Bulbitis of the duodenum, all about the disease

Duodenal bulbitis: symptoms and treatment methods in adults

Few people have heard of such a pathological condition as stomach gulbit; they don’t know what it is. Although a disease such as bulbitis is extremely common. In fact, this pathology is just a type of inflammatory changes in the intestines.

Anatomically, in the duodenum there is a bulb into which the stomach directly passes and which can become inflamed separately. Bulbitis as a disease is diverse in morphological and clinical characteristics, but can be successfully treated with timely therapeutic compensation.

Causes

The causes of bulbitis are in many ways similar to the causes of gastritis:

• pharmaceuticals;
• chemical burns;
• love of alcoholic drinks;
• habit of eating too hot food;
• infection with helminths or lamblia (especially typical for children);
• variant of manifestation of Crohn's disease, etc.;
• poor nutrition (eating on the go, addiction to junk food, habit of eating once a day, but a lot, etc.);
• bacteria Helicobacter pylori (especially in the case of catarrhal form or mixed bulbitis);
• mechanical trauma to an organ (swallowing an indestructible object, which can damage the walls of the organ, often leading to focal damage).

Folk remedies

Traditional medicine often includes folk recipes in a comprehensive course of therapy. These methods are especially effective for catarrhal bulbitis, when the inflammatory process affects the surface layer of the epidermis. The use of various infusions and decoctions of medicinal herbs in combination with drug treatment provides good results and allows you to completely cure the disease.

Propolis tincture

You need to take 60 g of propolis and dilute it with 250 ml of alcohol. The resulting composition is infused for 7 days. The tincture should be used in the following way: 5 ml of tincture is dissolved in 150 ml of boiled water and the resulting mass is taken in small sips in one go.

St. John's wort decoction

The healing drink is very easy to prepare. You need to take 2 tbsp. l. St. John's wort and pour 200 ml of boiling water. Leave the composition in a dark place for 60 minutes. The resulting solution is filtered and taken ¼ glass three times a day before meals.

Medicinal fee

Chamomile, St. John's wort and marshmallow root are mixed in equal proportions. 2st. l. collection, pour 500 ml of boiling water and place in a dark, cool place for 12 hours. Afterwards, the composition is filtered, and enough boiling water is added to obtain the original volume. The infusion should be taken 50 ml, twice a day.

Rosehip syrup for the treatment of bulbitis

Remove seeds from 1 kg of fresh rose hips, pass through a meat grinder, place the resulting mass in an enamel bowl, add 1200 ml of water, stir and boil over low heat for 10 minutes.

The resulting composition is removed from the heat, 1 kg of sugar is added and put again on low heat for 30 minutes. The syrup is filtered and poured into glass containers. Take the drink three times a day, 1 tbsp. l.

Swamp calamus

Bulbitis is always accompanied by heartburn, which can be relieved with powder from the rhizomes of the plant. Take it three times a day on the tip of a knife.

Plantain for the treatment of bulbitis

1. It is recommended to take fresh plantain juice with the addition of honey (2:1). The medicinal mixture should be consumed three times a day, 1 tbsp. L. Within 4 weeks.
2. 1 tbsp. l. plantain seeds pour 200 ml of boiling water and leave for an hour. The resulting solution is filtered, take 1 or 2 tbsp. Spoons 3 times a day before meals, half an hour. The course of treatment is 4 weeks.

Classification

Existing types of bulbitis are determined by the causes and nature of the development of the disease itself.

1. Surface. With this type, the upper region of the mucosa is affected.
2. Focal bulbitis is characterized by the accumulation of ulcerative formations. In this case, treatment is prescribed depending on the severity of the disease itself.
3. Erosive. In this case, small ulcers may form on the mucous membrane.
4. Hemorrhagic. With this type of bulbitis, inflammation of the mucous membrane, the appearance of erosions and bleeding are noted.
5. Atrophic or bulbitis of the duodenum. This esophagitis causes pallor and thinning of the walls of the duodenum.

General information

Catarrhal bulbitis is not considered a separate pathology and is not included in the international classification. Gastroenterologists use this name to emphasize the stage of the pathological lesion.

Catarrhal bulbitis is an inflammation that occurs in the duodenal bulb, or in other words, the bulb. It is the connecting part of the stomach and intestines. As a result, any damage in both organs appears here. This expression can be considered a type of duodenitis or a consequence of gastritis.

The inflammatory process appears when the mucous membrane swells and prevents the release of bile and enzymes. In other words, the bulb becomes inflamed, causing stagnation of bile and disruption of secretion.

Symptoms of duodenal bulbitis

Bulbitis in adults is manifested by rather nonspecific symptoms, such as:

• feeling of nausea, bloating in the stomach;
• bitter or metallic taste in the mouth;
• headache and malaise (also with acute inflammation);
• pain in the epigastric region, more on the left, which can radiate to the left hypochondrium or umbilical region;
• rarely - vomiting (in case of acute poisoning or toxic infections, it can be repeated);
• diarrhea or loose stools.

A characteristic symptom of gastric bulbitis is the appearance of pain 1.5-2 hours after eating and at night. These are the so-called “hunger pains”, which decrease after taking milk or antacids. If bulbitis occurs as a manifestation of Crohn's disease, the severity of the symptoms evaluates the degree of activity of the inflammatory process. The following indicators are taken into account:

• frequency of diarrhea,
• intensity of abdominal pain,
• degree of weight loss, etc.

For example, with bulbitis of the 1st degree of activity, the patient’s well-being suffers little: diarrhea occurs 3-4 times a week, pain is minor and intermittent, and there is no weight loss.

Fully or partially limited products

• Fermented milk products with high acidity.
• Dishes that stimulate secretions and irritate the mucous membranes are excluded: meat/fish broths, mushrooms, fried and stewed dishes, hot and sour sauces, broth-based sauces, smoked meat and fish products, pickles and pickled vegetables, canned food, spices and seasonings (horseradish, mustard, mayonnaise).
• Rye bread, any fresh bread, confectionery products made from puff pastry.
• Millet, pearl barley, barley and corn cereals, pasta, legumes.
• White cabbage, radish, sorrel, cucumbers, tomatoes, onions.
• Sour and coarse fiber fruits/berries.

Table of prohibited products

Diagnostics

To confirm gastric bulbitis, the following methods are used:

1. X-ray, which allows you to identify changes in the structure of the duodenum and stomach, confirming the existing symptoms. These are signs such as the presence of spasms turning into relaxation, instability of peristalsis, and increased size of the bulb.
2. Physical examination by palpation of the abdomen. A possible diagnosis is indicated by the appearance of minor pain in the epigastric region and a tense state of the anterior abdominal wall.
3. Daily pH-metry to track the dynamics of acid formation during meals, during a fasting state and in other situations.
4. Electrogastroenterography, which makes it possible to detect signs of motor-evacuation abnormalities in the functioning of the stomach and duodenum.
5. Duodenoscopy, which can reveal symptoms in the form of swelling and redness of the mucous membrane, its excessive bleeding, erosion areas in the lower part of the stomach and the adjacent part of the intestine. If the cause of the pathology is atrophy of the mucosa, it is possible to detect its pallor and thinning.
6. Antroduodenal manometry to determine the pressure during contraction of the stomach during its operation (special sensors are placed in the antrum).

Drug treatment

Treatment using medications is prescribed only after determining the root cause of duodenal bulbitis. If it is focal and caused by the entry of a foreign object into the duodenum, then it is necessary to remove this object. As a rule, this can be done by duodenoscopy. When Helicobacter pylori infection is detected, combination therapy using antibiotics is prescribed. If the cause of the disease is a parasitic infestation, specialized treatment is carried out, which is prescribed depending on the type of parasite.

Steroid medications may be prescribed for Crohn's disease. Immunoregulators are used to treat follicular bulbitis. Symptomatic treatment helps alleviate the manifestation of the main signs of inflammation. Most often, antacids are used. H2 blockers and proton pump regulators may be used. If stress levels are elevated, sedatives may be prescribed to help relieve nervous tension.

Nutrition rules

Diet is the key to the effectiveness of treatment and the absence of relapses in the patient, so you need to pay special attention to nutrition. In severe advanced cases and in the acute stage, it is better to completely eliminate food intake for a while until pain, swelling and inflammation decrease, and then gradually add porridge with low-fat milk and water.

In the non-acute stage, nutrition for bulbitis includes fermented milk products, vegetable broths, and white bread crackers. All products must be boiled or steamed. The beneficial effects of natural jelly and enveloping cocktails. As a sweet treat, oatmeal cookies are perfect for such patients.

You should forever give up carbonated drinks, spicy and fried foods, and smoked foods. A patient with a predisposition to gastrointestinal diseases should never stop eating properly.

Diet

In case of exacerbation of bulboduodenitis, a period of rest and adherence to a diet are necessary to help prevent the release of excessive secretion, which increases acidity. It is advisable to adhere to a certain diet for a month:

• eat steamed or boiled food warm;
• eat food in small portions;
• give up salty, spicy and fatty foods;
• exclude alcohol, coffee, soda, spices and seasonings;
• quit smoking.

It is not recommended to use vegetables containing coarse fiber (radish, cabbage).

An important component of treatment is a complete adjustment of nutrition. A healthy diet with a meal schedule is required.

In addition to treatment with medications and diet, the doctor may prescribe folk remedies that will cope with unpleasant symptoms. Decoctions with the addition of cloves, wormwood, tansy, and oak bark are used. Plantain juice and honey are no less effective.

How to treat chronic bulbitis?

For chronic and catarrhal bulbitis, antibacterial therapy is prescribed, since this type of bulbitis develops, as a rule, due to Helicobacter pylori infection. Antibiotics are prescribed 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 - Amoxicycline, Vilprafen, Summed, De-nol and others. Sometimes Metronidazole can be prescribed, but nowadays its effectiveness among potential “killers” of Helicobacter is disputed.

Also, with this type of bulbitis, a long-term diet is prescribed. In addition, you must stop smoking. Avoid stressful situations whenever possible. It is necessary to stop taking all kinds of food additives; they can also be a provoking factor for the exacerbation of catarrhal and chronic bulbitis. Also, in stressful situations, during the treatment of this type of bulbitis, sedatives and sedatives are prescribed.

You should understand and be psychologically prepared for the fact that you will have to reconsider your usual way of life, since the treatment will be complex and long-term.

Recipes

When preparing dietary dishes, you must follow certain rules. When steaming, food should not come into contact with liquid, but should be treated with boiling steam. The loss of all substances in this case is less than during cooking. Omelettes or egg porridge must be cooked in a water bath - the container with the product is placed in another larger one filled with water.

The use of cereal flour (rice, buckwheat or oatmeal) will speed up the cooking process. In a blender you can easily and quickly puree boiled meat and vegetables. This diet involves the preparation of cream soups and puree soups. They are prepared from various vegetables, as well as a mixture of vegetables and cereals; you can add rolled boiled chicken meat. All products are first boiled, pureed or whipped with a blender and the resulting thick mass is diluted with vegetable broth if you are preparing a puree soup, or with milk and cream if you want to get a cream soup. Add a piece of butter to prepared dishes.

First meal

Puree rice soup with meat

Boil chicken or beef and blend in a blender. Cook the rice until fully cooked and also grind in a blender or puree. Add meat to the pureed rice, add water to the desired consistency and boil. Add a piece of butter.

Oatmeal soup with zucchini (grated)

Boil the peeled zucchini and drain the vegetable broth. Boil oatmeal or flakes well. Grate the zucchini and cereal, dilute with vegetable broth, bring to a boil and add salt. Add butter to the finished soup. Serve with croutons.

Second courses

Egg porridge

Beat eggs with milk, add salt and butter. The whipped mass is poured into a mold, which is placed in a container with hot water. Cook while stirring until it reaches the consistency of porridge. There is another cooking option. The prepared egg mass is poured into a saucepan with water (a small amount is needed) and cooked like porridge, stirring and bringing until thickened. Excess water needs to be drained.

Steamed chicken cutlets

Cutlets are made from raw chicken or turkey. Choose meat without tendons and skin (the ideal option is breast). The meat is twisted several times or beaten using a blender, soft butter, milk, salt, and beaten egg whites are added, small cutlets are formed and steamed for 20-25 minutes.

Dessert

Curd soufflé

The cottage cheese needs to be rubbed well, add the yolk, milk, a little flour and sugar. Beat the whites until foamy and fold into the curd mixture. Steam in any form. Can be served with fruit jelly or condensed milk.

Raspberry jelly

Boil raspberries or other sweet berries for 2-3 minutes, adding a little water. Rub through a sieve. Add sugar to taste to the resulting thick mass, boil a little and add dissolved gelatin. If you want to get the effect of a light, “quivering” jelly, take 10 g of gelatin per 500 ml of liquid portion. Stir thoroughly and pour into molds.

Prognosis and prevention

If you seek specialized help in a timely manner, prescribe adequate therapy for bulbitis and eradicate Helicobacter, the prognosis is favorable. Patients must follow dietary therapy recommendations and, if necessary, adjust their lifestyle. You should stop smoking and drinking alcohol.

Prevention of bulbitis involves timely treatment of gastritis with mandatory post-therapy tests confirming the eradication of the pathogen. Even without exacerbations, it is necessary to regularly attend medical examinations. Many drugs are aggressive to the mucous membrane of the stomach and duodenum, therefore, for bulbitis, all drugs should be used only after consultation with a doctor.

To prevent infection with Helicobacter, you should maintain food hygiene and wash your hands thoroughly before eating.