Follicular bulbite
Last reviewed: 23.04.2024
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Bulbitt - a pathology, which causes inflammation of the mucosa of the bulb of the duodenum. During the endoscopic examination on it you can notice the appearance of a large number of small bubbles - the so-called. Follicle. Under such condition, a follicular bulbitis is diagnosed.
Causes of the follicular bulbit
The cause of the inflammatory process is both exogenous factors (infectious: helminths, lamblia, bacterial toxins, viruses, non-infectious: medicinal, toxic mucosal lesions, nutritional errors, smoking, alcohol abuse), and endogenous (metabolic, endocrine diseases) .
Risk factors
In addition to the main cause, there are also additional risk factors that contribute to the development of the disease: poor immunity, the presence in the daily diet of harmful foods, salted, fatty, roasted. In addition, the chronic pathology of the intestine and stomach has a negative effect.
Symptoms of the follicular bulbit
In general, the signs of the development of follicular bulbitis are similar to other similar pathologies of the duodenum. The most important symptom is cramping or aching pain sensations "under the spoon", giving back and the navel. They appear at night or on an empty stomach. As a result of casting the gastric secretion into the esophagus, belching of food eaten recently or a heartburn begins. In the mouth, bitterness can be felt, as well as an unpleasant odor. Another symptom is nausea with vomiting.
Among the possible additional signs - dizziness and headache, severe fatigue, frequent constipation or diarrhea, muscle tremor.
Follicular bulbitis in children
Follicular bulbitis in children usually begins without the appearance of symptoms, which makes it more difficult to identify at an early stage and, as a result, start treatment on time. As the reasons basically there are the same factors, as well as at adults, a difference only that at children development of disease occurs much more quickly.
Often this condition develops after a child has suffered gastritis, especially if it has not been cured to the end. Parents should pay attention if the baby begins to complain of a feeling of discomfort in the pit of the stomach, and at the same time to muscle weakness and headaches. Often, this pathology in children is accompanied by problems with stools.
Complications and consequences
Without timely treatment, the follicular bulb passes rapidly into a stomach ulcer. In children, the absence of treatment can lead to the transformation of the disease into an erosive form.
Diagnostics of the follicular bulbit
The diagnosis is based on the presence of the patient's symptoms, characteristic of follicular bulbits. To clarify the diagnosis requires a survey using instrumental methods.
Instrumental diagnostics
To diagnose the disease, the procedure of fibrogastroesophagoduodenoscopy or PEGS is performed. It is the main method of detecting almost all pathologies of the digestive tract. With its help, you can consider the changes in the mucous tissues of the bulb of the 12-gut-hemorrhage, edema, the appearance of areas with a changed epithelium, in addition, an enlarged bulb is visible.
Together with this, the motor activity of the bulb is determined by the FEAGS: the screen makes it possible to distinguish between individual contractions. Also this method allows to visually assess the presence of ulcerative lesions on the onion shell.
In addition to FEGDS, fluoroscopy with oral administration of barium is required. This method of diagnosis is more accurate, because with its help it is possible to trace the motor activity of the whole duodenum.
What do need to examine?
Differential diagnosis
It is necessary to differentiate the disease from catarrhal bulbitis, which has similar symptoms, as well as other pathologies of the duodenum.
Who to contact?
Treatment of the follicular bulbit
In the treatment of follicular bulbitis patient requires a strict diet. Food becomes fractional - small portions and increase in the number of meals to 6 times per day. The food used should not have an irritating effect on the mucosa of the duodenum and stomach, so too much hot / cold food is prohibited. At the initial stage (the first 2 weeks) you can eat only chicken broths, porridges cooked on the water, and soups and mashed potatoes. It is forbidden to eat canned food, smoked products, any salted, fried, sweet or spicy food. Later, the diet is allowed to expand - to introduce into it steamed fish and meat. The diet also does not allow eating fruits and vegetables that contain coarse fiber.
Since this pathology often develops against the background of helminthic invasions and giardiasis, it is required to perform deworming. Such treatment is quite long, because not only adult worms live in the intestine, but also their eggs along with the larvae. Completely to get rid of them it is possible only at long influence of medical products.
Alternative treatment
The methods of alternative treatment can help qualitatively in this disease.
Because follicular bulbitis often develops against the backdrop of helminthic invasions, for treatment requires decoctions and tinctures that have anthelmintic properties. The ingredients are tansy, bitter wormwood, as well as carnations. You need to take 1 tablespoon. Any of these herbs, pour it 1 stack. Boiling water, then insist for 15-20 minutes. Drink tincture is required three times a day, on an empty stomach. Such medicines are forbidden to give to children, and also to women during pregnancy and lactation.
To accelerate the regeneration of damaged mucous membranes, which are the hallmark of follicular bulbit, can be done with rose hips, decoction from flaxseed, and oat jelly. They help to ease the burden on the intestines, and also improve the resistance of the whole organism. In particular, such drugs are useful for children.
Herbal Treatment
The most effective with the disease cope with tinctures on herbs. One of these is prepared in the following way: you need to take tansy, wormwood flowers, bark of buckthorn, and also oak and mix them in equal proportions. Then take 0.5 tsp. Of this collection and pour it with boiling water (100 g). Leave the drink infused in a thermos for the night. In the morning, you need to strain the medicine and drink before breakfast on an empty stomach. The tincture has a mild laxative effect, due to which it effectively removes parasites from the body.
Prevention
Prophylaxis of the disease consists of the following items:
- it is required to exclude from the diet of any food that is capable of irritating the stomach, and in general observe a strict food regime;
- give up alcohol and smoking, try to avoid various stresses.
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Forecast
Follicular bulbitis, provided adequate timely treatment assumes a favorable prognosis. But if you ignore unpleasant symptoms, the disease can quickly develop into a gastric ulcer.