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Duodenal dyskinesia: symptoms
Last reviewed: 23.04.2024
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Functional disorders of the motor activity of the duodenum are most well studied in chronic functional duodenosis. The clinical picture practically does not differ from that of chronic organic duodenosis and is characterized by a change in exacerbations and remissions. PN Napalkov (1963) distinguishes the following stages of duodenosis: compensation, subcompensation and decompensation. For the phase of exacerbation of chronic duodenosis, the following symptoms are typical: constant pain in the epigastric region, right hypochondrium, which can be strengthened after eating, a feeling of heaviness in the epigastric region, nausea, vomiting (usually with an admixture of bile). In addition, patients can make complaints about poor appetite, weight loss, constipation. Possible pronounced general symptoms of intoxication. Pain in duodenesis is often accompanied by nausea and vomiting, which is associated with stretching of the walls of the duodenum, which may be a result of a constant increase in intraduodenal pressure as a result of disruption of evacuation of contents from the gut.
Other forms of disorders of the motor function of the duodenum have no clear pathognomonic clinical picture. At the same time, developing against the background of diseases of the hepatopancreatoduodenal system, duodenal dyskinesia gives a peculiar coloration to their clinical manifestations.
In the opinion of the majority of authors, motor-evacuation disorders, particularly spasticity, muscle tone and intra-central pressure in the gastroduodenal zone, are extremely important among the factors determining the appearance of pain in peptic ulcer. In this connection, the mechanism of occurrence of characteristic ulcerative pain in the absence of ulcer disease becomes clear. The researchers found the same pain in the eruptions of the bulb of the duodenum, duodenitis, the so-called pre-ulcer state, anomalies of the duodenum, diseases of the liver, pancreas, bile ducts, esophagus, intestine, visceroptosis, ascariasis, asthenoneurotic syndrome. In the absence of a typical clinical picture in the diagnosis of duodenal dyskinesia, additional research methods are most significant.
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