The causes, types and treatment of bulbit duodenum

In gastritis, often pathogenic microbes along with the contents of the stomach enter the duodenum, in this case a bulbit develops, the symptoms of which are very similar to the symptoms of any other disease of the gastrointestinal tract. At first, the signs of pathology are not very bright, but gradually with increasing inflammation, pain appears. What else indicates the presence of the described disease? The answer is in the article.

Pronounced signs of bulbit

First, there is severe pain, which is localized in the epigastric region and given in the right hypochondrium. It can occur both after eating and on an empty stomach, but it quickly passes when food or medications that can normalize the acidity of the stomach get into the stomach. But not only pain can indicate bulbit, symptoms of the disease can complement the following symptoms:

  1. Heartburn.
  2. Nausea.
  3. Prolonged constipation or diarrhea.

And even putting it all together, not every one of us is able to suspect a bulbit at home - these symptoms may indicate any other disease of the gastrointestinal tract. The following clinic helps to recognize the described disease: when inflammation of the mucous membrane develops in the body, nausea begins to flow rapidly two hours after eating, but the pain immediately after it, as a rule, disappears.

If the patient develops chronic bulbits, the signs widen. Significantly reduced protective functions of the body, there is rapid fatigue, which can lead to disability. The patient is tormented by headaches. If long pauses are formed between meals, a strong shiver appears in the hands, one cannot endure hunger. All the muscles of the body become weak, but after eating the similar symptoms of bulbit duodenum 12 are gone.

The exacerbation of chronic stages occurs in the offseason, and lasts for a whole month. At this time, the patient appears bitter belching and vomiting. From the esophagus comes out the bile. It causes a violation of intestinal motility, therefore, anthracite drugs, such as Maalox, Rennie or Gastal, help to eliminate bulbit pains and any other painful sensations. They normalize the level of hydrochloric acid, restore the motility of the intestine, preventing the ejection of its contents back through the bulb into the stomach.

It is impossible to get rid of these symptoms without taking adequate treatment. The advanced stages of bulbit can lead to oncology, therefore it is so important to promptly seek help from specialists.


The duodenal bulge proceeds in a chronic or acute form. In the second case, the symptoms are extremely bright. In this case, the patient is usually hospitalized. If a person has not completed treatment in the acute phase, the disease becomes chronic. Sometimes she does not give rest to the sick for a long time. In this case, alternate periods of exacerbation and remission.

Depending on the localization of inflammation, doctors distinguish focal and total forms of the disease. The first type is inflammation of a small area of ​​the bulb, it is overcome easier. The second, with a complete lesion of the bulb as a whole, is treatable worse.

Bulbit are classified according to the depth to which the mucosa is affected, and according to the width of the spread of pathology.

  • In the absence of proper treatment, the bulbit becomes atrophic. The mucous membrane gets a gray shade over time. Its food is broken, the KDP shell becomes thinner.
  • When neglect of the disease occurs bulbit hyperplastic. At the same time large folds are formed, the cells grow significantly.
  • The erosive variant is associated with the appearance of medium-sized ulcers and erosions on the mucous membrane first. They can bleed and grow with time. If not treated in time, it turns into an ulcer.
  • Follicular bulbit develops due to worms. Accompanied by the appearance of bubbles on the mucous. It also leads to an ulcer with no treatment.
  • The surface type is considered the easiest form of bulbit. It affects only the upper zone of the mucous.
  • Hemorrhagic analogue is accompanied by the appearance on the surface areas of hemorrhage, rare or multiple.
  • Erythematous disease stimulates the appearance of oval red spots on the mucous membrane.

In two thirds of the cases, the duodenal bulbit is caused by the bacterium Helicobacter pylori. Bullitta takes the catarrhal form because of this bacterium. Often to different types of disease lead giardia or worms. Living in the intestines, these parasites affect its functioning, leading to inflammation and other diseases.

Often in patients it all begins with dyskinesia, duodenal motor disorder leading to duodenostasis. In partial form, these are bulbostases associated with a delay in the food bulb, leading to its increase. If the delay is too long, the organ becomes inflamed.

Sometimes people have an embryonic splash back, which makes the gut too mobile. This creates unnecessary loops in which masses of food get stuck. They quickly breed bacteria, causing inflammation.

Bulbit appears on the background of gastritis, leading in some forms to excessive production of hydrochloric acid. Partially getting into the duodenum, acid can cause superficial bulbit.

It happens and Crohn's disease, when all or some parts of the gastrointestinal tract are inflamed. The cause of this disease could not be established. In this case, the bulbit becomes chronic.

The cause of the acute form of the disease can be alcohol abuse or eating too much food, which irritates the digestive tract. All this affects a rather sensitive 12 duodenum, as well as:

  • taking a number of drugs
  • injuries
  • continuous stress
  • disruptions in immunity.

Sometimes a person swallows foreign objects, accidentally or intentionally. Over time, a focal bulbit forms around them. Getting into the bulb, the foreign body puts pressure on the walls. The area around it is inflamed. Useful articles on the topic - focal bulbit of the stomach, what it is and how it differs from the bulbit duodenum.

Diagnosis of any pathologies in the small intestine is not difficult for experienced doctors - the clinical picture of each disease is quite specific. First of all, pay attention to the symptoms:

Pain attacks are localized usually in the epigastrium, radiating from time to time to the navel. The reason may be too large pauses between meals.

Any symptoms develop over time. Often, it all starts with the appearance of nausea after the patient eats. Over time, vomiting with bile impurities and belching begin to accompany her. All this suggests that this department of the gastrointestinal tract began to function intermittently. As a result of the development of pathologies, food stops moving further along the digestive system, and is thrown back into the stomach.

If the disease progresses, the activity of the immune system deteriorates. Asthenic syndrome develops, often a headache. Sometimes patients notice the appearance of muscle pain and shivering in the body with an increase in the interval between meals. Signs of bulbit duodenum are similar to symptoms of an ulcer in the same area.


After collecting anamnesis, doctors conduct diagnostic procedures to clarify the nature and severity of the disease:

  • physical examination with abdominal palpation,
  • fibrogastroduodenoscopy,
  • Ultrasound of the abdominal organs,
  • X-ray of the intestine and stomach using contrasting substances
  • antroduodenal manometry, which detects pressure on the stomach during work,
  • duodenoscopy, which determines redness with swelling of the mucous membrane, bleeding and erosion in the area of ​​intestinal and stomach fusion,
  • electrogastroenterography, revealing mucosal pathologies,
  • electrogastroenterography,
  • pH-meter during the day.

To understand how to properly treat bulbit duodenum, you must visit a doctor. He will prescribe drugs based on the specifics of associated diseases. The course is chosen strictly individually.

Sometimes antihelicobacter drugs are needed - with action against bacteria and gastroprotectors:

Drugs against helminths (parasites) are selected based on the type of pathogen. Usually prescribed:

Antacids reduce acidity in the stomach and intestinal bulb. Among them:

  • Maalox,
  • Phosphalugel,
  • Almagel.

For severe forms, medications for cramps and pain are needed:

Enzyme means replace the lack of their production in a natural way:

When inflammations worsen, you have to abandon dishes that irritate the mucous:

The diet is coordinated with the attending doctor. In the first days of exacerbation it includes only liquid dishes, so as not to burden the digestive tract. Such food is absorbed easily, relieving the body. Then they introduce other dishes, not forgetting about the granularity and frequency of food - at least 4-6 times a day.

Not bad helps decoction of chamomile, used inside. Food should be only warm, sugar consumed no more than 50 g per day, salt - less than 5 g. During the first couple of weeks, priority:

  • omelet on milk,
  • scrambled eggs,
  • baked apples,
  • oatmeal mucous without oil,
  • broth - chicken or vegetable,
  • boiled fish,
  • jelly,
  • jelly,
  • souffle.

Bakery products at this time under the ban. Further, the diet can be expanded, gradually introducing:

  • pasta,
  • steamed patties,
  • fermented milk products
  • biscuits,
  • yesterday's bread.

From drinks allowed:

  • diluted fruit and vegetable juices,
  • green tea weak
  • jelly,
  • compotes
  • milk.

Diet - almost the main component of therapy bulbit. Strict compliance with it makes the cure of the patient almost guaranteed.

Duodenal bullet - what is it

So called pathology, which is accompanied by inflammation of the upper part of the duodenum 12 - the bulb. The characteristic manifestations of this disease is pain syndrome of varying severity, dyspeptic disorders and bleeding in complicated form.

The choice of treatment method is determined by the form of the pathology and can be carried out both with the help of drugs and by surgical intervention.

With such a disease, loops are formed in which food accumulates and stagnates. In the process of digestion, the contents of the stomach due to peristalsis and the functioning of the sphincters enter the duodenal bulb.

Neutralization of the acid mass from the stomach occurs and this is done at the expense of the alkaline environment. The duct of an organ such as the pancreas and the bile duct exits into the duodenal bulb.

When exposed to the body of adverse causes in the duodenal bulb begins to progress pathological process. In medical practice, such a concept as bulbit of the stomach is used, since the pathology mainly flows along with gastritis, and serves as its continuation.

One of the main factors provoking the development of such a pathology is the destruction of the mucous membrane by the microorganisms Helicobacter pylori.

Causes of the disease:

  • Worms Many types of parasites usually accumulate in the intestinal area. They are attached to the mucous membrane with the help of special devices and provoke the displacement of tissues, which causes the development of the inflammatory process. The waste products of the worms have a negative effect on the condition of all intestinal sections.
  • Alcoholism. The abuse of alcoholic beverages ends with the disruption of the bowels. In addition, alcohol consumption accelerates the transition of the disease into a stomach ulcer.
  • Crohn's disease. With such a pathology, the development of many complications is observed, and bulbit is considered one of the most dangerous. In Crohn's disease, any region of the gastrointestinal tract is inflamed with an unclear etiology. Subsequently, the progression of destructive processes and disturbances in the functioning of the intestine end with the fact that the inflammation of the duodenum becomes chronic.
  • Gastritis. This disease is characterized by a malfunction of the stomach and an increase in its acidity. All this has a negative effect on the bulb and the entire duodenum as a whole.
  • Foreign object in the intestines. Penetration into the stomach of a foreign object of any size causes problems with the work of the body, and provokes inflammation of its shell.

Contribute to the defeat of the duodenum factors that lead to a decrease in the protective properties of the organ. The disease can be caused by impaired functioning of the immune system, severe comorbidities and genetic prerequisites.

Symptoms of bulbit duodenum

For the disease characteristic of the development of pain and impaired digestive tract. At the initial stage of development of this pathology, the following mild symptoms appear:

  • bouts of nausea without vomiting,
  • persistent problems with constipation,
  • heartburn,
  • pain in the epigastric region, passing into the navel.

The disease can develop slowly, and in such a situation, the characteristic symptoms manifest themselves for several years. With the progression of the disease, the patient begins to complain of belching with an unpleasant taste and frequent vomiting with an admixture of bile.

Such signs are considered to be a consequence of dysfunction of the duodenum. Due to the inflammation, the contents that penetrate from the stomach into the intestine return back, rather than moving forward along the digestive system.

When the pathology passes into a neglected form, the performance may be reduced and the immune system is impaired. The patient is constantly tormented by headaches, and when feeling cold, muscle weakness and trembling in the body appear.

Bulbit symptomatology has a lot in common with such pathologies of the digestive system as gastritis, ulcer and duodenitis. This creates difficulties in making a diagnosis, therefore, when at least one of the listed symptoms appears, it is necessary to consult with a specialist.

There are several types of inflammation of the duodenum, and each of them is accompanied by the appearance of certain symptoms.

For acute illness, the appearance of increased weakness, headaches, dizziness, nausea and vomiting. The patient is diagnosed with rapid heartbeat and during palpation there is a pronounced pain syndrome in the navel.

In the chronic form, the symptoms may be completely absent, since this form of the disease does not cause the appearance of ulcers and erosions. The occurrence of vegetative disorders is observed, that is, immunity decreases and muscles weaken.

For catarrhal bulbit is characterized by the appearance of pain aching or cramping character, which often develops in the morning on an empty stomach or at night. The painful sensations are given to the epigastric region with shootings in the scapula and navel.

In this form of pathology, nausea, vomiting, heartburn, belching, and an unpleasant smell from the oral cavity can disturb. With erosion, aching or cramping pain is present in the epigastric region. The discomfort appears after some time after a meal, and suffer from bouts of nausea and vomiting with an admixture of bile.

Treatment of bulbit duodenum

The choice of treatment method is determined individually, taking into account the results of fibrogastroscopy, laboratory tests and indicators of an objective examination of the patient.

In the event of a disease attack, it is necessary to take antacid preparations, due to which temporary relief is achieved. For the speedy elimination of unpleasant symptoms, it is important to choose the right treatment tactics for each type of pathology.

Before treating acute bulbit of the duodenum, pain syndrome should be removed by relaxing the smooth muscles. It is possible to alleviate the patient's condition with the help of such medicines as No-shpa, Papaverin and Baralgin.

Before starting treatment, it is recommended to fast for several days, and then follow a diet. It is best to be treated in an inpatient setting, as gastric lavage may be necessary to rule out poisoning.

In the acute form of the disease, droppers with a saline solution can be administered, which help to eliminate the signs of intoxication of the body.

Treatment of chronic and catarrhal bulbit is carried out with the use of antibacterial agents, since the main cause of this type of disease is Helicobacter pylori infection.

The choice of a potent drug is determined by the sensitivity of the pathogen to them. To eliminate the pathology, groups of potent drugs are usually prescribed that affect the cell of the microorganism itself.

Medications such as Summammed, Vilprafen and Amoxicillin give a good effect in the fight against the disease. When inflammation of the duodenum is important to avoid stress and adhere to a special diet.

It is necessary to limit the consumption of food additives, since they can provoke an exacerbation of the chronic form of the disease. In emotional experiences, sedative and sedative medicines are indicated, and it is necessary to lead a healthy lifestyle.

For the treatment of superficial and erosive bulbit used wound healing drugs and coating drugs in the form of a suspension. In addition, reception of hydrochloric acid blockers is shown, since it is precisely its reflux that often causes ulcers and erosions.

Operation in case of illness

Surgery is resorted to in a situation where the pathology is accompanied by the formation of ulcers. The patient is performed vagotomy - an operation that aims to parasympathetic denervation of the gastroduodenal zone and a decrease in the production of hydrochloric acid.

In some indications, stem vagotomy or selective proximal vagotomy may be prescribed. Emergency surgery is resorted to when it is necessary to stop the bleeding as quickly as possible by clipping or ligating the vessels during gastroduodenoscopy.

If during endoscopy it is not possible to determine the source of the bleeding, then duodenotomy and closure of the duodenal ulcer is performed.

Medical nutrition and diet

An important condition for recovery is the observance of a special diet. It is necessary not to overload the stomach and the bulb, so you should eat in small portions.

Patients will have to abandon spicy, fried, smoked and salty foods, which can become a source of irritation of the gastric mucosa. It is recommended to fill your diet with dairy products, eat fish and lean meat.

In the acute stage of the inflammatory process one should eat warm and pasty food. Under the ban gets alcohol, cigarettes and drinks with a high content of gases. It is allowed to eat foods such as pasta, white bread, cereals, vegetables and fruits.

Do not forget that food should be chewed well and eat slowly. Medical practice shows that with superficial disease one can get rid of it only with the help of a diet without drug therapy.

How to treat bulbit duodenum folk methods

It is possible to accelerate the recovery of the patient by combining drug therapy with alternative medicine recipes. Good effect gives the reception of infusions and decoctions made from medicinal plants. They have anti-inflammatory and antimicrobial effects and help to get rid of unpleasant symptoms in a short time.

It is possible to achieve noticeable relief in the fight against bulbit with the help of the following folk recipes:

  • In the dishes should pour 20 grams of Hypericum and pour 200 ml of boiling water. The resulting mixture should be left for several hours, then strain and drink ¼ cup several times a day before meals.
  • To make carrot juice, you need to wash the roots, peel them and grate them on a fine grater. The resulting mass must be squeezed through gauze and drink 50 ml of juice for half an hour before eating.
  • In the pharmacy, you can buy plantain juice, which is diluted according to the following scheme: 45 ml of juice is combined with 5 ml of honey, and the product is taken several times a day in a tablespoon. The course of treatment with this popular recipe is 2 weeks, after which they take a break and, if necessary, repeat the treatment.
  • It is necessary to grind 60 grams of propolis and pour 200 ml of alcohol on it. The resulting mass should be left for a week, then strain and drink according to the following scheme: 5 ml of the infusion is diluted with 150 ml of water. This anti-inflammatory agent should be taken 30 minutes before meals several times a day.

Before you start using traditional medicine recipes, it is recommended to consult a specialist, which will allow you to choose the most effective means.

Prognosis and prevention of pathology

When a patient turns for medical help to a specialist when the first symptoms appear and an effective treatment is carried out, the prognosis is quite encouraging. It is important to comply with all appointments of a specialist, adhere to a special diet and, if necessary, change your lifestyle.

Stop drinking alcohol and stop smoking. Preventive measures include the timely treatment of diseases such as gastritis.

You also need to perform tests after therapy, thanks to which it is possible to confirm the eradication of the pathogen. Any drugs are allowed to take only as prescribed by a specialist, because they have an aggressive effect on the gastric mucosa.

In order to prevent intestinal infection with Helicobacter pylori, it is necessary to observe personal hygiene and wash products thoroughly before eating.

Bulbit is a dangerous pathology that needs compulsory treatment. With proper diagnosis and timely treatment, it is possible not only to get rid of unpleasant symptoms, but also to prevent the development of dangerous complications.

What it is?

Bulbitis is an inflammation of the duodenal bulb, that is, in fact, bulbit is a particular form of duodenitis, an inflammatory process in the duodenum. The inflamed onion is only adjacent to the stomach, but is not included in its composition, and the phrase “bulbit of the stomach” in this case is fundamentally wrong.


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

  • pharmaceuticals
  • chemical burns
  • love of liquor,
  • the habit of eating too hot a meal
  • infection with helminths or lamblia (especially characteristic of children),
  • variant manifestation of Crohn's disease, and so on.
  • poor nutrition (food "on the go", addiction to junk food, the habit of eating once a day, but a lot, etc.),
  • Helicobacter pylori bacteria (especially in the case of the catarrhal form or mixed bulbit),
  • mechanical injury of an organ (swallowing a non-cleavable object, which can damage the walls of the organ, often leads to a focal lesion).

Drug treatment

Treatment using medications is prescribed only after determining the root cause of bulbit duodenum. If it is focal and is triggered by a foreign object in the duodenum, then it is required to remove this object. As a rule, it is possible to do it on duodenoscopy. When a Helicobacter pylori infection is detected, combination therapy with the use of antibiotics is prescribed. If the cause of the disease is parasitic invasion, specialized treatment is carried out, which is prescribed depending on the type of parasite.

In Crohn's disease, steroids may be prescribed. Immunoregulators are used to treat follicular bulbit. Symptomatic treatment helps alleviate the main signs of inflammation. Most often it uses antacid drugs. H2-histamine receptor blockers and proton pump regulators can be used. With an increased level of stress, sedatives may be prescribed to help relieve nervous tension.

Power Rules

Diet is the key to the effectiveness of treatment and the lack of relapse in the patient, so the diet must be taken very carefully. 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 diminish, and then gradually add porridge on low-fat milk and water.

In the non-acute stage, the food with bulbit includes dairy products, vegetable broths, and white bread crackers. All products must be boiled or steamed. The beneficial effects of natural kissels and enveloping cocktails. Sweet for these patients is perfect oatmeal cookies.

Always abandon the carbonated drinks, spicy and fried foods, smoked meats. A patient with a predisposition to diseases of the gastrointestinal tract, in any case, you can not stop proper nutrition.

How to treat chronic bulbit?

In chronic and catarrhal bulbits, antibiotic therapy is prescribed, since this type of bulbit develops, as a rule, due to Helicobacter pylori infection. Antibiotics are prescribed taking into account the sensitivity of the pathogen to them. It can be certain groups of antibiotics that act on the cell of the pathogen itself - Amoxiccycline, Vilprafen, Summamed, De-nol and others. Sometimes they can prescribe Metronidazole, but nowadays its effectiveness among potential "killers" of Helicobacter pylori is disputed.

Also, with this type of bulbit, a long diet is prescribed. In addition, you must stop smoking. If possible, avoid stressful situations. It is necessary to refuse to take all sorts of food additives, they can also be a provoking factor for the exacerbation of catarrhal and chronic bulbit. Also, under stressful situations during the treatment of this type of bulbit, sedatives and sedatives are prescribed.

It is necessary to understand and be psychologically prepared for the fact that you will have to reconsider the usual way of life, since the treatment will be complex and long.

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