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Peptic diseases of the esophagus, stomach, duodenum is a group of diseases with inflammation and sores. This group also includes peptic ulcer diseases. In the stomach, there are “protective factors uyan that protect the gastric mucosa, whereas mid aggressive factors veren that damage the stomach. The mucus secreted by the stomach, a number of hormones protect the stomach, while increased stomach acid, pepsin, gastrin damage the stomach mucosa. When the balance between protective and aggressive factors is disrupted, ulcers and gastritis occur in the stomach and duodenum.
Gastric ulcer can be seen in chronic inflammatory bowel diseases, kidney diseases, immune system disorders, allergic diseases, severe infections. The most important drugs that cause ulcers are aspirin and rheumatism.
Another cause of ulcers in the stomach and intestine is a microbe called ic Helicobacter pylori ”. This germ settles in the stomach, gastritis in the stomach, ulcers in the duodenum. This bacteria secretes a number of toxins, damaging the stomach mucosa. Helicobacter pylori is blamed for gastritis, ulcers and a number of cancers in older ages.
Helicobacter pylori infection is very common in Turkey. However, all Helicobacter pylori positive individuals do not have ulcers or gastritis. Helicobacter pylori has different types of damage to the stomach and duodenum. Some types increase the damage with the toxins they secrete. Helicobacter pylori positive individuals, if there are additional factors on it; This can be a stress factor, food factor or a drug factor, then the formation of ulcers may be even easier. The individual's immune system is also important for Helicobacter pylori to cause gastritis or ulcers. The presence of Helicobacter alone in individuals without any signs or symptoms does not require an intervention and treatment.
Vomiting, nausea, loss of appetite and abdominal pain are the symptoms of peptic diseases in children. Night-time abdominal pain is an important symptom of ulcers in the stomach or duodenum. Before endoscopy was used in the pediatric age group, abdominal pain was generally thought to be due to the whims of the children. However, as a result of endoscopic examinations in the pediatric age group, gastrointestinal diseases are frequently detected in patients with abdominal pain. Anemia that is unresponsive to treatment in children may also be a symptom of stomach diseases. Iron deficiency anemia occurs as a result of small bleeding from the esophagus, stomach and intestine. Peptic diseases can also affect growth and development. Therefore, children with recurrent vomiting, loss of appetite and abdominal pain should be evaluated in this respect.
If endoscopic ulcers are detected in patients with these symptoms, drug treatment is performed. Helicobacter pylori infection should never be treated by looking at the blood (serologically) or by detecting antigen in the stool. Endoscopy should be performed in patients with complaints for diagnosis. If there are no complaints, neither Helicobacter pylori should be sought nor treated if found.
If endoscopic ulcer and Helicobacter pylori have been diagnosed and treated in the patient with symptoms, they are followed by a number of non-invasive methods at their subsequent controls. This is a method called urea breath test. Helicobacter pylori is a urease-producing microbe. The patient is given a marked carbon and the amount of this carbon is measured in his breath to determine whether Helicobacter pylori has disappeared. If it has disappeared, there is no need to repeat the treatment. If it has not disappeared and the patient has an ulcer then it is necessary to repeat the treatment. A number of drugs used in rheumatic diseases to prevent damage to the stomach with drugs used in the stomach.
Another important factor in the pediatric age group is the regulation of nutrition. Increasing fast food habits and sodas should be consumed at home instead of home cooked food, vegetables and fruits. Germs are transmitted through the mouth, which means that a small stool particle that we cannot see with our eyes is transmitted to the child's hands and brought into the mouth; cleaning conditions should be well taught to children in the age group. In schools, it is necessary to emphasize factors such as teaching handwashing after toilets and not eating anything from outside. Peptic ulcer patients do not have a serious diet. However, if gastroesophageal reflux is present, it should be eaten less frequently and some foods that relax the muscle layer between esophagus and stomach should be avoided. Today, the treatment of peptic ulcer disease in childhood is medical and surgical treatment is rare.
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