Many patients who are diagnosed with peptic ulcer are interested in the question - is duodenal ulcer treated? Modern principles and therapeutic methods allow treating the disease at any stage. Of course, with timely access to a doctor, the therapeutic process takes a much shorter period of time with the use of loyal therapeutic measures. At later stages, with manifestations of complications, one can get rid of the disease only through surgical intervention.
The principles on which the treatment of duodenal ulcers are based have changed greatly. For example, today the operation is only indicated if there is a profuse bleeding or signs of a perforated ulcer. Before this operation was done much more often.
The modern therapeutic process consists in the use of drug regimens, which are mainly composed of bismuth preparations, antisecretory, anti-inflammatory, analgesic and drugs to suppress bacterial infection, as it is one of the main causes of ulceration of duodenal ulcer. Treatment, including these drugs is very effective, and allows you to completely get rid of the disease.
To date, there are about five hundred different drugs, new drugs are available to fight the disease. Their combinations constitute a variety of treatment regimens.
Modern treatment of duodenal ulcer implies the use of an integrated approach. Active medication is used, which necessarily includes:
- Antibiotics( Amoxicillin, Clarithromycin, Metronidazole, Tetracycline ).
- Antiprotozoal preparations ( Trinidazole).
- Gastroprotectors( sucralfate, Sukras).
- Prokinetics( Ganaton, Motilium, Motilac, Metoclopramide).
- Antisecretory agents for the treatment of gut ulcers: H2-histamine-receptor blockers( Famotidine, Kwamatel), proton pump inhibitors( omeprazole, esomeprazole), M1-cholinolytics( Pirenzepin).
- Analgesics( Baralgin).
- Antacids( Maalox, Fosfalugel).
- Bismuth-containing( De-Nol, Vikalin).
- Vitamins and preparations that promote the improvement of nutrition of the cells of the mucous membrane with an ulcer of 12 intestines( vitamins of group B, C, A, Actovegin).
The use of medicines is fully effective only if dietary intake is strictly adhered to, eliminating bad habits, changing the way of life.
Principles of complex treatment of duodenal ulcer
The causes of peptic ulcer are: hormonal failures, stresses, taking non-steroid medications, heredity, and also bacterial infection. Before the appointment of a complex of drugs, you should determine the cause of the disease.
Helicobacter pylori has a big negative effect on the development of the disease. Virtually 90% of cases are due to the multiplication of this pathogenic microorganism. Application of the principles of antibacterial treatment can completely eliminate its activity and neutralize further development. Treatment of duodenal ulcer consists of the following three combinations:
Therapy of the first line of .The patient is prescribed two antibiotics twice a day( Clarithromycin for 0.5 mg and Amoxicillin for 1 g.), As well as an inhibitor of the proton pump( Omeprazole 1 time / day).It is calculated for 7 days. If treatment does not bring a successful result, a second-line therapy is prescribed.
Therapy of the second line .It also consists of taking two antibacterial drugs( Metronidazole 0.5 g. -3 times / day and Tetracycline 4 times / day), as well as bismuth-containing( De-Nol, Vikalin) 4 times / day and Omeprazole twice a day. The course lasts about 7-10 days, after which a set of other medicines is prescribed.
Complex therapy .It is also calculated for 7-10 days. It is a combination of antibiotics, blockers of the proton pump, gastroprotective agents in other dosages according to the protocol of treatment of gastrointestinal ulcers. In this case, in the treatment of duodenal ulcer, each patient is treated with optimal therapy. And the patient, in turn, should follow the recommendations of the doctor impeccably.
Physiotherapy with duodenal ulcer
Treatment of duodenal ulcer will have the best result, if you add physiotherapy courses to medications and dietary nutrition.
How is duodenal ulcer treated through physiotherapy?
- Sinusoidal simulation of current pulses .This is one of the most painless kinds of physiotherapeutic influence. It is especially in demand during periods of sharp seasonal exacerbations, because it is intended to alleviate pain syndromes, reduce the manifestation of other unpleasant sensations, and improve blood circulation. Has a strong anti-inflammatory effect.
- Drug solutions in combination with electrophoresis .Ultrasound and microwaves affect the inhibition of pain, and also lower the level of secretory substances production.
- Gymnastics .Some physical exercises are also indicated for ulcers of the duodenum. Treatment involves a number of simple exercises. Also, it is prescribed as a preventive measure.
- Warm compress .This is a very old method of eliminating pain in ulcerative disease. It has been successfully used to date by many patients at home. Doctors note the effective spasmolytic effect of a warm compress, it also improves microcirculation of blood in small capillaries.
Very often, we treat the ulcer of the duodenal ulcer only when manifest acute symptoms. At the first signs of the disease( periodic pain in the abdominal region, nausea, prolonged heartburn), you should immediately consult a doctor who will prescribe adequate and effective treatment.