious violation of the digestive process afterwards the organ can be removed, in part. Read a review of what herbs in pancreatic pancreatitis are useful here: .


    At the moment, duodenal ulcer is classified as follows:

    • Mirror ulcer # 8212; it is the presence of formations both at the beginning of the duodenum and at its end;

    The figure shows the ulcers of the gastrointestinal tract

  • a healed ulcer is a form of the disease after active ulcer development. It is recommended to pass an ultrasound examination and make sure that bile secretions do not enter the stomach cavity;
  • ulcers bulbs - are formed on the site, which passes into the stomach. It occurs many times more often than a non-ulcerous ulcer;

    In the photo, an example of an ulcer of the bulb of the duodenum

  • an ulcer of the descending part of the duodenum - is formed directly in the descending section at an interval of 8-12 cm.
  • In the picture the ulcer of the descending part of the duodenum

    Regardless of the form and course of the disease, one should adhere to the prescription of the doctor and not deviate from the prescribed disease.

    Treatment of ulcers with drugs

    To cure a duodenal ulcer, it is necessary to follow a special component scheme consisting of three to four steps. Read about what is erosion of the stomach, its symptoms, treatment and diet.

    Attention! In accordance with the peculiarities of the course of the disease, the patient is selected individual treatment.

    In any case, the entire course will last no less than two weeks. Drugs are taken either intramuscularly or orally.

    Ulcer is treated with the following medicines:

    • Inhibitors of H2 receptors - the most popular is Ranitidine;
    • Antibiotics - used to kill bacteria. Apply Clarithromycin, Erythromycin or Ampioks;
    • To lower the pain threshold by forming a protective film, antacid drugs are used, for example, Almagel;
    • To reduce the acidity - De-nol and Omeprozol.

    When diagnosing peptic ulcer of the duodenum, it will not be permanently cured, even surgically.

    The scar will remain forever and will be a nonfunctional part of the inner part of the organ.

    How to treat an ulcer folk remedies?

    In addition to medical and surgical treatment, sometimes they resort to treatment with folk remedies. Often to fight this disease, traditional medicine suggests using herbal and decoction. The most effective substance is ivan-tea. It can be purchased both in a pharmacy and collected independently. The main thing is to stick to the way of cooking. To get acquainted with the information why there is a heaviness in the stomach after eating and what can I do here.

    Experts say that there is no better treatment than prevention. With regard to preventive measures of peptic ulcer attacking the duodenum, it is in itself aimed at:

    • Increases in acid secretion;
    • Prevention from the manifestation of pathogenic bacteria Helicobacter pilari.


    Look at the video description of the ulcer of the bulb of the duodenum:

    In order not to develop this disease, you should completely abandon nicotine and alcohol-containing beverages. Beneficial to the microflora of the duodenum will also affect the absence of stressful situations, stable nutrition and the exclusion of food products with high levels of acidity. In addition, the presence of clean dishes (the infection is transmitted along with saliva) will influence this. In the event that a person suffers from gastritis, then as soon as possible to proceed to medical treatment.

    How to treat duodenal ulcer

    How to cope with a duodenal ulcer?

    Duodenal ulcer from the point of view of medicine is considered a chronic, progressive disease, which manifests itself in the form of defects on the mucous membrane. Symptoms of the disease can then worsen, then disappear.

    Provocators of peptic ulcer

    The main cause of the disease today is the bacterium Helicobacter Pylori, which produces harmful substances for the intestinal mucosa. The remaining factors seem to strengthen the action of the bacterium. Such amplifiers include:

    * Heredity - the number of cells producing hydrochloric acid with secreted components of gastric mucus, protecting the walls of the bowel depends on genetics;

    * Neuropsychic personality characteristics - easily excitable people, give in to stresses and negative emotions are more likely to get sick with an ulcer;

    * Improper diet - a menu in which a lot of spicy and salty foods, as well as irregular eating habits negatively affect the intestines;

    * Reception of strong anti-inflammatory non-steroidal and anesthetic drugs;

    * Harmful habits - smoking with alcoholic beverages damages the mucous.

    Differences in peptic ulcer disease

    You can feel pain at the top of the abdomen in the middle or the right side. The pain is dull, aching, stitching or cutting. It appears about 3-5 hours after a meal, or at night. In addition, there is nausea with a feeling of fullness of the stomach, swelling, heartburn and belching. All this against the background of general weakness, thinness, reduced efficiency.

    How to determine the disease

    The doctor-gastroenterologist will diagnose. With the help of fibrogastroduodenoscopy, the mucous membrane of the stomach and duodenum is examined. This makes it possible to assess the location with the size of the ulcer and other features if the diagnosis is correct. The procedure is not the most pleasant, but it makes it possible to take a sample of the mucosa along the edge of the defect for examination in order to find Helicobacteria. In addition, the technique helps to check whether there are polyps inside the tumors. An X-ray picture shows how deformed the bowel is.

    Methods of treatment of peptic ulcer

    Cope with the disease can only be integrated, combining medical therapy with diet, physiotherapy, curative gymnastics and sanatorium treatment.

    Exacerbation is treated under the supervision of a specialist. You need bed rest and rest. The doctor chooses a treatment regimen based on the results of the examination and the presence of the Helicobacter pylori bacterium in the mucosa of the stomach with the duodenum.

    In drug therapy, antisecretory drugs are used that reduce the production of gastric juice. This group includes proton pump inhibitors (omeprazole with parieta, non-oxum), H2-histamine receptor blockers (famotidine with ranitidine, cimetidine), cholinolytics (gastrocepin). To kill a bacterium, if it is found, you need drugs that contain bismuth. These funds will create a protective film on the mucous membrane of the bowels (we are talking about vikalin, de-zero, vicair). Antibacterial and antiprotozoal drugs include amoxicillin with clarithromycin, metronidazole, tetracycline, and others. Prokinetics (i.e., trimedate with ceruleum and motilium) will improve the motility of the duodenum, relieve nausea and vomiting, feelings of heaviness, heartburn. To cope with heartburn will also help Almagel with maalox, phospholugel. Protect mucous from the effects of gastric juice can be with the help of gastroprotective agents (venter). A good effect is given by drugs such as analgesics (baralgin) with spasmolytics (drotaverin) and drugs that improve mucus nutrition in the intestine (actovegin, B vitamins).

    Diet №1 is recommended during an exacerbation. This fractional food in small portions up to six times a day. The menu should consist of boiled meat, fish, non-acidic dairy products, wiped vegetables that do not contain coarse fiber, cooked sweet fruits and berries, boiled cereals, dried white bread, weak tea, coffee and cocoa with milk, broth rose hips. Forget about the time for fried, pickled, spicy, salty dishes, smoked foods, canned food, vegetables with coarse fiber, acidic fruits and berries, mushrooms, sour dairy products, fatty meats and fish, strong coffee, carbonated drinks, acidic juices.

    Speaking about physiotherapy, sinusoidal modulated currents with microwave, ultrasound therapy, electrophoresis and half-alcohol compress will help alleviate the condition. All these procedures will remove inflammation, anesthetize, improve blood circulation.

    Thanks to exercise therapy, the functions of the duodenum will return to normal, it will be better to circulate the blood in the organ. Also, physical education will relieve stagnation in the gastrointestinal tract.

    Without surgical intervention can not do, if there is a breakthrough ulcers with ingestion of the intestinal contents into the abdominal cavity. With bleeding and stenosis of the intestine gatekeeper. Including if the benign ulcer does not heal for a long time.

    If you notice bleeding, this is a sign of a complication. Lie on your side, attaching something cold to the epigastrium, urgently call for an ambulance, do not drink or eat, do not take medicine. In order not to provoke the disease, eat right, drink mineral water, get rid of bad habits.

    Elena Malysheva on the causes of ulcer development and its treatment



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