Duodenitis is an inflammation of the duodenum. Many people ignore the clinical manifestations of the disease, but this pathology can lead to serious consequences: peptic ulcer, cancer. To prevent this from happening, it is necessary to start treatment of duodenitis in a timely manner.
There are many reasons for the pathology, but most often the disease provokes the intake of certain medications, antirheumatic drugs, Helicobacter Pylori bacteria. They cause inflammation of the intestinal mucosa. First, a superficial pathology appears, but if the treatment of duodenitis is not started, then erosions form on the walls. Over time, they turn into ulcers.
Risk of pathology
If you do not treat gastritis, duodenitis, reflux, it can cause serious complications, up to the development of cancer. To prevent this from happening, it is necessary to immediately treat any manifestations of ailments, and also try to eliminate risk factors that can lead to illness. These include:
- Alcohol abuse.
- Taking drugs,irritating the mucous membranes of the digestive tract.
- Food burns with alkalis, acids.
- Peptic ulcer.
- Impaired blood flow, etc.
Course of illness
Duodenitis is acute and chronic.
The acute form develops rapidly. Most often it occurs against the background of poisoning, after eating spicy food. This species causes superficial inflammation of the mucous membrane. If the treatment of duodenitis in the early stages is not carried out, then this leads to the formation of ulcers and erosions, as well as phlegmon. If you follow the diet and timely treatment, the inflammation disappears in a few days.
The chronic form often occurs against the background of other chronic diseases of the gastrointestinal tract, such as gastritis, pancreatitis, peptic ulcer, with poor nutrition. This course of the disease is characterized by severe pain, digestive disorders. A chronic illness takes a long time to heal.
Types of duodenitis
Treatment of atrophic duodenitis and other types depends on the form of pathology. Medicine discerns:
- Gastritis-like duodenitis.
- Ulcer-like.
- Asymptomatic.
- Mixed look.
- Phlegmonous.
- Erosive.
- Neuro-vegetative.
- Cholecystoid.
- Hyperplastic.
- Interstitial.
- Hypertrophic duodenitis.
Each species has its own characteristics of the clinical picture. Ulcer-like, cholecyst-like, gastritis-like are characterized by clinical manifestations, as in concomitantpathologies. For example, gastritis-like is characterized by the same symptoms as gastritis, and cholecysto-like manifests itself in the same way as inflammation of the gallbladder.
Causes of duodenitis
Before starting the treatment of duodenitis, it is necessary to establish what exactly led to its development. The acute form can be caused by the use of strong coffee, smoked meats, spicy, fried, fatty foods. To cope with such food, a large amount of hydrochloric acid is produced in the stomach. At the same time, the protective properties of the mucosa decrease, and it becomes more sensitive to negative influences.
Acute pathology can be caused by food poisoning, such as bacteria that cause peptic ulcers, enterococci, clostridia, staphylococci.
Also, pathologies of other organs of the digestive tract lead to the disease: colitis, cirrhosis, pancreatitis, colitis, peptic ulcer, hepatitis. All of them lead to impaired blood circulation and tissue nutrition. The process of inflammation goes further, negatively affecting the protective properties of the gastrointestinal tract.
Often, duodenitis is caused by the reverse reflux of contents from the small intestine into the duodenum. This process is called reflux. It may be associated with spasm of the lower sections in violation of intestinal patency.
Chronic duodenitis is caused by intestinal disorders: constipation, adhesions, low peristalsis. All these pathologies lead to a slowdown in intestinal contractions, the walls atrophy, stretch.
Also, chronic diseases of the stomach, liver,pancreas, gallbladder.
Clinical manifestations of the disease
Everyone who has ever experienced an illness knows about the symptoms of duodenitis in adults and about drug treatment. The clinical picture depends on the type of duodenitis, the stage of development and the causes that led to the disease.
Inflammation of the duodenum is characterized by pain in the epigastric region. It gets worse on palpation. In chronic duodenitis, the pain is dull, constant. This is due to inflammation, swelling of the intestinal walls. Usually the soreness gets worse an hour after eating.
Also, with duodenitis, patients complain of weakness, fatigue. This is a sign of intoxication caused by the waste products of bacteria. Due to the disease, digestion is disturbed, which leads to fermentation of food in the intestines, its decay. Signs of this manifestation are: rumbling in the intestines, diarrhea, nausea, loss of appetite, gas formation.
With duodenitis, vomiting mixed with bile, bitter belching can be observed. This usually occurs with intestinal overflow, when the contents of the duodenum are thrown into the stomach.
With prolonged inflammation, atrophy of the intestinal mucosa, glands that produce digestive enzymes, is diagnosed. With bile stasis, the level of bilirubin in the blood rises. This is manifested by yellowness of the skin, sclera. Bile does not go into the intestines, but overflows the gallbladder and enters the bloodstream.
Therapy Methods
Duodenitis is treated with medicines,folk remedies. Consulting a doctor at the first symptoms of duodenitis in adults and treatment with drugs, started in a timely manner, can prevent the development of complications. Mostly therapy is carried out on an outpatient basis.
Drug treatment for duodenitis includes:
- Elimination of acute inflammation.
- Restoring the function of the duodenum.
Digestion is also normalized. For this purpose, a therapeutic diet is prescribed. Be sure to develop a scheme to protect against the transition of pathology into a chronic form.
To speed up your recovery, you need to ensure proper rest, sleep, diet, avoid stress, stop drinking and smoking.
Sometimes the treatment of duodenitis of the duodenum is carried out in a hospital. Indications for hospitalization are suspicions of tumors, a serious condition of the patient, neglected inflammation, involving nearby organs in the process. Also, an indication for hospitalization is the presence or threat of bleeding.
Medicated treatment
The symptoms and treatment of gastric duodenitis depend on the type of pathology, cause and some other factors. The following groups of drugs are used as medical treatment:
- Proton pump inhibitors. Medicines of this group suppress the production of gastric juice, block the work of glands that secrete acid. As a result, the irritating effect on the intestine is reduced. From this group, "Omeprazole", "Esomeprazole" and others can be prescribed.medicines.
- Antibiotics. In the presence of Helicobacter pylori and other pathogenic microorganisms, broad-spectrum antibiotics are prescribed: Tetracycline, Amoxicillin and others.
- H2-histamine blockers. For the treatment of ulcerative duodenitis, this group of medicines is used. It reduces the production of hydrochloric acid. The drugs of the group include "Ranitidine", "Famotidine".
- Antacids. To reduce the pain syndrome, enveloping drugs, such as Almagel, Maalox, are necessarily prescribed.
- Prokinetics. With a gastritis-like form of duodenitis, drugs are prescribed that regulate the contraction of the gastrointestinal tract, helping to free the stomach and move food through the intestines. Also, the drugs of the group have antiemetic, anti-edematous action.
- Polyenzyme products. As part of the preparations, pancreatic enzymes normalize digestion and absorption of nutrients, as well as contribute to the disappearance of other clinical manifestations of the disease.
- Anspasmodics. Appointed to relax the muscles of the muscles, relieve pain, spasm.
For each case, an individual treatment regimen is selected for the disease. After all, the treatment of catarrhal duodenitis and other types cannot be the same.
For successful therapy, a nutritional correction is mandatory - a table number 1, 2 or 5 is assigned.
Diet for duodenitis
According to reviews, the symptoms and treatment of duodenitis in adults depend on nutrition. With ulcer-like duodenitis, table No. 1 is assigned, with gastritis-like - tableNo. 2, and with cholecystitis and pancreatitis-like - diet No. 5.
They all have similar general guidelines:
- You need to eat fractionally, in small portions, at least four times a day. There should be no feeling of hunger, as this provokes pain.
- Food should be warm.
- All meals should be prepared in such a way as not to irritate the gastrointestinal mucosa. Pureed soups, semi-liquid porridges should be preferred.
- Meat is used only boiled, lean. Before use, it is passed through a meat grinder.
- The menu should include dairy products: curdled milk, kefir, cream, milk.
- Fruits are allowed only without skin and seeds in baked form or in the form of jelly.
- Vegetables are steamed or boiled.
- From fats, it is allowed to eat high-purity olive, sunflower oil.
- Drink juice to improve digestion.
- Only yesterday's bread is allowed.
With duodenitis, the following products are prohibited:
- canned food;
- smoked meats;
- raw vegetables, fruits;
- ice cream;
- broths from meat, mushrooms;
- mustard, pepper, onion;
- carbonated drinks;
- alcohol.
Treatment with folk remedies
Earlier we studied the symptoms. Treatment of duodenitis with folk remedies will be considered further.
For therapy use a variety of herbs, products that suppress the production of gastric juice. Bigbenefits are brought by means that help the rapid restoration of the mucous membrane. Also used are infusions and decoctions, other means that help fight pathogenic microorganisms.
Aloe for inflammation of the duodenum
Healing aloe has long been used in folk medicine for duodenitis and other gastrointestinal pathologies. The plant has a wound healing, antibacterial effect, which has been used for therapeutic purposes for many years.
For the preparation of medicine, leaves are used that are at least three years old. Before cutting them, it is necessary to stop watering for a week. This will allow the plant to accumulate the maximum amount of nutrients.
To prepare the medicine, you will need about half a kilogram of leaves. Juice is squeezed out of them, half a liter of red wine and a pound of honey are added to it. Everything is mixed and infused for a week. Then the product is filtered, stored in the refrigerator.
In the first week, the composition is taken in a teaspoon three times a day. From the second and subsequent weeks, the amount of the mixture taken is increased by a tablespoon. On the fourth week, the dosage is reduced. The duration of treatment is 2-3 months. With superficial duodenitis, aloe is taken for a month.
This remedy helps to overcome not only duodenitis, but also other pathologies of the digestive tract, such as ulcers, dysbacteriosis, flatulence.
Propolis treatment
Propolis has unique properties. It is used to prepare a variety offunds.
For the treatment of esophagitis, duodenitis and other types, it is necessary to make a tincture of propolis. It will need 0.5 liters of alcohol and 50 grams of propolis. The mixture is infused for three weeks in a dark place. The composition is shaken daily, this procedure is necessary for the complete dissolution of propolis.
The finished product is taken fifteen drops along with steamed flaxseed in the morning for three weeks. You can use fifteen drops of propolis tincture mixed with a spoonful of sweet milk. This variation is used three times a day before meals.
Chamomile tea
Pharmacy chamomile has unique properties. Now this plant is sold in pharmacies in special portion bags. To make a medicinal tea, a bag of chamomile is taken and steamed with a glass of boiling water. The remedy is taken as a tea three times a day. This tool allows you to calm the gastrointestinal tract, kill pathogens such as Helicobacter pylori.
There are other folk methods of treating duodenitis, including various herbal preparations, honey. It is used every day for one hundred to two hundred grams. This dose is divided into several doses, eating one or two tablespoons at a time.
Honey and other folk remedies, medicines are used until the pathology recedes. To get rid of duodenitis, especially when using folk remedies, you need to consult a specialist, because only a doctor can determine what type of inflammation is present and what kind of remedies will help cure it.
