Content:
Duodenitis is an inflammation of the mucous membrane of the duodenum (Duodenum). As a rule, this pathology is also accompanied by inflammation of the gastric mucosa (gastritis). In this case, clinicians use the term that combines these two concepts - gastroduodenitis. The most common type of duodenitis is bulbs when the duodenal bulb is mainly inflamed, which is anatomically the next section after the stomach.
The causes of the onset of the disease
Duodenitis or bulbs can occur for no apparent reason, or:
when eating rough, spicy, pickled, and also "unhealthy" food
when using drugs that irritate the mucous membrane of the upper gastrointestinal tract (among such drugs, it should be noted non-steroidal anti-inflammatory drugs (NSAIDs) used in the complex treatment of various diseases)
when drinking alcohol, which has an extremely adverse effect on the mucous membrane of the stomach and duodenum. In this case, damage to the mucous membrane occurs due to the production of a large amount of hydrochloric acid in the stomach, respectively, a more acidic content enters the duodenum, which is not sufficiently alkalized. In the beginning, there is swelling and redness of the mucous membrane, later, with longer exposure to acidic contents on the mucous membrane, erosion of the duodenum may occur, as a more pronounced stage of inflammation.
with severe stress, which is an important etiological factor in the development of duodenitis
smokers
in the presence of concomitant diseases leading to the impaired circulation of the mucous membrane of the upper gastrointestinal tract. In such cases, the disease becomes chronic.
Chronic inflammation in the duodenum also develops with the irrational treatment of acute duodenitis, and with improper nutrition. The precipitating agent has known as gastric mucosa inflammation and infection PDK is also H el I Geobacter pylori ( H . Pylori ). The source of this infection is a person, and it is possible to avoid it if the rules of hygiene are observed. However, if infection with this infection nevertheless occurred, it is advisable to consult a doctor for measures aimed at eliminating the pathogen.
Signs of duodenitis
It is possible to suspect duodenitis with the appearance of such dyspeptic complaints as:
nausea,
vomit,
discomfort or pain in the epigastric region,
heaviness after taking the usual portion of food,
bad breath, which is associated with a violation of the motor-evacuation function of the duodenum and with a delay in food chyme in it.
However, in some cases, this pathology can be asymptomatic and is detected by chance, during examination for other diseases.
Diagnostics
The gold standard for the diagnosis of this disease is esophagogastroduodenoscopy (EGDS), in which local or diffuse edema and hyperemia (redness) of the mucous membrane of the stomach and duodenum are determined, as well as the presence of erosion.
Treatment and diet
When establishing a diagnosis of duodenitis, it is recommended to follow a diet, quit smoking and alcohol. Purpose of medical treatment is necessary in the case where the application is stored on the background of dieting and when disease symptoms frequently arise when a possible cause of the disease may be not only poor diet, but, for example, infection H . pylori .
The diet for duodenitis does not differ from that for gastritis. It is extremely important to adhere to a more strict diet in the acute period of the disease with its gradual expansion. This diet consists in the use of thermally gentle dishes (excluding cold or hot drinks and dishes), in limiting spicy, rough food, foods that increase acidity in the stomach, irritating the mucous membrane. It is advisable to cook food by steam or by cooking, and also take it pureed during an exacerbation. It is necessary to take food in small portions 5-6 times a day.
Among the products that are allowed for consumption, it is necessary to note wheat bread made from the highest grade of flour, vegetable soups, low-fat types of meat, poultry and fish, dairy products (milk, cream, pureed non-acidic cottage cheese), soft-boiled egg. You can also eat vegetables such as carrots, potatoes, beets, zucchini. Sweets are used in the form of mashed boiled fruits and berries.
It is necessary to exclude bread made from rye flour, fresh baked goods, fatty meats, chicken and fish, sour dairy products, sour, insufficiently ripe fruits, chocolate, ice cream, strong tea or coffee, and carbonated drinks.
Although the basis for the treatment and prevention of subsequent exacerbations is compliance with dietary recommendations, nevertheless, timely consultation with a doctor is advisable to prescribe adequate drug therapy. So, in order to reduce acidity in the stomach, drugs from the group of proton pump inhibitors (PPIs) are used. In case of infection H . pylori treatment with PPIs and antibacterial drugs is carried out for 10 to 14 days according to indications. Currently, the use of cytoprotective - drugs that improve the protective properties of the gastric mucosa, is being actively discussed, in particular, the appointment of the drug rebait (rebamipide), recently registered in our country. In order to improve the evacuation-motor function of the upper gastrointestinal tract, it is also advisable to prescribe prokinetics as drugs that affect the muscle tone of the upper gastrointestinal tract. One of the drugs in this group is stored (itopride hydrochloride), which is intended for course use.
Nausea, abdominal discomfort? Pay attention to your diet. Perhaps this is the main reason for the complaints. But if the symptoms occur, again and again, see a doctor, get qualified medical care and, most importantly, correctly follow all the doctor's prescriptions. After all, any changes in drug therapy that seem insignificant to you can become dangerous to health.
Be healthy!
