Duodenitis treatment effective methods. Duodenitis: treatment. Chronic pancreatitis: causes, symptoms, treatment

Gastritis is characterized by inflammation of the stomach lining. His treatment implies adherence to a strict diet, including refusal of alcoholic and carbonated drinks, spicy, fried, smoked foods. In addition, doctors recommend drinking mineral water. The brand is selected depending on the level of gastric acid secretion. The choice of nutritional recommendations should be based on the type of production of hydrochloric acid, neglect of the erosive state.

Treatment of gastritis can be supplemented by taking mineral water

Mainly mineral water for inflammation of the stomach is used to normalize the level of acid secretion, namely its lowering. The composition contains salts, minerals, based on this, it has useful properties... Thanks to this, the functioning of the organs of the digestive tract, kidneys, bile ducts, and liver is stabilized. Water can be prescribed for duodenitis, chronic hepatitis.

It also contains substances that are few in the composition of food for daily use. Namely bicarbonates (bicarbonate salts), sulfates, magnesium, iron.

Mineral water is effective in the prevention and treatment of gastritis. When a burning sensation appears in the projection of the esophagus and stomach against the background of increased acidity, they buy brands of the product that bind the secret and help reduce the amount of its secretion. They contain enough metals and hydrocarbons to be beneficial.

Water is used for the prevention of gastrointestinal diseases

Hydrogen ions are involved in the production of gastric secretions. Bicarbonate salts, getting inside the body, reduce their amount. As a result, hydrochloric acid becomes less, the symptoms of the disease disappear, the previous appetite is restored, inflammation of the mucous membranes of the esophagus and stomach is relieved.

If a mineral water use regularly, the body's defenses will increase, food will begin to be well absorbed, which will lead to normal bowel function, and against this background, the patient's condition will improve.

Views

Real mineral water is ordinary rain water, which, falling on the ground, was absorbed and seeped through different rocks, accumulating trace elements and carbon dioxide on the way.

There are 3 main types of mineral water

Therefore, depending on the mineral content, it is divided into 3 main types:

1. Dining room. An edible liquid with low mineralization, which is practically not perceptible to taste. For 1 liter - no more than 1 g of substances.
2. Medical dining room. Contains biologically active components, namely iodine, flint, boron, iron, arsenic in a ratio of 10 g per 1 liter. Representatives: Borjomi, Essentuki No. 4, Narzan.
3. Therapeutic. Has a high mineralization - over 10 g per 1 liter. It contains iron, iodine, fluorine, bromine, hydrogen sulfide. Trade marks: Donat, Essentuki No. 17.

And also mineral water is divided into:

• natural - is extracted directly from the deposits;

Especially useful water of natural origin

• artificial - made by adding pure neutral and slightly alkaline salts. It is made of the same composition as natural.

A lemon or honey drink is also used. To prepare it, additional ingredients are simply added to the water. It is believed that they are useful in themselves, and in combination with water will bring even more benefits to the body, but it is better to ask your doctor about this.

Treatment of hyperacid gastritis with mineral water

For gastritis with high acidity, buy mineral water with alkaline properties.

Representatives are the following brands:

• "Zbruchanskaya". Contains salts of chlorine, sodium, magnesium, calcium, potassium, iron ions, bicarbonates. In the hyperacid form, the drink is drunk daily, regardless of the stage of the disease. Can be used for prevention.

Mineral water should be selected depending on the acidity level

• "Mirgorodskaya". Soda contains sodium chloride. It is used daily, helps with metabolic disorders, liver and gallbladder pathologies. Patients with edema or hypertension should drink it with caution.
• Luzhanskaya. It is recommended for people who are obese or those who want but cannot quit smoking. Drinks for pathologies of the digestive tract, including gastritis and stomach ulcers, duodenum... With a reduced secretion, drinking this brand is prohibited.
• "Polyana Kvasova". Contains hydrocarbons, it is prescribed for the hyperacid form of gastritis, peptic ulcer disease, pancreatitis, cholecystitis.
• Bukovinskaya. You can drink it not only with an increase in acid production, but also in everyday life. Helps in the treatment of flatulence, ulcerative formations. In case of violations of the heart, it is not recommended to use it.

• "Essentuki". Contains minerals, vitamins. It is used for pathologies of the gastrointestinal tract, with increased acid production, duodenitis, reflux esophagitis. Water helps to flush out unnecessary mucus, liquid from the stomach, normalize the digestive process, eliminate inflammation, remove various substances and toxins.
• Borjomi. The alkaline product contains sodium carbonate. Buy for gastrointestinal pathologies, including hyperacid gastritis. Thanks to this brand, enzymes are produced inside the stomach that normalize digestion. After the use of "Borjomi" with gastritis with high acidity, the symptoms disappear and there is a general improvement in well-being.

Treatment with mineral waters of hypoacid gastritis

If inflammation is accompanied by a decrease in acid production, it is advised to take cold mineral water for 30 minutes on an empty stomach.

Essentuki-4 is prescribed to patients with low acidity

• "Essentuki No. 4".
• "Mirgorodskaya".
• "Feodosia".
• Izhevskaya.

Treatment of hypoacid gastritis is best done in sanatoriums. These spas specialize in water therapy. This will be more effective due to the fact that the drink is obtained from a natural source. One of them is Karlovy Vary.

Tyumenskaya water helps to normalize the acidity level in the stomach

Water is taken in the atrophic form of the disease. It not only promotes the active work of the stomach, but also restores the mucous membrane. Intestinal functions are stimulated, digestion is improved.

Treatment of children and pregnant women

Therapy of inflammation of the mucous membrane in a child is carried out with the appointment of mineral water without a gas of appropriate acidity. Depending on the baby's body weight, daily rate calculated taking into account 3 ml per 1 kg of weight. Only a doctor can say whether it is possible to drink carbonated water for children under 3 years of age with gastritis.

If pathology occurs during pregnancy, treatment is prescribed exclusively by a specialist. It is necessary to take into account all the nuances, in particular:

• the presence of edema;

Drink water with caution during pregnancy.

• increased blood pressure;
• flatulence;
• the formation of stones in the liver, kidneys, etc.

It is forbidden to use mineral waters on your own. They can only be resolved by a doctor, taking into account all the nuances.

A drink is contraindicated for women in such cases:

• scars on the uterus;
• moderate to severe swelling;

Edema is a direct contraindication for taking mineral water

• the threat of termination of pregnancy;
• toxicosis in the later stages;
• bleeding;
• the location of the placenta in the lower part of the uterus.

Contraindications

There are states in which mineral waters are prohibited, these are:

• Violation of blood circulation, various pathologies of the CVS, acute inflammation of the kidneys, intestinal diseases, including diarrhea and nausea.

Do not drink mineral water in case of acute inflammation of the kidneys

• It is forbidden to combine mineral water with alcoholic beverages or the next morning after them. This is fraught with the development of irreversible structural changes in the gastrointestinal tract.
• With bleeding, mineral water is prohibited to drink.
• The consumption of carbonated liquid in large volumes can lead to a violation of the enamel of the teeth, the appearance of stones in the gallbladder and its ducts, kidneys.

Mineral water can be harmful to a healthy body, provided it is consumed uncontrollably. Gases that enter the gastrointestinal tract affect active substances and inhibit or accelerate metabolic processes. Due to chemical reactions carbonic acid is formed, which causes the stomach to digest itself. Belching appears, and together with the gas, hydrochloric acid enters the esophagus, which provokes not only the appearance of heartburn, but also various diseases.

Chilled carbonated mineral water, if consumed regularly in large quantities, will be harmful to health. Therefore, you need to drink it in moderation, after consulting a doctor.

Drinking soda can cause belching

It is forbidden to drink any mineral water for gastritis on your own. When making the right choice, a number of important factors are taken into account. If this is not done, then a huge amount of salts and other elements in mineral water can lead to an exacerbation of pathology.

Therefore, before choosing a brand, the doctor prescribes a number of laboratory and diagnostic studies that will help in this matter.

How to drink mineral water for gastritis, will introduce the video:

The digestive system is a very complex mechanism, the work of which depends on many factors. Almost everyone has encountered any gastrointestinal diseases. Very often various parts of the intestine are affected, especially the duodenum. The most common violation in her work is duodenitis. After the diagnosis is made, the doctor prescribes a set of procedures for the treatment of this pathology.

Description of the disease

The duodenum (Duodenum) is the initial section of the small intestine. Its length is approximately 25 centimeters. The common bile duct and the main pancreatic duct opens into the intestinal lumen. In this place, a special papilla is formed, which, with the help of the sphincter, regulates the flow of bile and secretions.

KDP performs very important functions:

1. Alkalization of gastric juice. When leaving the stomach, food is extremely acidic, and in the duodenum it becomes alkaline and does not irritate the subsequent parts of the intestine.
2. Analysis of food intake and regulation of the secretion of the necessary digestive enzymes, bile and pancreatic juice.
3. Implementation of reflex opening and closing of the pylorus of the stomach (responsible for the flow of food into the small intestine).

The walls of the intestine have a special structure, as it must withstand the influence of acid, bile and digestive enzymes. The cells have a very thick membrane that is resistant to external influences. In deeper layers, there are Brunner's glands, which secrete a large amount of mucous secretion that neutralizes the effect of aggressive reagents.

Various inflammatory processes can develop in any part of the gastrointestinal tract, but most often the duodenum is affected, since it is located between the stomach and the small intestine - it can be exposed to harmful substances and infections from both sides at once. This is how duodenitis develops.

This disease can develop in all age groups, including children. Many people have experienced various unpleasant symptoms because of him. Most often, duodenitis occurs in men due to bad habits and non-compliance with a healthy lifestyle. The cause of the disease can be:

• intestinal atony;
• poisoning;
• food with irritating mucous products;
• foreign bodies;
• ulcers;
• hepatitis.

Also, frequent stress and taking certain medications affect the work of the entire gastrointestinal tract.

Video: about duodenitis in Elena Malysheva's program "It's great to live!"

Classification

Depending on the form of the course, two types of duodenitis are distinguished:

1. Acute. It has a very fast onset and pronounced symptoms. Inflammation of the mucous membrane occurs and ulcers, erosion and phlegmon can form. This type, with the right approach, can be cured within a few weeks. Repeated attacks almost always lead to chronicity of the process. This occurs in about 90% of patients with recurrent duodenitis (catarrhal, erosive-ulcerative, phlegmonous). The acute stage lasts for about a month. In the process, patients often complain of acute pain in the upper abdomen, in the hypochondrium. Sometimes the disease is accompanied by fever and even vomiting of bile.
2. Chronic. the most difficult to treat, requires a strict diet and long-term drug treatment. The disease is very long lasting and has mild symptoms. It can occur as a separate disease, or become a consequence of concomitant pathologies. There is a risk of developing deep ulcerative lesions and degeneration of the upper layers of the intestine.

According to the prevalence of the inflammatory process, duodenitis can be local, in which a certain part of the intestine is affected, or diffuse (widespread). Local can be proximal (bulbitis), distal (postbulbar) and inflamed papilla (papillitis).

There is a classification according to the severity of mucosal lesions:

• superficial, affecting the uppermost intestinal tissues, accompanied by edema and hyperemia;
• atrophic, leading to thinning or complete absence of the mucous membrane;
• interstitial, in which the inflammatory process penetrates into the deeper layers of tissues;
• erosive (accompanied by the formation of ulcerative lesions).

There are also special forms of specific duodenitis: tuberculous, fungal, immunodeficient, with Whipple's disease, Crohn's disease, etc.

If you experience symptoms of a disease of the gastrointestinal tract, you should contact a gastroenterologist. In most cases, treatment can be done at home. The therapy regimen depends on the severity of the inflammatory process and concomitant diseases.

Hospitalization is prescribed for such indications as:

• severe exacerbation of duodenitis;
• suspicion of tumor diseases;
• severe stages of the disease requiring emergency treatment;
• periduodenitis;
• internal bleeding of the gastrointestinal tract.

It is extremely important for the patient to create a calm environment and eliminate stressful effects on the psyche. You also need to observe a sleep regimen, fully rest, take walks in the fresh air. It is worth giving up all bad habits, not only during treatment, but also after recovery.

Drug therapy

Depending on the cause of duodenitis, the doctor prescribes drugs from the following list:

Mezim is an enzyme preparation that promotes the digestion process Papaverine has a pronounced antispasmodic Ranitidine is an antiulcer drug that blocks H2-histamine receptors
Omeprazole is a drug that inhibits gastric acid secretion Maalox is an antacid drug for the treatment of diseases of the gastrointestinal tract Clarithromycin is a semi-synthetic antibacterial agent used to treat infectious and inflammatory diseases
Itomed is a drug that has an antiemetic and stimulating effect on the gastrointestinal tract Flagil has antiprotozoal and antibacterial effects

During pregnancy, the doctor prescribes medications only in cases where the benefits to the mother outweigh the potential health risks to the baby. The above means may be prescribed after examination and the decision of a specialist. Mostly they try to limit themselves to a diet.

Children, like adults, can be prescribed medicines in appropriate dosages.

Surgical intervention

Surgical measures are prescribed for severe intestinal blockages, violation of its patency. This can be due to adhesions, mechanical barriers, functional obstruction. Also, operations are prescribed for bleeding and perforation of the walls of the duodenum.

1. With spasms of the sphincter of the bile duct, an operation called papillosphincterotomy is prescribed. It is performed using an endoscope. The surgeon makes small incisions in the sphincter, which helps reduce congestion and bile outflow.
2. In the case of the formation of adhesions, they are excised, which makes it possible to improve intestinal permeability and normalize its work.
3. If intestinal atony has not been eliminated with medication, then the surgeon performs an operation to create intestinal anostamosis. This is a very serious procedure in which a part of an inoperative organ can be removed and connected to adjacent parts of the intestine. Thus, food begins to flow into the lower parts of the digestive system, bypassing the atrophied area.
4. If there is an additional loop that leads to increased mobility of the organ, it is fixed to the mesentery.

How to properly treat duodenitis with a diet

Proper nutrition is the mainstay of treatment for duodenitis. With its help, you can lower the acidity of gastric juice, reduce inflammation, and accelerate tissue regeneration. Strict diet in the first five days after the onset of the disease. All products that can irritate the mucous membrane, are poorly digested, accelerate the secretion of gastric juice, and cause bloating are completely excluded.

At the stage of treatment, the following dishes and products are allowed:

1. Soups and low-fat broths. All ingredients must be wiped clean. You can add rice, semolina, cream. The most optimal is the consistency of cream soup, when all the ingredients are crushed to a uniform consistency.
2. Dairy products are not acidic. The use of low-fat milk, cream, yoghurts is allowed.
3. Meat and fish should initially be passed through a meat grinder. Steam cooking is the most useful. Veal, beef, rabbit and turkey are most suitable.
4. Porridge made from buckwheat, oatmeal, semolina and rice. Can be cooked in water or milk.
5. Lightly brewed tea, with the addition of milk. Also useful will be chamomile infusion, a decoction of rose hips, jelly.

Various cream soups are great for treating duodenitis

Observe the following rules for eating:

1. Eliminate complex recipes, use a small amount of ingredients.
2. All food at first should be soft, liquid consistency. Meat or fish can only be crushed if they are very soft and free of hard inclusions.
3. Dishes should not be very hot or cold. The temperature should be neutral.
4. Food intake should be according to a certain schedule, with a break of no more than four hours. Meals must be fractional, in small portions 4-6 times a day.
5. Food must be chewed thoroughly to reduce the strain on the digestive system.
6. The last meal should be taken at least one and a half hours before bedtime.
7. The period of adherence to the diet is from two weeks to several months.

Photo gallery: prohibited foods

Products that contain coarse fiber remain in the stomach for a long time and adversely affect the course of duodenitis The limitation for duodenitis includes wheat bran and fresh bread According to the treatment table No. 1, all dishes are served boiled or steamed, in rare cases baking is allowed, but without a crust In the presence of duodenitis, you need to refuse any food and drinks that irritate the mucous membrane of the stomach and duodenum During duodenitis, the patient needs a measured diet of warm, shabby or liquid food: lean baked meat, boiled potatoes, unsalted meat broth If there is a gastritis or dyodenitis, it is necessary to exclude onion, chernok, redis, since the essential oils contained in them irritate the mucus of the digestive tract. All sweets are also removed from the menu (at least for the period of exacerbations)

ethnoscience

Duodenitis treatment folk remedies possibly in combination with other medical procedures and only after consulting a doctor. They are not a substitute for medication, but they can be great additions. First of all, funds should be selected that have anti-inflammatory, soothing and regenerating properties.

Before starting phytotherapy, you should consult your doctor, as with other methods.

Herbs suppress gastric acid secretion

1. Mix equal amounts of chamomile flowers, mint leaves and oregano, you can grind them with a blender.
2. Pour 250 ml of boiling water over three tablespoons of the mixture and leave for an hour, covered with a lid.
3. Strain the resulting infusion and take it in the morning and evening.

If desired, you can drink it every time instead of tea. The minimum course of admission is two weeks.

Decoction for ulcers and erosion

Nettles and oats are considered excellent remedies for duodenitis.

Nettle is renowned for its ability to stop bleeding and is often used in various herbal preparations.

1. Take a tablespoon each of nettle leaves, yarrow, and buckthorn bark.
2. Place the mixture in a saucepan, add half a liter of water and simmer for five minutes.
3. After cooling, strain the broth.

Drink the finished product in a glass in the morning and before bedtime. The optimal course is two to three weeks.

Aloe & Oatmeal Regenerating Blend

Aloe vera drink is good for treating chronic duodenitis

Aloe is an extremely beneficial herb that can reduce inflammation, speed up the healing process of mucous membranes and serves as an antibacterial agent. It is very important to collect the juice correctly in order to extract the maximum of useful substances from it. Do not water the aloe for about three days before cutting the leaves. Wash the cut leaves, blot with a napkin and put in the refrigerator for a week. If treatment is needed very urgently, then fresh juice can be used.

1. Take aloe leaves, squeeze the juice out of them.
2. Pour three tablespoons of oatmeal with a glass of boiling water and leave for 30 minutes, and then cook for about twenty minutes.
3. Strain the porridge and use only a slimy liquid, cool.
4. Mix 50 ml of juice and the resulting oatmeal broth.

Take the finished product in 100-150 ml half an hour before meals three times a day. You can store in the refrigerator for no more than one day.

Propolis with honey

This remedy is very simple to prepare and is very common in the treatment of various types of duodenitis. Propolis with honey has an antibacterial effect and reduces the likelihood of ulceration.

1. Grind the propolis very carefully, as large particles tend to injure an already irritated area.
2. Mix honey and propolis in a 2: 1 ratio.

It should be taken in a teaspoon in the morning or evening - either before meals or two hours after.

Video: treatment of duodenitis with folk remedies

Homeopathy

There are a number of homeopathic remedies that are prescribed for duodenitis: Nux Vomica, Antimonium Krudum, Briony, Pulsatilla, Kalium bichromicum, etc. Which drug is suitable for the patient, only a homeopath can determine, since each of the remedies has its own special indications.

Possible consequences

If you do not start treatment on time, very serious consequences and complications can develop:

• intestinal obstruction, in which food ceases to fully move through the intestines and congestion is formed. Sometimes this is due to adhesions at the site of inflammation;
• ulcerative diseases. Prolonged exposure to the duodenal mucosa can lead to gradual tissue degeneration and wound formation. Internal bleeding with this complication is very dangerous;
• maldigestion syndrome, in which the absorption of nutrients is impaired. With a long course of the disease, depletion of the body, vitamin deficiency, anemia and many very dangerous conditionsthreatening the health of the body.

To prevent such an unpleasant disease as duodenitis, it is worthwhile to start monitoring your health in time. It is extremely important to adhere to a healthy lifestyle and follow all dietary rules. A proper diet and a normalized food intake helps to improve the functioning of the digestive tract and reduce the risk of various pathologies. At the first symptoms, immediately contact a specialist to avoid the formation of a chronic form of duodenitis.

Diseases of the stomach and duodenum (Duodenum) are the most common pathologies of the digestive tract. Many people suffer from duodenitis. His treatment is a rather urgent problem. Indeed, due to its anatomical location, it leads to disruption of the pancreas and gallbladder, as well as their ducts. The whole organism suffers from this.

What is duodenitis

Duodenitis is an inflammation that occurs in the initial section of the mucous membrane of the small intestine. An isolated process only of the duodenal bulb - bulbit. If the stomach is also affected, gastroduodenitis.

In the duodenum, the ducts of the pancreas and gallbladder open. Enzymes, bile and juices of the small intestine contribute to the further breakdown of food. They provide the absorption of nutrients, the movement of the food lump along the gastrointestinal tract.

The KDP functions constantly and very intensively. That is why any violations can negatively affect its work and lead to inflammation - duodenitis.

The pathological process in the duodenum leads to reactive inflammation:

• pancreas (pancreatitis);
• gallbladder (cholecystitis);
• bile ducts (cholecystocholangitis).

How to cure a disease - video

Duodenitis classification

There are two forms of inflammation of the duodenum:

1. Sharp. This pathology is manifested by soreness in the upper abdomen (epigastrium), nausea, weakness. The patient experiences acute discomfort when palpating (feeling) the abdomen. Vomiting may occur, and most often repeated. With the development of a purulent process, signs of irritation of the peritoneum appear, weakness and nausea increase. An acute process can be:
   • catarrhal (superficial lesion);
   • erosive and ulcerative;
   • phlegmonous (purulent).
2. Chronic. Clinically, this form is manifested by dull persistent pain in the epigastrium, nausea, decreased appetite, vomiting in case of violation of the diet. Patients complain of a feeling of fullness in the upper abdomen, especially after eating.

Chronic duodenitis is divided into:

With an increase in the number and size of the duodenal glands, one speaks of hyperplastic duodenitis.

Treatment

The gastroenterologist deals with the therapy of diseases of the gastrointestinal tract, including inflammation of the duodenum. If there are indications for surgical intervention, the pathology is treated by a surgeon.

Inpatient treatment is indicated in the following cases of duodenitis:

• severe pain syndrome;
• complications such as bleeding, perforation (through violation of the integrity of the intestinal wall), acute pancreatitis, peritonitis;
• difficulties in diagnosis;
• defeat throughout the intestine;
• severe concomitant diseases of the gastrointestinal tract;
• neglect of the process;
• suspicion of a malignant formation.

In all other cases, outpatient therapy is allowed under the supervision of a doctor, in compliance with all recommendations.

Treatment lasts from 1-2 months to six months. It depends on the form and severity of duodenitis.

When treating at home, the patient is given the following recommendations:

• adherence to the principles of dietary nutrition;
• normalization of sleep and rest;
• giving up bad habits (smoking, alcohol);
• avoidance of emotional and physical overload;
• refusal from junk food (chips, crackers, soda, bars);
• provision of moderate physical activity (swimming, walking).

Diet therapy

Nutritional therapy is the basis for the treatment of diseases of the gastrointestinal tract.

The main principles of the diet for inflammation of the duodenum:

1. During an exacerbation, food should be thermally and chemically gentle, wiped, puree, steamed.
2. Complete exclusion of fried, salty, spicy, smoked foods.
3. Limited to the use of pickles, marinades, sausages.
4. Products containing coarse fiber (cabbage, corn, carrots, apples, radishes) are limited.
5. Forbidden: onions, radishes, mustard, garlic, horseradish, spices, fatty and stringy meat, bacon, mushrooms, whole milk, spicy cheeses, baked goods, puff pastry products, rye bread, strong meat broths.
6. The food regime is fractional (5-6 times), in small portions. The patient should not experience severe hunger.

Prohibited Products - Gallery

Mustard must be discarded
Onions irritate the mucous membranes
Mushrooms are a prohibited product for duodenitis
The baking is contraindicated in patients with inflammation of the duodenum.
Cabbage contains coarse fiber, so the intake of the product is limited

Drug therapy

The choice of drugs depends on the nature of the inflammatory process.

For the treatment of duodenitis, use:

With an ulcer-like course:

1. Means that neutralize hydrochloric acid (antacids): Rennie, Fosfalugel, Almagel, Gastal, Gaviscon.
2. Gastroprotectors. These are drugs that have antacid, anti-Helicobacter properties and protect mucosal cells from irritation. The most commonly used drug is De-nol.
3. Proton pump inhibitors. They reduce the secretion of gastric juice. Recommended: Nolpaza, Omeprazole, Losek, Ultop.

With Helicobacter pylori infection:

• triple therapy: Ranitidine, Clarithromycin, Metronidazole;
• quadrotherapy: Omeprazole, De-nol, Metronidazole and Tetracycline.

With a cholecyst-like course:

1. Means that stimulate the production of bile: Allochol, Ursosan, Nikodin, Flamin, Hofitol.
2. Medicines that promote the separation of bile: Motilium, Motilak, Cholecystokinin.
3. Antispasmodics that relieve pain and spasm: Duspatalin, No-shpa, Dolche.
4. Enzymes such as Creon.

With severe pain syndrome, analgesics and antispasmodics are used:

• Atropine;
• Platyphyllin;
• Analgin;
• Tramal.

With duodenitis, which is accompanied by diarrhea, medications are recommended:

• Smecta;
• Enterosgel;
• Activated carbon.

Means that improve intestinal motility:

• Domperidone;
• Gastrosil;
• Cerucal.

Enzyme preparations:

• Mezim;
• Festal;
• Pancreatin.

Pre- and probiotics - for the normalization of intestinal microflora:

• Acipol;
• Bactisubtil;
• Hilak forte;

What medicines to treat ailment - gallery

Rennie neutralizes hydrochloric acid De-Nol protects the mucous membrane from irritation
Nolpaza reduces the secretion of gastric juice
Ursosan stimulates the production of bile
Motilium promotes bile secretion
No-shpa eliminates spasms
Neosmectin is used for diarrhea
Linex normalizes microflora

Physiotherapy methods

Physiotherapy is prescribed to treat inflammation of the duodenum. Such therapy allows you to eliminate pain, improve motor skills and blood supply to the mucous membrane.

To do this, apply:

1. Electric sleep. The nervous system is affected by a low-frequency current. This event promotes the restoration of damaged tissues, relieves spasms and activates metabolism.
2. Electroplated collar. Exposure to tissue with direct current. The procedure accelerates regeneration, reduces pain, activates blood circulation and nutrition of the affected areas.
3. Pearl baths. This is a procedure involving hydromassage. The event is called pearl baths because the water contains many small bubbles that visually resemble small pearls. Baths promote relaxation, relieve pain and spasms. They reduce inflammation and activate microcirculation.
4. Amplipulse therapy. The measure is based on the impact on the affected area of \u200b\u200bmodular sinusoidal currents. The procedure eliminates pain, activates blood circulation, and provides improved tissue nutrition.
5. Magneto and laser therapy. The abdomen is exposed to a laser or magnetic field. The measures effectively eliminate spasm, reduce inflammation.
6. Electrophoresis of antispasmodics. Thanks to the electric current, a deeper penetration of anesthetic substances into the tissues is achieved.
7. Paraffin and mud applications. These are effective measures that reduce inflammation, reduce the severity of pain.
8. Balneotherapy. In the treatment of inflammatory diseases of the duodenum, treatment with mineral waters is used. The following are appointed: Borjomi, Rychal - Su, Essentuki No. 4, Narzan.

With the ulcerative form of duodenitis, you need to wait until the inflammation subsides. Physiotherapy can be prescribed only during remission.

Patients suffering from chronic diseases of the digestive tract are shown annual spa treatment (Zheleznovodsk, Essentuki). It is allowed after 3 months after an exacerbation.

If you suspect a malignant transformation, physiotherapy should be completely abandoned.

Surgical intervention

Such treatment is indicated for:

• a long-term process that does not lend itself to conservative therapy;
• non-healing ulcers and erosions on the mucous membrane;
• sudden bleeding;
• acute inflammation: phlegmon and / or peritonitis;

Folk remedies

Witch doctor recipes have been used since ancient times to treat diseases of the stomach and intestines.

For this purpose, use:

1. Infusion of viburnum fruits. Raw materials (1-2 tbsp. L.) Pour a glass of boiling water. Insist 4 hours in a warm place. Drink the strained infusion 3-4 times a day, in a glass.
2. Propolis solution. Dry propolis (100 g) is poured with alcohol (70%). Insist 10 days. In this case, the container is shaken daily. The product is filtered. Drink 15 drops, diluted in milk (1 tbsp. L.) Before meals, 3 times.
3. Flax seed. Raw materials (2 tbsp. L.) Pour boiling water (0.5 l) in a thermos. Insist and filter. Drink half a glass before meals, 3 times a day.
4. Decoction of marshmallow rhizome. Pour chopped marshmallow (1 tbsp. L) into a glass of water. Cook for 1 minute. Insist half an hour. Strain the mixture. Take 1 tbsp. l. 3 times before meals.
5. White cabbage juice. Pre-chopping the cabbage leaves, carefully squeeze the juice. It is necessary to take half a glass before meals, 3 times.
6. Sea buckthorn oil. The tool is used in 1 tbsp. l. before meals, 4 times a day.
7. Honey. It is recommended to stir the bee delicacy (1 tsp) in a glass of warm water. You need to drink a glass 3 times a day.
8. Aloe juice. This remedy is taken in 1 tbsp. l. before meals, three times during the day.
9. Medicinal infusion. The centaury grass and fennel seeds (50 g each) are mixed and poured with a glass of boiling water. Insist 30 minutes. It is recommended to drink half a glass 2 times a day.

Folk remedies do not exclude, but complement drug therapy... Their admission must be agreed with the doctor. Especially if the patient is a child. Flax Seed Helps Treat Duodenitis
Sea buckthorn oil has a positive effect on the mucous membrane of the digestive tract
Aloe juice is a great remedy for duodenitis

Homeopathic remedies

Homeopathic remedies can also be used to treat gastrointestinal diseases.

For this purpose, apply:

• Natrium Sulfuricum;
• Phosphoricum;
• Gepar Sulfur;
• Antimonium Krudur.

It should be noted that there is no definite remedy for duodenitis. Therefore, drugs are selected individually for each patient on the basis of symptoms.

Features of the treatment of children and adults

In the treatment of duodenitis, it is imperative to take into account the age of the patient and his condition:

1. Children need to calculate the dosage correctly. In addition, many medications are contraindicated for the treatment of children. Therefore, self-treatment is strictly prohibited.
2. If the duodenum is damaged in a pregnant woman, it should be remembered that any drugs should be prescribed by a doctor. For example, Atropine can cause miscarriage, and Tetracycline can cause congenital malformations of the fetus. Therefore, during the period of bearing a child, you cannot self-medicate. Taking any drug or remedy traditional medicine need to be discussed with your doctor.

Duodenitis is a common bowel disease that occurs in both adults and children. The causes of pathological processes in the duodenum can be very different. The treatment of the disease is based on the observance of the principles of diet therapy, medication and physiotherapy methods of influencing the pathological focus. Only timely diagnosis and adequate therapy of duodenitis will help to avoid serious complications.

Back in the fifties of the 20th century, duodenitis was considered a variety, and many patients were often sent straight to the operating table.

But further studies have shown that duodenitis is an independent disease and can be treated without surgery. One of the main organs of the digestive system is the duodenum. The enzymes produced in it regulate the activity of the gallbladder, and stimulate intestinal motility. It contains hormones that affect the body's metabolism, cardiovascular, endocrine and nervous systems. And when a malfunction occurs in the duodenum and its mucous membrane becomes inflamed to some extent, it comes to duodenitis.

It is divided into acute and chronic. Duodenitis can begin acutely, subsequently turning into a chronic form. But it can enter the chronic course gradually. A seasonal pattern of exacerbation of duodenitis is not observed. But exacerbations of duodenitis are most often associated with malnutrition. Excessive passion for fried and spicy food, alcohol abuse, dry food lead to inflammation of the duodenal mucosa, starting with slight redness and reaching deep lesions of the muscle layer, sometimes complete atrophy. Contribute to the development of duodenitis infections in the cavity of the pharynx, mouth, gallbladder, renal failure, infection. Hereditary factors may play a role.

Duodenitis symptoms

Bitterness in the mouth, which is associated with the throwing of bile into the stomach from the intestines, and then into the esophagus; nausea, vomiting, fever, alternation of constipation and diarrhea - not the whole list of symptoms of duodenitis. Hunger pains in the right hypochondrium, arising 2 hours after eating or on an empty stomach, is the main symptom of duodenitis. They sometimes even disturb at night. At the same time, patients may complain of weakness, palpitations, excessive sweating, and dizziness. Sometimes fear appears, weight decreases, interest in life is lost.

How to correct malnutrition, which is one of the main culprits of duodenitis? The mucous membrane of the digestive tract throughout its entire length has an amazing ability to recover. Therefore, the treatment of duodenitis is recommended to begin with the normalization of nutrition - a diet, which will help the duodenum recover faster. Remember the simple diet rules for this.

In order not to overload the diseased organ, eat often, 5-6 times a day, but little by little. Dishes should be thermally processed - stewed, steamed, cooked, if baked in the oven, then without a crust. Food should not be cold, not hot, well crushed; during exacerbations of duodenitis, it is advisable to wipe it through a sieve.

Salt intake should be reduced to a minimum, provocative foods that increase the acidity of gastric juice should be excluded from the diet: fresh fruits and vegetables (tomatoes, plums, oranges, fresh cabbage), pickles, legumes, fatty fish and meat, buns, fresh bread, cakes, strong tea, coffee, all fried, spicy, pickled, smoked.

Slimy soups, lean meat (poultry, veal, rabbit), boiled cereals with butter, cottage cheese, fresh kefir, jelly, soaked croutons white bread, scrambled eggs. Drink milk according to your condition: the body accepts - drink, if not - refuse. And remember: the last meal is no later than 2 hours before bedtime.

Duodenitis treatment

It is also medicinal, and comes down to prescribing drugs to the patient that reduce the acidity of gastric juice. It is recommended to take antacids to alkalize or neutralize gastric contents. The third group of drugs in the treatment of duodenitis is prokinetics. They eliminate the reflux of bile that causes bitterness in the mouth and help to normalize intestinal motility. Many people resort to analgesics and pain relievers to relieve pain. It is not recommended to do this - they irritate the mucous membrane. Antispasmodics are much better.

Treatment of duodenitis with folk remedies

As practice shows, in combination with drug treatment and a diet for duodenitis, treatment with folk remedies gives good results.

Take a leaf of peppermint and plantain, chamomile flowers - 2 parts each, yarrow and St. John's wort - 1 each. Stir, pour a tablespoon of the collection with 0.5 liters of boiling water, leave for an hour. Strain. Take in warm form for 2-3 days every 2 hours for a quarter of a glass. Then 4 times a day, 0.5 cups 15 minutes before meals and before bedtime. Lead reception for 2 weeks. In this recipe, the herb of yarrow and St. John's wort, the plantain leaf has anti-inflammatory and antimicrobial properties, while chamomile flowers and mint leaves relieve spasms, reduce allergic reactions, and improve blood circulation. This not only heals the intestinal mucosa, but also helps to normalize the function of the endocrine system.

The next composition is for the treatment of erosive duodenitis. Pour a teaspoon of flax seeds with a glass of boiling water, leave for 20 minutes, drain. Take the entire volume on an empty stomach in small sips. Breakfast after taking - in an hour. Continue duodenitis treatment every day for a month.

Good anti-inflammatory properties have sea \u200b\u200bbuckthorn oilthat can be easily prepared at home. Wash 500 g of sea buckthorn berries, grind in a meat grinder, pour 0.5 l with refined sunflower oil. Insist for a week in a glass container in a dark place. Strain, rub the cake through a sieve and combine with oil. Reception: once a day for 1 tbsp. on an empty stomach in the morning for 2-3 weeks.

It is recommended to supplement the treatment of acute and chronic duodenitis with aloe. It is not difficult to prepare. Per liter cold water add cereals 2 tbsp Put on fire, cook for 20 minutes. Strain the broth, add 50 ml of aloe juice to it, mix. Kissel should be taken 3 times a day for 0.5 cups: the first time - on an empty stomach, the second - 30 minutes before lunch, the third - a quarter of an hour after the last meal.

Duodenitis is an inflammation of the mucous layer of the duodenum. The general prevalence of pathology among the population is 5-10%, 2 times more often the disease is found in men, which is associated with a greater adherence to addictions.

There are acute and chronic forms of the disease. Acute duodenitis often occurs with poisoning and eating spicy foods, manifests itself as inflammation of the mucous membrane, the development of erosions (a superficial defect in the epithelium that heals without scarring), less often - phlegmonous cavities filled with pus. The disease is manifested by digestive disorders, pain syndrome. If you follow the diet and doctor's prescription, you can be cured in 1-2 weeks. When Fr. duodenitis, the risk of chronicity is 90%.

Chronic duodenitis develops against the background of chronic pathology of the digestive tract (gastritis, stomach ulcers, pancreatitis), with prolonged violation of the diet. Atrophy of the mucous membrane (atrophic duodenitis) or its erosion (erosive duodenitis) gradually develops. Under the action of provoking factors, the disease worsens. Treatment is longer than in the acute form.

Structure

After the pylorus of the stomach, the 12-intestine follows. She, like a horseshoe, bends around the head of the pancreas (PZh), continuing into the jejunum. Its length is 25-30 cm. Fixation to the walls of the abdominal cavity is carried out due to connective tissue fibers. The duodenum is located in the projection of the XII thoracic - III lumbar vertebrae.

Divisions: upper (bulb or ampulla), descending, horizontal, ascending. The mucous bulb is provided with longitudinal folds, the rest of the sections are transverse. When they are reduced, the lump of food moves into the jejunum.

A large or Vater nipple opens into the duodenum cavity. It is formed by the fusion of the main duct of the pancreas and the common bile duct. The Vater papilla has a sphincter, which regulates the flow of bile and pancreatic juice into the intestine. In the area of \u200b\u200bthe outlet of the additional duct of the pancreas, there is a small nipple.

Functions

The duodenum has several functions:

1. Neutralization of acidic gastric contents. A food lump, mixed with acidic gastric juice, is neutralized in an alkaline environment. Due to this, there is no irritation of the intestinal epithelium.
2. Regulation of the formation of digestive enzymes, bile, pancreatic juice. In the duodenum, the contents are analyzed and the proper command is transmitted to the digestive glands.
3. Interaction with the stomach: the duodenum provides the opening and closing of the pylorus, the entry of a new portion of the food lump into the small intestine. This happens as the next amount of gastric contents in the duodenal cavity is neutralized.

What causes acute duodenitis

The reasons leading to the development of Fr. duodenitis:

1. Dry food, food intake that has an irritating effect on the epithelium of the digestive tract: coffee, smoked meats, fried, fatty, spicy. To process such food, an increased amount of hydrochloric acid is formed in the stomach, which reduces the protective properties of the duodenum epithelium.
2. Foodborne toxicoinfections caused by the bacterium Helicobacter pylori (which is the cause of ulcers), staphylococci, enterococci, clostridia, as well as giardiasis, helminthiasis. Pathogenic bacteria lead to the development of inflammation in the duodenal mucosa, damage to epithelial cells and their death. A large amount of fluid comes out into the intestinal lumen, which is manifested by diarrhea.
3. Diseases of the digestive system: colitis, hepatitis, cirrhosis, pancreatitis, ulcers, gastritis. Inflammation of nearby organs leads to the transition of the inflammatory process and the development of duodenitis (pancreatitis-duodenitis, gastritis-duodenitis). Another mechanism that causes inflammation of the duodenum is a violation of the production of bile and pancreatic juice, without which the normal functioning of this organ is impossible.
4. Reflux or reflux of the contents of the underlying segments of the intestine into the duodenum. This can be due to a spasm or obstruction (due to tumor or other causes) of the jejunum. Bacteria from the lower parts of the small intestine enter the duodenum, causing reflux duodenitis.
5. Alcohol consumption.
6. Ingestion of chemicals (acids, alkalis, chlorine-containing compounds), leading to burns of the intestinal epithelium.
7. Mechanical damage to the duodenal mucosa due to ingestion of foreign bodies.

What causes chronic duodenitis

The reasons leading to the appearance of chronic duodenitis:

1. Intestinal pathology leading to deterioration of peristalsis, stagnation of intestinal contents, stretching of the walls and atrophy of the duodenum mucosa: prolonged constipation, intestinal adhesions, impaired blood supply and nervous regulation of the intestine.
2. Chronic gastritis with high acidity causes acid damage to the intestinal epithelium with the gradual development of its atrophy. Gastritis-duodenitis is formed.
3. Anomaly of the liver, gallbladder and pancreas leads to disruption of the release of enzymes into the lumen of the duodenum, which impairs its functioning.
4. Regular violation of diet and diet.
5. Food allergy.
6. Prolonged stress.
7. The use of a large number of drugs.
8. The presence of bad habits (alcohol intake, smoking, substance abuse).

Clinic

The manifestations of duodenitis depend on the cause of its occurrence and the presence of concomitant pathology. Often the disease is hidden under the guise of other ailments: stomach ulcers, gastritis, cholecystitis.

Symptoms of duodenitis in adults:

• Painful sensations in the epigastric region, aggravated by palpation (feeling) of the abdomen. Pain has its own characteristics in various forms of duodenitis:
  • in the chronic form - constant, aching, aggravated on an empty stomach and 1-2 hours after eating;
  • with duodenitis caused by impaired intestinal patency, bursting pain, paroxysmal, occurs when the intestines are overflowed;
  • with gastritis-duodenitis with high acidity - it develops 10-20 minutes after eating, which is explained by the intake of acidic gastric contents into the intestine;
  • for the ulcer-like form caused by Helicobacter pylori, fasting pains are characteristic;
  • with local inflammation around the nipple of Vater, the outflow of bile from the gallbladder is disturbed, a clinic similar to an attack of hepatic colic arises: pain in the right hypochondrium.
• Increased fatigue, weakness. This is due to the action of toxic substances formed during inflammation.
• Perhaps a slight increase in body temperature (up to 37-38 0).
• Indigestion (dyspepsia):
  • nausea;
  • decreased appetite;
  • increased gas formation (flatulence);
  • belching, vomiting with a bitter taste (due to ingestion of bile) - throwing food back into the stomach;
  • stool disorder (diarrhea or constipation).
• Yellowing of the skin and mucous membranes. Edema of the papilla of Vater leads to a decrease in the lumen of the bile duct, stagnation of bile and its entry into the blood.
• Dumping syndrome. Occurs after a hearty meal. With an overflow of the duodenum, a redistribution of the bloodstream occurs (blood flow to the digestive organs, outflow from the head). It is manifested by dizziness, drowsiness, a feeling of fullness in the stomach, fever in the upper body.

With an asymptomatic course of the disease, complaints may be absent, the detection of pathology is an accidental finding during gastroduodenoscopy.

Diagnostics

The diagnosis of duodenitis is made in the presence of a set of data:

1. The presence of the typical complaints described above.
2. Inspection. On palpation (feeling) of the abdomen, there is pain in the projection of the 12-colon.
3. Instrumental examination data:

• FGDS (fibrogastroduodenoscopy) - scopic examination of the stomach cavity, duodenum. In the presence of duodenitis, characteristic signs are determined: (swelling of the mucous membrane, redness). Each form of duodenitis has its own characteristics of FGDS - pictures:
  • a) with catarrhal (or superficial) duodenitis - uniform redness of the epithelium;
  • b) the presence of erosion - with an erosive form;
  • c) the smoothness of the folds indicates a decrease in intestinal tone;
  • d) nodules on the mucous membrane - about the nodular form;
  • e) hemorrhages - about hemorrhagic;
  • f) atrophy of the epithelium - about atrophic.
• X-ray contrast study - performing fluoroscopy or graphy after the patient has consumed a contrast agent (barium sulfate). With such a study, it is possible to reveal gross violations in the structure and work of the organ, the rearrangement of the mucous membrane in this way cannot be detected. With the pathology of the duodenum, a number of signs are found:
  • a) areas of narrowing indicate a tumor, adhesive process, developmental anomalies;
  • b) areas of expansion indicate a decrease in tone, blockage of the lower intestine, a violation of the passage of food, nervous regulation;
  • c) a symptom of a niche is observed with erosion, ulcers;
  • d) with mechanical obstruction, an accumulation of gases is detected;
  • e) smoothness of folds - with edema, inflammation;
  • f) reflux - the throwing of contents from the duodenum back into the stomach.

1. Laboratory data:

• in a general blood test, an increase in ESR can be determined, indicating inflammation and anemia, as a sign of internal bleeding;
• biochemical blood test: at the initial stages of duodenitis, there will be an increase in enzymes (etherokinase and alkaline phosphatase), later their activity decreases;
• analysis of feces for occult blood (will be positive in the presence of bleeding, may be in the erosive form).

Features in children

Young children cannot correctly localize the pain, they most often just point to the stomach and say that it hurts. Among the symptoms, the most common are malaise, weakness, abdominal pain, nausea, belching, heartburn, and constipation. Exacerbation of duodenitis is more common in autumn and spring. In older children (10 years or more) clinical picture does not differ significantly from adults.

Complex treatment. If helminthiasis has become the cause of duodenitis, deworming is a mandatory component.

Treatment

The main tasks in the treatment of duodenitis:

• elimination of inflammation;
• prevention of chronization of the process;
• normalization of the duodenum;
• restoration of normal digestion.

Most often, treatment is carried out in a polyclinic. For recovery, a number of conditions must be met:

• stick to a diet;
• observe the work and rest regime;
• avoid stress;
• give up bad habits (smoking, alcohol).

Indications for inpatient treatment:

• exacerbation of the disease;
• suspicion of a tumor formation;
• the risk of bleeding (with an erosive form);
• severe general condition.

Treatment components:

• health food;
• folk remedies;
• medicines;
• physiotherapy;
• the use of mineral waters.

Food

The menu for duodenitis plays a primary role in therapy. If you do not regulate nutrition, relapses of the disease will occur again and again.

With an exacerbation of a chronic form or about. duodenitis the first 3-5 days, you should follow the table 1a according to Pevzner. The same diet is used to treat an exacerbated stomach ulcer. It is allowed to eat slimy cereal decoctions (rice, oatmeal), mashed soups, liquid cereals in half milk (first, the cereal is boiled in water, so it swells faster and becomes more mucous, then add milk, the ratio of water to milk is 1/1).

Basic nutritional principles:

• food should be: rubbed, not hot, steamed
• frequent meals - 6 times a day, in small portions
• eliminate overeating and long breaks in meals

For example, let's take a diet 1a, scheduled for one day.

Eating	Recommended meals
1st breakfast	Buckwheat porridge cooked in half milk (buckwheat - 50, milk and water - ½ cup each, butter - 10), milk - 1 cup
2nd breakfast	Milk - 1 glass
Dinner	Milk cereal soup (oat flakes - 40, milk - ¾ cup, eggs - ¼ pcs, butter - 10, sugar 2, water - 1¾ cup), meat puree (boiled lean beef - 100, milk - 1/4 cup, butter - 10), compote from dried apples (water - 200, dried apples - 20, sugar - 15)
Afternoon snack	Milk - 1 glass, soft-boiled egg
Dinner	Rice porridge cooked in half milk (rice - 50, milk and water - ½ cup each, butter - 10), egg "in a bag", milk - 1 cup.
2nd dinner	Milk - 1 glass

Then the diet is gradually expanded.

• ulcerative-like form - table number 1;

• gastritis-like option - table number 2;

• pancreatitis and cholecystis - a similar form - table number 5.

• boiled lean meat, rolled through a meat grinder or chopped with a blender;
• dairy and lactic acid products (milk, kefir, fermented baked milk, yogurt);
• boiled or baked vegetables, peeled, vegetable puree;
• eggs, boiled soft-boiled or cooked in the form of an omelet;
• fats (butter, vegetable oil);
• juices;
• yesterday's bread and crackers (easier to digest than fresh baked goods);
• natural sweets (honey, mousse, jelly).

Foods that stimulate gastric secretion, containing indigestible fibers are prohibited:

• raw fruits and vegetables;
• canned food, smoked meats;
• spicy dishes, seasonings, onions, garlic;
• saturated fish, meat, mushroom broths;
• fatty meats and fish (duck, pork, carp, mackerel);
• ice cream;
• carbonated drinks;
• alcohol.

1. You should eat fractionally, in small portions, 4-6 times a day. You should not wait for the onset of hunger to eat, otherwise "hunger pains" may occur.
2. Food should be warm, but not hot or cold.
3. A gentle method of preparation is preferable, to eliminate irritation of the duodenum mucosa. These are soups, cereals, steamed dishes.
4. Eliminate overeating, eating at night.

Traditional methods

Treatment with folk remedies is of secondary importance. The main goal is to suppress the aggressive effects of hydrochloric acid, to protect the duodenum epithelium.

For this purpose, medicinal plants are suitable: coltsfoot, sage, nettle, St. John's wort, peppermint, oregano, plantain, strawberry leaves, chamomile inflorescences, fennel seeds, eucalyptus leaves.

During the period of remission, the following fees are used: lingonberry leaves, St. John's wort, licorice root, flax seed, oregano herb, nettle, chamomile root.

Recipes for the preparation of healing potions for duodenitis:

• 2 tbsp. spoons of raw materials of St. John's wort are poured in 200 ml of boiling water, heated in a water bath for 0.5 hours, infused for 15 minutes, filtered, drunk 1/3 cup 3 times a day 0.5 hours before meals;
• 3 tbsp. tablespoons of plantain juice are mixed with 1 teaspoon of honey, take 1 tbsp. spoon 3 times a day before meals;
• 50g of propolis is poured with 2 glasses of alcohol, the resulting mixture is placed in a dark place for 3 weeks to infuse, taken without exacerbation, before meals, 1 tbsp. spoon, pre-mixing with 1 tbsp. a spoonful of milk;
• 2 tbsp. spoons of Hercules are boiled in 2 liters of water, filtered, ¼ cup of aloe juice is added to the broth. Drink ½ cup 3 times a day;
• 1 teaspoon of flax seeds is poured with 1 glass of boiling water, infused for 15 minutes, consumed on an empty stomach for a month.
• 0.5 kg of sea buckthorn is ground, poured with unrefined sunflower oil and insisted for a week in glass jar, take 1 tbsp. spoon on an empty stomach.

Drug therapy

How is duodenitis treated? In accordance with the form of the disease, various combinations of drug groups are used:

Drug group	Mechanism of action	Representatives	How to apply
PPI - proton pump inhibitors	Blocks the production of hydrochloric acid (HCl), thereby reducing irritation of the duodenum mucosa.	Emanera 20 mg Omeprazole 20 mg Ultop 20 mg Zulbex 20 mg	20 mg 1-2 times a day for 7-10 days.
Antibiotics, antibacterial agents	In case of infection, detection of Helicobacter pylori.	Doxycillin	2 times a day, 7-10 days.
		Clarithromycin 500 mg Amoxicillin 1000 mg Metronidazole 500 mg	2 times a day, 7-14 days.
H2 - histamine blockers	The evolution of HCl is suppressed.	Ranitidine	0.15 - 2 times a day, course 1 - 1.5 months.
		famotidine	0.02 g - 2 times
Antacids	Neutralized with HCl. They envelop the mucous membrane, have a local anesthetic effect.	Almagel Maalox Gastal	For heartburn, up to 3 times a day.
Prokinetics	Regulates peristalsis, helps to move the food bolus	Itomed Ganaton	1 tablet 3 times a day.
Enzymatic agents	Contains pancreatic enzymes, helps better digestion	Pancreatin Creon 10000	After every meal.
Antispasmodics	Remove spasm, relieve pain	No-shpa (drotaverine) Platyphyllin Duspatalin	1 tablet - 3 times.
Sedatives	Calming effect	Valerian tablets, motherwort	The course is 10-14 days.

We should also touch on the drug De-nol. It combines antacid, antibacterial (directed against Helicobacter pylori), anti-inflammatory, astringent action, protects the mucous membrane of the duodenum, promotes its recovery. Adults take it 1 tablet 4 times a day (3 times after meals, 4th - at night). The drug is washed down with water (it is impossible to drink it down with milk due to the formation of insoluble compounds). Children under 12 years of age are prescribed 1 tablet 2 times a day. The course of admission is up to 8 weeks.

In each case, the combination of drugs is selected individually. In the presence of Helicobacter pylori, antibiotics must be prescribed. If the disease is provoked by exposure to stress, sedatives are used. With an increase in acidity, one cannot do without antacids, PPIs, histamine blockers.

Physiotherapy

They use magnetotherapy, ultrasound, phonophoresis.

Application of mineral waters

They use low-mineralized alkaline reaction waters that do not contain carbon dioxide: Borzhomi, Essentuki No. 4, Smirnovskaya No. 1, Slavyanovskaya, Luzhanskaya, Berezovskaya. Before use, mineral water is slightly warmed up, gases are released. It is taken 1-1.5 hours after meals.

All these methods of treatment in combination help to relieve the manifestations of inflammation, to achieve a stable remission of duodenitis.