Gastric bulbitis. Reasons for the development of the disease. Pronounced bulbitis of the stomach

Diseases gastrointestinal tract require urgent treatment, otherwise even the most mild form discomfort can have serious consequences. It is best to detect diseases at an early stage. In this case, you can not even resort to medical treatment, but.

Superficial gastritis, bulbitis requires timely treatment.

A person who ignores proper nutrition can easily get such an entry in the medical record as "superficial gastritis, bulbitis." This is not a terrible, fairly common diagnosis, which, however, can lead to more backfire, if you neglect your health and do not catch yourself in time to start treating the disease at first. Let's take a closer look at what it is, what signs these diseases have and how to deal with them.

Superficial gastritis -, but if ignored, it can develop into a stomach ulcer, has three stages of development. It is characterized by superficial inflammation of the mucous membrane, muscle tissue digestive organ is not affected. This form of gastritis is characterized by a transition to a chronic version of the disease.

Bulbitis - inflammation of the mucous membrane of the duodenal bulb, which connects to the stomach, is a type of duodenitis. Diseases can go in one bundle with each other, because one can often pull the other along with it.

Types of superficial gastritis

The disease can affect the lining layer of the gastric mucosa both in foci and cover the entire surface.

The disease can be localized in various parts of the body:

the entire upper layer of the mucous membrane, the bottom, the body of the stomach is affected;
superficial gastritis of the antrum. In this case, the antral gastric region, bordering the intestines, is affected, it ceases to function normally, narrows and, as a result of increased acidity, causes irritation of the duodenum.

The transition of the disease to chronic condition can cause serious complications. Although given form gastritis is not so terrible, it can turn into catarrhal, erosive gastritis, leading to bulbitis, and other equally unpleasant varieties. A disease lasting more than ten years can flow into stomach cancer.

Reasons for the appearance

Superficial gastritis occurs due to a number of factors that favor the development of the disease:

bad habits such as smoking and,
malnutrition,
side effects of medications,
diseases of other internal organs,
infection caused by Helicobacter pylori.

Symptoms

Symptoms of the disease are very similar to other types of gastritis. It is possible to distinguish which form of the disease the patient suffers with the help of FGDS research. Gastritis is characterized by:

In case of detection similar symptoms should immediately consult a doctor to start taking necessary measures to eliminate the disease and prevent complications.

To get rid of the disease, it is necessary to follow the diet prescribed by the doctor, perhaps with a mild form of the disease, only it will be enough. In any case, the transition to a new diet that excludes unhealthy foods is necessary. If the stage of gastritis is not the easiest, then a course of drug treatment is prescribed together with the diet.

It is possible to use folk remedies, but before taking various decoctions, you should consult a specialist. If the disease becomes acute, then in a hospital under the supervision of a doctor. The anatomical connection of the stomach with the intestines often causes the transition of the resulting inflammation to the duodenal bulb.

Reasons for the appearance of bulbitis

Inflammation can be caused by a number of factors:

helminthic diseases, giardiasis;
Crohn's disease ( chronic inflammation gastrointestinal tract);
malnutrition, abuse of fatty, fried, spicy foods;
pathology, bulb injury;
infection caused by Helicobacter pylori;
inflammation against the background of gastritis;
genetic predisposition.

Bulbit symptoms

Symptoms of the disease are very similar to the characteristic manifestations of gastritis. Bitterness in the throat, heartburn, nausea, stool disturbance, stomach pain, stomach discomfort felt after eating - all this is also a symptom of bulbitis. But such obvious signs are characteristic if an acute or erosive bulbitis has developed.

The superficial form of the disease is not so obvious, it is completely invisible to the patient, so you can skip the moment when you should already begin to treat the disease. Due to the superficial bulbitis that does not give itself away, the predecessor of more, complications arise, erosion can develop, which, if the problem is further ignored, turns into ulcers on the intestinal walls.

Treatment of bulbitis

To begin with, the causes of the disease are clarified. When gastritis acts as a provoking factor, both diseases are treated together. In chronic and catarrhal bulbitis are prescribed antibacterial drugs, antibiotics. In the acute form of the disease, accompanied by pain, painkillers are also prescribed. Bulbitis treatment involves complex therapy, along with taking medication, the patient must follow a diet, without which it will be impossible to get rid of the problem.

Diet for bulbitis and gastritis

So, in order to recover, you must completely reshape your daily diet. The diet for duodenal bulbitis is akin to that used for gastritis. And when both diseases go together, then the doctor prescribes general instruction on food intake. Of course, for each case, the specialist will prescribe an individual diet, but there are certain principles underlying the diet. It is important to immediately stop smoking and exclude:

fried, spicy, salty, fatty foods;
smoked meats;
spices;
strong tea, coffee;
carbonated drinks;
alcohol.

In this case, food should be fractional, in small portions several times a day. In no case is excessively hot or cold food allowed. The diet should contain more liquid food: broths, light soups, cereals. Bakery products At first, it is better not to diet.

It is necessary to take measures to get rid of the disease as soon as possible. By itself, the problem does not go away, but only gets worse. Acute, neglected forms of diseases: erosive gastritis, bulbitis, stomach ulcers, intestines are much less treatable.

It is worth remembering that even if you are currently healthy, you should not abuse alcohol, smoking and unnatural or too salty, spicy foods. Proper nutrition and maintaining a healthy lifestyle will prevent the development of gastrointestinal diseases and such problems will not bother you in the future.

When people go to the doctor with severe pain in the abdomen, as a rule, an examination is prescribed and, in conclusion, the pathology found is written. In some cases, a chronic erosive process is found in the duodenum called gastric bulbitis - what it is and how to treat it will be described below.

What is stomach bulbitis

Pathology is characterized by inflammation of the bulb duodenum, for the same reason, the disease is also called bulboduodenitis. The inflamed area is only adjacent to the stomach, so the presence of the name of this organ in the diagnosis is incorrect. Knowing what bulbitis is and how to treat it, it should be understood that we are talking more about the duodenum. It was called the pathology of the stomach only because in most cases this ailment is accompanied by gastritis.

Both diseases have a common and similar pathogenesis, often occur due to each other, complicate the course of inflammatory processes. Bulboduodenitis and gastritis have similar symptoms, so often the inflammation of the bulb in the duodenum is hidden, masquerading as attacks of gastritis. These two diseases greatly reduce the level of comfort of a person's life and need to be treated.

Surface

This is one of the forms of pathology that is diagnosed in humans. Superficial gastrobulbitis is different in that abdominal pain is not the main symptom. It is possible to determine it on fibrogastroduodenoscopy, it is characterized by slightly edematous folds of the gastric mucosa, brighter color, dilated capillaries. Superficial bulbitis can provoke reflux phenomena, in some cases even into the esophagus from the bulb. A patient with this form of bulboduodenitis may notice the following symptoms:

tendency to constipation;
chronic rumbling in the abdomen;
irritability;
cardiopalmus;
chills;
nausea (rare);
general malaise;
permanent strong feeling hunger.

catarrhal

This type of pathology is characterized by superficial inflammation of the bulb, edema of the intestinal wall, and desquamation of the epithelium are observed. Catarrhal bulbitis can be purulent, mucous, serous, this factor determines the nature of the effusion. Sometimes there is a gradual change of exudate during the development of gastric bulbitis. More often the catarrhal form occurs in an acute form and without pus. Doctors say that such a bulbitis of the stomach proceeds quickly, is easily treatable and passes without residual effects.

Follicular

This type of gastric bulboduodenitis is considered as a separate standing form, because pathology becomes the result of an immune response to the penetration of aggressive agents or infection. Inflammation occurs, an increase in the intestinal wall of lymphoid follicles, which forms clinical picture, which is very similar to catarrhal form diseases.

erosive

This pathology is often called ulcerative bulbitis, because erosive areas are formed on the intestinal mucosa, which develop into ulcers. This form of pathology requires special attention and urgent therapy, because there is a high probability of developing a secondary peptic ulcer, the appearance of intestinal bleeding (if wall perforation occurs), peritonitis. Acute and chronic forms of erosive bulbitis of the stomach are diagnosed with equal frequency. Patients with an erosive form are more difficult to tolerate, it is more difficult to treat this type of disease.

Causes of the disease

In traditional medicine etiological factor development of chronic and acute inflammatory processes of the gastrointestinal tract is considered bacterial infection Helicobacter pylori. A proven fact is that this microorganism is present in the duodenum, stomach with ulcers and inflammation. Is it the cause or only accompanies these diseases of the gastrointestinal tract of accurate data so far. Major violations eating behavior, which, according to experts, become the cause of the development of stomach bulbitis become:

abuse on an empty stomach by smoking, alcohol;
spicy, fatty poison, fast food;
overeating;
sweating;
dizziness;
increased fatigue;
frequent headaches;
irregular meals.

All these factors cause changes in the acid-base state, which provokes further chronic, acute inflammatory processes. Another one probable cause- helminthic invasion, giardiasis, often found in children, in people with an asocial, marginal lifestyle. A rare but reliable cause of this pathology of the stomach is granulomatous enteritis, Crohn's disease. Patients clearly show abnormalities in immune system, genetic predisposition.

In Crohn's disease, bulbitis will be one of the many symptoms, syndromes of the disease, it will not be the only manifestation of the disease. This is due to the systemic nature of the pathology of the gastrointestinal tract, and not focal manifestations. The reasons for the development of bulbitis include taking certain medications, harmful conditions labor, work with aggressive substances that can penetrate the intestines.

Bulbit symptoms

Often the disease is disguised as signs of gastritis, it is asymptomatic for a person. For this reason, it is difficult to put forward a version of the inflammation of the bulb in time. The most characteristic manifestations of bulboduodenitis can be considered hunger pains two hours after eating at night. Symptoms of gastritis and bulbitis on early stages very similar, so diagnosis is difficult. Bulbitis of the stomach - what is it and its symptoms:

cutting pains in the abdomen radiating to the navel;
in the morning bad smell from mouth;
spasms in left side;
vomiting, nausea, dyspepsia.

All these symptoms should be cause for concern, undergoing an examination in order to identify pathology. If induced hyperacid gastritis with gastroesophageal reflux develops, heartburn, a pulling feeling near the sternum, and belching of acidic contents are added to the above symptoms. Signs subside after taking antacid medications, the patient's condition returns to normal. These symptoms appear in many, but this does not mean that in 100% of cases a person develops bulboduodenitis.

Diagnostic methods

Bulbitis of the stomach is found, as a rule, by chance during a routine examination, because the symptoms are disguised as gastritis. A blood test shows nothing until the pathology is reached in an ulcerative severe form, the ESR is slightly increased. X-rays also do not give a complete informative picture. The ability to diagnose the disease appeared only after the invention of endoscopic equipment.

Examination with an endoscope has become the gold standard for the detection of diseases of the gastrointestinal tract. It is recommended to carry it out in conjunction with esophagogastroscopy, which helps to get the most complete picture on the state of the mucous membrane of the stomach, duodenum, esophagus. Data diagnostic methods will show:

erosion;
puffiness;
ulcers;
inflamed areas;
bleeding.

A flexible fiberscope opens up the possibility of not only diagnosing a pathology, but also starting therapy for the damaged area. For rate possible factor development of gastritis, bulbitis, general acid-base state of the gastrointestinal tract, daily pH-metry is performed. If endoscopy fails for some reason, then it can be replaced with antroduodenal manometry and electrogastroenterography.

Treatment of stomach bulbitis

Pathology is easier to cure if it is detected on early stage. There are several directions on how to treat bulbitis. The maximum effect is achieved by an integrated approach to therapy, apply following methods:

medication;
folk recipes;
diet therapy.

Medical

Start treatment medicines only after consultation with a gastroenterologist. The selection of medicines is carried out based on the cause of the bulbitis, the morphological form of the pathology. The following types of drugs can be prescribed for therapy:

Antacids. This group has proven effective when acid reduction is required. As a rule, Gastal, Rennie, Almagel, Maalox are prescribed, which decrease irritant effect that affects the gastric mucosa. Antisecretory agents such as Omeprazole, Ranitidine can also be prescribed.
Painkillers. In the acute form of bulbitis, the doctor may prescribe No-shpu, Papaverine, Baralgin to reduce pain.
At helminthic invasion anthelmintic (anthelmintic) drugs will be prescribed: Suramin, Levamisole.
When infected with bacteria, weakening the hydrochloric acid barrier, prescribe antibacterial agents. The appointment is based on microbiological, laboratory research.
Light sedatives help with the stress factor of the occurrence of gastric bulbitis.

Folk

Recipes home medicine achieved high efficiency in the treatment of gastrointestinal pathologies. Folk remedies are created only by them natural ingredients, so it combines well with traditional medicines without the risk of causing unexpected side effects. For example, milk has an enveloping effect, reduces inflammation and irritation of the gastric mucosa. The anti-inflammatory effect in the treatment of bulbite is possessed by phytocollections from:

chamomile;
plantain;
hypericum;
calendula flowers;
Icelandic moss.

A positive effect in the treatment of pathology has a freshly prepared carrot juice, which you need to drink 30 minutes before a meal. Decoction and plantain helps to cope with inflammatory process. All these funds with bulbite have a real medicinal effect, are safe for humans, but it is worth consulting with a doctor so that the mutual influence of medications does not invalidate the effectiveness of treatment. It is not recommended to independently select a course of therapy.

Diet for duodenal bulbitis

One of the main directions in the treatment of pathology is the normalization of nutrition, the use of only a certain type of food. Very important complete failure from alcohol and smoking, which have a strong irritating effect on the gastric mucosa and gastrointestinal tract. Their influence can greatly aggravate duodenal bulbitis, cause a transition from mild to severe.

At acute attacks pathology, it is recommended to completely refuse food for a while in order to reduce inflammation, swelling, pain, then it is allowed to eat cereals in water or low-fat milk. Diet for duodenal bulbitis at a non-acute stage allows following products for consumption:

the use of fermented milk products: yogurt, kefir, fermented baked milk, milk, low-fat cottage cheese, cheese;
crackers from white bread;
vegetable broths;
jelly.

With a pathology of the stomach, carbonated drinks should be removed from the diet forever, strongly spicy food, fried foods and smoked meats. Proper nutrition with bulbitis must be observed throughout life for patients who have a predisposition to the development of gastrointestinal diseases. The patient's body can fully recover, which will allow you to return to your usual diet. An approximate menu for the day during the treatment of gastric bulbitis looks like this:

The first breakfast is an omelet steamed with carrots.
Snack - apple puree, rosehip broth.
Lunch - soup with meatballs or boiled rice, kissel.
Snack - crackers, a glass of milk.
Dinner - buckwheat, fish soufflé, carrot salad.
Snack - tea (weak), breadcrumbs pudding with pear puree.
Before going to bed - tea.

Video

The peculiarity lies in the fact that with duodenitis, the inflammatory process affects both the stomach and the duodenum, but with bulbitis, only the bulb of the duodenum is damaged. Today we will take a closer look at the features of stomach bulbitis, what it is and with the help of what measures this pathology is treated.

Causes of the manifestation of pathology and its features

So why is the bulbit, which affects the bulb of the duodenum, called the bulbitis of the stomach? The fact is that this disease very often occurs together with gastritis, which, as you know, affects the gastric mucosa with inflammation. It is for this reason that the term "bulbitis of the stomach" appeared, which is so often used by gastroenterologists. There are several varieties of bulbit and then we will find out:

What is erosive bulbitis.
What is a catarrhal bulbitis of the stomach.
Superficial bulbitis of the stomach - what is it?
Features of chronic bulbitis of the stomach.
Danger of acute inflammation.

There are several reasons for the appearance of bulbitis, and the most common of them is the presence of gastritis in a person. It is he who becomes the provocateur of the development of this pathology, since with gastritis the increased production of acid entering the duodenum causes the development of superficial bulbitis, which can later develop into an erosive process.

In addition, one of the reasons is sometimes the embryonic mesentery preserved in humans, which causes excessive intestinal mobility, after which the forming loops interfere with the passage of food masses. The latter, in turn, are deposited and provoke the reproduction of bacteria and the inflammatory process. This process is especially negative when using a large number fatty, spicy and fried foods.

But chronic bulbitis can be caused by helminthic invasion or Crohn's disease. Manifestation catarrhal bulbitis is associated with the spread in the body of the bacterium Helicobacter pylori, which perfectly copes with acidity in the stomach and begins to affect the mucous membrane, causing an inflammatory process in the duodenal bulb. Acute bulbitis occurs after the abuse of alcohol, fatty and junk food. In addition, uncontrolled intake of drugs can be a provocateur of the inflammatory process not only in the stomach.

Important! Bulbitis of the stomach will appear later genetic predisposition to this disease, therefore, in such cases, one should not forget about prevention.

Varieties and symptoms of bulbitis

As with gastritis, in time for stomach bulbitis, symptoms can be both pronounced and almost imperceptible. But at acute pathology a person is pursued by severe paroxysmal pains, which are very common in pancreatitis. A small table shows the symptoms of bulbitis with different currents pathologies:

Variety:	Symptoms:
Spicy:	Severe paroxysmal pain, which very often leads to nausea and vomiting. Bile may be found in the vomit. Sometimes patients feel the taste of bitterness in the mouth.
Catarrhal and chronic:	Aching pain that can radiate to the navel and right hypochondrium. Sometimes malnutrition leads to nausea, but vomiting is not observed. characteristic feature will be the appearance of poly after eating.
Erosive:	It is characterized by pain of varying degrees, it can appear both for no reason, and after eating. In addition, a person may feel “hungry” pains that occur at night and during long breaks between meals.
Pathology is treated with medications and dietary nutrition, which is prescribed only after a person has passed a series of diagnostic studies- it is they who will help confirm or refute the bulbitis of the stomach and identify possible comorbidities.

Follicular bulbitis of the stomach manifests itself against the background of an infectious effect. Because of this, the lymphatic follicles change their size and increase markedly. Since the mucosa has pale pink color, nodes or vesicles are well distinguished on it during duodenoscopy.

Consequences of focal bulbitis

Focal bulbitis, like gastritis of the stomach, is enough insidious disease, which is reflected not only in the work of the duodenum and stomach, but also in the body as a whole. Focal bulbitis without proper treatment can develop into an erosive form of pathology, which in a neglected state causes a duodenal ulcer.

What is peritonitis is known to everyone, and who is not yet aware - this is a process that occurs after perforation of the ulcer, when the contents of the organ enter the abdominal cavity. Without timely assistance, the consequences can even be fatal. Erosion, which has formed in the stomach or intestines, gives its owner a lot of trouble, so the symptoms will be pronounced.

Launched focal bulbitis can cause disruption in the work of the cardiovascular, nervous, endocrine systems. Among others, one can also distinguish atrophic bulbitis, a characteristic feature of which is fatigue patient, weight loss, frequent dizziness against the background of exhaustion of the body. The consequences of atrophic bulbitis of the stomach are a deficiency of iron and vitamin B12, which leads to anemia.

Important! In addition to the fact that perforation is a complication of bulbitis, there are also consequences of pathology. They consist in the deterioration of the work of the stomach and intestines, in which the body is no longer able to get the vitamins and amino acids it needs from food. This threatens to reduce immunity, which will certainly lead to the development of other comorbidities.

Treatment of stomach bulbitis

All medicines, pills and diet food with bulbitis, the gastroenterologist prescribes only after complete diagnosis sick. Since bulbitis is often accompanied comorbidities, it is extremely important to identify them at the very beginning of treatment. The treatment regimen must be strictly observed, since deviations from the doctor's prescriptions can lead to a complication of the disease and a deterioration in the general condition of the person.

For example, if bulbitis is caused by a bacterial infection of the body, then the patient is prescribed antibiotics - any deviation from the dosage can lead to dysbacteriosis, which is no less difficult to treat. The doctor also prescribes painkillers that can be injected, thus not getting into the human gastrointestinal tract and thus not causing additional damage to the already damaged mucosa.

Important in diseases of the gastrointestinal tract is the nutrition of the patient - if you follow therapeutic diet, then the recovery process will be quite fast. It is necessary to correct nutrition not only for the duration of treatment, but also for the rest of your life, since a return to an incorrect lifestyle threatens with new inflammation of the mucosa. Easily digestible meals and products should become the main food of the patient.

Allowed products for bulbite

All products must undergo special heat treatment, fried and spicy dishes completely excluded from the diet. In addition, you need to forget about the use of alcohol, soda, fast foods, chips, and quit smoking. From the allowed list of products and dishes, the following can be distinguished:

Light vegetable soups and low-fat broth.
Casseroles.
Boiled porridge.
Vegetable stew.
Boiled dietary meat.
Compotes.
Mineral water without gases.

It must be remembered that the temperature of the dishes is also very important for the inflamed gastrointestinal tract, so you should not eat very hot and cold food, and also alternate it with each other. It is allowed to use foods whose temperature corresponds to body temperature.

Important! If worms have become the cause of the pathology, then first you need to get rid of them and only after that begin to treat stomach bulbitis.

Bulbit is inflammatory disease mucous membrane of the duodenal bulb, which occurs due to a violation of its mobility and the formation of an additional loop in which part of the food is retained, which creates favorable conditions for bacterial growth. Often this pathology due to the similarity of symptoms, it is associated with gastritis, in connection with which it is called "gastric bulbitis". Bulbitis of the stomach is a type of duodenitis.

Most often, bulbitis occurs in women and develops over a long period of time. Often occurs in early childhood.

The reasons

The cause of stomach bulbitis in most cases is pathogenic bacterium Helicobacter pylori, the rapid development of which, if it enters the human body, occurs against the background of gastritis. Also, the causes provoking the bulbitis of the stomach include hyperacidity gastric juice that enters the duodenum.

Bulbitis of the stomach can occur both in acute and in chronic form. acute form diseases are most often provoked by taking certain medications, drinking alcoholic beverages, poisoning the body toxic substances. The course of the pathological process in a chronic form may be due to giardiasis or Crohn's disease. In addition, the cause of bulbitis can be a mechanical injury to the stomach caused by the ingress of a foreign object into it.

Symptoms

Depending on the nature and causes of the disease, several types of gastric bulbitis are distinguished:

superficial bulbitis - affected top part mucous membrane;
erosive bulbitis - small ulcers appear on the mucosa;
focal bulbitis - accumulation of ulcers;
atrophic bulbitis - thinning and pallor of the walls of the duodenum.

Spicy

Symptoms of acute bulbitis are characterized, as a rule, by general malaise, headache, dizziness, chills, strong weakness, increased heart rate, nausea and vomiting. On palpation of the abdomen, pain is felt in the navel. When pressed, its intensity increases significantly. Often, the symptoms of acute bulbitis are mistaken for symptoms of a duodenal ulcer.

Chronic

Chronic bulbitis is accompanied significant decline immunity, which manifests itself in the form of malaise, excessive sweating, fatigue, headaches. Long periods between meals lead to trembling in the body and the appearance of a sharp muscle weakness. Symptoms of chronic stomach bulbitis are similar to the symptoms of all types of this disease.

catarrhal and follicular

Symptoms of catarrhal bulbitis are difficult to distinguish from symptoms of diseases of the stomach and duodenum. These include aching and cramping pains in the epigastric region, belching of food eaten, heartburn, unpleasant odor and bitter taste in the mouth, nausea and vomiting after eating, a tendency to constipation, weakness and trembling in the muscles, irritability, dizziness, sleep disturbances.