Duodenitis - a fairly common inflammatory disease of the duodenum, which inflames its mucous membrane, followed by erosion and possible atrophy. This disease is predominantly affected by men. Duodenitis is divided into chronic and acute. , язва двенадцатиперстной кишки, уремия и лямблиоз; Chronic duodenitis often develops due to such diseases as: gastric ulcer, chronic pancreatitis, chronic gastritis , duodenal ulcer, uremia and giardiasis; and is atrophic, superficial, hyperplastic and interstitial. Acute duodenitis often accompanies inflammatory processes in the intestine and stomach: gastroenterocolitis, gastroenteritis; and is phlegmonous, erosive - ulcerative and catarrhal
Causes of duodenitis
The main causes of this disease include:
- Poisoning by toxic substances
- Infectious food poisoning
- Abuse of spicy food
- Alcohol abuse and smoking
- In case of mechanical damage by foreign bodies of the mucosa
The risk factors for the development of chronic duodenitis include endocrine and nerve dysfunction, in conjunction with infectious lesions
Symptoms of duodenitis
There are characteristic pains in the epigastric region (pain increases during palpation), appetite decreases, there is increased weakness, nausea and vomiting. After eating, the patient experiences a feeling of heaviness and bursting in the upper abdomen. Severe forms of chronic duodenitis can be accompanied by intestinal bleeding, and the acute form can serve as an impetus to the development of perforation of the intestinal wall and acute pancreatitis.
To establish a definitive diagnosis, duodeno-fibroscopy is carried out, and, if necessary, biopsy of the duodenal mucosa
To achieve maximum effectiveness in the treatment of this disease in the first place, strict adherence to the strictest diet is necessary. In the first one - two days attributed bed rest, complete hunger, periodic gastric lavage with a weak solution of potassium permanganate. In the following days, diet No. 1, and then No. 1a, as well as enveloping and astringent agents are attributed. Cholinolytic and antispasmodic drugs are prescribed to eliminate pain manifestations. In those cases when duodenitis is caused by other diseases of the gastrointestinal tract, treatment of the underlying disease is necessarily carried out.
Patients with chronic duodenitis must be kept under medical supervision for the rest of their life and should undergo anti-relapse treatment.
With the appropriate qualitative treatment, the prognosis is quite favorable. For the prevention of duodenitis, regular, nutritious meals, refusal of smoking and alcohol, as well as timely treatment of diseases, which may lead to secondary duodenitis, are necessary.