Prevention of peptic ulcer disease

Preventive measures should be aimed not only at preventing disease, but relapses and complications of already developed ulcers.
Sanitary-educational work among the population should be conducted in respect of a proper regime of work, rest, nutrition, harm, abuse, Smoking and alcohol.
To prevent peptic ulcer disease, its recurrence is of great importance examination of patients not only with a diagnosis of peptic ulcer disease, but symptoms "irritable" stomach (pain, hypersecretion, hyperchlorhydria).
The most important means of preventing relapses and complications of peptic ulcer is the rational employment taking into account the clinical picture of the disease and conditions of professional activity of the patient (the patient must perform work that is not related to night shifts, long-term business trips, considerable physical stress, forced body position with vibration).

Preventive measures should be aimed not only at preventing disease, but relapses and complications of already developed ulcers.
According to the views on the mechanisms of the development of peptic ulcer, sanitary-educational work among the population should be conducted in respect of a proper regime of work, rest, nutrition. It should be emphasized the negative impact of alcohol abuse and Smoking on the function of the digestive system.
The most important factor in preventing ulcer disease, its recurrence is prophylactic medical examination, which should include timely detection, early comprehensive treatment and rational employment of the patients.
Dispensary observation subject to patients with a diagnosis of peptic ulcer disease, but symptoms "irritable" stomach.
As intercurrent infections and allergic diseases can cause a relapse of peptic ulcer disease, in this period shows antiulcer therapy.
The purpose of steroid hormones, drugs rauwolfia, acetylsalicylic acid (aspirin), butadiona, anticoagulants may cause an exacerbation of the process and be complicated by massive bleeding.
The most important means of preventing relapses and complications of peptic ulcer is the rational employment, taking into account the clinical picture of the disease and conditions of professional activity of the patient. When resolving issues of medical labor expertise in patients with peptic ulcer offer depending on the severity of the disease to see light, medium and heavy forms. For mild uncomplicated forms there is a temporary loss of ability to work in a period of sharp worsening in 2-3 weeks. Clinical forms of medium gravity are more severe pain. History sometimes there is a massive bleeding. The exacerbations observed 1-2 times a year. Often there are co cholecystitis, pancreatitis. Patients in acute need hospital treatment. The incapacity for work lasts 4-6 weeks. In severe forms along with severe pain, vomiting, often bloody, observed depletion, the long existence of probcause ulcers. Acute come 3-4 times a year and are difficult to hospital care. Among men in this group often raises the issue of their employment or on disability.
If the decision on the temporary disability ulcers is no problem, then the solution about necessity of employment or transfer of disability are more complex and require in each case together with the examination of the patient thorough evaluation of its professional activity. In the absence of convincing evidence of the value of professional factors in the occurrence of peptic ulcer disease is undeniable influence of some conditions in peptic ulcer disease. These factors are significant mental stress, shift work, long trips, considerable physical tension, involuntary body position during operation, especially associated with vibration. In particularly adverse conditions are patients with peptic ulcer disease, which occurs when the combination of these factors (e.g., drivers).
When establishing professional factors that negatively influence on the course of peptic ulcer, it is necessary to put the question is not about transfer to disability, and on the rational employment of the patient. In persons of young age appropriate retraining. If in the event of permanent disability have to put the question on transfer of the disability, the degree determined by the frequency of exacerbations, the nature of morphological changes and functional disorders (B. I. marcinkowski, V. M. Boreiko).