Acute duodenitis is an inflammatory process in the mucosa of the DPC, it occurs extremely infrequently( only 6% of all cases), because, as a rule, this illness manifests itself in a chronic form. In other cases, the disease occurs in parallel with gastritis.
As a rule, the acute form of duodenitis proceeds against the background of already established inflammatory currents of the stomach or intestine. Also, this disease can be caused by food toxins, less often from irritating food or drink. It manifests itself in completely different ways. The disease is characterized by soreness in the region of the stomach, as well as nausea and vomiting( signs of gastritis).In addition, more often this affliction affects the male.
Causes of acute duodenitis
The disease manifests itself subsequently irritable food( toxic products, spices, alcoholic beverages).In addition, the acute form of duodenitis appears as one of the complications of poisoning with toxic infections, toxic chemical compounds. It can also occur due to mechanical damage to the mucosa of the DPC.Complications can be expressed by perforations or bleeding of the intestine.
Classification of the disease depends on the degree of inflammation. Distinguish catarrhal, erosive-ulcerative and phlegmonous form of acute duodenitis.
Symptoms of acute duodenitis
The main symptoms of exacerbation of duodenitis are pain sensations similar to gastritis in the epigastric region. These manifestations occur soon after eating( especially when the norm is exceeded).In addition, the manifestation of pain is intense, and not stopped.
Also among the symptoms, as well as with gastritis, there are abundant salivation and constant nausea. It is quite possible manifestations of regular vomiting. The general condition of the body is weakened, the patient has no appetite. Also, patients complain of headaches and hypotension, sometimes a fever.
Duodenofibroscopy is used as a diagnosis. When exacerbation, as a rule, manifestations of pronounced changes from the inflammatory process are diagnosed on the mucosa of the DPC.However, with a phlegmonous form, this study is prohibited. With this form, although it is extremely rare, there is a sharp deterioration in the general condition of the patient, as well as an excessive strain of the muscular tissue of the anterior abdominal wall in the epigastric region. Also phlegmonous acute duodenitis is characterized by fever, an increase in the level of ESR and a positive reaction to the Shchetkin-Blumberg symptom.
At the general or common analysis of a blood during an exacerbation mark the increased quantity of leucocytes, and also speed of a settlement of erythrocytes.
Methods of treatment of acute form of duodenitis
It is surprisingly inexplicable that the acute catarrhal and erosive-ulcerative form of duodenitis, as a rule, ends in self-healing without treatment in just a few days. It is better to stay fast, of course. However, with recurrences, the disease can develop into a chronic stage. In addition, there are also complications, such as intestinal bleeding, perforation of the wall of the DPC, the development of pancreatitis.
During an exacerbation of duodenitis, fasting is shown in the first two days, and bed rest. At the same time, it is preferable to do gastric lavage and intestinal cleaning. The next days gastroenterologists recommended diet table number 1( as with gastritis), and the adoption of drug-based enveloping agents. After this, there is an almost instantaneous relief of symptoms. A few weeks later, complete recovery may begin. However, when exacerbations need to return to a more strict dietary table( the same as with gastritis).In case of severe pain, spasmolytic drugs and anticholinergic agents are also indicated.
In its turn, the phlegmonous form of duodenitis implies surgical treatment, which is combined with antibiotic treatment. However, as a rule, specialists can not predict a quick and full recovery.
The main pharmaceuticals used to treat the acute form of duodenitis are platyphylline, papaverine, phosphalugel and vicalin. However, when using them, there are some contraindications. In this regard, they can be used only by the appointment of a gastroenterologist after complete examination and accurate diagnosis of the form of the disease.