An ulcer is a discontinuity on any lining epithelium of your body. An interesting yet unfortunate fact about ulcers is that they can pop up anywhere. Even in your duodenum.
Complicated the word may sound, but ‘duodenum’ is just a fancy name for the first part of your small intestine, the part that joins the rest of your small bowels to the stomach. So, it is a tiny bit that measures around 25 cm in your 6-9 meter-long alimentary canal, but not so negligible when it comes to the discomforts caused by ulcers.
A duodenal ulcer belongs to the group of Peptic Ulcer Diseases (PUD) which is accompanied by Gastric ulcer. It is estimated that peptic ulcer disease affects roughly 4 million people throughout the globe annually.
A lot of arbitrary causes can be quoted for the formation of duodenal ulcers, but the Helicobacter pylori infection is the most common and most-discussed one. H.pylori is a helix-shaped gram-negative bacteria that is found in the stomach. The inflammatory response induced by this bacteria on the body leads to gastritis, gastric mucosa irritation, and gastric ulcers over time in some people, especially in developing and underdeveloped countries.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) such as aspirin and Ibuprofen are the second major cause of gastric ulcers. Studies have shown that they make gastric mucosa more susceptible to irritation and ulcers. Stress, dietary choices, smoking, chemotherapy, diseases like Crohn’s, etc are thought to be less significant factors that worsen duodenal ulcer formation.
The symptoms of a duodenal ulcer are related to different factors like the location of the ulcer and the person’s age. It even remains asymptomatic in some people for a significant period. But some of the commonly presented symptoms are-
In a minority, no symptoms are presented.
When not managed properly, peptic ulcers can lead to complications such as-
Basic diagnosis can be derived from the symptoms themselves. Endoscopic methods like Esophagogastroduodenoscopy (EGD)/gastroscopy and barium contrast x-rays can be employed to visualize the ulcer location and arrive at an accurate diagnosis, if not healed even after treatment. Blood tests are not much appreciated in duodenal ulcers, as they are likely to give false negative results. The presence of H.pylori can be determined through a urea breath test and stool antigen test.
The symptoms of duodenal ulcer can be correlated to that of parinama shoola according to classical descriptions. The word Parinama means transformation in Sanskrit, which indicates the time of onset of pain, ie, during digestion. All three doshas take part in the manifestation of parinama shoola, but the predominance will differ in different people. In vataja parinama shoola, the symptoms such as different types of pain, gurgling, distension, constipation, etc are presented. In pittaja type, burning pain, tastelessness, thirst, sweating, etc can be seen. In kaphaja parinama shoola, nausea, vomiting, mental confusions, heaviness of the body, dull pain, etc will arise. In vata-predominant parinama shoola, intake, as well as the external application of sneha dravyas, and vasti, are considered ideal. In pitta-predominant parinama shoola, virechana (purgation) is indicated. If kapha-predominant, vamana (induced vomiting/emesis) will do the job.
When appropriately managed, the duodenal ulcer is never a nightmare. Here at AyurVAID, we approach such conditions with proper Ayurvedic means and help you recover completely. AyurVAID is a pristine institution that bears the virtue of Ayurveda. Our doctors, skilled and proficient in their field, are here to help you by providing comfort and reassurance. In-depth assessment of the condition, precise diagnosis, thorough samprapti vighatana (breaking the disease pathway), properly planned prakriti-oriented treatment, quality procedures, safe and hygienic environment, etc are our peculiarities. We offer you complete care for the conditions that ail you.