Surface bulbite: erosive, antral, acute, chronic, focal, catarrhal

Surface bulbite is the easiest form of inflammatory process. It is considered the initial or previous stage of other pathologies affecting the duodenum intestine, as well as the stomach.

Causes of the surface bulbite

One of the reasons for the appearance of the bulbite is the special location of the bulb of the duodenum gut - this area is located on the border of the transition of the gastric part into the intestinal. At this point, an acidized lump of food undergoes the process of alkalinization and is prepared for subsequent digestion. In addition, it is inside the bulb of the duodenum gut open bile ducts. Since the bulb is the most vulnerable part of the duodenal mucosa, all of the above factors in conjunction with malnutrition, persistent stress, and smoking provoke pathological changes in this area, leading to the development of bulbits.

Also, the cause of the disease can be the so-called syndrome of the small intestine, which appears due to the operation to cut off part of the intestine. As a result, the amount of substances produced in DPC is reduced, which are necessary for the regulation of gastrin production. This leads to an increase in gastric acidity and the development of inflammation. His influence can also be accelerated by this disease moving through the intestines of a lump of food.

The acute form of surface bulbitis usually develops due to food poisoning, malnutrition, and in addition to unsystematic abuse of alcoholic beverages. Together with this provoking factor may be damage to the mucosa of some foreign object.

[1]

Risk factors

To convert gastritis to superficial bulbite with the transition to the initial sections of the 12-colon, the presence of such factors is necessary:

• non-compliance with the diet, regular consumption of spicy, fried, and fatty foods;
• abuse of bad habits;
• deterioration of the body's immunity;
• genetic predisposition.

Symptoms of the surface bulbite

In its symptoms, the surface bulbite is similar to the ulcer of the duodenum gut or stomach. Its main sign is pain in the epigastric region. The pain may be different, but mostly - aching, with moderate severity (but sometimes there are also spasmodic). Attacks occur on an empty stomach either 1 hour after eating. You can buy them by eating or using antacids.

In addition to pain, patients also complain of increased bloating, dyspeptic manifestations and nausea. In the process of examining patients, they have a white plaque on their tongue, and as a result of palpation in the epigastric region, pain occurs. In moments of exacerbation of the disease, the muscles in the projection of the bulb of the 12-colon intestine may not exert a strong tension.

Superficial reflux bulbit

Hollow organs inside the intestine are ducts with tubes having a different width, length, and diameter. They have elastic thick shells (walls), as well as an internal cavity through which the contents of the digestive system move (always staying in a strictly defined position). The occurrence of a malfunction in this process (the unnatural movement of the contents begins) leads to the development of reflux-bulbit.

Symptoms are similar to superficial bulbits. Diagnosis of the disease can be through gastroscopy, as well as X-rays.

Focal surface bulbite

With focal superficial bulbitis, the inflammation captures different areas of the mucous bulb in the duodenum gut.

Among the signs of the development of this pathology is a disorder of the digestive function (eruption, vomiting with nausea, a feeling of heaviness in the stomach, the development of heartburn, etc.), as well as painful sensations. The pain occurs at different times of the day, mainly localized under the spoon. Often observed its irradiation in the right hypochondrium, as well as next to the navel.

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Chronic surface bulbite

Chronic form of superficial bulbitis can develop, both independently and become a secondary disease that has arisen against other pathologies of the gastrointestinal tract.

The first type develops due to stress, poor nutrition, and regular consumption of irritating bowels of sharp dishes.

The secondary form appears as a result of development of an ulcer, a chronic form of gastritis or pancreatitis, as well as various generalized infections, etc.

The main factor provoking the emergence of chronic surface bulbitis is the infection of Helicobacter bacteria. In the case of development of an antral form of gastritis, this microorganism provokes an increased production of pepsin with hydrochloric acid. As a result, the mucous bulb of the WPC is damaged, and H.pylori enters the initial intestinal parts.

[3], [4]

Complications and consequences

In the absence of therapy, the chronic form of the pathology will progress, which in the future will lead to the appearance of bleeding in the gastrointestinal tract (about 10% of all such bleedings occur due to bulbitis), and in addition to the development of cancer of the large duodenal papilla.

Diagnostics of the surface bulbite

Patients with symptoms of superficial bulbitis should seek advice from a gastroenterologist who will determine the cause of the disease and prescribe the necessary for the diagnosis of the diagnosis.

The patient can be taken blood for analysis, and also an endoscopic biopsy is possible.

The final diagnosis is possible after an esophagogastroduodenoscopy. In addition to it, X-rays of the duodenum and stomach are also performed (in addition, contrasting can be performed).

Thanks to such methods of instrumental diagnostics as gastrointestinal impedance, as well as pH measurement in the stomach and anthroduodenal manometry, it is possible to clarify the diagnosis that is necessary for the selection of the optimal treatment regimen.

Differential diagnosis

The disease must be differentiated with such pathologies as ulcer, chronic forms of pancreatitis or gastritis, a hernia in the area of the food hole in the diaphragm, and in addition cholecystitis, spasm and cancer of the large duodenal papilla.

[5]

Treatment of the surface bulbite

The disease requires comprehensive and long-term treatment, which includes compliance with special diets. But the priority for the patient is to make changes in his lifestyle. It is necessary to get rid of bad habits, change the diet, avoid excessive stress on the psyche and the NA, and adjust the diet.

Medications

In cases where the inflammatory process occurs due to the infiltration of an infection or parasites, the following medicines should be used.

To eliminate lambliasis, makmiror is used, and for treatment of opisthorchiasis prazikvantel. Campylobacteriosis and Helicobacter pylori infection are treated with antibiotics. In the second case, it is required to combine several antibiotics (2-3), and also combine them with drugs that inhibit the release of acid (such drugs as omeprazole or nolpase). In addition, you can use De-Nol, which contains bismuth - it is suitable for monotherapy.

In the case of a chronic form of pathology, one must use medicines that help to regulate the motility of the duodenum intestine, as well as the function of the gastroduodenal sphincter.

To increase the tone of the gastroduodenal sphincter, prokinetics should be used: such as trimedate or domperidone (medicines Motilium or Passagex). Disorder of the bile excreting process is eliminated with spasmolytics and cholagogic drugs. Among these are Gepabene and Odeston, and in addition Ursosan and Karsil. Spasms effectively eliminate such drugs as Dicetel, Buskospan, as well as Duspatalin and No-Shpa.

Alternative treatment

To eliminate the symptoms of the disease and improve the patient's well-being, alternative methods of treatment can be used. But before starting therapy with alternative drugs, it is still recommended that you consult with your doctor.

A mixture of honey and plantain juice. It takes 1 teaspoon of honey (it is recommended to take liquid fresh honey), as well as 3 tablespoons of plantain juice (freshly squeezed). Drink this mixture before eating.

Tincture based on propolis. In 1 glass of alcohol, you need to add propolis (60 g), and then about 7 days to insist it in a place closed from the light. Drink tincture should be as follows: dissolve 5 ml of medicine in 150 ml of water (boiled warm), and then drink in small sips. Do this on an empty stomach in the morning.

Tea from the herb of St. John's wort - pour 2 tablespoons of boiling water (1 glass), and then insist for 1 hour. Drink tincture 3 times before each meal.

Potato juice also works effectively. It should be taken on an empty stomach. The reception begins with a 1 tablespoon, followed by a gradual increase in the amount of the drug drunk to 0.5 cup.

Diet in superficial bulbite

Prior to the development of superficial bulbitis patient should remove from their food ration products that irritate the inflamed gastric mucosa. Among them are:

• strong coffee with tea;
• spices and condiments;
• smoked, fried, as well as fatty foods;
• alcoholic beverages.

It should be eaten often, but fractional - 5-6 times a day in small portions. Dishes should also be prepared in such a way that the sick stomach can assimilate them qualitatively and quickly - you need to grind food, boil and stew it well. There are these dishes only in a warm form. For a day it is allowed to consume not more than 50 grams of sugar and 5 grams of salt.

At the beginning of a diet, it is better to eat only liquid food. It can be boiled porridge, light broth, soup. Then you can add dishes from eggs (soft-boiled eggs, scrambled eggs), dairy products, soufflé from lean meat and fish. Drink follows compotes, jelly, milk. Bread, baking at the first stages of treatment is not recommended.

When the condition improves, you can add to your diet crackers or dried bread, as well as pasta and chops for a couple. It is also useful before consuming olive oil (1 tablespoon). It has enveloping properties and helps protect the mucosa from irritation.

Prevention

Preventive maintenance of disease consists in that it is correct to eat, observe HLS, and also in due time to treat other pathologies GASTROINTESTINAL TRACT, capable to provoke occurrence of a superficial bulbit.

[6], [7]

Forecast

Superficial bulbit is very treatable, so it has a favorable prognosis.