Focal bulbite: superficial, catarrhal, erosive, atrophic, hyperplastic, hemorrhagic

What is gastritis is known to many of our readers. This common pathology is nothing more than an inflammatory disease that covers the gastric mucosa, and with an unfavorable course of ulceration resulting in the formation of ulcers. But the disease called bulbit for the majority is something of a series of unusual and unexplored. In fact, by analogy, focal bulbitis is the same inflammation of the mucosa, but already in the duodenum (duodenum), often in severe form.

Epidemiology

Duodenitis is considered the most common disease of the duodenum, one of which is bulbit. Focal bulbits are called due to the fact that the lesion of the mucosa has a limited localization, i.e. The inflammation does not cover the entire 12-colon, but only its bulbous area.

This pathology does not have clear age limits for patients. Both adults and children, and the elderly are equally affected by it. Very often the disease begins its development even in childhood, whence the idea arose about the influence of the hereditary factor.

As for the dependence of the frequency of cases of diagnosing bulbit from the sex of patients, then the statistics are more favorable to men. Most often, this pathology is found in young girls and women of middle age.

Causes of the focal bulbite

Specifically, inflammation does not occur in the whole duodenum, connecting the stomach and intestines with one another, and making up 12 finger diameters in length, as in duodenitis, but only in its initial section - the bulb, which adjoins the gatekeeper of the stomach. Such proximity of the organs is the reason that bulbit is often confused with gastritis. Hence the alternative name - bulbot stomach.

But this is all anatomy, but what are the reasons for the development of this pathology with an unusual name? The thing is that inflammation takes place where food is delayed, abundantly flavored with gastric juice, which causes irritation of the mucosa. Long stay of food in the bulb of the duodenum leads to the growth of bacteria in it. Delay in food is in turn due to a violation of the organ's motility. But this is only one of the reasons for the development of inflammation in the duodenum.

Violation of the "health" of the duodenum in its bulbar section and development of the same focal bulbitis is facilitated by some pathologies and causes that are far from medicine. Among the pathological processes in the body leading to bulbitis, it is worth highlighting some diseases of the gastrointestinal tract. We are talking about all the known gastritis, colitis, pancreatitis, ulcer of the stomach and duodenum, especially in chronic diseases, the presence of bacterial infection in any of the digestive tract (for example, all the same Helicobacter pylori).

The development of bulbits can cause disorders in other organs, such as the pancreas, gall bladder, kidneys, liver. The cause of the appearance of bulbitis can be as anomalies of their structure, affecting the location and work of the stomach, as well as the upper intestinal tract, and the disruption of their functioning. Pathologies of the respiratory system and cardiovascular system, leading to oxygen starvation of tissues and disruption of metabolic processes in them can also cause inflammation in the digestive tract.

Risk factors

Risk factors for the development of inflammation of the mucosa in the duodenum, similar in structure to the gastric mucosa, may be the following:

• Abuse of medicines that have a negative effect on the health and work of the digestive tract, and duodenum in particular.
• Injuries in the peritoneum.
• Endocrine diseases, metabolic disorders.
• Damage to the mucosa of the bulbar section of the duodenum as a result of the foreign body passing through it.
• Cavity operations (their consequences).
• Harmful habits: addiction to alcohol, smoking abuse, overeating. Smoking and alcohol contribute to increased production of pepsin and hydrochloric acid while slowing the motility of the digestive system.
• Intoxication of the body due to poisoning with food and chemicals.
• Wrong food with a predominance of heavy, fatty dishes, richly seasoned with seasonings and spicy sauces.
• Irregular eating, eating dry, abuse of products containing caffeine, fried foods.
• Distribution of bacterial infection in the body.
• Frequent stressful situations, prolonged depression.
• Weakened immunity.

There are certain prerequisites to believe that the development of the disease can be influenced by heredity or a genetic factor that causes pathologies in the structure of the duodenum itself, which makes it difficult to move food through it, causing stagnation and inflammation.

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Pathogenesis

It so happened that the most common cause of the appearance of various inflammatory diseases of the digestive tract, including focal bulbitis, is a bacterium called Helicobacter pylori. It is up to us to restructure the epithelial layer of the gastric mucosa and the bulb of the duodenum, leading to metaplasia and the development of inflammation.

Modified mucosal tissue is most prone to irritation with aggressive substances, which are hydrochloric acid and pepsin, produced by special cells of the stomach. Hence the high probability of appearance on the mucosa of small wounds (erosions), aggravating the inflammatory process.

In principle, the increased acidity of the gastric juice sooner or later can cause an inflammatory process even in the absence of bacterial infection. And there are a lot of reasons for increasing the level of hydrochloric acid in the stomach.

Some factors, such as the presence in the body of parasites (lamblia, worms, etc.), can not only cause the development of pathology, but also translate it into a chronic form. While the use of certain drugs in large doses or spirits becomes a frequent cause of exacerbations of focal and other types of bulbitis.

By and large, in pure form, bulbite is rare. Usually he accompanies other pathologies of the gastrointestinal tract, especially of an inflammatory nature. And the presence of the bacterium Helicobacter pylori in the stomach is very likely to translate the inflammatory process into the area of the bulb of the duodenum located in the immediate vicinity of the pylorus.

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Symptoms of the focal bulbite

The symptomatology of bulbitis is not specific, because most of the symptoms are more or less characteristic of most pathologies of the digestive tract. And yet there are some points that allow the gastroenterologist to suspect the patient is a focal bulbit, and not the same gastritis or ulcer of the duodenal ulcer.

So, the first signs of the development of bulbits are pains under the "spoon". The pains arising in the epigastric region may be different: strong or not expressed, sharp, cramping, pulling-noisy. There may be pain at any time of the day, but most often it happens an hour or two after a meal or at night.

The localization of pain may vary slightly. Sometimes they give to the right hypochondrium or concentrate around the navel.

To remove painful sensations it is possible by means of small timeless reception of food or the medical products lowering acidity of a gastric juice (antacids).

In addition to pain, the constant and severe symptoms of focal bulbitis are various dyspeptic phenomena such as nausea, a burning sensation in the esophagus (heartburn), a belch with bitter aftertaste, sometimes accompanied by vomiting, bitterness in the mouth, regardless of food intake, bad breath (according to the complaints of many patients). On the tongue there is a whitish coating with a certain yellowness.

Feeling of gravity and bursting in the epigastric region gradually acquire a permanent character, although at the beginning of the development of pathology they were episodic.

There is a change in the quality of the stool. Most often, patients complain of constipation, lasting for several days.

Ophthalmic bulbitis is also characterized by some neurological symptoms, reminiscent of "dumping syndrome." The appearance of symptoms such as severe sweating, unreasonable weakness with dizziness, rapid fatigue, hand tremor, loosening of the stool to diarrhea in young patients is associated with the excitation of the vegetative department of the central nervous system, which in turn is caused by abnormalities in the gastrointestinal endocrine system that regulates the digestive tract and some other organs. This symptomatology is most often observed after 2-3 hours after ingestion.

Sometimes, in the background of bulbitis, patients notice frequent headaches, an incomprehensible recurring tremor in the body and an almost irrepressible feeling of hunger.

[3], [4]

Forms

We examined the general symptoms of bulbitis, without going into some nuances. And in fact the focal bulbit is in some way a collective name, under which several varieties of this pathology are united.

So, in gastology, the following species of bulbite are distinguished:

• Focal surface bulbite

This diagnosis suggests that the foci of inflammation may be in one or more places of the mucosa of the bulbar portion of the duodenum, but only the upper layers of the epithelium remain damaged.

This is perhaps the easiest and most common form of bulbite. It is characterized by spasmodic pain in the epigastrium, giving to the right hypochondrium and the navel region. They can appear as much as an hour and a half after eating, and regardless of it. In addition, patients may experience nausea, persistent gas leakage, headaches, weakness. Appears whitish coating on the tongue.

• Erythematous bulbot

Depending on the cause that caused it, it can be called either toxic-allergic (due to taking medications) or infectious-allergic (due to the influence of bacterial infection).

If oval lesions of bright red color are formed on the mucosa, this kind of pathology is called focal erythematous bulbitis.

It is characterized by a decrease in appetite, attacks of heartburn, "hungry pains" and painful sensations immediately after ingestion, which are irradiated in the right hypochondrium, mild nausea, digestive disorders and stools.

• Erosive focal bulbite

The second most common type of pathology. It is characterized by the appearance on the mucous foci of inflammation, on which there are small wounds or cracks, surrounded by inflamed, swollen folds. This type of bulbite is considered a boundary condition between its superficial form and the ulcer of the bulb of the duodenum.

The pain in this case can appear 1-2 hours after a meal, at night, and also in the morning on an empty stomach. You can give back to the navel and back. After eating, the intensity of pain is markedly reduced. After eating, there is a belch of food eaten, a bitter taste in the mouth, more heartburn and nausea, sometimes vomiting, dizziness, weakness.

• Follicular bulbite

This type of bulbit is spoken of when the endoscopic examination shows the presence of small bubbles with liquid contents on the surface of the mucosa of the duodenum bulb, which are called follicles. If separate clusters of such visions are visible, o we are talking about the focal form of follicular bulbit characterized by severe course.

This kind of inflammatory pathology of the duodenum is characterized by nocturnal and morning pains on the "hungry" stomach radiating to the back and navel, as well as burping of undigested food, nausea and vomiting, heartburn, bitterness and unpleasant odor in the mouth.

• Focal catarrhal bulbot

Here we are talking about the stage of exacerbation of the chronic form of focal bulbit, characterized by symptoms similar to peptic ulcer. These are attacks of morning sickness, intestinal distress, acidic eructation after eating, dyspeptic phenomena (swelling and heaviness in the stomach), pain under the "spoon", near the navel or the right hypochondrium. These symptoms are accompanied by frequent headaches and general malaise.

• Atrophic form of bulbite

It is characterized by atrophy of the mucous bulb of the duodenum. This is manifested in its thinning and impairing the functions of the organ.

Accompanied by heaviness in the stomach, burping of undigested food, aching epigastric pains, digestion and stool disorders, general malaise.

The acute bulbite is spoken when the symptomatology of the pathology is expressed most clearly, and the patient's state of health leaves much to be desired. In chronic form, the course of the disease consists of a constant change in periods of exacerbation and remission. And all the therapeutic measures are reduced to the early onset of the latter.

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Complications and consequences

The fact is that the focal bulbit, a rather insidious pathology, because the inflammatory process even in a small area of the duodenum can negatively affect the functioning of the organ itself and the work of other organs and systems of the body. And it's not just about the digestive system.

It should be noted that any species of focal bulbit, except for erosive, in the absence of appropriate treatment threatens to move into an erosive form, which in turn is a kind of bridge to the duodenal ulcer. The perforation of the ulcer threatens to get the contents of the PDC into the abdominal cavity and the development of peritonitis. And here time already goes for minutes.

Exacerbation of the chronic inflammatory process in the duodenum with inadequate treatment and non-adherence to the diet can eventually lead to the discovery of bleeding on the mucous organ, which is also dangerous not only for health, but also for the life of the patient.

But these are all complications, and the consequences of inflammation of the mucous bulb of the duodenum in its time will affect the health of the whole organism. Disturbance of the structure of the mucosa leads to a deterioration in the functioning of the organ, as a result of this the body receives less from the food necessary to it useful substances (vitamins, microelements, amino acids, etc.), immunity decreases. Begin to suffer other organs and systems, which is fraught with the development of other pathologies affecting the endocrine, cardiovascular, nervous and other systems.

Diagnostics of the focal bulbite

With all the variety of symptoms of focal bulbit, it is often not so easy to diagnose it. The disease can occur in a latent form, which is characteristic of chronic course, and it is quite random to be diagnosed with a gastrological or radiological examination in a completely different situation.

The situation is complicated by the fact that the pain syndrome can be different in intensity, occur at different times of the day, and the nature of pain is unstable. For example, pulling-noisy, uninfected pain, giving away in different areas of the abdominal cavity and back, can confuse even an experienced physician. Several organs fall under suspicion.

Stitching pains in the area in the navel area on the right side of the acute superficial bulbite may lead to suspicion of appendicitis rather than inflammation of the bulb of the duodenum. The truth in this case, the inflammation of the blind process is easily excluded by palpation.

And the rest of the symptomatology, especially neurological, is typical for many pathological processes, sometimes not even associated with the digestive system.

The fact that the symptoms of the disease are not unique does not at all mean that they should be ignored. When diagnosing gastroenterologist focal bulbitis, any details are of interest that can clarify the situation: complete symptomatology, including localization and the time of pain, their connection with the reception of acute and fatty foods, etc.

At palpation the doctor discovers soreness in the area of the bulb of the duodenum, accompanied by a noticeable muscle tension. Inspection of the tongue will show a thick coating on it, accompanying digestive problems.

Laboratory research

Determine the presence of an inflammatory process without special studies will help blood tests (general and biochemical). However, with the remission of the disease, a general blood test can show nothing. But during an exacerbation there is an increase in the level of leukocytes and ESR. Biochemical analysis will show an increase in CRP (C-reactive protein produced in the liver), a change in the level of pancreatic enzymes.

The erosive form of the bulbit can be accompanied by internal bleeding of varying intensity. Identify them as a blood test (change in the number of red blood cells and the level of hemoglobin), and analysis of feces for the presence of blood in it.

But laboratory studies do not end there, because they can only show the presence of inflammation, but not the place of its localization or the cause. But a frequent cause of development of focal bulbitis is a bacterial infection. To determine the causative agent of infection will help again with laboratory tests, but already specific, the material for which is obtained during instrumental research.

[7], [8]

Instrumental diagnostics

Since the inflammatory process with focal bulbite develops deep inside the body, it can not be determined by external examination without additional laboratory and instrumental studies. A big role in the formulation of the correct diagnosis is given to instrumental diagnostics.

The main methods of diagnosing diseases of the stomach and PDC are:

• X-ray examination of the relevant organs with contrast material (roentgenography of the passage of barium, anthroduodenal manometry). X-ray in the bulbite will show spastic contractions of the muscles of the bulb of the duodenum, chaotic perelstatics, stagnation of food in the bulbous area (bulbostasis), accompanied by an increase in the organ in the volume.
• Ultrasound examination will help to determine the chronic course of the disease and the localization of inflammation, the condition of the duodenum, pancreas and liver.
• Fibrogastroduodenoscopy (FGDS) allows you to see damage to the body from the inside and take the material (a gastric juice sample) for examination for the presence of an infectious agent. As a result of the study, it is possible to examine inflammation foci, the presence of microdamages and wounds on the mucosa of the bulb of the DPC, and determine the acidity of the gastric juice.

Obligatory are the researches, allowing to find out a bacterial infection and to define its type. For this, the following can be done:

• test in the exhaled air,
• enzyme immunoassay (ELISA) for the presence of antibodies in the blood or antigens,
• analysis based on the method of polymerase chain reaction (PCR), which allows to identify the DNA of the causative agent in the test material,
• morphological studies of the biopsy.

Differential diagnosis

Differential diagnosis is based on the results of the above studies, as a result of which focal bulb can be distinguished among similar diseases of the digestive system and other pathologies of health. In particular, from the same gastritis (or pathology get along together, which also shows differential diagnosis), Crohn's disease that affects the entire digestive tract, stomach ulcers and PDC, pancreatitis, colitis, etc.

Treatment of the focal bulbite

Focal bulbit, like any other disease of the gastrointestinal tract, provides for complex treatment, which includes the intake of medicines, herbal decoctions, vitamin complexes in combination with physiotherapy and adherence to a special therapeutic diet.

To begin treatment it is necessary at once with change of a way of life of the patient. He will have to revise his taste preferences, limiting himself and in the ways of cooking, and in its quantity at one time, giving preference to fractional food. An important condition for the effective treatment of diseases of the digestive tract is the refusal to smoke and use alcoholic drinks that have an irritant effect on the stomach and duodenal ulcer. Perhaps you will have to revise the medicinal arsenal in your home medicine chest.

Drug therapy is also multicomponent, as it has several objectives at the same time:

• Reducing the manifestations of dyspeptic phenomena and improving the patient's well-being. For this purpose, anti-inflammatory drugs and antacids (in particular, bismuth preparations) are used: Wobenzym, Almagel, Gastal, and others.
• Normalization of the motility of the stomach and duodenum due to the removal of spasms of the smooth muscles of the gastrointestinal tract. Reduction of neurologic symptoms. For this, spasmolytics (No-shpa, Spasmil, etc.) and antagonists of dopamine receptors (Motillium, Cerucal, etc.) are used.
• Improving the metabolic processes in the mucosa of the bulb of the DPC, which accelerates the healing process, increasing the resistance of tissues to the negative effects of aggressive factors (biogenic stimulants and preparations that improve tissue metabolism - Solcoseryl, Actovegin, sea buckthorn oil, and protective properties with anti-inflammatory and enveloping action - Likvitorit , infusion of licorice root).
• Combating the bacterial infection that caused the inflammatory process, with the help of antibiotics (Amoxicillin, Clariromycin and Metronidazole for special curative 2-component and 3-component regimens), Omega, Omeprazole, Pantoprazole proton pump inhibitors, which are used together with antibiotics bismuth preparations (De-nol, Novobismol etc.), histamine H ₂ receptor antagonists (ranitidine, famotidine, etc.).

Schemes of antibacterial treatment apply the same as in the treatment of gastritis with high acidity, caused by Helicobacter pylori.

Well-established in this regard and phytotherapy. Patients are assigned special herbal collections, normalizing the work of the digestive tract. Such collections are sold in almost all pharmacies.

In addition to medicines and herbal medicines, patients are prescribed vitamins and vitamin-mineral complexes, which make up for the deficiency of nutrients necessary for the body, which has arisen due to incorrect functioning of the digestive system. Inclusion in the curative scheme of vitamins allows:

• effectively fight the manifestations of anemia,
• significantly reduce the manifestations of the disease associated with the vegetative system,
• improve the overall condition of patients with chronic and soon lead to recovery in the acute course of the disease.

Physiotherapeutic treatment for focal bulbite can also be multifaceted. Its main goals are to reduce inflammation and relieve the pain syndrome. Magnetotherapy, UHF procedures, UFO, electrophoresis with medicinal preparations of antispasmodic and analgesic action (Papaverin, Novokain) proved to be well established.

Patients with focal bulbitis are shown sanatorium-resort treatment, which must be performed 2 times a year, with the obligatory intake of medicinal mineral waters. Mineral water can be included in the diet and at home treatment. Borjomi, Essentuki No. 4, Essentuki No. 17, Truskavets and others will prove to be effective.

To surgical treatment doctors resort, if other methods do not give results, and then mainly in the case of erosive focal bulbit, accompanied by bleeding. According to the indications, operations of the trunk or proximal vagotomy are performed with the suppression of the nerves responsible for the production of hydrochloric acid.

In case of bleeding, an emergency surgical operation is performed to tie the bleeding vessels or to apply a special clip during gastroduodenoscopy. If there is a suspicion of a duodenum ulcer, duodenoscopy is carried out followed by ulceration of the ulcer.

Medicamentous therapy with focal bulbite

We will not dwell on anti-Helicobacter therapy, the methods of which can be learned from the article on the treatment of gastritis with high acidity. Consider some drugs that help improve the condition of patients with focal bulbitis caused by Helicobacter pylori, as well as other causes.

So, to remove inflammation in the bulb of DPC and increase the body's defenses, which will effectively resist the disease, the drug "Wobenzym" will prove useful . Quite often, this drug is prescribed for erosive gastritis (without a tendency to bleeding) to prevent its transition to a peptic ulcer.

This drug will be useful in the conduct of antibiotic therapy, as it is able to normalize the intestinal microflora, preventing the development of dysbiosis.

Method of application and dosage. The drug is produced in the form of tablets for oral administration, which must be taken as a whole, without crushing. Do this preferably at least half an hour before a meal, washing down the medicine with a glass vault.

The dosage is set by the doctor individually depending on the age of the patient, the established diagnosis and the form of the disease. For adults, the recommended dose is 3 to 10 tablets three times a day, for children from 5 to 12 years, the effective dose is established based on the weight of the patient (1 tablet for every 6 kg of body weight).

The therapeutic course in this case can be from 2 weeks to 3 months, and in chronic course is repeated courses up to six months.

During antibiotic therapy for 2 weeks, it is recommended to take the drug 5 tablets 3 times a day.

Contraindications to the use of the drug is not so much. This is an age of up to 5 years, with increased probability of bleeding, during hemodialysis. Well, of course, the drug "Wobenzym" is not prescribed for hypersensitivity to the drug.

Side effects of the drug are reduced to changes in the type and smell of stool, the appearance of an allergic reaction (urticaria). The latter requires dose adjustment.

Reduce the intensity of dyspeptic phenomena (nausea, vomiting, belching, heartburn, bloating, etc.) will help the widely known drug "Motillium. "

Take the drug in the form of tablets or suspensions (option for children) is best before eating. In this case, a single dose for tablets - 1-2 pieces 3 or 4 times a day, for a suspension of 10-20 mg is also 3 or 4 times a day. For children under 12 years of age with a body weight below 35 kg, the dosage is calculated based on the weight of the patient.

The drug is not prescribed for proctylanoma, bleeding from the gastrointestinal tract, perforation of the ulcer, intestinal obstruction, serious violations of the liver, hypersensitivity to the components of the drug.

When prescribing the drug during treatment with antibiotics, it must be taken into account that it is not compatible with some of them, for example, with "Clarithromycin" used to control Helicobacter pylori, as well as other drug interactions.

Side effects that may occur in patients taking Motillium are limited to increased anxiety, decreased sexual desire, drowsiness, dry mouth, stool disorders, amenorrhea, menstrual irregularities, hives. Some patients note discomfort in the area of the mammary glands (pain, swelling, etc.).

To accelerate the process of tissue regeneration and improve metabolism in focal bulbite, the drug "Actovegin", which is produced in the form of an injection solution, tablets and ointments, can be used as well as possible .

The drug in the form of a solution is used for intramuscular injections and intravenous infusions. Tablets are for oral administration.

Injection administration of the drug is carried out according to two schemes: 1) daily, 2) 3 or 4 times a week. In this case, a single dose is 5 (IM) or 10 (IV) ml of the solution.

Tablets are taken before meals in an amount of 1-2 pieces. Multiplicity of admission - 3 times a day. The therapeutic course is quite long - from 1 to 1.5 months.

The drug is not used in the therapy of patients with hypersensitivity to its components. Reception of the drug may be accompanied by the development of various allergic reactions against a background of increased sensitivity.

"Likvitorit" - a drug based on licorice root, which has many useful properties. It envelops the mucous membrane of the stomach and duodenum, forming a protective film that protects tissues from the effects of aggressive factors, gives a good anti-inflammatory, antispasmodic and light acid-reducing effect.

The drug is released in the form of tablets for oral administration, which should be taken 1-2 times 3 to 4 times a day daily. Do this for half an hour before meals for 4-5 weeks.

Do not prescribe the drug with increased sensitivity to its components. Side effects in the form of allergic reactions occur precisely against this background.

Alternative treatment for focal bulbitis

I think that it is clear to many that it is unlikely to get rid of a bacterial infection in the digestive tract with the help of alternative drugs, but it is quite possible to alleviate the condition of such patients with non-traditional medicine. And if the focal bulbit is caused not by a bacterial cause, in some cases, alternative treatment plus dieting are the main methods of fighting the disease.

To remove the pain and inflammation, as well as accelerate the healing of erosions on the mucous membrane, use propolis tincture, purchased in a pharmacy or prepared independently from 50 g propolis and a glass of 70% alcohol (insist for a week!). Tincture is consumed by diluting 20 drops of it in ½ cup of milk and drinking an hour and a half before eating. Multiplicity of admission - 3 times a day. The course of treatment is 3-4 weeks.

Effective in focal bulbite and rose hips syrup, prepared from 0.5 kg of crushed fruits of the plant, 0.5 kg of sugar and 3 glasses of water. Take syrup should be 1 tablespoon 3 times a day.

To reduce the aggressive action of hydrochloric acid on the mucosa DPC apply fresh potato juice (half a cup 2-3 times a day on an empty stomach).

Useful are also enveloping broths (rice and oatmeal), prepared without salt, and also tea from licorice root.

Invaluable help in the therapy of bulbits is provided by herbs. Treatment with herbs is considered more sparing when it comes to the damaged mucous of the gastrointestinal tract. Useful in this regard will be licorice, marsh feather, plantain (leaves and seeds), chamomile, St. John's wort, Icelandic moss and medicinal preparations based on these plants.

Homeopathy

Gentle, but effective action on the sick stomach and 12-colon in case of focal bulbite will also have homeopathy.

The same Bismuth, whose drugs help to normalize the acid function of the stomach and fight with bacterial infection, should be taken with pain in the epigastric region, heartburn, loosening of the stool.

Acidum acetylcum will also help to reduce the level of hydrochloric acid in the stomach, suppress vomiting, stop bleeding with erosive bulbite.

Agaricus helps to relieve neurological symptoms in diseases of the digestive tract.

With pains and bloating, bitterness in the mouth and heaviness in the liver, aloe preparations will help.

Gentian will be useful in eructations, flatulence and nausea. In this case, it is also able to stimulate the appetite.

Homeopathic remedies used for the treatment of gastrointestinal tract, a great many. But the name, the way of application and dosage of prescribed medications, depends on the doctor's prescription. Dilutions of homeopathic remedies are carried out in different potencies. In the chronic course of the disease, higher potencies (12, 30) are shown, and in the case of acute bulbitis, the homeopath will prescribe the same drugs, but already in lower potencies (3 and 6).

Diet with focal bulbite

Diet in diseases of the digestive system, including in focal bulbite, this is not a way to combat excess weight, but a therapeutic procedure no less significant than other doctor appointments. And here it is already important that the food is full, but sparing for the stomach and the DPC.

From the diet of the patient, dishes that can irritate the duodenal mucosa or provoke increased production of gastric juice (too salty or sweet, spicy, acidic, fried foods, spicy sauces, seasonings, etc.) are excluded from the diet of the patient.

For some time it will be necessary to abandon conservation, various pickles, products with coarse fiber, coffee and drinks containing it, strong tea.

Food is not included in the dry. Dishes should be liquid or in the form of puree with limited addition of oil. The food should not be hot, and not cold.

Patients are ideally suited for meat, fish and vegetables, steamed, but it is possible to include cooked, stewed and butter-baked dishes, vegetable broths, fruits (not acidic) and vegetables (not fresh), compotes and herbal teas in the diet.

It is recommended fractional food. At the same time the frequency of food intake increases, and portions are cut.

Prevention

Since focal bulbitis develops most often against the already existing gastritis, the main measure of prevention in this case will be timely treatment of the pathology that caused inflammation of the duodenum. If the Helicobacter pylori infection also joins, then an effective fight against it is necessary according to the indications and schemes prescribed by the gastroenterologist.

To avoid getting Helicobacter pylori into the body, you must wash your hands with soap before eating. Thorough cleaning under the stream of water is subject to many products, especially those that do not undergo thermal treatment.

Will help prevent many diseases of the digestive tract and proper nutrition, as well as the rejection of bad habits. You need to try to avoid stress, strengthen the body with physical exercises in the fresh air and vitamins. You will find useful and stimulant medications immunity.

Forecast

The prognosis of the bulbitis depends on the timeliness of applying for help to a medical institution and the fulfillment of all prescriptions of the doctor. The least favorable prognosis is observed in the erosive form of focal bulbit, which is prone to develop into an ulcer of the bulb of the duodenum.