Diseases of the gastrointestinal tract (gastroenterology)

Hypochloremic coma: diagnosis

Laboratory data: General blood test: increase in red blood cells and hemoglobin (blood thickening), hematocrit up to 55% and more, leukocytosis, increased ESR. The general analysis of urine: decrease in quantity and relative density of urine - there is a proteinuria, the cylinderuria is possible.

Chlorhydropenic (chloroprivine, hypochloraemic) coma

Chlorohydropenic (chloroprivine, hypochloraemic) coma is a coma that develops as a result of severe water-electrolyte balance disturbances with significant and prolonged loss of water and salts, primarily chlorine and sodium.

Post-gastro-resection disorders

According to the literature data, post-gastro-resection disorders develop in 35-40% of patients who underwent gastric resection. The most common classification of these disorders is the Alexander-WiUams classification (1990), according to which the following three main groups are distinguished: Impaired gastric emptying as a result of resection of the pyloric section and, consequently, the transport of gastric contents and food chyme bypassing the duodenum.

Symptomatic gastroduodenal ulcers

Gastroduodenal ulcers can be caused by various drugs: NSAIDs (most often when treated with acetylsalicylic acid, indomethacin, butadiene); preparations of rauwolfia (reserpine, combined antihypertensive agents containing reserpine-adelfan, adelfan-ezidrex, crestepin-adelfan, etc.)

Stomach and duodenal ulcer: prevention

One of the significant problems of peptic ulcer is the possibility of recurrence (return) of the disease. In some cases, after the successful completion of treatment (the disappearance of the symptoms of exacerbation, cicatrization of the ulcer) several months later the ulcer opens again.

Stomach and duodenal ulcer: drug treatment

The basis of modern treatment of peptic ulcer is medications. It should be noted that there is no difference in the drug treatment of peptic ulcer of the stomach and duodenum.

Stomach and duodenal ulcers: therapeutic exercises

Despite the fact that many questions concerning the causes and exacerbations of peptic ulcer (violation of the balance between aggression factors and mucosal protection factors, the role of Helicobacter pylori), as well as the treatment and prevention of the disease, have been well studied by the end of the 20th century, a high percentage of recurrence of the pathological process - the ulcer reopens.

Stomach and duodenal ulcers: herbal medicine

Healing herbs for peptic ulcer of the stomach and duodenum should, first of all, have anti-inflammatory and wound-healing properties.

Diet with gastric ulcer and 12 duodenum

Food should be frequent, fractional, mechanically and chemically sparing, with the exception of dishes that cause or intensify clinical manifestations of the disease (for example, spicy seasonings, pickled and smoked products).

Treatment of gastric and duodenal ulcers

Inpatient treatment of uncomplicated form of stomach ulcers lasts 20-30 days, ulcers of the duodenum - 10 days. When discharging from the hospital, the patient is issued a legally valid document (an extract from the medical history), which indicates the complete diagnosis of the disease and the individual characteristics of the disease (localization and size of the ulcer, complications of peptic ulcer disease, relapsed operations for peptic ulcer disease, treatment recommendations), and are concomitant ulcer diseases.

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