Ulcer: diagnosis and treatment

Health Tips

It would seem that the discovery of the connection between the Helicobacter pylori microbe and peptic ulcer gives every chance for a quick cure for this disease. However, in practice, everything turns out to be much more complicated.

We are talking about this with a leading specialist Clinics of the Moscow Institute of Cybernetic Medicine, Ph.D. Alexey Levin.

  • The fact is that in peptic ulcer there is an equally important provoking factor – this is the secretion of hydrochloric acid by the stomach. And it is still not clear which factor is primary.

Indeed, the discovery by Australian doctors of the existence of a microbe in the stomach and its connection with peptic ulcer disease is an outstanding achievement for which they received the Nobel Prize.

After all, before that it was believed that life is hardly possible in the acidic aggressive environment of the stomach (pH of hydrochloric acid 1.5).

However, in some people this microbe leads to disease, while in others it does not. It’s all about the conditions – the timely and adequate release of hydrochloric acid.

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Australian physicians Barry Marshall and Robin Warren found that peptic ulcers in many cases are caused by the bacterium Helicobacter pylori.

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  • Stress! Chronic and uncontrollable stress. I will describe to you a very visual experience.

Experimental rats were spontaneously shocked for several days, causing them to become chronically neurotic. In most animals, the experiment ended with … an ulcer!

  • This question is more of a philosophical nature. What comes first: the influence of Helicobacter pylori or the uncontrolled release of hydrochloric acid?

My answer: if there are appropriate conditions in the environment of the stomach, then bacteria can also appear.

But in practice, it is important to eliminate both provoking factors at the same time. This is what makes our approach different.

Another founder of the theory of stress, Hans Selye, described the entire chain that occurs in the human body.

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Helicobacter pylori infects various areas of the stomach and duodenum.

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In response to stress, the adrenal glands release neurohormones: adrenaline, norepinephrine, etc., which constrict blood vessels, increase blood pressure.

This increases the secretion of insulin to give the body additional energy, and this ultimately leads to a sharp release of hydrochloric acid.

If at this moment there is food in the stomach, that’s good – the acid will just go to break it down.

And if not? After some time, hydrochloric acid will enter the duodenum, where, as you know, the environment is alkaline. Therefore, the ingress of raw acid into it contributes to the formation of erosion.

  • The natural way of movement of digestive juices from top to bottom, i.e. from the stomach to the duodenum. Therefore, the entry of the aggressive environment of the stomach into the duodenum leads to an ulcer.

Some people suffer from reflux – the movement of digestive juices from the bottom up.

In these people, the alkaline environment of the duodenum is thrown into the acidic environment of the stomach, leading to the formation of a stomach ulcer.

  • Quite right.
  • Unfortunately, the choice is not so great. You can look at the size and structure of the adrenal glands using well-known methods: ultrasound, computed tomography or magnetic resonance imaging.

But all of them, unfortunately, do not answer the main questions: how the adrenal glands work, how depleted their reserves are.

You can do a blood test for neurohormones, but a single determination of their level is not very informative, since they normally have a wide range. In this matter, the possibilities of doctors are limited.

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Endoscopist
Sergey Shestopalov

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  • For determining chronic stress conditions we were the first to propose a double determination of the level of neurohormones.

The essence of the method is as follows: first, the initial level of neurohormones is determined, then the patient is invited to undergo a pleasant short procedure in a cryosauna, where he feels the effect of low temperature.

The procedure itself is tolerated quite comfortably, and for the body it is a physiological stress, in response to which the entire Selye chain described above should be implemented. After that, the level of neurohormones is determined again.

As practice has shown, in a healthy person, the amount of adrenaline and norepinephrine should increase.

In people exhausted by chronic stress, their level does not change and even sometimes drops.

And this is a signal that they need a fundamentally different help, normalizing the work of the entire central nervous system.

  • Of course, yes. But we went further. Especially for such patients, we have developed a diagnostic program “Life without peptic ulcer” which included the most informative studies, including a test for neurohormones.
  • It consists, first of all, in an integrated approach. During the treatment, which consists of three stages, we need to solve several problems.

In particular, to conduct adequate antibiotic therapy with periodic repetition of control tests, conduct a stress test with subsequent restoration of the adrenal glands and normalization of hydrochloric acid secretion, and significantly increase systemic immunity. And, of course, do not forget about the natural diet.

Correctly applying all of the above, taking into account the individual characteristics of the organism, is the art of medicine. The long-term remission of patients is a reason for our joy and pride.

Interviewed by Timur ALEXANDROV

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