Therapeutic treatment of peptic ulcer

Therapeutic treatment of peptic ulcer should be complex, differentiated taking into account all factors that cause the development of the disease, the mechanism of its development, the localization of ulcers and complications.

During peptic ulcer exacerbation, the treatment is performed in the hospital until the ulcer is completely cicatrized. After inpatient treatment, the patient is prescribed a course of outpatient therapy for three months, since during this whole time the gastroduodenitis associated with the disease remains.

Treatment of peptic ulcer includes:

- therapeutic nutrition

- elimination of all causes contributing to the development of relapse

- medical therapy

- physiotherapy.

Diet for peptic ulcer should contain a physiological norm of nutrients, as well as vitamins and trace elements. In the phase of exacerbation of the disease should adhere to the principle of shading the mucous membrane of the digestive tract, protection from chemical, mechanical and thermal factors.

Drug treatment for peptic ulcer

The number of drugs used to treat peptic ulcer disease reaches one thousand names. Selection of adequate drugs for the treatment of patients is determined by many criteria, which include the localization of ulcers, the severity of symptoms of concomitant gastroduodenitis, the severity of recurrence and course of the disease, concomitant pathology.

The purpose of drug therapy has the following objectives:

- suppression of excessive synthesis of hydrochloric acid and digestive enzymes or their neutralization

- normalization of gastric motility function

- enhancement of protective mucus and alkaline secretion

- stimulation of mucosal reconstructive processes and elimination of inflammatory and dystrophic processesin it.

In the treatment of patients with peptic ulcer, double, triple or even more intensive antihelikobakternuyu therapy should be prescribed. The most effective drug for combating Helicobacter pylori infection is "De-nol" in combination with "Omeprazole", H2-blockers of histamine receptors, which reduce the acidity of gastric contents. This creates conditions for rational therapy with other antimicrobial drugs - Amoxycycline and Clarithromycin.

Antacids and adsorbents are used to reduce the aggressiveness of the acidity of gastric juice. For this purpose, prescribe soluble and insoluble antacids.

Stimulation of regenerative processes and healing of a ulcerative defect in the mucosa is achieved by the appointment of drugs that affect tissue metabolism. For this, vitamin preparations, biogenic stimulants, "Oxygenferrocoron sodium", "Metronidazole" are used.

Treatment of peptic ulcer with physiotherapy methods is prescribed during the period of aggravation of the disease with uncomplicated flow and complete elimination of symptoms of latent bleeding. Physiotherapy consists of thermal procedures in the form of paraffin or ozocerite applications, hyperbaric oxygenation, laser irradiation of the ulcer through a fibrogastroscope.

In the remission phase it is necessary: ​​

- complete exclusion of etiological factors

- adherence to a sparing diet

- work and rest regime

- sanatorium treatment

- medical supervision of the patient at the place of residence.

Thus, if a peptic ulcer is diagnosed, the treatment of this disease is not limited to taking medications only. The use of various therapeutic methods prevents the progression of the disease and the development of complications. A peptic ulcer, the treatment of which is carried out in full, does not require surgical intervention, which is inevitable in the development of complications.