In fact, such an expression as an ulcer of the bulb of the stomach is not entirely correct, since this department of the gastrointestinal tract, also called an ampoule, is at the very beginning of the duodenum, just behind the doorman. But the symptoms of such pathological formation practically do not differ from the signs of a lesion of a hollow organ. And, first of all, this pain, which can be either stitching or cutting, both periodic and permanent. Localization of nociceptive signals in the ulcer of the bulb, as a rule, is observed in the region of the left hypochondrium. However, the same physiological sensations a person experiences and with a mirror erosive lesion of the stomach.
However, the symptoms of ulcer bulbs still have their differences. And first of all, there is a definite sequence of painful sensations, which first arise within a couple of hours after eating, and again roll up with new force after 4-5 hours. These are so-called hungry pains, especially annoying at night. A person suffers and can not fall asleep until something is eaten. But after a while the attacks are repeated again. And all the fault is a high degree of acidity of the gastric juice, which, after passing through the bulb, continues to affect the affected mucosa.
What is cicatrical and ulcerative bulb deformation?
Scarring and ulcerative deformation in itself is not considered a disease. It is a consequence of exacerbation and subsequent healing of erosive defects of the mucosal epithelium. As a result of scarring, there is a pulling of the muscle fibers toward the center of the focus of the pathology, and when there are several such entities, there may be a significant narrowing of the lumen and the presence of diverticuloid-like pockets that resemble a butterfly, shamrock or malleus.
If timely therapeutic treatment was carried out, excluding recurrence of the disease, cicatrical and ulcerative deformation eventually disappears, and the bulb acquires its usual form. But when the patient does not consult a doctor or does not follow the recommendations of the gastroenterologist concerning the regime and dietary rules, then he repeatedly experiences repeated exacerbations, resulting in the formation of new scars. In the end, this leads to a persistent narrowing of the bulb and complete obstruction of food from the pylorus to the duodenum. And such a pathology is treated already with the help of a surgical operation.