Duodenal ulcer is often accompanied by lesions in gastric mucous membranes. In 95% patients, the disease is caused by infection with Helicobacter pylori. In other cases, the cause may be stress, trauma or certain medications. In the absence of complications, the condition of patients may be improved conservatively.
The treatment plan is developed based on examination findings. During the first visit, the physician clarifies complaints, collects the case history and conducts a clinical examination. To confirm the diagnosis and create the full picture of the disease, the patient is prescribed:
- complete and biochemical blood counts,
- abdominal ultrasound,
- urease test to identify Helicobacter pylori.
Prolonged exposure of the duodenal walls to Helicobacter pylori can lead to cancer development. Therefore, when the urease test yields a positive result, the further tests for detection of malignant tumors are performed:
- hemoccult test,
- gastroscopy with biopsy.
All patients are recommended to stick to a balanced diet. Upon detection of H. pylori, the antibiotic therapy is administered. To eliminate the symptoms, antispasmodics, antacids, astringents and other drugs are prescribed. Mucosal wounds are monitored by endoscopy. After elimination of acute effects, the patient is provided with recommendations for further prevention of the disease.