Bulbite is a kind of duodenitis. When duodenitis, the immediately adjacent duodenum to the stomach is involved in the inflammation process. Bulbite is an inflammation of the bulb of the duodenum directly. The bulb opens into the outflowing duct of the gallbladder, the pancreas. It contains the contents of the stomach. It immediately is neutralized. In her, digestive enzymes are being developed.
Very often the disease is accompanied by gastritis. Gastritis is an inflammation of the gastric mucosa and has similar symptoms with it. That's why in gastroenterology the term "Bulbut of the stomach" is used.
There are several types of bulbites: erosive bulbite, catarrhal bulbitis, surface bulbitis, acute bulbitis and chronic bulbitis.
There can be several reasons for the development of bulbits. The duodenum does not have a splat, but there are cases when the embryonic fissure is preserved. Then the bowel is too mobile, thereby forming additional loops. This leads to a jam in them of a part of the edible mass flowing through the duodenum. As a consequence, favorable conditions are created for the multiplication of bacteria that inhabit the gut. Also it is necessary to any adverse factor (an acute and fat food, alcoholic drinks) to provoke rough growth of these bacteria as the bulbit of a duodenum begins.
In addition to the incorrect location of the intestine relative to the axis of the body and excessive mobility, there is still a relationship between gastritis and stomach bulbitis.
Gastritis is also a provocateur of bulbite. When gastritis is produced, as a rule, a large amount of hydrochloric acid, which can be thrown into the duodenum. A surface bulbite is formed. As a rule, because of this, then there is an erosive gastritis.
It should be noted that helminth diseases, giardiasis and Crohn's disease also have a role in the formation of inflammation of the duodenum. But it often acquires a chronic form of the disease.
Gastrointestinal trauma, ingestion of irritating food, alcoholic beverages and certain medications can provoke acute bulbitis, since the duodenal mucosa is very sensitive to such effects on it.
It is also proved that Helicobacter pilory promotes inflammation of the mucous membrane of the stomach and duodenum, which leads to a significant change in the ph-acidity of the bulb's contents. Thus, the digestive process fails, which causes irritation and then inflammation. The result is a catarrhal bulbite .
According to scientists, genetic predisposition also has a role in the occurrence of bulbar of the duodenum.
This disease can occur with different symptoms and course. It can take place with both subtle symptoms, and perhaps in acute form.
With acute bulbits of the stomach and duodenum, the pain can be quite strong, can be accompanied by nausea and multiple vomiting, sometimes with bile. A bitter taste may be felt in the mouth. The provocation of such a bulbite is often after drug abuse or after severe poisoning. This can be explained by the fact that the composition of tablets always contains such a chemical composition, which is a powerful irritant for the mucosa.
Acute bulbitis can also be confused with an attack of gastroenteritis or with acute pancreatitis , which is characterized by cramping pain in epigastrium, or shingles.
Catarrhal and chronic bulbits of the duodenum are characterized by aching, bursting pains "under the spoon". Sometimes they can give in the right hypochondrium or in the navel area. Typically, pain is not strong, usually caused by improper diet, for example, after a dense dinner, usually after an hour or two after eating. Sometimes these symptoms may be accompanied by mild nausea, but without the urge to vomit. For such species of bulbite is characterized by a long-term course, in the form of seasonal exacerbations.
Erosive bulbite manifests itself with pain of varying intensity. They can occur at different times of the day. Also, hunger can arise from so-called "hungry pains". In this case, they are, in practice, a permanent character. With erosive bulbitis there may be complications in the form of bleeding, which is accompanied by severe pain, persistent vomiting with blood, general malaise, fever and headaches . A patient with such an attack may experience a shock state.
In connection with the violation of motor and secretory function of the 12th intestine, its contents are periodically thrown into the stomach. As a result, heartburn occurs, with the appearance of a bitter eructation.
Diagnosis of any kind of bulbit is not difficult. It includes fibrogastroduodenoscopy, x-ray of the stomach, study of gastric juice. In some cases, resort to sounding.
When there is an attack of bulbit, it is expedient to immediately take antacid preparations (Gastal, Reni, Maalox, etc.). But this is a temporary relief. An important factor in successful recovery is, of course, correctly chosen tactics in the treatment of a certain type of bulbit.
With acute bulbitis, besides antacid preparations, painkillers are prescribed (No-shpu, Baralgin, Papaverin). These drugs will help alleviate pain attacks, by relaxing the tone of smooth muscles. It is also advisable to appoint hunger in the first days of the disease, and later a strict diet. It is best to treat acute gastrolitol bulb in an in-patient environment where gastric lavage may be required to avoid poisoning. Also, droppers can be prescribed with saline solution to relieve symptoms of body intoxication. There will also be additional methods of examination, with the results of which the most beneficial tactics of treatment of acute bulbar of the duodenum will be chosen.
With chronic and catarrhal bulbitis, antibacterial therapy is prescribed, since this kind of bulbitis develops as a rule due to Helicobacter pylori infection. Antibiotics prescribe taking into account the sensitivity of the pathogen to them. These can be certain groups of antibiotics that act on the cell of the pathogen itself - Amoxycycline, Vilprafen, Summed, De-nol and others. Sometimes they can appoint Metronidazole. But in our time, its effectiveness among potential "killers" Helicobacteria is contested. Also, with this kind of bulbite, a long-term diet is prescribed. In addition, you must give up smoking. If possible, avoid stressful situations. It is necessary to refuse to take all kinds of food supplements, they can also be a provoking factor for exacerbation of catarrhal and chronic bulbits. Also, under stressful situations during the treatment of this type of boule, prescribe sedatives and sedatives. It is necessary to understand and be psychologically ready for the fact that we will have to reconsider the habitual way of life, since the treatment will be complex and long-lasting.
With superficial and erosive bulbits prescribed wound healing drugs (methylarucil), enveloping drugs in the form of a suspension that better envelops the gastric mucosa (antacid Maalox, Almagel, Reni and Atropine, Hofitol). Prescribe mandatory blockers of hydrochloric acid prescriptions (Omeprazole, Metiklopramid, Ranitidine). This is one of the successful cures of this kind of bulbit, since it is the transfer of hydrochloric acid to the damaged area that provokes the development of ulcers and erosions. The above preparations do not allow the acid to be produced in excessive quantities, and also to be thrown on the damaged areas. Especially effective in this respect is Metoclopramide. He also relieves attacks of nausea, which is caused by increased activity of the 12th intestine. Also for complex effects on the digestive system can be applied Wobenzym (a broad-spectrum preparation consisting of a complex of enzymes and acids that are actively involved in the metabolism of many processes in our body), Essentiale (a drug for improving liver function that will be very heavily loaded during treatment of bulbitis). It will also be useful physiotherapy treatment and sanatorium-resort rest.
Separately it is necessary to talk about the diet during the treatment of bulbits. This is a very important factor on the way to recovery.
Proper nutrition is necessary for every person. It's in a good way. But, as a rule, it is not possible to monitor your diet, and most people do not know what nutrition is. It is especially important for a person suffering from inflammatory diseases of the gastrointestinal tract. Diet is not exactly the identity of products that are allowed to use, since all diseases are individual, like every organism.
A dietician doctor in conjunction with a gastroenterologist will help to choose the right diet, which will have to be adhered to for a fairly long period of time - about six months. And even if the symptoms of the disease have passed, you still need to continue to adhere to the diet.
When exacerbating bulbitis, it is important to immediately abandon the products irritating the mucous membrane - coffee, strong tea, spirits, spicy, smoked, salty and fatty foods. After all, they then became a provoking link in the occurrence of an attack.
In the first days after an attack, one should eat only liquid food. Since, the food for such a patient should be easily digestible and even a kind of "unloading". In the future, a prerequisite for treatment should be separate and divided meals. The intake of food should be increased up to 6 times a day. Food should be necessarily warm. Table salt is limited to 5 g per day, sugar - up to 50 g.
In the first weeks, soft-boiled eggs, omelets, steamed mushrooms, baked apples, chicken broth and fillets, compotes and kissels, up to four glasses of milk, dairy and cereal soups, meat and fish in the form of a souffle are allowed from the products. Bakery products are prohibited.
After two weeks of treatment, you can slightly expand the diet of products, including white bread of yesterday, crackers, biscuits, lean sour cream, butter, cottage cheese, skimmed pork, boiled pork cutlets, boiled veal, pasta. From drinks you can turn on only tea, and then not strong. And freshly squeezed juices from non-acid fruits and vegetables. Nutritionists can also recommend eating half an hour before eating olive oil in the volume of one tablespoon. And so twice a day - in the morning and in the evening. This well suppresses the secretion of gastric contents and helps in the treatment of the disease.
Approximate diet menu for one day with a bulbite:
Breakfast. 8 ocloc'k
1. Omelet, steamed, stuffed with carrots.
2. A glass of light, slightly sweetened tea with milk.
Lunch. 10 hours
1. Puree from apples.
Snack. 11 hours 30 minutes
1. Decoction of rose hips
Dinner. 12 hours 30 minutes
1. Soup with meatballs from chicken fillet.
2. Boiled rice with a veal chop.
Snack. 15 hours
1. Glass of compote
Dinner.17 hours 30 minutes
1. Carrot salad
2. Soufflé fish.
3. Buckwheat porridge.
The second dinner. 19 hours
1. Pudding of breadcrumbs with pear puree.
2. A glass of tea.
Before bedtime. 21 hours
1. A glass of milk.
It is important to remember that if you suddenly stop observing this diet, you can go back to "your places" and then have to start treatment first. It is also important to listen to the recommendations of specialists.