Medical expert of the article
New publications
Chronic duodenitis
Last reviewed: 23.04.2024
All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
"Duodenitis" refers to the inflammation of the surface layer of the wall of the duodenum. Many people have duodenitis, which begins suddenly and lasts a short time. Doctors call this "acute gastritis." Other people have duodenitis, which lasts many months or years. Doctors call this "chronic duodenitis."
[Why does duodenitis occur, and what causes it?
In fact, the causes of duodenitis are not so many. If you know them, you can safely assume that you will never have a gastritis. The reasons are as follows:
- not regular meals (not at the time, long-term hunger);
- frequent consumption of fatty, fried, spicy, fast food;
- smoking more than 15-20 cigarettes a day (especially strong cigarettes);
- the use of strong alcohol (especially in shock doses);
- taking medicine without prescribing a doctor (antipyretic, analgesic, and others);
- but most often duodenitis is caused by chronic stress or a strong emotional shock.
Where does it hurt?
What do need to examine?
What tests are needed?
Who to contact?
What foods should not be taken with duodenitis?
The food itself - it should be easier for digestion, both in quality and in the way it is cooked. Do not eat foods that increase and provoke inflammation in the duodenum. It is necessary to exclude the consumption or consumption of a large number of animal fats, spicy foods, carbonated drinks. It is also necessary to exclude methods of cooking, such as fried, smoked, pickled.
What foods are useful for duodenitis?
Unfortunately, with the help of food it is impossible to cure inflammation of the duodenum, you can only do no harm. Therefore, it is important to exclude a number of products in duodenitis. ALL other products can be eaten.
What should be the diet with duodenitis?
Unfortunately, with duodenitis, normal perception of hunger can be disturbed. Therefore, some people have a constant feeling of hunger and a strong appetite, while the other part, on the contrary, does not have a feeling of hunger in general. In this situation it is better to organize meals by the hour. You should not allow time intervals when you want to eat, but for some reason does not work.
When the duodenum is duodenitis edematic, inflamed, painful, it requires a reduction in exercise. Take food in small portions 4-5 times a day, thoroughly chewing food.
Therefore, in the treatment of such diseases, several factors are actually taken into account. Time - in no case can not starve, for a long time to leave the stomach without food. The quantity - portions must be unambiguously less than with the usual power system.
How to treat duodenitis?
Treatment depends on the cause of duodenitis and the state of the duodenum at a given time. Very important in the treatment is the use of effective modern drugs. This allows you to quickly restore the condition of the duodenum and prevent inflammation from becoming chronic. This is why it is not recommended to use alternative agents for treatment. The latest scientific data indicate the ineffectiveness of physiotherapy in the treatment of duodenitis. It will be best to see a doctor, so that he can prescribe the modern drugs.
Why is treatment not effective and why does the disease become chronic?
Quite often, inflammation in the duodenum arises from the aggressive action of bile as a result of changes in bile ducts. The contents of the stomach are acidic, bile has an alkaline reaction. As a result of the interaction of acid and bile, damage occurs and duodenitis may exacerbate. Determine the influence of bile is difficult, for this you need a survey.
In such a situation, the use of traditional drugs to reduce inflammation in the duodenum or reduce the amount of acid is not effective. In the presence of casting of bile, it is necessary to take medications ursodeoxycholic acid, for example Ursosan, to normalize the composition of the bile and the functioning of the bile ducts, if there is bile influence on inflammation in the duodenum or there are diseases of the bile ducts.
After the inflammation in the duodenum has subsided, it is necessary to take drugs that restore the normal regime of organ contractions, for example, Itomed. With severe inflammation, even the stomach can contract in the opposite direction, I throw acidic contents into the esophagus, and in this situation, helps Itomed.
One of the frequent causes of the inflammatory process in the duodenum, as well as its re-emergence is the effect of stress, chronic emotional stress, dysfunction of the autonomic nervous system. In such a situation, treatment with alternative means, physiotherapy in general will not be effective. Medicinal treatment of chronic duodenitis will have an effect that will allow at this time to restore the mucosa of the duodenum. However, the main effect on the violations of a functional nature will be provided only by Itomed, which will neutralize the arising changes in the tone and motility of the duodenum.
More information of the treatment
Drugs
How to prevent duodenitis?
As is known, prevention is the most reliable pledge of health. Any disease, including gastritis, is easier to prevent than treat. Here is a simple set of rules, the observance of which will help to preserve the health of the stomach for many years.
High-grade food. Food should contain a sufficient number of proteins, fats and carbohydrates, as well as vitamins, trace elements and liquid. It provokes the development of gastritis frequent consumption of food or consumption of a large number of animal fats, spicy foods (spices, seasonings, spices, flavor enhancers), carbonated drinks (cola, beer, champagne, carbonated water, including mineral). You should also limit cooking methods, such as fried, smoked, pickled.
The diet should be regular. When you feel hungry, you need food. You should not allow time intervals when you want to eat, but for some reason does not work. Do not lie or exercise for 2 hours after eating.
Smoking and alcohol also provoke the development of inflammation in the stomach.
Caution when taking medications, since some medicines have side effects on the gastrointestinal tract. Before taking medication you need to consult a doctor.
Attentive attitude to stress, anxiety, mood. Stress in the broadest sense of the word provokes rather quickly the development of lesions of the gastrointestinal tract.
Timely call to the doctor in case of digestive disorders or the appearance of symptoms of chronic duodenitis.
Author: Sergey Sergeevich Vyalov, gastroenterologist-hepatologist, Candidate of Medical Sciences.