Focal erosive duodenitis, a more accurate name for erosive ulcer duodenitis, manifests itself both in the form of an acute course of the disease and in a chronic form. This disease has a similarity with antral gastritis, but in addition to the location of the localization there are also differences in symptoms, more accurately you can see in the photo of X-rays. The disease implies a strict diet!
A distinctive feature of erosive duodenitis is the display of characteristic changes( represented by small streaks, cracks and ulcers) on the mucosa of the duodenum on fibrogastroduodenoscopy. These surface changes are similar to changes in the gastric mucosa in erosive antral gastritis. In the photo, after the procedure, you can see that these foci of various forms are located, either individually or in groups, against the general background of puffiness, as well as hyperemia of the mucous membrane of the duodenum.
What causes erosive duodenitis?
Common causes of erosive duodenitis are similar to the causes of erosive antral gastritis. Its occurrence is facilitated by poisoning with substances of chemical origin: alcohol, technical liquids or acids. Also, the emergence of an acute form of the disease due to heavy alcohol intoxication, eating spoiled food, especially fatty or smoked canned food.
If the erosive stage of the disease arose against a background of chronic duodenitis, this could be caused by an untreated superficial gastritis, as well as non-compliance with a gastroenterologist-prescribed diet. With each exacerbation, the form and severity of the inflammation becomes more serious. In chronic development of this form of duodenitis, in addition to the duodenum, the disease also covers the pancreas, liver, and also the gallbladder. In most cases, it is regarded as gastroduodenitis, that is, duodenitis, which is accompanied by gastritis. This is due to the fact that changes occur not only in the intestines, but also in the stomach.
The chronic course of erosive duodenitis also occurs due to the infection of Helicobacter pylori with the bacterium( the main cause of inflammation of the stomach and ulcer), lamblia, or helminths. This is taken into account by specialists also in the appointment of the necessary treatment and diet.
Manifestations of erosive duodenitis
Independently you can only put yourself a preliminary diagnosis, which the specialist must confirm. Although the preliminary diagnosis is also preliminary before the diagnosis and the receipt of all photos( ultrasound, x-ray), regarding the verification of all data regarding the clinical picture and the history.
Symptoms of erosive duodenitis are very different from other forms of the disease. First, the nature of the pain is more pronounced and resembles contractions. Attacks of pain excruciate the patient regularly, regardless of the use of food or liquids. And the pains are characterized by a constant transition from a noisy character to an acute one. In more rare cases, pain can resemble pain in the ulcer of the stomach or intestines.
Constant nausea and vomiting, do not contribute to relief. Often vomit, as with antral gastritis, contain a small amount of blood. This is due to the internal flow of blood from the wound. These symptoms significantly affect the diet, which is prescribed by a doctor!
Symptom of focal erosive duodenitis is a constant bloating. Patients also regularly feel a feeling of "overcrowding in the abdomen," even in the absence of eating. Patients also suffer from stool disorders and rumbling in the abdomen.
How to treat acute and chronic erosive duodenitis?
Treatment of focal erosive intestinal disease is similar to treatment of antral gastritis and peptic ulcer disease. In the early days of exacerbation of the chronic focal form of the disease, the patient is recommended a bed rest.
And the patient should be in a state of mental peace. In addition, smoking during illness is categorically contraindicated. Perhaps the parallel use of folk remedies with the permission of the doctor.
It also prohibits the use during the treatment of erosive duodenitis gastric lavage, and the use of a warm warmer for the abdominal cavity. This is due to the fact that these procedures can cause perforation or the occurrence of internal bleeding.
At the beginning of treatment, diet No. 1 is prescribed, as in gastritis, and after a week it is replaced by table number 5.Observe the diet should be strictly especially in the first week. The diet is gradually enlarged with the addition of steam steaks, meatballs and omelets, then boiled vegetables in puree, abolishing the mashed cereals and the possibility of adding oil to them. Fruits can be consumed only in baked form or as a jelly. In order to cure duodenitis, one has to get used to such diets for a long time and constantly observe them. Only if they are observed, one can count on a successful recovery.
Pharmacological agents appoint a gastroenterologist, taking into account the manifestations of symptoms. However, a mandatory course of antibiotic treatment, as well as pain relievers orally or intramuscularly. It is simply necessary to take medications that have an enveloping effect and drugs that contribute to the healing of the damaged mucosa. Also recommended drugs that strengthen immunity.
The aim of this treatment, as with erosive antral gastritis, is to remove symptoms, prevent the transition of an existing disease to a chronic form, stop bleeding in the stomach and intestines, and prevent perforation of the intestinal wall.
How to treat erosive duodenitis with folk remedies?
Treatment of any of the forms of erosive duodenitis with the help of folk remedies is successfully combined with the methods of traditional medicine. It is necessary to know that folk remedies contribute to the recovery of the patient only under the condition of an exactly established diagnosis. In this regard, at the first manifestations of the symptoms of the gastrointestinal tract, one should consult a gastroenterologist in order to accurately say this inflammation of the duodenal mucosa or gastritis, and also in what form and stage. After that, the patient fully agrees with the doctor, including folk remedies and diet.
In the treatment of erosive duodenitis, an excellent remedy is the decoction of St. John's wort. You need to eat it three times a day for half an hour before eating 70 ml, if it does not contradict the diet.
With erosive duodenitis plantain is indispensable. Take 10 ml of the juice of the plant and 10 g of honey( if the doctor permits), mix and take three times a day before meals.
When treating the symptoms of erosive duodenitis, as well as gastritis, folk remedies may use oats and nettles. The broth of nettle is taken throughout the day, like tea. The leaves are crushed and added to a decoction of oats. Take this mixture three times a day for 100 ml before meals( or depending on the diet and the number of recommended meals).