Clinical manifestations, diagnosis and treatment of chronic duodenitis

Clinical manifestations, diagnosis and treatment of chronic duodenitis

Symptoms of erosive duodenitis in adults, treatment

Duodenitis is an inflammatory disease of the duodenum. Most often, the pathology is combined with other diseases of the gastrointestinal tract. Among the main symptoms of erosive duodenitis in adults are pain in the navel area on an empty stomach, nausea, spasm-like pains, a feeling of heaviness in the stomach. With erosions of the mucous membrane of the upper parts of the duodenum, the patient will complain of sour belching, heartburn and nausea, vomiting.

Causes and risk factors:

  • irrational nutrition, predominance of sour, fried and spicy food in the diet;
  • harmful habits and abuse of coffee;
  • chronic stress and fatigue;
  • diseases of the gastrointestinal tract;
  • presence of chronic diseases;
  • taking some medicines.

The causes of secondary duodenitis in children are most often gastritis, liver and gall bladder diseases, pancreatitis and diverticulosis. Duodenostasis plays an important role in the development of secondary duodenitis.

What is catarrhal duodenitis

According to the clinic, acute (catarrhal, phlegmonous, ulcerative) and chronic duodenitis are distinguished. The latter can be primary and secondary. Primary develops against the background of improper nutrition, smoking and alcohol abuse. Secondary causes are diseases of the stomach, liver and gall bladder.

Clinical classification:

  • chronic acidopeptic bulbitis, which develops against the background of chronic gastritis;
  • chronic duodenitis with enteritis;
  • duodenitis on the background of insufficient mobility of the DPC;
  • local duodenitis.

You can learn more about catarrhal duodenitis on our website Dobrobut.com. An appointment with a specialist is available 24 hours a day.

Pronounced atrophic duodenitis

Atrophic duodenitis is a lesion of the mucous membrane in the upper part of the duodenum, characterized by a disorder of the secretory function and dystrophy of the mucous membrane. The clinical manifestations of pronounced atrophic duodenitis are non-specific and quite often the disease is disguised as other pathologies. The disease is treated on an outpatient basis, except for severe cases. The basis of therapy is the elimination of the cause of inflammation and dietary nutrition. Treatment is provided by a gastroenterologist.

Main symptoms of the disease

In the acute form, the patient complains of general weakness, nausea, vomiting, pronounced pain in the stomach, severe night pains.

Symptoms of chronic duodenitis of the duodenum are more smoothed. Most often, the patient is bothered by:

  • heartburn, belching;
  • decrease in appetite;
  • headache, irritability;
  • feeling of distension in the stomach region;
  • aching pain.

For duodenitis against the background of intestinal diseases, intestinal manifestations are characteristic - liquid stools, flatulence, pain in the intestines. If the pathology developed as a result of duodenostasis, the patient will complain of severe pain in the right hypochondrium, grumbling in the stomach and bitterness in the mouth.

Duodenitis of the duodenum - diagnosis

After collecting the anamnesis and examining the patient, the doctor will prescribe a number of additional examinations: esophagogastroduodenoscopy (EGD), ultrasound examination of abdominal organs, examination of gastric juice (composition and acidity), co-program, general blood analysis and biochemistry, X-ray and duodenoscopy. If oncology is suspected, a special examination will be prescribed.

After receiving the results, the doctor will tell you how to treat an exacerbation of duodenitis, and prescribe a diet that must be followed for a month. In the future, the diet can be gradually expanded. Food for superficial duodenitis should be gentle on the gastrointestinal tract, but useful for the body.

Treatment of chronic duodenitis

Medical therapy consists of several stages - removal of the inflammatory process, normalization of digestion, restoration of the function of the duodenum.

Drug treatment of chronic duodenitis:

  • spasmodics;
  • antacid preparations;
  • enveloping means;
  • drugs to increase motility;
  • antibiotics.
Physiotherapy (electrophoresis, microwave therapy) will be an effective addition to drugs for the treatment of focal duodenitis.

Diet menu for acute duodenitis. With duodenitis, the patient is prescribed diet No. 1, which excludes products that irritate the mucous membrane of the duodenum and stomach. During the recovery period, the patient is transferred to diet No. 5 or No. 4.

What dishes are recommended for consumption:

  • low-fat varieties of fish and meat;
  • puréed soups;
  • dairy products;
  • stewed vegetables, baked fruits;
  • rusks, stale bread.

Prevention of duodenitis

Preventive measures are quite simple: rational nutrition (eating 4 times a day), giving up bad habits, timely treatment of chronic diseases and a professional examination once every six months.

Related services:
Gastroenterologist consultation
Videogastroduodenoscopy

Updated: 03.04.2025
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Doctors who advise on this issue:
16experience (y.)
Mykhailiuk Khrystyna Zenoviivna
Mykhailiuk Khrystyna Zenoviivna
Pediatric gastroenterologist
23experience (y.)
Ivanova Oksana Borysivna
Ivanova Oksana Borysivna
Gastroenterologist
25experience (y.)
Kubichka Olena Anatoliivna
Kubichka Olena Anatoliivna
Gastroenterologist
21experience (y.)
Burbaieva Svitlana Anatoliivna
Burbaieva Svitlana Anatoliivna
Gastroenterologist
22experience (y.)
Mykhalchuk Olena Ivanivna
Mykhalchuk Olena Ivanivna
Gastroenterologist; Ultrasound doctor
31experience (y.)
Zubrytskyi Oleh Stepanovych
Zubrytskyi Oleh Stepanovych
Gastroenterologist; Ultrasound doctor

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