Follicular bulbitis

Bulbit is a pathology in which inflammation of the mucous membrane of the duodenal bulb occurs. During an endoscopic examination, a large number of small bubbles can be seen on it - the so-called follicles. In this condition, a diagnosis of follicular bulbitis is made.

Causes follicular bulbitis

The cause of the development of the inflammatory process are both exogenous factors (infectious: helminths, lamblia, bacterial toxins, viruses; non-infectious: medicinal, toxic lesions of the mucous membrane, nutritional errors, smoking, alcohol abuse) and endogenous (metabolic disorders, 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 of harmful food in the daily diet, salty, fatty, fried. In addition, chronic pathologies of the intestines and stomach have a negative effect.

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Symptoms follicular bulbitis

In general, the signs of follicular bulbitis development are similar to other similar pathologies of the duodenum. The main symptom is cramping or aching pain "under the spoon", radiating to the back and navel. They appear at night or on an empty stomach. Due to the reflux of gastric juice into the esophagus, belching of recently eaten food occurs or heartburn begins. Bitterness and an unpleasant odor may be felt in the mouth. Another symptom is nausea with vomiting.

Possible additional symptoms include dizziness and headache, severe fatigue, frequent constipation or diarrhea, and muscle tremors.

Follicular bulbitis in children

Follicular bulbitis in children usually begins without symptoms, which makes it more difficult to detect at an early stage and, as a result, to start treatment in time. The causes are mainly the same factors as in adults, the only difference is that in children the disease develops much faster.

Often, such a condition develops after a child has suffered from gastritis, especially if it has not been completely cured. Parents should pay attention if the baby begins to complain of discomfort in the pit of the stomach, and along with this, muscle weakness and headaches. Often, this pathology in children is accompanied by problems with stool.

Complications and consequences

Without timely treatment, follicular bulbitis quickly develops into an ulcerative lesion of the stomach. In children, lack of treatment can lead to the transformation of the disease into an erosive form.

Diagnostics follicular bulbitis

The diagnosis is made based on the presence of symptoms characteristic of follicular bulbitis in the patient. To clarify the diagnosis, an examination using instrumental methods is required.

Instrumental diagnostics

To diagnose the disease, a fibrogastroesophageal esophagoduodenoscopy or FEGDS procedure is performed. It is the main method for identifying almost all gastrointestinal pathologies. With its help, it is possible to examine changes in the mucous tissues of the duodenal bulb - hemorrhages, edema, the appearance of areas with altered epithelium, in addition, an enlarged bulb is visible.

At the same time, FEGDS determines the motor activity of the bulb: the screen allows you to distinguish individual contractions. This method also allows you to visually assess the presence of ulcerative lesions on the bulbous membrane.

In addition to FEGDS, it is necessary to undergo X-ray examination with oral barium intake. This diagnostic method is more accurate, since it can be used to track the motor activity of the entire duodenum.

Differential diagnosis

The disease should be differentiated from catarrhal bulbitis, which has similar symptoms, as well as other pathologies of the duodenum.

Treatment follicular bulbitis

When treating follicular bulbitis, the patient needs a strict diet. Meals become fractional - small portions and an increase in the number of meals to 6 times a day. The food consumed should not have an irritating effect on the mucous membrane of the duodenum and stomach, so it is forbidden to eat too hot/cold food. At the initial stage (the first 2 weeks), you can only eat chicken broths, porridge cooked in water, and pureed soups. It is forbidden to eat canned food, smoked products, any salty, fried, sweet or spicy food. Later, the diet can be expanded - steamed fish and meat can be added to it. The diet also does not allow you to eat fruits and vegetables that contain coarse fiber.

Since this pathology often develops against the background of helminthic invasions and giardiasis, it is necessary to carry out deworming. Such treatment is quite long-term, because not only adult worms live in the intestines, but also their eggs with larvae. It is possible to get rid of them completely only with prolonged exposure to drugs.

Folk remedies

Traditional medicine methods can provide quality help with this disease.

Since follicular bulbitis often develops against the background of helminthic invasions, decoctions and tinctures with anthelmintic properties are required for treatment. The ingredients are tansy, wormwood, and cloves. You need to take 1 tbsp. of any of these herbs, pour 1 glass of boiling water over it, and then leave it for 15-20 minutes. You need to drink the tincture three times a day, on an empty stomach. Such drugs are prohibited for children, as well as women during pregnancy and lactation.

You can speed up the regeneration of damaged mucous membranes, which are a distinctive feature of follicular bulbitis, with rosehip jelly, flaxseed decoction, and oatmeal jelly. They help relieve the load on the intestines and improve the resistance of the entire body. Such medicines are especially useful for children.

Herbal treatment

Herbal tinctures are the most effective in treating the disease. One of these is prepared in the following way: take tansy, wormwood flowers, buckthorn bark, and oak bark and mix them in equal proportions. Then take 0.5 tsp of this mixture and pour boiling water over it (100 g). Leave the drink to infuse in a thermos overnight. In the morning, strain the medicine and drink it before breakfast on an empty stomach. The tincture has a mild laxative effect, due to which it effectively removes parasites from the body.

Prevention

Prevention of the disease consists of the following points:

• it is necessary to exclude from your diet any food that can irritate the stomach, and in general to adhere to a strict dietary regimen;
• give up alcoholic drinks and smoking, try to avoid various stresses.

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Forecast

Follicular bulbitis, if treated promptly and adequately, suggests a favorable prognosis. But if you ignore the unpleasant symptoms, the disease can quickly develop into a gastric ulcer.