Duodenitis symptoms and treatment in adults: diet. Chronic duodenitis: causes, symptoms and treatment in adults, diet. Developing a nutritional regimen with a special diet

Duodenitis is a disease accompanied by inflammation of the intestinal mucosa. Accompanied by general weakness, pain in the stomach, heartburn, belching, nausea, and vomiting. There are acute and chronic forms. Duodenitis is the most common disease duodenum, 5-10% of the population have experienced its symptoms at least once in their lives. It equally affects representatives of different age groups.

In men, it is diagnosed 2 times more often due to addiction to alcohol and an unhealthy lifestyle. In the article we will consider in more detail the main causes of the disease, symptoms and first signs, as well as methods of treating duodenitis in adults of various forms.

Duodenitis: what kind of disease is this?

Duodenitis is an inflammatory disease of the mucous membrane of the duodenal wall. More often it develops in combination with and is designated as. The duodenum performs secretory, motor and evacuation functions.

The secretory function consists of mixing chyme with digestive juices, which enter the intestine from the gallbladder and pancreas.
The motor function is responsible for the movement of food gruel.
The principle of the evacuation function is the evacuation of chyme into subsequent sections of the intestine.

As practice shows, acute inflammatory processes of the duodenum in 94% of cases become chronic.

Duodenitis may be independent disease or combined with pathology of other parts digestive tract, for example, can develop against the background of gastritis, pancreatitis, enteritis, that is, against the background of damage to the stomach, pancreas, gall bladder, and small intestine, respectively.

The disease is classified according to the nature of the lesion:

Non-atrophic (superficial).
Hypertrophic (erosive).
Atrophic.

According to localization - lesions of the proximal (central) and distal parts of the duodenum. Manifests itself in multiple clinical forms:

gastritis-like;
ulcer-like;
cholecyst-like;
pancreatic;
mixed and asymptomatic.

Causes

The main causes of duodenitis in most cases are bacteria Helicobacter pylori(Helicobacter pylori), incorrect location of the organ and disruption of the production of hormones by the intestine. The risk of developing duodenitis exists in people of all age groups. There are acute and chronic forms.

Primary reasons:

eating disorders, consumption of foods that irritate the gastrointestinal mucosa (sour, smoked, spicy, fried);
alcohol, smoking, coffee abuse;

Clinical cases of primary duodenitis are much less common than secondary (developed as a result of another pathology).

Secondary. The development of the disease occurs against the background of other diseases of the gastrointestinal tract - gastric and duodenal ulcers, gastritis, pancreatitis, cholecystitis, hepatitis, infection with the bacterium Helicobacter pylori and others.

There are also a number of predisposing factors that, acting over a long period of time, lead to the occurrence of a chronic form of the disease and periodic inflammation of duodenitis. These include:

unhealthy and irregular diet;
bad habits;
severe stress;
chronic diseases of various organs;
taking certain medications.

Acute duodenitis: what is it?

The acute form of duodenitis appears suddenly. Often precisely after a violation of the diet. Characteristic symptoms are pain in the upper abdomen, nausea, turning into vomiting. Accompanies these signs general weakness, temperature increase.

In acute duodenitis, the pain is intense, sharp, occurring more often two to three hours after eating or at night (hunger pain). If duodenitis is combined with gastritis with increased stomach acidity, pain can occur within 15 to 20 minutes after eating. Such clinical forms are called ulcerative and gastritis-like.

At proper therapy and following a diet, you can get rid of it in a few weeks. If inflammation occurs again, there is Great chance transition of the disease to a chronic form. According to statistics, this happens in 90% of cases.

Chronic duodenitis

The course of chronic duodenitis (CD) is diverse clinical symptoms, making it difficult to set correct diagnosis. Often confused with other organ diseases digestive system, most often it is mistaken for a duodenal ulcer, but with less pain and severity of exacerbations. If HD appears dyspeptic disorders, then it is initially misdiagnosed as gastritis.

The course of the disease is usually long-term with periodic exacerbations.

During an exacerbation, the patient complains of headache, general malaise, irritability and bad dream.
2-2.5 hours after eating, some patients experience increased heart rate, sweating, shortness of breath, weakness and dizziness.
There is significant weight loss or excess weight of the patient.
In addition, severe cardiovascular and neuropsychiatric disorders occur.

According to the degree of structural changes, several variants of chronic duodenitis are distinguished:

Superficial duodenitis

What it is? Superficial duodenitis is an inflammatory process that affects the duodenal mucosa, causing the intestinal wall to significantly swell and thicken. In addition to organic changes, the functionality of the organ is disrupted, motor and enzymatic functions change. Sometimes swelling is found in other digestive organs. The superficial form of duodenitis is never an independent disease. According to statistics, the disorder in combination with gastritis occurs in more than 50% of the population.

Symptoms:

pain and discomfort in the hypochondrium after eating. At advanced stages pain in the stomach and intestines may worsen at night;
general fatigue and apathy may even develop;
constant disturbance of stool: diarrhea or constipation.

Atrophic

Atrophic duodenitis is a chronic form of the disease, which is characterized by atrophy of the mucous membrane of the duodenum, as well as sharp decrease number of goblet enterocytes. This diagnosis has virtually no connection with atrophic gastritis.

Interstitial

No damage to the glands.

Erosive-ulcerative

Features a surface defect mucous membrane intestines due to erosive lesions. Except external factors, the catalyst for development can be surgical interventions on internal organs, sepsis, thrombotic lesions of the veins, diseases of the central nervous system and blood.

Hyperplastic

Manifested by excessive tissue growth.

Patients with chronic duodenitis should be under dispensary observation, they are indicated for anti-relapse treatment.

Symptoms of duodenitis in adults

Duodenitis can begin either suddenly or gradually. It often manifests itself after some kind of dietary excess, alcohol consumption, or stress. Symptoms of duodenitis depend on the cause of the disease and accompanying pathologies digestive organs. The disease is often “masked” as gastritis, hepatic (biliary) colic, which makes diagnosis difficult.

The main symptoms of duodenitis are:

dull constant pain in epigastric region abdomen or in the right hypochondrium, which intensifies at night, with an empty stomach or palpation;
lack of appetite;
feeling of fullness in the abdomen, especially after eating;
bloating();
bitter belching;
heartburn;
nausea, sometimes with vomiting;
constipation;
weakness, general malaise;
increased body temperature;
dyspepsia.

If symptoms appear, consult a doctor and strictly follow his instructions! You should not self-medicate to prevent the disease from becoming chronic.

Complications

If you do not seek medical help in a timely manner or do not follow a diet for chronic duodenitis, serious complications. Inflammation can spread to all layers of the intestinal wall and even affect the peritoneum. In this case, periduodenitis develops, leading to severe violations digestive processes, pain becomes constant, and treatment becomes very difficult.

If the patient develops complications, the prognosis for life remains favorable, but for health is questionable due to dysfunction internal organs.

Diagnostics

A competent specialist is able to suspect duodenitis after a conversation with a patient who comes to him and his examination. But for final verification of this not very common diagnosis, a comprehensive and comprehensive examination is necessary.

If during diagnosis the doctor suspects malignant formations located in the mucous membrane area, the doctor will prescribe another examination. In this case, the biomaterial is examined in the laboratory of the oncology department.

Diagnostics is based on instrumental research methods:

fibrogastroduodenoscopy (FGDS) with biopsy;
duodenoscopy;
pH-metry;
radiography of the stomach and duodenum;
biochemical blood test;
stool examination;
ultrasound examination (ultrasound)

With the help of research, it is possible to determine what caused the disease, this will subsequently simplify treatment and minimize the risk of relapse.

Treatment of duodenitis

In adults, treatment of duodenitis includes several areas:

elimination of acute inflammation
preventing the disease from becoming chronic
restoration of duodenal function
normalization of digestion

How to treat acute duodenitis?

Treatment of duodenitis with gastritis in the acute phase in the first days involves gastric lavage, strict bed rest and fasting. After this, the disease must be treated with anticholinergic and antispasmodics, enveloping and astringent drugs. Be sure to follow a diet for duodenitis No. 1.

How to treat chronic duodenitis in adults?

Treatment of the chronic form in most cases occurs in a hospital. Classic drug therapy includes:

antibiotics (to combat Helicobacter pylori);
enveloping drugs– “Sulfacrate” product;
enzymes;
chemotherapy agents (if available);
medications that reduce acidity (for example);
drugs that reduce the secretion of hydrochloric acid (ranitidine tablets).

Antispasmodic drugs to relieve spasms:

Drotaverine (Bespa, No-shpa, Spasmoverine, Spasmol)
Papaverine hydrochloride (Papaverine)
Antacids (reducing acidity gastric juice)
Almazilat (Simagel)

Each patient is selected individual scheme pharmacological therapy depending on the form and clinical features diseases.

As a rule, all necessary activities are carried out at home. To speed up recovery, it is recommended to avoid stress, give up alcohol and smoking. The patient needs proper rest and sleep, light physical activity and walks. During the period of remission, patients with duodenitis are shown Spa treatment.

Prognosis with regular monitoring and timely treatment favorable, in case of duodenitis caused by duodenostasis, after measures aimed at eliminating stagnation, deflation occurs inflammatory symptoms and, as a rule, a cure.

Clinical examination of patients includes their registration, periodic medical examination in the fall and spring with outpatient examination and anti-relapse preventive treatment.

Nutrition and diet

In case of duodenitis, the patient is prescribed a dietary diet, usually diet No. 1 (according to Pevzner), which excludes the consumption of foods that irritate the gastric mucosa and duodenum. After the exacerbation of duodenitis subsides, the patient is transferred to diet No. 2 or No. 5, and in case of reduced tolerance to dairy products, diet No. 4, after which he is transferred to 4B. During the period of remission, you can use diet No. 15.

The following foods are encouraged:

products that have an enveloping effect on the mucous membrane of the stomach and duodenum - flaxseed, oats, potato and corn starch,
cereal and pureed soups,
lean varieties of meat and fish, preferably in the form of cutlets, meatballs and meatballs,
omelette, dairy dishes,
baked fruits, stewed vegetables,
stale bread, crackers,
creamy and vegetable oil in small quantities.

Boiled dishes are allowed. They must be warm, since cold can aggravate spasms and motor disorders (clinically, the patient will experience renewed or intensified pain).

For the first 12 days with duodenal inflammation, you should not eat meat. Only 2 weeks after the start of the course of treatment and diet, you can include in the menu boiled lean meat without skin and veins: chicken breast, veal. Can cook steam cutlets from lean fish(trout, pollock, pike perch) without bones and skin, and lean meat, passed through a meat grinder.

Diet for duodenitis helps reduce inflammation, promotes the healing of wounds, ulcers and erosions, reduces pain.

Products prohibited for duodenitis, stimulating gastric secretion and food containing coarse plant fibers.

canned food
smoked meats
concentrated broths from meat, fish, mushrooms
fatty meats and fish (pork, duck, mackerel)
pepper, mustard, garlic, horseradish, pepper, onion
ice cream
carbonated drinks
alcohol
raw vegetables and fruits

Menu for the day

The daily diet can be adjusted at your discretion, including more of your favorite permitted foods.

It is recommended to adhere to such a diet for duodenitis from two weeks to a month ( exact time diet must be determined by a doctor). After this, the diet can be expanded even further - add high-quality sausages (not smoked), crumbly cereals, raw fruits, vegetable salads.

With strict adherence to the diet, the patient feels relief after a few days. And if the patient adheres to all the nutritional recommendations described above constantly, then all manifestations of duodenitis can be completely eliminated.

Folk remedies

Before using folk remedies for duodenitis, be sure to consult your doctor!

It is advisable to drink chamomile tea more than twice a day. It is better to drink it chilled. The drink is distinguished by its ability to soothe internal organs and reduce inflammation.
Plantain juice and honey. To prepare the composition, you need to take 3 large spoons of plantain juice and 1 small spoon of honey. Mix everything and take 3 large spoons 3 times a day. This remedy is especially effective for erosive duodenitis.
Pour 2 tablespoons of herb St. John's wort perforated with 1 cup of boiling water, cover with a lid, heat in a water bath for 30 minutes, leave for 15 minutes, strain. Drink 0.3 glasses 3 times a day 30 minutes before meals for duodenitis.
For treatment erosive form For diseases, it is recommended to use the following recipe: a teaspoon of flax seeds is poured into a glass of boiling water and left for about 15 minutes. It is recommended to take the healing composition on an empty stomach an hour before breakfast. Treatment with flax lasts about a month.
30 g each of peppermint and lemon balm leaves, 40 g of chamomile flowers. Insist. Drink a glass half an hour before meals.

Prevention

Prevention of duodenitis includes the following preventive measures:

If signs of duodenitis appear, you should not self-medicate with various folk remedies, which can only be additional methods of therapy. IN otherwise severe complications are possible in the form intestinal bleeding, syndrome, peptic ulcer or intestinal obstruction.

Secondary duodenitis - inflammation of the duodenum under the influence of unfavorable factors. The pathological process develops over time against the background of proper nutrition, disrupted regime, chronic diseases of the gastrointestinal tract. Very often, gastroduodenitis becomes a consequence of diseases of the stomach, liver, pancreas, gall bladder, as well as the small and large intestines themselves.

Secondary duodenitis develops gradually under the influence of unfavorable factors. Irritation of the mucous membrane of the small intestine or duodenum turns into inflammation, and unpleasant symptoms appear. The inflammatory process disrupts intestinal functions and makes it difficult to digest food.

In most cases, duodenitis develops against the background of other diseases. gastric tract with high acidity. Gastric juice is retained in the duodenum, causing irritation and inflammation. In addition, one of the causes of duodenitis is an excessive amount of Helicobacter bacteria. Pathogenic microorganisms begin to multiply when the immune system is weakened.

The disease has an acute and chronic form. In the first case, there are clear symptoms, in the second - mild, but present constant malaise, bad feeling, abdominal discomfort. The disease is cured completely if it is caused by temporary exposure to unfavorable factors, the influence of which is completely eliminated, and treatment was started in a timely manner. In most cases, duodenitis is chronic, incurable disease. All therapeutic measures aimed at reducing painful symptoms and preventing exacerbation.

The situation is complicated by the presence of other diseases of the gastrointestinal tract - pancreas, liver, gall bladder. Often, in order to heal the intestines, it is necessary to normalize the functions of other components of the digestive chain. It is not always possible to do this.

Causes

Provoking factors in secondary duodenitis so many. These can be external or internal factors. Any diseases of the internal organs associated with digestion can lead to dysfunction of the duodenum.

Diseases that provoke the development of duodenitis:

Gastritis;
Ulcer;
Oncology;
Cholecystitis;
Hepatitis;
Cholelithiasis;
Enteritis;
Colitis;
Haemorrhoids.

In addition, the disease develops against the background of inflammation of the genital organs, Bladder, infection of the kidneys, urinary tract.

We can say with confidence that the main causes of duodenitis are wrong image life, nutrition, disrupted routine, unfavorable psycho-emotional environment.

Symptoms

Inflammatory process long time is asymptomatic. The development of the disease can be detected by general deterioration well-being, weakness, decreased performance, sleep disturbance.

Exacerbation manifests itself clearly, accompanied by:

Nausea;
Vomiting;
Diarrhea or constipation;
Bitter, sour taste;
Flatulence;
Bloating;
Discomfort;
Painful sensations in the epigastric region;
Increase in temperature;
Fever;
Chills.

There is irritation, sudden mood swings, poor sleep, causeless anxiety, decreased self-esteem, headache, dizziness.

In each case, the symptoms differ depending on the degree of the disease, causes, concomitant pathological processes, provoking factors, and the state of the immune system.

Types of duodenitis

Conventionally, the disease is divided into acute. Chronic phase. In this case, the course of the chronic process periodically manifests itself as exacerbation, reminiscent of the symptoms of the acute form. The disease is divided according to the degree of development, location, and some other characteristics.

Acute secondary duodenitis

It occurs in parallel with gastritis, colitis, enteritis. There are catarrhal - with minimal damage to the intestinal mucosa, superficial inflammation, erosive-ulcerative - with the formation of ulcers, seals, wounds, damage to the upper layer of the mucosa, phlegmonous acute - the most severe form with damage to the deep tissues of the duodenum. Catarrhal, erosive duodenitis is cured independently or with with minimal effort– diet, rest, probiotics, sedatives, sorbents. Phlegmonous requires serious treatment.

Chronic secondary duodenitis

It develops against the background of other diseases of the gastrointestinal tract, is localized in different parts of the duodenum, and has varying degrees of damage. There is no single classification, but the following types can be distinguished:

Surface. The upper tissues of the organ mucosa are involved in the pathological process; the symptoms are minor and quickly eliminated with the right approach.
Erosive-ulcerative. With the gradual formation of ulcers, erosions, cracks in one or several places. The deep layers of the mucosa are not affected, but the symptoms are more pronounced and bring more discomfort.
Atrophic. The inflammatory process covers the deep tissues of the duodenum, and seals appear on the mucous membrane. Lack of therapy leads to a number of complications in the functioning of the digestive organs.
Diffuse. Covers the entire intestine.
Moderate or limited. It is localized in one of the sections of the intestine – the lower one, let’s return.

Tuberculous duodenitis, fungal, and immunodeficiency are much less common.

Diagnostics

The clinical picture is similar to many other diseases of the digestive system, therefore, to make an accurate diagnosis, instrumental methods research.

Fibrogastroduodenoscopy with biopsy;
pH-metry;
Duodenoscopy;
Floor manometry;
Impedancemetry.

Additionally, an ultrasound examination of the abdominal organs, laboratory examination of stool, blood, and urine are performed. After the diagnosis is made, qualified therapy is prescribed.

Treatment of secondary duodenitis with medications

Therapy methods are selected depending on the severity of the disease, causes, forms, types. For example, the phlegmonous form requires long-term treatment and antibiotics. Catarrhal and erosive duodenitis is treated with sorbents, probiotics, and enzymatic preparations to normalize digestion. The treatment regimen often involves the use of several medications of different directions, as well as strict adherence to diet and normalization of lifestyle.

Antibiotics

Prescribed for increased numbers of Helicobacter bacteria and other harmful microorganisms, as well as for severe inflammatory processes. Take a course of 5 to 14 days under the supervision of a specialist. Amoxicillin, Amoxiclav, Furazolidone, Metronidazole are often prescribed.

Probiotics

It must be taken in combination with antibiotics, as well as in parallel with other medications to eliminate dysbacteriosis, strengthen the immune system, and normalize microflora. Take a course from 2 weeks to 2 months. Effective means– Linex, Laktiale, Bifidumbacterin, Laktovit, Turbiotic. If the drug is taken together with an antibiotic, the difference between doses should be at least 2 hours. Otherwise the antibiotics will destroy everything beneficial bacteria probiotics.

Sorbents

Removes toxins, eliminates symptoms of intoxication, improves general health, eliminate flatulence, bloating, reduce acidity. Take at least 7 days. Effective means - Activated carbon, Enterol, Enterosgel, Atoxil, Smecta.

Antacids

Medicines reduce acidity, stop the inflammatory process, normalize digestion, eliminate painful sensations. Take 20 minutes before meals or half an hour after meals 3-4 times a day. The minimum course is 14 days. If duodenitis occurs together with gastritis, take antacids for about a month. The drugs act locally, practically do not penetrate into the general bloodstream, envelop the mucous membrane of the stomach and intestines, and reduce the effect of hydrochloric acid. Effective medications - Almagel, Phosphalugel, Maalox, Rennie, Gaviscon, Gastal.

Antisecretory tablets

Taken to facilitate and speed up digestion. Eliminate bloating, flatulence, heartburn, belching, nausea, vomiting, heaviness, pain. They also stimulate the restoration of the mucous membrane, heal ulcers and erosions. Omez, Omeprazole, Ranitidine are taken for at least a month. They are one of the most important medications for the treatment of duodenitis. Improve digestion, eliminate unpleasant symptoms - Domrid, Motilium, Motilak, Pancreatin, Mezim, Itomed, Ganaton.

Vitamins

In combination with minerals, it is taken to strengthen the immune system, accelerate the restoration of the mucous membrane, normalize metabolic processes, blood circulation, and calm the nervous system. You can drink any vitamin complexes.

Antispasmodics, painkillers

Often duodenitis is accompanied by pain in the abdomen and stomach. To eliminate it, take antispasmodics that act directly on the digestive system and intestinal motility - No-Shpa, Papaverine, Meverin, Drotaverine, Duspatalin. In severe cases, Spazmolgon, Combispasm, Nurofen, Ibuprofen, Analgin are indicated.

Treatment with folk remedies

For the treatment of duodenitis, decoctions and infusions based on herbs, plants, and grains are used. Folk remedies are used in conjunction with medications or as an independent drug for mild manifestations of the disease, as well as for the chronic form to prevent exacerbation. Medicines eliminate unpleasant symptoms, facilitate digestion, stop the inflammatory process, soothe, relieve spasms, disinfect, help restore microflora, and heal.

The decoction is prepared with the addition of boiled water. Pour the potion, boil for a minute, leave to infuse under the lid closed for half an hour. Standard for 1 tbsp. A spoonful of the potion 200 ml of boiling water. Take 3-4 times a day, dividing the dose into equal parts. A decoction of rice, oats, and flax seeds takes longer to prepare - boil over low heat for about an hour, and take the resulting mucus for therapeutic purposes.

The tincture is prepared differently. Pouring Potion medical alcohol or quality vodka. Leave in a dark place for 10 to 20 days, shaking occasionally. Before use, filter through gauze folded in several layers. Take 1 teaspoon three times a day.

Medicinal herbs for duodenitis:

Chamomile;
Mint;
St. John's wort;
Tansy;
Immortelle;
Dill;
Flax seeds;
Thyme;
Melissa;

It is allowed to mix several herbs or prepare a one-component medicine.

Duodenitis is also treated with sea buckthorn oil, taking 1 teaspoon half an hour before meals or after three times a day. Propolis tincture quickly relieves inflammation, restores microflora, heals wounds and erosions. Take 10-20 drops 3 times a day during an exacerbation, no longer than 10 days. In addition, you can chew real propolis while swallowing saliva.

Diet food

For the first three days of exacerbation of duodenitis, you must adhere to a strict diet. To the point of not eating anything for the first day, only drinking. The liquid helps cleanse the body and removes toxins. You should drink non-carbonated mineral water, a decoction of medicinal herbs, green tea, dried fruit compote. After the disappearance of painful symptoms, they continue to adhere to the diet for at least 2 weeks, then switch to proper nutrition and monitor their diet.

Diet during an exacerbation:

Soup with vegetable and meat broth.
Milk porridge made from oatmeal, rice, buckwheat. Preferably ground to make it easier to digest.
Low-fat cottage cheese, yogurt homemade, kefir.
Mashed potatoes.
Raw quail egg.
Mineral still water.

Dietary food after feeling better:

Milk, thermally processed;
Egg;
Fermented milk products;
Vegetable puree;
Bouillon;
Meat – chicken, turkey, lean pork;
Fish;
Dried fruits;
Black or white stale bread;
Cookie;
Jam;
Kissel;
Meatloaf, steamed cutlets, ham.

You should avoid coffee, alcohol, chocolate, cocoa, spices, seasonings, mayonnaise, sauces, ketchup, canned food, sausages, smoked products, fried foods, and sweets. During the period of remission, you can afford something from the list of prohibited foods, but in reasonable quantities. It is strictly forbidden to consume products with chemical additives - taste enhancers, flavorings, preservatives, etc.

Prevention

To prevent the development of gastrointestinal diseases, including duodenitis, it is recommended:

Eat properly;
Stick to the regime;
Get enough sleep;
Monitor the state of the nervous system;
Control hormonal levels;
Strengthen immunity;
Take vitamins, probiotics;
Treat in a timely manner acute diseases, avoid chronic processes.

It is almost impossible to prevent the development of primary duodenitis; the disease is difficult to treat; secondary duodenitis can be prevented with a little effort, paying attention to your health and lifestyle.

In the chronic form of duodenitis, you need to periodically drink decoctions and teas based on medicinal herbs to improve the functioning of the digestive tract. Sold in pharmacies. You just need to fill it with boiled water. You are allowed to add a spoonful of sugar.

Complications

Lack of therapy leads to damage to the deep tissues of the mucosa, the development of compactions, deformations, ulcers, and cancer. Inflammation of the duodenum is transmitted to other digestive organs and leads to other pathologies. When organs become inflamed, blood circulation is disrupted, transmission nerve impulses, which adversely affects overall well-being, health, and the functions of internal organs and systems.

Forecast

Duodenitis cannot be completely cured. Although acute symptoms may disappear on their own, the condition of the intestines is not completely normalized. The only way out from the situation is constant proper nutrition, adherence to the regime, healthy image life, calm psycho-emotional environment. If the influence is not eliminated negative factors, the disease will progress, causing a number of complications. Preventative measures are the key good health, prevent the development of the disease, prevent relapses.

Secondary duodenitis and the army

With this diagnosis, people are taken to serve in the army. Every person has encountered duodenitis to one degree or another, even with acute manifestations half of society prefers to recover from illness on its own, without resorting to unpleasant instrumental examination. Even with a confirmed diagnosis, guys are taken into the army, except in cases. If during the year he was on probation twice inpatient treatment for a period of at least 2 months in total. In this case, they give a deferment and, if necessary, send treatment to other specialists. After his health improves, the soldier is recruited into the army.

Gastrointestinal problems can be called one of the most common. Disorders in the functioning of the stomach and intestines have an extremely negative impact on a person’s quality of life.

Duodenitis of the 12 duodenum also belongs to the classification of these diseases. It refers to those ailments that affect the mucous membrane, namely, cause an inflammatory process. Over time, if left untreated, inflammation affects not only the stomach, but also affects the functioning of the intestines.

Acute and chronic form

Duodenitis of the 12 duodenum is a complex inflammatory process affecting its mucous membrane. The disease is characterized by frequent pain in the epigastric region, human weakness, malaise, as well as a number of other unpleasant symptoms.

Duodenitis 12 duodenum medical practice is divided into two types:

spicy;
chronic.

Acute duodenitis occurs due to the influence of such factors on the gastrointestinal tract:

poisoning by toxins and chemicals;
food poisoning;
poor nutrition;
drinking alcohol and smoking;
mechanical damage to the mucous membranes of the digestive organs.

Duodenitis of the 12 duodenum acute form, as a rule, occurs very abruptly, but goes away quite quickly on its own. It usually takes 2-3 days to heal. If acute duodenitis of the duodenum occurs over and over again, the disease can become chronic.

Chronic duodenitis in medicine they are divided into primary and secondary. The primary type of the disease appears in those who do not follow proper nutrition and abuse alcohol and smoking. The secondary type is observed much more often. It occurs as a result of inflammation of other digestive organs and diseases, including:

chronic gastritis;
duodenal ulcer;
pancreatitis.

Another possible cause may be improper treatment or ignoring acute duodenitis of the duodenum.

Symptoms

Symptoms of duodenitis 12 depend on its type (acute, chronic), the causes that led to the disease, as well as on concomitant pathologies of the digestive system. Making a diagnosis is significantly complicated by the fact that duodenitis can masquerade as other diseases, including:

gastritis;
stomach ulcer;
hepatic colic and more.

The most common symptoms with which patients consult a doctor are the following conditions:

Pain in the epigastrium, aggravated by palpation. If the patient has chronic duodenitis, 12 duodenal pain is constant. Dull pain intensifies 1-3 hours after eating and in the morning, on an empty stomach.
General weakness. Accompanied by a symptom fatigue and an increase in temperature to 38, which is typical for acute duodenitis of the 12 duodenum.
Disturbance in the functioning of the digestive system. The food in the intestines ferments and rots. This further causes the following symptoms - nausea, loss of appetite, diarrhea, rumbling in the stomach, increased gas production.
Bitter belching. This symptom is often associated with duodenal overflow and is accompanied by vomiting with bile. Thus, patients experience duodenogastric reflux, that is, the reflux of intestinal contents into the stomach.
Jaundice of the sclera and skin. This symptom is explained by the fact that the outflow of bile is impaired, which causes a similar manifestation of the disease.

Important: Symptoms of duodenitis are not always constant. Thus, in some cases, the disease may manifest itself in stages, which makes diagnosis and treatment difficult.

Causes of the disease

Duodenitis of the 12 duodenum can appear at absolutely any age. This disease is also quite often transmitted hereditarily. This indicates that the problem of duodenal duodenitis can affect both adults and children.

However, recently duodenitis of the 12 duodenum, like gastritis, has become more common in young and middle-aged people. This is due to the modern type of life, as well as the products that people eat.

Thus, the main causes of duodenitis include:

unhealthy and inappropriate nutrition;
food poisoning;
toxic poisoning;
injury to the mucous membrane by foreign objects;
abuse of strong drinks;
abuse of hot, salty, spicy foods;
abuse of sweet carbonated drinks;
drinking energy drinks;
absence physical activity.

If multiple aspects are not met, it is optimal healthy life Duodenitis of the 12 duodenum acquires chronic forms. In this case, the patient is shown a constant diet and abstinence from a number of foods, such as alcohol, soda, chocolate and coffee.

The disease can also appear as a result hormonal imbalance. Most often this problem occurs in childhood. Therefore, it is recommended that parents of children who suspect gastrointestinal problems undergo comprehensive examination at least once every six months.

Important: Duodenitis of the duodenum often appears due to infection with the pathogenic bacterium Helicobacter pylori, despite the fact that this bacterium is usually a companion to gastritis.

Diagnostics

Diagnosis of the disease is carried out by a gastroenterologist. She in mandatory includes anamnesis, examination, palpation, and familiarization with the patient’s medical history. Thus, the doctor, having received complete information about the disease, when the first symptoms began to appear and how actively it manifests itself.

After this, analyzes are collected, namely:

general blood test (biochemistry);
coprogram;
Analysis of urine.

Additionally, the patient may be prescribed probing if the cause of the pain cannot be detected immediately. If symptoms continue to worsen, the patient is scheduled for a biopsy.

Therapy

As data from the tests is received, the doctor prescribes to the patient necessary treatment. Therapy is selected on a purely individual basis, based on the indications and characteristics of the human body. Taking into account all indicators, drug therapy, physiotherapy, as well as some traditional methods of treatment (if there is such a need) are prescribed separately.

Also, the patient must adhere to a diet. The diet is developed taking into account the patient’s personal needs, tolerance and intolerance to certain foods. It is worth noting that dietary nutrition is key point in the patient's recovery.

Important: To develop a balanced and useful dietary nutrition you need to visit a nutritionist. This way the diet will bring more tangible results.

Medication

Drug treatment of the duodenum is prescribed based on the cause that provoked the development inflammatory process. So the treatment might look like this:

For an anti-inflammatory effect, the patient is prescribed special enveloping drugs - de-nol, almagel, maalox, phosphalugel.
When helminths and giardiasis are detected, effective chemotherapy is necessary - Chloxin, Flagyl.
If pathogenic bacteria are detected, the patient must undergo a course of antibiotics. At the same time, it is recommended to take drugs that restore the microflora.
at increased acidity Antacids and agents that reduce the production of hydrochloric acid - omeprazole, ranitidine - are indicated for use.

When taking medications, be sure to read the instructions for them. Self-increase or a dose reduction may entail not just a lack of effect, but also the possibility of complications.

Important: If there is no effect from taking the pills, you should consult your doctor again. In the future, he will replace the existing drugs with more suitable ones. A complete change in treatment tactics is also possible.

Traditional methods

In the treatment of duodenitis, the presence of traditional methods treatment. They are relatively safe for almost everyone with any health condition. In addition, they provide truly worthwhile and effective results.

Shows excellent results in the treatment of duodenitis:

chamomile decoction;
yarrow decoction;
Melissa;
sage;
rose hip;
sagebrush;
thyme;
St. John's wort;
shepherd's purse.

Freshly squeezed vegetable juices perform well - potato, carrot. During the treatment period it is strongly recommended to drink required amount water and green tea (without sugar).

Before using any folk remedies, it will not be superfluous to obtain a preliminary consultation with a doctor.

Prevention

Prevention of duodenitis is directly related to how a person arranges his lifestyle. Successful treatment disease and the guarantee of its non-recurrence are as follows:

proper and balanced nutrition;
presence of regular physical activity;
giving up alcohol and smoking;
absence of stressful situations and depression;
comfortable and loose clothing;
lack of excessive physical activity;
timely treatment of the first signs of the disease.

In the presence of a chronic form of duodenitis, a constant diet is necessary, as well as regular examinations by a doctor, which will help identify progression and promptly prevent the disease.

Diseases of the stomach and duodenum (DPC) are the most common pathologies of the digestive tract. Many people suffer from duodenitis. His treatment is quite current problem. After all, by virtue of its anatomical location, it leads to disruption of the pancreas and gallbladder, as well as their ducts. The whole body suffers from this.

What is duodenitis

Duodenitis is an inflammation that occurs in the initial part of the mucous membrane of the small intestine. An isolated process of only the duodenal bulb is bulbitis. If the stomach is also affected - gastroduodenitis.

The ducts of the pancreas and gallbladder open in the duodenum. Enzymes, bile and juices of the small intestine contribute to the further breakdown of food. They provide suction useful substances, movement of the food bolus through the gastrointestinal tract.

The duodenum functions constantly and very intensively. That is why any violations can negatively affect its work and lead to inflammation - duodenitis.

The pathological process in the duodenum leads to reactive inflammation:

pancreas (pancreatitis);
gallbladder (cholecystitis);
bile ducts (cholecystocholangitis).

How to cure a disease - video

Classification of duodenitis

There are two forms of inflammation of the duodenum:

Spicy. This pathology is manifested by pain in the upper abdomen (epigastric region), nausea, and weakness. The patient experiences acute discomfort when palpating (feeling) the abdomen. Vomiting may occur, and most often repeatedly. As the purulent process develops, signs of peritoneal irritation appear, weakness and nausea increase. Acute process May be:
- catarrhal (superficial lesion);
- erosive-ulcerative;
- phlegmonous (purulent).
Chronic. Clinically this form appears dull constant pain in epigastrium, nausea, decreased appetite, vomiting if the diet is violated. Patients complain of a feeling of fullness in the upper section stomach, especially after eating.

Chronic duodenitis is divided into:

With an increase in the number and size of the duodenal glands, they speak of hyperplastic duodenitis.

Treatment

A gastroenterologist deals with the treatment of diseases of the gastrointestinal tract, including inflammation of the duodenum. If there are indications for surgical intervention, the pathology is treated by a surgeon.

Inpatient treatment is indicated in following cases duodenitis:

severe pain syndrome;
complications such as bleeding, perforation (perforation of the intestinal wall), acute pancreatitis, peritonitis;
difficulties in diagnosis;
damage throughout the intestine;
heavy accompanying illnesses Gastrointestinal tract;
neglect of the process;
suspicion of malignancy.

In all other cases, outpatient therapy is permitted under the supervision of a physician, in compliance with all recommendations.

Treatment lasts from 1–2 months to six months. It depends on the form and severity of duodenitis.

When treating at home, the patient is given the following recommendations:

compliance with the principles of dietary nutrition;
normalization of sleep and rest patterns;
giving up bad habits (smoking, alcohol);
avoiding emotional and physical overload;
refusal junk food(chips, crackers, soda, candy bars);
providing moderate physical activity (swimming, walking).

Diet therapy

Nutritional therapy is the basis for the treatment of diseases of the gastrointestinal tract.

The main principles of the diet for inflammation of the duodenum:

During an exacerbation, food should be thermally and chemically gentle, pureed, pureed, steamed.
Complete exclusion of fried, salty, spicy, smoked foods.
Pickles, marinades, and sausages are limited in consumption.
Products containing coarse fiber (cabbage, corn, carrots, apples, radishes) are limited.
Prohibited: onions, radishes, mustard, garlic, horseradish, spices, fatty and stringy meat, lard, mushrooms, whole milk, sharp cheeses, baked goods, puff pastry products, Rye bread, strong meat broths.
The diet is fractional (5-6 times), in small portions. The patient should not experience severe hunger.

Prohibited products - gallery

Mustard must be avoided
Onions cause irritation to the mucous membranes
Mushrooms are a prohibited product for duodenitis
Baking is contraindicated for patients suffering from inflammation of the duodenum.
Cabbage contains coarse fiber, so intake of the product is limited

Drug therapy

The choice of medications depends on the nature of the inflammatory process.

For the treatment of duodenitis use:

With an ulcer-like course:

Neutralizing agents hydrochloric acid(antacids): Rennie, Phosphalugel, Almagel, Gastal, Gaviscon.
Gastroprotectors. These are drugs that have an antacid, anti-Helicobacter effect and protect mucosal cells from irritation. The drug De-nol is most often used.
Proton pump inhibitors. They reduce the secretion of gastric juice. Recommended: Nolpaza, Omeprazole, Losek, Ultop.

For Helicobacter pylori infection:

triple therapy: Ranitidine, Clarithromycin, Metronidazole;
quadruple therapy: Omeprazole, De-nol, Metronidazole and Tetracycline.

With cholecyst-like course:

Agents that stimulate bile production: Allohol, Ursosan, Nikodin, Flamin, Hofitol.
Medicines that promote the secretion of bile: Motilium, Motilak, Cholecystokinin.
Antispasmodics that relieve pain and spasms: Duspatalin, No-shpa, Dolce.
Enzymes, for example, Creon.

For severe pain, analgesics and antispasmodics are used:

Atropine;
Platyfillin;
Analgin;
Tramal.

For duodenitis, which is accompanied by diarrhea, medications are recommended:

Smecta;
Enterosgel;
Activated carbon.

Drugs that improve intestinal motility:

Domperidone;
Gastrosil;
Cerucal.

Enzyme preparations:

Mezim;
Festal;
Pancreatin.

Pre- and probiotics - to normalize intestinal microflora:

Acipol;
Baktisubtil;
Hilak forte;

What medications to treat the disease - gallery

Rennie neutralizes hydrochloric acid De-Nol protects the mucous membrane from irritation
Nolpaza reduces the secretion of gastric juice
Ursosan stimulates bile production
Motilium promotes bile secretion
No-spa eliminates spasms
Neosmectin is used for diarrhea
Linex normalizes microflora

Physiotherapeutic methods

Physiotherapy is prescribed to treat inflammation of the duodenum. This therapy eliminates pain, improves motility and blood supply to the mucosa.

For this use:

Electrosleep. On nervous system influence low frequency current. This event promotes the restoration of affected tissues, relieves spasms and activates metabolism.
Galvanic collar. Impact on tissues with direct current. The procedure accelerates regeneration, reduces pain, activates blood circulation and nutrition of the affected areas.
Pearl baths. This is a procedure that involves hydromassage. The event is called pearl baths because the water contains many small bubbles that visually resemble small pearls. Baths promote relaxation, relieve pain and spasms. They reduce inflammation and activate microcirculation.
Amplipulse therapy. The event is based on the impact on the affected area with modular sinusoidal currents. The procedure eliminates painful sensations, activates blood circulation, provides improved tissue nutrition.
Magnetic and laser therapy. The abdomen is treated with a laser or magnetic field. The measures effectively eliminate spasms and reduce inflammation.
Electrophoresis of antispasmodics. Thanks to electric current deeper penetration of anesthetic substances into tissues is achieved.
Paraffin and mud applications. These are effective measures that reduce inflammation and reduce pain.
Balneotherapy. In treatment inflammatory diseases DPC treatment applied mineral waters. The following are appointed: Borjomi, Rychal - Su, Essentuki No. 4, Narzan.

With the ulcerative form of duodenitis, you need to wait until the inflammation subsides. Only during remission is it possible to prescribe physiotherapy.

For patients suffering from chronic diseases of the digestive tract, annual sanatorium-resort treatment is indicated (Zheleznovodsk, Essentuki). It is resolved after 3 months after the exacerbation.

If malignant degeneration is suspected, physiotherapy should be completely abandoned.

Surgical intervention

This treatment is indicated for:

a long-term process that does not respond to conservative therapy;
non-healing ulcers and erosions on the mucous membrane;
sudden bleeding;
acute inflammation: phlegmon and/or peritonitis;

Folk remedies

Healing recipes have been used since ancient times to treat diseases of the stomach and intestines.

For this purpose use:

Infusion of viburnum fruits. Pour a glass of boiling water over the raw materials (1–2 tbsp.). Leave for 4 hours in a warm place. Drink the strained infusion 3-4 times a day, one glass at a time.
Propolis solution. Dry propolis (100 g) is poured with alcohol (70%). They insist for 10 days. In this case, the container is shaken daily. The product is filtered. Drink 15 drops diluted in milk (1 tablespoon) before meals, 3 times.
Flax seed. Pour the raw materials (2 tbsp) into a thermos with boiling water (0.5 l). Infuse and filter. Drink half a glass before meals, 3 times a day.
Decoction of marshmallow rhizome. Place chopped marshmallow (1 tbsp) in a glass of water. Cook for 1 minute. Leave for half an hour. Strain the mixture. Take 1 tbsp. l. 3 times before meals.
White cabbage juice. After chopping the cabbage leaves, carefully squeeze out the juice. You need to take half a glass before meals, 3 times.
Sea buckthorn oil. The product is used 1 tbsp. l. before meals, 4 times a day.
Honey. It is recommended to stir bee treat (1 tsp) in a glass warm water. You need to drink a glass 3 times a day.
Aloe juice. This remedy is taken 1 tbsp. l. before meals, three times during the day.
Medicinal infusion. Centaury grass and fennel seeds (50 g each) are mixed and poured with a glass of boiling water. Leave for 30 minutes. It is recommended to drink half a glass 2 times a day.

Folk remedies do not exclude, but complement drug therapy. Their appointment must be agreed with the doctor. Especially if the patient is a child. Flax seed helps treat duodenitis
Sea buckthorn oil has a positive effect on the mucous membrane of the digestive tract
Aloe juice is an excellent cure for duodenitis

Homeopathic medicines

Homeopathic remedies can also be used to treat gastrointestinal diseases.

For this purpose, use:

Natrium Sulfuricum;
Phosphoricum;
Gepar Sulfur;
Antimonium Crudur.

It should be noted that there is no specific cure for duodenitis. Therefore, drugs are selected individually for each patient based on symptoms.

Features of treatment for children and adults

In the treatment of duodenitis, it is necessary to take into account the patient’s age and condition:

Children need to calculate the dosage correctly. In addition, many medications are contraindicated for treating children. That's why self-treatment Absolutely forbidden.
If the duodenum is affected in a pregnant woman, it should be remembered that any medications must be prescribed by a doctor. For example, Atropine can cause miscarriage, and Tetracycline can cause congenital deformities of the fetus. Therefore, during the period of bearing a child, you should not self-medicate. Taking any drug or remedy traditional medicine need to be agreed with your doctor.

Duodenitis is a common intestinal disease that occurs in both adults and children. The causes of pathological processes in the duodenum can be very different. The treatment of the disease is based on adherence to the principles of diet therapy, medication and physiotherapeutic methods of influencing the pathological focus. Only timely diagnosis and adequate therapy for duodenitis will help avoid serious complications.

The inflammatory process of the mucous membrane of the duodenum, which can lead to problems throughout the entire body of adults, is referred to in medicine as duodenitis. Affecting the upper parts of the intestine, the symptoms resemble an ulcer, and the lower parts resemble pancreatitis. It affects men much more often than women. Code in medical reference book– K29.

Accompanied by weakness of the body, pain in the stomach area, unpleasant burping, gagging and other manifestations. Acute types of duodenitis are treated with hunger and disappear after a couple of days, secondary types become chronic with complications.

Inflammation of the duodenal mucosa in its infancy stage is accompanied by unpleasant belching, vomiting, and abdominal pain.

Classification

Duodenitis is a disease that has a clear classification that helps determine an accurate diagnosis and prescribe the correct course of treatment. All types of mucosal lesions can be combined according to several classification criteria:

Running time:

Acute, occurring in combination with gastric manifestations. It is divided into several types, one of which is phlegmonous duodenitis.
Chronic, accompanying a person throughout his life and requiring careful monitoring and moderately targeted preventive treatment.

Based on the causes of occurrence, there are the following types of disease:

Duodenitis is classified according to its causes, which include poor nutrition, consequences drug therapy and the presence of diseases in other gastrointestinal organs.

Primary, the causes of which are poor nutrition and bad habits (smoking, alcoholism).
Secondary, its fertile soil is existing inflammation (gastritis, ulcers) and improper treatment of this type, such as acute inflammation. Secondary duodenitis is the most common subtype.
Reactive duodenitis appears after the use of certain medications and is extremely rare; it occurs against the background of gastritis.

The degree of structural changes in the duodenum implies division into:

Superficial, involving the upper layers of the duodenum.
Atrophic duodenitis contributes to the thinning of the duodenal villi.
Hypertrophic, occurring with excessive tissue growth. The hypertrophic type is difficult to influence if it is started or if doctors refuse to intervene.
Follicular duodenitis is an increase in the papillae in the proximal layer.
Erythematous with erosive-ulcerative signs on the walls.

Inflammation in the duodenum can be minor or affect the entire organ.

According to the type of distribution in adults, it occurs:

diffuse affects the entire duodenum;
focal affects the major papilla;
distal duodenitis does not change the bulb;
proximal, involving the duodenal bulb.

The classification in expanded form will illustrate the causes of manifestation, development options, symptoms, necessary tests and acceptable measures to the disease, be it hypertrophic, erythematous or other.

Etiology

Causes primary disease look like this:

poor nutrition;
dry food, which leads to damage to the intestines with hard, difficult-to-digest particles;
use large quantity spicy, smoked, fried and fatty foods that irritate the gastrointestinal mucosa;
vitamin and protein starvation, which is acute during pregnancy, when a double dose is required;
smoking;
abuse of coffee and alcohol.

Inflammation of the duodenum is rarely separate disease, accompanying other disruptions in the functioning of the stomach and intestines, such as:

Most often, duodenitis occurs due to untreated gastritis, ulcers, hepatitis and other gastrointestinal ailments.

dyspepsia;
gastritis;
cholecystitis;
Crohn's disease;
ulcer;
acute form of hepatitis;
ischemic intestinal disease.

The causes of secondary duodenitis, which develops as a result of another disease, may be as follows:

infection with the bacterium Helicobacter pylori;
stress associated with surgical interventions or infectious diseases;
impaired blood flow to the duodenum;
reception non-steroidal drugs in the treatment of inflammatory processes;
duodenostasis – functional disorders digestive system, adhesions, duodenal obstruction, insufficient peristalsis;
pathological processes bile ducts(for example, stagnant);
chronic diseases of the liver, pancreas, gall bladder, causing disturbances balance in the totality of enzymes, changing the homeostasis of the internal environment of the intestine, which can lead to a deterioration in the protective functions of the mucosa.

Most people ignore these signs of a developing disease, which can lead to irreparable consequences.

Symptoms of duodenitis

Like any disease, the described process has some symptoms, the main of which are the following:

disturbance of well-being and digestion;
partial or complete loss of appetite;
general weakness;
focal attack of pain in the navel area;
dyspepsia due to inflammation of the mucous membrane of the duodenum: belching, diarrhea, flatulence;
nausea, vomiting;
pain occurs on an empty stomach, at night or 3 hours after eating;
bloody impurities may be observed in feces and vomit;
signs of abdominal discomfort;
due to internal bleeding, anemia may develop, which is very dangerous during pregnancy;
slightly increased body temperature;
the tongue is dry and has a moderate white coating;
For acute attack Some tension in the abdominal muscles is typical.

Owners of chronic duodenitis, both hypertrophic or erythematous, and any other, can also observe:

constant dull pain at the top of the abdomen;
increased salivation;
heartburn;
bitter taste in the mouth;
during exacerbations, headache, irritability, sleep disturbance occur;
increased heart rate after eating;
weight loss or, conversely, weight gain does not occur moderately;
disorders of the cardiovascular and neuropsychic nature.

These symptoms will give you reason to think about your health status and consult a specialist, because similar diseases should not be launched.

Diagnosis

Duodenitis has a nonspecific clinical picture and, as a rule, is combined with many other diseases of the gastrointestinal tract (for example, ulcers, chronic gastritis). Taking this fact into account, reliable diagnosis is possible only with the use of instrumental methods:

fibrogastroduodenoscopy with biopsy of the intestinal mucosa;
pH-metry;
duodenoscopy;
impedancemetry.

In some cases, additional recognition methods are required, such as:

x-ray of certain areas of the esophagus;
stool examination;
blood chemistry;
recording indicators such as body temperature;
ultrasound examination, etc.

Analyzes will help reveal the picture more fully.

It should be remembered that the option of fibrogastroduodenoscopy is dangerous for patients with certain subtypes and during pregnancy. It is also recommended to simultaneously conduct an examination of the associated digestive organs.

Treatment methods

After receiving the test results and diagnostic conclusions, a diagnosis is prescribed individual course therapeutic measures. There are several generally accepted directions for treating duodenitis.

Developing a nutritional regimen with a special diet

First of all, gastric lavage is carried out; it may be necessary to fast for several days, and then strict adherence will follow. therapeutic diet, the main principle of which is a gentle effect on the mucous membrane of the stomach and intestines, which includes:

five meals a day throughout the day;
small portions;
steaming or boiling;
avoiding cold and hot foods;
consistency – liquid, mushy;
exclusion of spicy, sour, canned, smoked and fried;
complete cessation of smoking and alcohol.

But the cure by hunger should not turn into obsession, which will only worsen the situation and not cure it. After 10-12 days, the strict diet should be replaced by a lifelong one:

table No. 5p – pancreatitis-like type;
table No. 2 – if the gastric type of illness manifests itself;
table No. 5 for people with pathologies of the liver, gallbladder and bile ducts.

Of course, there are other options, since the disease progresses differently for everyone, and it also needs to be corrected.

Pharmacotherapy

Spicy pronounced syndrome or exacerbation of a chronic disease involves the prescription of symptomatic therapy:

If the diagnosis of chronic duodenitis is confirmed, the gastroenterologist prescribes a long course:

anticholinergics to reduce pain;
antacids with enterosorbents that protect the intestinal lining from negative factors;
dopamine blockers to combat DGR, nausea and vomiting;
anti-inflammatory, healing agents for tissue regeneration and preventing the spread of the inflammatory process, which can lead to a phenomenon such as reflux duodenitis;
soothing infusions aimed at combating neurasthenia that accompanies duodenitis disorder.