What is a perforated duodenal ulcer?

perforated duodenal ulcer occurs when the erosion area directly through the intestinal wall in this part of the digestive system leading from the stomach known as the duodenum. A condition threatening life known as peritonitis can follow, where inflammation and infection spread rapidly into the abdominal cavity affecting all the main organs. Someone with an ulcer usually has a history of digestive, perhaps involving reflux, where stomach acid passes into the neck. With perforated duodenal ulcer, there may be sudden pain in the center of the chest, just below the breast bone. The pain spreads outwards to become a more generalized abdominal pain and emergency surgery is generally necessary to repair the intestine. Ulcers can also be caused by the use of drugs that irritate the intestinal lining such as aspirin. Lining duodenum, known as the mucous membrane, is normally protected from damage to mucus and hydrogenurate acid, whose production increases so -called prostaglandins. Aspirin and similar non -steroidal anti -inflammatory drugs or NSAIDs inhibit prostagl productionAndins of the body. Infection of H. pylori not only ignites the duodenal lining, but also increases the production of stomach acid with stomach acid.

Diagnosis of duodenal ulcer is important for treatment to begin, preventing a perforated duodenal ulcer later. The diagnosis can be difficult because some patients show no symptoms. Of those who do this, symptoms include pain just below the bone with the breast, perhaps reaching back, along with feelings of hunger and driving or flatulence. Pain usually occurs several hours after eating or during the night and is relieved by food. Changes in pain thvsorec, the occurrence of weight loss and vomiting, or passage of dark blood in the stool are signs that complications such as perforated duodenal ulcer may be immediate.

When ulcer perforates the duodenal wall, it is a medical emergency. The leakage of stomach acid and bile into the abdominal cavity causes the cavity and its lining to ignite. AboutAfter 24 hours, an infection is introduced, maybe leads to sepsis, where blood clusters and blocks the supply to vital organs.

There will be typical symptoms of peritonitis, including sudden severe breast pain, possibly accompanied by blood vomiting. The abdomen feels rigid as a board, while the abdominal muscles "guard" by tensioning when they touch. If the pain increases immediately after pressing the abdomen, it is a sign of peritoneal irritation known as "reflective tenderness". The sounds of the intestines may disappear several hours after the start of the pain, as the intestines cease to function. The urgent SK is washed out the abdominal cavity and the repair of perforation is necessary for urgent treatment.