While the patient does not suffer from cramping pains that give off to the epigastric region resembling a pancreatitis attack, nausea and bitterness in the mouth, acidic eructation turning into heartburn, but there is general malaise, some discomfort in the epigastric region, the gastroenterologist suspects a moderate bulbitis. To confirm the diagnosis, he asks the patient to undergo an objective examination, which helps to find out the condition of the duodenal bulb mucosa.
Diagnosis of moderate gastrointestinal bulbitis is carried out in three stages:
- The first is performed by palpation. If the diagnosis of a moderate bulbitis of the stomach is confirmed, it reveals the tension of the peritoneum in the epigastric region and slight pain, which abruptly passes when the body is bent forward.
- The second stage of diagnosis is duodenoscopy - the most modern method for detecting primary and secondary duodenal pathologies. It provides visual access to internal organs, on an endoscopic picture duodenoscopy shows a slight reddening of the mucous bulb located between the stomach and duodenum, the first signs of edema and an increase in the size of the organ described.
- It is useful at this stage to carry out a daily pH-metry. With it, fluctuations in the acidity of the stomach, changes in pH before meals and after eating are monitored. In addition, the patient will have to undergo an electrocardroenterography, which allows to assess the state of intestinal peristalsis.
It is important to understand that a moderately expressed bulbitis of the stomach most often develops against a background of chronic gastritis, therefore the symptoms of both pathologies are similar, but they are erased and disturb the patient for a long time. A person often experiences general malaise, mild headaches, feels sweating and fast malaise. In addition, if the patient does not eat for a long time, hunger provokes the appearance of muscle yeast and strong weakness.
Treatment of moderate bulbitis
Treatment of moderate-expressed bulbitis will require a dramatic change in lifestyle. I'll have to quit smoking. Under the complete prohibition, alcohol also enters. It is necessary to try to avoid nervous disorders and stressful situations, strong emotional overload.
It is useful to revise your diet. Therapeutic diet is the most effective medicine. A mild, moderate bulbitis of the stomach suggests a complete refusal of fast-fot and a transition to fractional nutrition. It will be necessary to increase the number of daily meals to six, reduce the portions themselves and exclude all fried, salted, smoked. Banned sausages, meat and fish delicacies, canned food and vegetables with coarse fiber. Allowed sour-milk products, jelly, mucous porridge, bread crumbs, chicken broth, meat and fish for a couple.
The administration of medicines depends on the etiology of the bulbite. But the necessary condition for complete recovery is the eradication of Helicobacter. It is made by prescribing antibiotics for 14 days. In parallel, drugs are prescribed that have an enveloping effect on the intestinal mucosa. They dive the development of inflammation of the mucous bulb.
Typically, to accelerate the recovery and eliminate the inflammation, which causes mildly expressed bulbit, help the traditional medicine. It is useful to drink during meal throughout the whole diet diet of plantain juice with honey. But before the meal it is useful to drink tea, brewed from St. John's wort, licorice, althea root and a pharmacy chamomile.
During periods of remission patients are advised to undergo a course of physiotherapy and sanatorium treatment.