Treatment of gastritis with mineral water. How to treat duodenitis and their disease How to treat duodenitis at home

Hello, dear guests and readers of the blog site. - a fairly common disease that everyone knows about. But few people know that in more than 99% of cases, an ulcer affects the upper part of the intestine. The topic of today's article is "How to treat duodenitis."

Symptoms of duodenitis

● Duodenitis begins with the so-called bulbitis - inflammation of the bulb of the upper part of the duodenum (translated from Latin "bulb" is "onion"). Bulbit almost always flows against the background. In accordance with the anatomy, the bulb adjoins directly to the stomach, that is, it is a continuation of its lower section.

● Many patients do not attach of great importance if there is pain in the right hypochondrium, in the pit of the stomach on an empty stomach or a couple of hours after eating: it hurt a little and passed. Exacerbation of duodenitis, as with, is seasonal in nature - it occurs in autumn and spring.

● In some cases, duodenitis develops without gastritis, when the function of a narrow opening in the stomach (pylorus), which regulates the flow of contents from the stomach into the duodenum, is impaired. When aggressive, acidic contents come in in large quantities, the intestine does not have time to alkalize it. Gradually, against this background, the bulb becomes inflamed, and bulbitis develops - a harbinger of duodenitis.

● If therapeutic measures are not taken, the process is delayed, erosion appears, then and. Almost the initial stage of duodenitis (bulbitis) is detected late during gastroscopy - against the background of a developed duodenal ulcer.

Causes of duodenitis

● As noted above, a significant role in the development duodenitis plays the presence of pathogens. In the oral cavity with angina and others infectious diseases, in the gum "pockets" and carious teeth, a large number of pathogenic bacteria accumulate, which are neutralized in a healthy stomach, and with low acidity, microbes enter the duodenum. That is why such patients should first of all be treated by a dentist or ENT doctor.

Traditional methods of treatment of duodenitis

● Since the main role in the development of duodenitis is played by the increased acidity of gastric juice, treatment begins with its reduction. The doctor prescribes drugs from the ranitidine group: kvamatel, omez (omeprazole), pariet. You can take them for no more than 7-10 days, the standard dosage is 1 tablet (20 mg) before breakfast or at bedtime, since in some patients the transition of acidic contents causes great aggression at night.

● Prolonged decrease in the acidity of gastric juice is not the best treatment for duodenitis, because it first leads to infection of the duodenum, then other departments due to a decrease in the protective function of the stomach.

Non-traditional methods of treatment of duodenitis

● Eat more vegetables and fruits, chew them fresh so that juice is formed in the mouth - apple, carrot, etc. Carrot juice normalizes the increased acidity of gastric juice: it should be drunk ¼ cup three times a day 40 minutes before a meal.

● In the morning on an empty stomach, half an hour before breakfast, drink a glass of Essentuki No. 4 mineral water in a warm form and, most importantly, let the gases out of the bottle at night. Truskavets mineral water is no less useful. With duodenitis, violations of the function of the biliary tract are possible, so the use of mineral water is very effective for its restoration.

● Think of mineral waters as effective medicine rather than as a thirst quencher. One course of treatment - 7-10 bottles, drink regularly to get a long-term healing effect.

● Treatment of duodenitis with chamomile and Icelandic moss. Take and mix equal parts Iceland moss and chamomile. 2 tbsp. l. collection, pour two cups of boiling water for one hour. Drink ½ cup of infusion three times a day before meals.

● Oak bark from duodenitis. Brew for 6-8 hours in a thermos one tablespoon without a slide of oak bark in a glass of boiling water. Take ¼ cup before meals two to three times daily.

● We treat duodenitis with a collection of herbs. Mix equal parts (2 tablespoons each) and, chamomile flowers, herbs. Insist all night in a thermos 2 tbsp. l. mixture in 2 cups boiling water. Drink the entire infusion during the day in a warm form half an hour before meals and at bedtime. Accept healing herbs until you feel a clear improvement in your condition.

● With duodenitis, it is advisable to use a decoction of flax seed and oatmeal jelly I. Moreover, they are easier to cook than to wipe vegetables.

Stay healthy and God bless you!!!

For more information on duodenitis, see Wikipedia...

Treatment of duodenitis with folk remedies is part of the complex therapy of this inflammatory disease of the upper intestine along with dietary nutrition and medications. - inflammation of the mucous membrane of the duodenum. There are acute and chronic forms of the disease, it can be limited or widespread. It often manifests itself together with other diseases of the gastrointestinal tract (gastritis, gastroenteritis, peptic ulcer), rarely it is independent. Folk remedies during the treatment of duodenitis, they serve to relieve inflammation of the mucous membrane of the stomach and intestines, reduce pain, normalize the functioning of the gastrointestinal tract, as a rule, are auxiliary.

Causes and symptoms of duodenitis

Experts call the main causes of duodenitis malnutrition and the environmental situation worsening every year. Alcohol, irregular dry meals, sugary carbonated drinks, spicy foods, too hot food, the presence of heavy metal salts in foods, polluted atmosphere and poor-quality water are an incomplete list of factors that negatively affect the human body and cause inflammation in the gastrointestinal tract and duodenum that provoke development duodenitis.

Secondary chronic duodenitis is usually combined with gastritis or gastric ulcer, pancreatitis, food allergies, rarely with giardiasis.

Both acute and chronic duodenitis are manifested by the main symptoms:

• pain in the epigastric region - sharp or pulling;
• heaviness and feeling of fullness in the upper part of the intestine after eating;
• nausea, vomiting;
• temperature increase;
• weakness;
• lack or decrease in appetite;
• pain on palpation of the corresponding area.

Symptoms of duodenitis are similar to the signs of several diseases of the intestines and stomach at once. To confirm the diagnosis, the doctor additionally prescribes tests and duodenofibroscopy. It establishes the presence inflammatory process in the duodenum, its localization, the presence of ulcers and erosions, the degree of mucosal damage and the stage of the disease are determined.

Treatment of duodenitis

Depending on the results of the examination, the form and stage of duodenitis, adequate treatment is prescribed: from conservative to surgical. Conservative treatment combines medications and, in the absence of contraindications and individual intolerance, effective folk remedies.

To eliminate symptoms, relieve inflammation, regenerate the duodenal mucosa, antacids, astringents and enveloping agents, vitamins, antispasmodics are traditionally prescribed. In the acute form of the disease, gastric lavage, fasting for two days, then a strict diet, bed rest are indicated.

Additional help can be provided by folk remedies. Among them are especially effective, improving general state the patient, replenishing the vitamins lost by the body. Before using them, you should consult with your doctor.

Folk recipes and remedies

There are many of the most effective and safe folk remedies for the treatment of duodenitis. One of these, for example, is raw potato juice. It can be easily prepared at home. It is important, however, at the same time to observe the rules of sanitation and hygiene, common to the preparation of any folk recipes - cleanly washed hands, high-quality raw materials, clean dishes, compliance with the dosage. Potato juice is prepared from well-washed healthy potato tubers. You can squeeze it with a juicer or grate the potatoes and squeeze in cheesecloth into a clean bowl. You need to store it in the refrigerator. But it is better not to cook a lot at once, but to use fresh each time. The recommended daily amount for chronic duodenitis ranges from 50 to 200 ml per day until a complete cure. The important rule here is: do no harm.

Sea buckthorn oil has wonderful enveloping and healing properties. It can even be given to children. This oil is sold in a pharmacy, but you can cook it yourself. To do this, 0.5 kg of berries must be crushed, placed in a glass jar, pour unrefined sunflower oil. In a week, the remedy will be ready. It is recommended to take from a teaspoon to a tablespoon in the morning on an empty stomach or twice a day.

Propolis is one of the products of beekeeping, traditional medicine recommends taking it in the form of an alcohol tincture. For its preparation, you will need alcohol in the amount of 100 ml and propolis - 150 g. After insisting for ten days in a dark place (the tincture is regularly shaken), take the remedy 15-20 drops with milk three times a day. For those who are allergic to propolis, this tincture for the treatment of duodenitis cannot be used.

Aloe is a houseplant with valuable medicinal properties. Especially anti-inflammatory. Aloe juice is used to treat many diseases, including the gastrointestinal tract. It can be used with duodenitis mixed with honey in the form of tincture or with a decoction of oats, as a healing jelly. There are many recipes traditional medicine containing aloe.

Many try to cure duodenitis of the duodenum with herbs and medicinal plants. Decoctions of herbs and medicinal preparations have many useful properties e.g. bactericidal, antacid, anti-inflammatory.

These plants include:

• pharmaceutical camomile;
• strawberry leaves;
• coltsfoot;
• plantain leaves;
• licorice;
• buckthorn bark;
• bloodroot;
• oregano;
• mint;
• Melissa;
• calamus root;
• nettle;
• fennel fruit.

The main condition for the preparation of medicinal decoctions is that the raw materials must be collected in an ecologically clean area. Otherwise, instead of curing the disease, you can get additional problems associated with poisoning. If there is no certainty about the origin of the collection, then it is better to purchase a similar one at the pharmacy. Dishes for decoction should be enameled, it is preferable to cook it in a water bath in order to preserve the medicinal properties as much as possible. With duodenitis, hot drinks should not be drunk. Medicinal tea or decoction is drunk only in the form of heat.

Vegetable juices, decoctions are also used to treat duodenitis at home. The most effective: cabbage juice mixed with celery juice, potato broth. Ginger root has disinfecting and tonic properties. It is brewed like tea, for example, with strawberry leaves, honey, lemon, and drunk. Such tea is especially useful in winter, it has a warming effect, contains vitamins. Kissels have an enveloping effect, although short-lived. home cooking, decoction or infusion of flax seeds.

A strict diet in combination with all types of treatment is very important in such diseases. Without its observance, the effectiveness of drugs and traditional medicine is reduced significantly. Folk remedies for a long time can not be taken. After a month of taking them, you need to take a break for at least two weeks. If you feel unwell, allergic reactions, worsening of the condition, you must stop taking the decoction or infusion and immediately consult a doctor.

The information on our website is provided by qualified doctors and is for informational purposes only. Do not self-medicate! Be sure to contact a specialist!

Gastroenterologist, professor, doctor of medical sciences. Prescribes diagnostics and conducts treatment. Expert of the group on the study of inflammatory diseases. Author of more than 300 scientific papers.

Many people are interested in the question: what kind of mineral water is needed for gastritis? Coming to the store for groceries, often a person cannot decide which water to choose, since the range is huge: carbonated and still, in glass or plastic bottle, medical and canteen. To get the maximum benefit from the purchased drink, and not harm yourself, you need to know how to choose the right water and how to drink it.

Minerals in water: healing or thirst quenching?

So, what kind of mineral water to use for gastritis? Water with minerals can be of several types: medicinal, medical-dining and dining. The more salts in the water, the stronger its effect on the body. Before choosing water, you need to identify the goal: why use it? If you just want to quench your thirst, you need to opt for table water. In a liter of such water, no more than a gram minerals.

It can be used by everyone as a means of quenching thirst. If it is written on the bottle that the water contains up to ten grams of minerals, then this is no longer just table water, but medicinal table water. That is, such a drink has some medicinal properties. If there are more than 10 g of minerals per liter in water, this is already a medicine, and not just a liquid. And you need to drink it as a medicine (only after the doctor's recommendations, at the strictly appointed time and in the amount limited by the doctor). Already by the name you can guess that medicinal water can be used for medicinal purposes, to get rid of various diseases and their prevention (in particular, pancreatitis, cholecystitis, constipation, colitis, gastritis, anemia, urolithiasis). If you observe two important conditions (namely, use water correctly and listen to what the body says), such drinking will bring many benefits.

A gastroenterologist, having diagnosed a patient with gastritis, in addition to all medications, will definitely prescribe mineral water. And there is nothing to be surprised. Water is cheap but effective remedy. Plus, it's easily accessible. Mineral water tidies up the gastrointestinal tract.

It will work like clockwork. In addition, it normalizes the functioning of the liver, excretory system, biliary tract. This liquid is very useful. It can contain about 50 trace elements vital to the body. Moreover, many of them are not found in other products. Therefore, with gastritis, mineral water is used.

You need to look at what kind of gastritis a person has. Depending on the form of the disease, water with a certain acidity and the desired composition is prescribed. If you do not take into account these indicators, the disease will only worsen. Water with gases is a taboo for this disease. Liquid with gases can provoke the transfer of food immediately into the esophagus from the stomach. Because of this, the mucous membrane can get burned. For those who have gastritis and who suffer from high acidity, water with a high alkali content is suitable. It will reduce the negative effect of hydrochloric acid not only in the stomach, but also in the duodenum. How to find exactly alkaline water from all the products presented in the store? You need to carefully study the label. Pay attention to the pH level. It should be higher than 7. This will mean that there is alkaline water on the counter.

For the treatment of gastritis, you need to drink 0.5 liters of such water daily. Those who have gastritis are characterized low acidity, you need to make sure that the water chosen in the store is below 7 in terms of pH.

With properly selected water, there will be no discomfort and other signs of low acidity. Regardless of the type of gastritis, chilled or hot water drinking is by no means recommended. Only warm water. Otherwise, the disease may worsen. Water should be the same as body temperature. Children can also treat gastritis with mineral water. The child can be given water, determining the dose depending on how much he weighs. There are 3 milliliters of water per kilogram. Accordingly, depending on the acidity, you need to choose water. Pregnant women can treat gastritis in the manner described above only with a doctor's prescription.

In addition to exacerbated gastritis, other problems may arise, for example, stones will appear in the liver, kidneys, and so on. It is not recommended to make a decision on the treatment of gastritis with mineral water on your own. Those who have been prescribed water as a medicine should start taking small doses, a quarter, then half a glass. In 1 liter of liquid there should be no more than a gram of minerals. If their concentration is excessively large, the stomach will become inflamed even more. How long does it take to be treated with mineral water, the doctor will say. Most often, it is recommended to be treated with mineral water once a quarter, the duration of the course is about a month. With gastritis, you need to use mineral water with great care, do not think that this is ordinary water. It is necessary to take into account the personal characteristics of the body.

If, after drinking a mineral water for several days, you observe side effects, the treatment should be suspended.

How to drink water correctly?

Treatment with water is prescribed only by a specialist. No need to self-medicate. The specialist will designate the doses individually for each patient. Even such a simple daily routine as drinking water must be done correctly when it comes to drinking mineral-rich water. Such a liquid is drunk not in one gulp, but slowly, in small sips, daily (up to 4 times a day). The temperature of the water matters. If there are problems with the gallbladder, water from the refrigerator is strictly prohibited. But if you are concerned about constipation, then preference should be given to cold liquids.

If there is cholelithiasis, an ulcer, it is useful to drink hot liquid. For others, room temperature water will be better. Using mineral water to prevent or cure diseases of the stomach and intestines, you need to look at the clock more often. A lot also depends on the time of drinking. If the excretory function of the stomach is normal, it is better to drink water half an hour before meals, if there is increased acidity, then an hour or an hour and a half. If there is low acidity in the stomach, it is better to drink water 10-15 minutes before meals. 40 minutes after the meal, those who have problems with the liver and gallbladder drink water. It is worth noting that hydrotherapy is not suitable for everyone.

You need to listen carefully to yourself. Each person reacts differently to mineral water.

Mineral water is:

1. Hydrocarbonate. It is used for intestinal ulcers, pancreatitis, enterocolitis, gastritis with high acidity.
2. Chloride. It is used for gastritis with low acidity, colitis, metabolic problems, cholecystitis, hepatitis.
3. sulfate. It is drunk with diseases of the liver, gallbladder, overweight.
4. glandular. Used for anemia, anemia.
5. Arsenic. Used for hepatitis, pancreatitis.
6. Iodine. It is prescribed for patients with atherosclerosis, Graves' disease.
7. bromide. Used for neuroses.
8. Siliceous. It is prescribed for patients with diabetes mellitus, the elderly.

Signs of intolerance to mineral water

There is intolerance to this product. Signs of intolerance to mineral water:

• insomnia;
• hand trembling;
• irritability;
• pressure surges;
• rapid pulse.

In all these cases, you must immediately abandon the seemingly life-saving liquid. Not everyone benefits from water. And not everyone can use it.

If pain in the intestines and stomach is often disturbing, vomiting, diarrhea often occur, doctors do not recommend drinking water with minerals.

A long course of taking mineral water can provoke the release of stones. There will be colic in the liver and kidneys. Their main symptom is piercing pain. Those who can drink mineral water should prefer water without gas. It does not irritate the walls of the stomach, which means that there will be no belching and pain in the stomach.

Is it possible to drink sea buckthorn oil with pancreatitis?

Increasingly, one can hear the opinion that sea buckthorn oil in pancreatitis improves the condition of the pancreas. But is it really so? It has been scientifically proven that sea buckthorn berries have healing properties. The most common fruits were in Asian countries, where since ancient times healers have used them to treat a number of ailments. Let's see how things are in the inflammatory process. Sea buckthorn: benefits and harms in pancreatitis.

Sea buckthorn in acute pancreatitis of the pancreas and cholecystitis

Is it possible to have sea buckthorn with acute pancreatitis? It has been proven that when peptic ulcer and gastritis, sea buckthorn oil and fresh berries are widely used with the permission of a gastroenterologist. Patients diagnosed with pancreatitis sometimes make the serious mistake of naively believing that the same is true for an inflamed pancreas.

In fact, sour-tasting fruits can cause significant harm and aggravate the situation. In an acute attack, berries are completely excluded from the diet, including sea buckthorn. Among other things, their composition also does not bode well:

• organic acids;
• Tannins;
• Fat oil.

Individual intolerance and harmful chemical compounds can cause a new acute attack. That is why it is better not to eat either fresh berries or sea buckthorn oil during the acute phase of pancreatitis.

Sea buckthorn oil for cholecystitis and chronic pancreatitis: is it possible or not

Is it possible to take sea buckthorn oil with chronic pancreatitis? Currently, sea buckthorn trees are found in most summer cottages. Round yellow berries are not only pleasing to the eye, but also serve in good stead. Many people freeze the fruits in order to use them if necessary, even in the cold season. Sea buckthorn is famous for its antioxidant and anti-inflammatory properties. It is able to strengthen the walls of blood vessels. Promotes the speedy healing of the skin with various violations of their integrity.

In the chronic form of pancreatitis, fresh fruits remain strictly prohibited. If you do not have an allergic reaction to sea buckthorn, then in a small amount you can add it in a processed form: compote, dessert, jelly, etc. The optimal amount is 1 tbsp. berries for two or three liters, which should be added during the preparation of the drink, for example, from apples or any other fruit.

Is it possible to put sea buckthorn suppositories with pancreatitis? In diseases of the pancreas, sea buckthorn oil can also be used rectally as suppositories, for example, for anal fissures, which often accompany chronic constipation.

Sea buckthorn oil for pancreatitis: how to take

Sea buckthorn oil abounds useful substances, vitamins and trace elements:

• Carotenoids;
• Vitamins of group B, C, E, K;
• Iron;
• Magnesium;
• Calcium;
• Silicon;
• Manganese;
• Nickel and others

Sea buckthorn oil is recommended to be taken orally both for a number of diseases and for prevention purposes. For example, for a general strengthening of the body, doctors advise mixing half a teaspoon of sea buckthorn oil with 0.5 cups of warm boiled water. Drink twice a day in one gulp.

In case of violations digestive system, in particular gastritis and ulcers, use 1 dessert spoon three times a day half an hour before meals. The course lasts about a month.

As for the role of sea buckthorn oil in the treatment of pancreatitis, this point is discussed individually with the attending doctor. If your condition and clinical picture satisfactory, he will prescribe the correct dosage and tell you how often you can use the oil so that it is beneficial and not harmful. As a rule, it is 0.5-1 teaspoon.

Sea buckthorn jelly with pancreatitis

Kissel from sea buckthorn berries has a number of useful properties:

• Restoration of the gastric mucosa;
• Improved vision;
• Removal of toxins from the body;
• Strengthening the immune system.

With pancreatitis, this jelly is not suitable for everyone and is allowed for use only with the permission of the attending physician.

Preparing jelly is extremely simple. It is best to use fresh berries, but if there are none at hand, you can use frozen ones.

Cooking Ingredients:

1. Ripe sea buckthorn berries without defects - 1 cup;
2. Sugar - 1 glass;
3. Potato starch - 2 tablespoons;
4. Boiled water - 600-750 milliliters.

Let the berries defrost a little. Rinse them thoroughly under water. Grind with a blender. Bring a container of water and sugar to a boil. Add berries. Pre-dissolve starch in water, and add it to the berries during the boil. Mix well. Boil the jelly for 5 minutes. Remove from fire. Consume warm.

Mineral water for gastritis: benefit or harm?

Many people do not have a clear understanding of whether mineral water is allowed for gastritis. On the one hand, everyone knows that many resorts with mineral springs offer treatment for diseases of the gastrointestinal tract. On the other hand, this drink can contain a variety of minerals, and gastritis is also characterized by high or low acidity, and it is not clear in which cases mineral water will be beneficial and in which it will be harmful.

Is it allowed to drink mineral water with gastritis?

Let's try to understand this issue, but first - a little history.

• 1 Brief historical information
• 2 Classification of mineral waters
• 3 Treatment of gastritis with water
• 4 Recommendations regarding the use of mineral water for gastritis
• 5 Contraindications for the use of mineral water for gastritis
• 6 Conclusion

Brief historical information

The taste qualities of mineral water are very peculiar, although they depend on its specific composition. No wonder that healing properties This liquid was unknown for a long time, moreover, it is far from being available everywhere. It so happened that the first to notice the fact of the positive impact of mineral water on the human body in ancient Mesopotamia in the third millennium BC. e., as evidenced by the surviving documentary primary sources. But neither then, nor much later, people could not solve the mystery of this drink, believing that the healing properties were granted from above.

For centuries, mineral water has been the subject of myth-making, especially in Ancient Greece. The Romans were the first to actively use mineral water sources for mass treatment / recovery. They built special structures in such places - baths, and nearby they built temples dedicated to the gods of healing art.

Such baths in one form or another have survived to this day in the Czech Republic, Hungary, Slovakia, Bulgaria and other countries.

In Russia, the first place where you could drink mineral water was the Marcial Waters spring, discovered during the time of Peter the Great in Karelia. Later, balneological and mud resorts were opened in much warmer regions, where it was possible to improve health throughout most of the year - near Pyatigorsk (Essentuki) and in Georgia (Borjomi).

And now we will consider which mineral water is useful for gastritis.

Classification of mineral waters

This drink is ordinary ground water, which, seeping through the rocks, was saturated with carbon dioxide and various mineral components over the centuries and millennia.

All mineral waters are divided into three categories:

• canteens, in which the concentration of mineral substances does not exceed 1 gram / liter - this is ordinary table water, which practically does not differ in taste from drinking water, and the taste of mineral additives is almost indistinguishable;
• medical table, for which the saturation index with minerals lies in the range of 1 - 10 grams / liter. Their composition may include such biologically active components as boron, silicon, iron, arsenic;
• medical, differing enough high level mineralization, over 10 grams / liter. The saturation of medicinal drinks with mineral salts is high, it can be bromine, fluorine, hydrogen sulfide, iodine, iron, boron and other components. It is these drinks that are used to treat a whole range of pathologies - pancreatitis, cholecystitis, gastritis, stool disorders, urolithiasis.

It is also necessary to distinguish between natural mineral waters formed in the natural conditions of a particular area, and artificial ones, which are produced by adding to drinking water salts in the same proportions as in natural analogues.

Treatment of gastritis with water

The first rule that should be learned by those who suffer from gastritis (and this is almost every second inhabitant of our camp) is that you should not drink water with gases in any form of the disease. The fact is that carbon dioxide is a substance that provokes a condition such as reflux - the reflux of stomach contents back into the esophagus, which can cause burns.

To answer the question of what mineral water to drink for gastritis, you need to know what type of gastritis you suffer from. First of all, we are talking about the acidity of gastric juice. Most cases of the disease (according to some reports, up to 90%) are due to gastritis with high acidity, but pathologies with the opposite diagnosis are not uncommon. And although they have the same name, the causes and methods of treatment are generally different.

This means that if a specific mineral water with gastritis with high acidity is good, then with reduced secretion of hydrochloric acid, it can only worsen the patient's condition.

Practical advice is as follows: if the secretion of gastric juice is increased, you should use hydrocarbonate mineralized water. It is also called alkaline because its pH is 7 or higher. The alkaline environment, as you know, is an acid neutralizer, so this mineral water is indicated for acid gastritis and many other gastrointestinal diseases that require an increase in the level of alkalinity - pancreatitis, stomach / duodenal ulcers, colitis, liver pathologies.

How much water to drink with chronic gastritis? The answer to this question depends on the degree of neglect of the disease. If the symptoms of gastritis practically do not bother you - until you feel relief. With severe symptoms, self-medication is unacceptable.

In the form of gastritis with low acidity, it is necessary to drink acidified water with a pH of less than 5. In this case, mineral water can effectively eliminate such unpleasant symptoms of hypoacid gastritis as heartburn, belching, flatulence, and a feeling of heaviness in the stomach. With the systematic use of such mineral water, you can achieve better digestibility of food and reduce the likelihood of food poisoning.

Acidic mineral water in atrophic gastritis, along with an increase in the acidity of gastric juice, has a restorative effect on the secretory function of the mucosa.

Recommendations regarding the use of mineral water for gastritis

We more or less figured out what water to drink with what type of pathology, it remains to consider the question of how much water to drink with gastritis.

The general recommendations here are as follows: regardless of the form and condition of the disease, mineral water should be consumed daily in an amount of 0.5 liters. It is advisable not to change the manufacturer and the specific composition of mineral water, even if there is a product with the same acidity. You need to drink water heated not to room temperature, but to body temperature - these will be the most favorable conditions for the stomach. Too cold liquid will irritate the mucous membrane, leveling the useful component of this product.

Mineral water (its medical table variety) is not contraindicated for both children and pregnant women, but they should be included in the menu of these categories only with the consent of the doctor and according to the scheme prescribed by him.

If you have questions about how much water to drink with gastritis, if it is prescribed for use as a medicine, then here, of course, the dosages are completely different. You need to start such therapy with small portions, about 50 grams, gradually increasing their volume to half a glass. As for the composition of mineral water, it should contain a maximum of 1 gram of salts and minerals per liter of liquid. At a higher concentration, instead of a healing effect, the drink will have the opposite effect, contributing to an even greater spread of inflammatory processes.

The duration of gastritis treatment with mineral water depends on many factors, including the current state of the gastrointestinal tract, as well as the results of drug therapy and diet, but in any case, only a doctor should adjust the duration of treatment with mineral water.

In particular, mineral water with gastritis with high acidity is drunk for a long time, since the duration of the course of treatment is long, at least a month. With a neglected state of the stomach, therapy can last a year or even more.

If there are no problems with the digestive tract, you should not regularly use therapeutic and even table-medicinal mineral water: it has the ability to change the composition of the environment in the stomach and duodenum 12, which is highly undesirable, since it can provoke the development of those diseases that then it will have to be treated .

What water to drink with gastritis with reduced secretion? These are drinks with sodium chloride content: Kuyalnik, Alma-Ata, Mirgorodskaya, Borjomi No. 17. A glass of water is drunk 20-30 minutes before meals, in slow sips. With this method of use, water will linger in the stomach just before the portion of food arrives there.

Borjomi with gastritis with high acidity is recommended to drink along with Essentuki No. 4 water, as well as mineral waters from Arzni, Matsesta, Zheleznovodsk - they are characterized by a bicarbonate-sodium composition that contributes to the alkalization of a too acidic environment. Water with this form of the disease is taken 60 minutes before a meal, and you need to drink a glass very quickly, in one gulp, in one sitting. This will allow mineral water to seep into the intestines before food enters the stomach and have a positive effect on the food lump from there.

In the form of gastritis with normal secretion of hydrochloric acid, doctors recommend treatment by taking Essentuki No. 4/17, Sevan, Hankavan.

Contraindications for the use of mineral water for gastritis

However, the question of whether it is possible to drink mineral water with gastritis is far from being so unambiguous. Not being a medical product, this drink also has such disadvantages as contraindications and side effects that limit its scope.

Absolute contraindications to the appointment of therapeutic mineral waters are the following pathologies:

• kidney failure;
• allergic reactions;
• cancer of the esophagus, intestines, stomach;
• hypothyroidism.

Relative contraindications:

• thyroid pathology;
• tendency to bleed;
• diarrhea.

Since mineral water for heartburn and gastritis can be prescribed for a sufficiently long period, it will help to remove stones from the urinary / bile duct. And this is the reason for the appearance of sharp and sharp pain sometimes resulting in pain shock. This by-effect should be taken into account by those who have these pathologies.

Conclusion

What mineral water can be drunk with gastritis, in what dosage and under what forms of the disease, it is impossible to decide on your own: despite the obvious benefits of therapy with this drink, if the composition of water or dosage is incorrectly selected, you can aggravate your condition.

Duodenitis is an inflammation of the lining of the stomach and duodenum.
Manifestations of gastroduodenitis are different - this is nausea, pain in the epigastric region, a feeling of fullness in the stomach, an unpleasant taste in the mouth. The same symptoms occur with gastritis. Most often, duodenitis simulates duodenal ulcer. Everyone suffers from duodenitis age groups. More often, inflammation of the duodenum occurs in young women, in whom duodenitis can be severe, accompanied by a variety of disorders in the activity of the central nervous system and endocrine glands. Often the disease occurs in childhood, which is facilitated by the inherited weakness of the hormonal apparatus of the duodenum, the variability of its shape, mobility and location in relation to the axis of the body.

All gastroduodenitis can be attributed to two main groups. The first is atrophic gastroduodenitis. In their occurrence, a hereditary predisposition plays a role, manifested in the special structure of the mucous membrane of the duodenum 12 and secretory insufficiency. It develops mainly in middle-aged and elderly people. At the same time, there is a decrease in appetite, belching, rumbling in the stomach, diarrhea or constipation are quite possible.

Another group includes Helicobacter gastroduodenitis. An important role in their occurrence is played by the pyloric Helicobacter - a microbe. In response to the presence of this microbe in the mucous membrane of the duodenum, inflammation occurs, which is manifested by pain in the epigastric region before and after eating, belching, heartburn, and quite often - bad breath.

Diet for duodenitis

Food must be mechanically, chemically and thermally gentle.
It is recommended to take it regularly, preferably at the same time, at least 4-5 times a day. Nutrition should be complete, contain a sufficient amount of protein, vitamins, trace elements. They exclude coarse fiber, lamb and pork dishes, fried foods, mushrooms, fresh pastries and black bread, coffee, chocolate, strong tea, carbonated drinks, chewing gum. With an increased secretory function of the stomach, rich broths, sour juices and fruits are also not recommended, milk and dairy products, boiled cereals are widely used (table No. 1). With a reduced secretory function, you can use rich broths and soups, vegetable salads, sour juices, sour-milk products are shown (table No. 2).

Soups from cereals and vegetable, pureed, on meat, mushroom, fish broths; low-fat meat (chopped, fried), boiled chicken, steam, stewed, fried cutlets without a coarse crust, low-fat ham, low-fat boiled fish, well-soaked low-fat chopped herring, black caviar; milk (if it does not cause diarrhea), butter, kefir, yogurt, cream, non-acidic sour cream, fresh non-acidic cottage cheese, mild mashed cheese; soft-boiled eggs, fried scrambled eggs; cereals, well boiled or mashed (buckwheat, semolina, rice); flour dishes, (except for muffins), stale white, gray bread, lean crackers; vegetables, boiled fruits, raw grated; fruit, vegetable juices (also acidic); tea, coffee, cocoa on the water with milk, marmalade, sugar. Table salt up to 12-15 g. Vitamins C, B1, B2, PP are added.

Diagnosis: Gastroscopy is performed to diagnose the disease.

Treatment of gastroduodenitis

1. Dieting.
2. To eliminate Helicobacter pylori infection, the following schemes are used (strictly as prescribed by a doctor):
De-nol 4-6 weeks. + metronidazole 10-14 days. + tetracycline antibiotic 7-10 days.
Omeprazole + clarithromycin or amoxicillin + metronidazole, course duration 1 week.
Metronidazole 10-14 days + amoxicillin 10 days + ranitidine 0.15 g before breakfast and at bedtime for 10-14 days.
Omeprazole + de-nol + amoxicillin or clarithromycin + metronidazole, 10-day course of treatment.
Antihelicobacteriosis therapy. World experience in the treatment of helicobacteriosis has shown the ineffectiveness of monotherapy, therefore, dual, triple and quadruple therapy regimens are currently used for Hp eradication.
a) Triple scheme: includes colloidal bismuth subcitrate (CSV) in the form of de-nol, tribimol or ventrisol, 1 tab. (120 mg) 3-4 times a day 30 minutes before meals + antibiotic (AB): amoxicillin at the rate of 50 mg/kg per day in 3 doses or clarithromycin 15 mg/kg or sumamed 10 mg/kg per day (then 5 mg /kg) + metronidazole (Trichopolum) at the rate of 15 mg/kg per day in 3 divided doses after meals. Course duration 2 weeks. This scheme is preferable for Hp-associated gastroduodenitis with normal secretory function.
b) Dual regimen: includes an H + K + ATPase blocker (omeprazole, lanceprazole, pantoprazole) once a night at a rate of 1–2 mg / kg, usually 1 caps. + antibiotic (AB): amoxicillin, clarithromycin or sumamed. Course duration 2 weeks. The scheme is indicated for Hp-associated gastroduodenitis with increased secretory function, it gives fewer adverse reactions than the triple scheme, since it does not contain Trichopolum.
c) Quadruple scheme: includes omeprazole + KSV + AB + Trichopolum in the above doses, the peculiarity of this scheme is a shorter course duration - 7 days, due to which it gives fewer adverse reactions. The scheme is shown for erosive Hp-associated gastroduodenitis with increased secretory function. According to the Maastricht Agreement (1996), a seven-day course of a combination of pyloride (ranitidine-bismuth citrate), clarithromycin and metronidazole is recommended for the radiation of helinobacteriosis.
Evaluation of the effectiveness of therapy is carried out no earlier than 4 weeks after its completion, only then can we talk about successful Hp eradication.
3. To eliminate symptoms (belching, heartburn), Phosphalugel, Motilium are used.
4. Drug therapy during the period of exacerbation is aimed at correcting secretory disorders, Hp eradication, improving metabolic processes in the mucous membrane, eliminating dysmotility, and normalizing the neurovegetative status. Correction of gastric hypersecretion. In most children with chronic gastroduodenitis, the secretory function of the stomach is increased, in order to correct it, you can use:
- Non-absorbable antacids that neutralize hydrochloric acid, adsorb pepsins and bile acids: almagel, gelusil-lacquer, gastal, magaldrate, etc. The drug in the form of a gel (1 dosage spoon) or crushed tablet (can be sucked) is taken 3-4 times per day an hour after meals and at night, the course is 3-4 weeks.
- H2-histamine blockers (ranitidine, famotidine, nizatidine, roxatidine), which are taken 1-2 times a day (morning and night), 1 tablet for 1-2 weeks, have a more powerful antisecretory effect.
- The strongest antisecretory effects are inhibitors of the acid pump H + K + ATPase) - omeprazole, pantoprazole, lanceprazole. These drugs are taken once a day (in the morning or at night) for 2 weeks.
- In the presence of concomitant signs of VVD, an increase in predominantly basal gastric secretion, the appointment of anticholinergics, preferably selective ones, acting only on the M1-cholinergic receptors of the gastrointestinal tract - gastrocepin, telenzepin, 1 tablet 2 times a day 30 minutes before meals for 2-3 weeks is indicated.
5. Correction of motor disorders. Pain syndrome during exacerbation of gastroduodenitis is often due to concomitant spasm and increased peristalsis of the stomach. Against this background, the appointment of smooth muscle spasmolytics (no-shpa, papaverine, halidor) -1 tablet 3 times a day, anticholinergics with a predominant antispasmodic effect (platifillin, buscopan, metacin, belloid) -1 tablet 3 times a day is indicated.
6. In the presence of pathological refluxes (duodeno-gastric, gastroesophageal), prokinetics are indicated: cerucal, motilium 1 mg/kg per day in 3 divided doses 30 minutes before meals; cisapride / prepulside, coordinates (0.4-0.5 mg / kg per day 30 minutes before meals). Course 10-14 days.
7. Improvement of metabolic processes in the mucous membrane. In the presence of atrophic changes, especially in the region of the main gastric glands, the appointment of vitamins B1, B2, B3, B5, B6, B12 is indicated, folic acid, A and E. Usually prescribe multivitamin complexes with trace elements (unicap, supradin, oligovit, complivit, etc.). Membrane stabilizing drugs are shown: Essentiale Forte, Lipostabil 1 capsule 3 times after meals; biostimulators of metabolic processes: carnitine chloride 20%, 20-40 drops. 3 times, mildronat 1 tab. 3 times, betaine, apilac, 40% propolis solution (1 capsule per year of life 2-3 times a day before meals in milk), mummy (0.2 g in milk 2 times a day). The course of treatment usually lasts about a month.
8. With concomitant CHD symptoms of vegetovascular dystonia, neurosis, sedative therapy (decoction of motherwort or valerian, belloid, bellataminal, minor tranquilizers) or adaptogens (ginseng, eleutherococcus, rhodiola rosea, golden root, etc.) can be indicated.
9. During the period of subremission and remission of CHD, phytotherapy can be carried out, while collecting from anti-inflammatory (chamomile, St. John's wort, calendula), astringents (calamus root, licorice, oak bark), stimulating (rose hips, yarrow grass, plantain leaves) herbs, brew 1:10, drink a cup 15-20 minutes before meals 3 times a day for 3-4 weeks.
10. Sanatorium-and-spa treatment is carried out in local balneological sanatoriums or in the resorts of the Caucasian Mineral Waters. Mineral waters of weak mineralization are recommended: Slavyanovskaya, Smirnovskaya, Essentuki No. 4, Arzni, etc. at the rate of 3 ml / kg 3 times a day, with increased secretory function - 1–1.5 hours before meals in warm form, with reduced secretory function - 15–20 minutes before meals, with normal secretion, water at room temperature - 45 minutes before meals. The course of treatment is 3-4 weeks. Mineral baths (sulphuric, radon, carbonic), mud on the epigastric region, exercise therapy are also prescribed.

Duodenitis
based on the materials of the book: K.A. Treskunov "Clinical phytology and phytotherapy"

The duodenum is the central organ of digestion. The intestinal cavity serves as a reservoir where digestive juices from the pancreas, liver and glands of the small intestine wall flow. Between the densely covered enzymes - microvilli, where microorganisms do not penetrate, the bulk of the nutrients entering the human body are digested and absorbed at high speed.
The duodenum is an important hormonal organ. Hormones (more than thirty) are formed in the duodenum, which regulate the activity of the gallbladder and pancreas, while stopping gastric secretion. Digestive hormones from the duodenum cause the intestinal glands to actively secrete juice, excite intestinal motility. Hormones are found in the duodenum general action that affect the metabolism in the body, the nervous endocrine, cardiovascular systems.
The vastness and importance of the functions of the duodenum determine the severity and diversity of the most common disease in the digestive system - duodenitis.

Symptoms
Characterized by pain in the pit of the stomach of varying intensity, in different time days, including “hungry”, nighttime, can be constant in the form of bursting and heaviness, nausea, a tendency to constipation, heartburn, belching with air. The course of the disease is long-term. Exacerbations more often in spring or autumn, after an error in eating, last from 2 weeks to 1.5 months. Symptoms of exacerbations in some patients resemble those of duodenal ulcer. More often, the acidity of gastric juice is normal or increased, decreased occurs with concomitant gastritis with mucosal atrophy. Duodenitis can be complicated by bleeding from erosions.
Giardia infection, ascariasis, chronic infection in the mouth, throat, genitals, gallbladder, kidney failure, tuberculosis contribute to the development of duodenitis. Anomalies of the duodenum, mental trauma, protein and vitamin starvation, and a violation of the diet contribute to its occurrence.

Acute duodenitis can occur, as noted above, with gross malnutrition. This includes a sharp change in the nature of food, for example, when a northerner moves to the southern regions of the country, famous for spicy dishes. Eating dry food, alcohol abuse, excessive passion for fatty, smoked foods can cause inflammation of the duodenal mucosa. Such duodenitis is accompanied by an increase in the amount of hydrochloric acid in the gastric contents. When fluoroscopy noted irritation of the duodenum, spasm, swelling of the mucosa, change in shape. With severe pain, an increase in the acidity of gastric contents, acute duodenitis occurs in young men.

Symptoms of inflammation of the duodenum develop into pyloroduodenal syndrome. This includes hungry, nocturnal pain that occurs 2-3 hours after taking "anti-duodenal" food, pain (tomato, fatty meat, goose, duck). It should be noted that pain in duodenitis is constant, but worsens late after eating, at night or on an empty stomach. Particularly painful is the point-projection of the confluence of the common bile duct and the pancreatic duct. The pains radiate to the back. In contrast to peptic ulcer, inflammation of the duodenum does not have point localization, spring-autumn seasonality of pain, gaps that are absolutely free from pain or discomfort in the right hypochondrium. Pain is accompanied by nausea, vomiting, general malaise, subfebrile temperature, an increase in the number of leukocytes in the blood, and slight muscle tension in the anterior abdominal wall. All of these phenomena quickly pass. Only heartburn, bloating in the abdomen, mild pain in the right hypochondrium continue to disturb the patient.

A severe complication of long-term duodenitis is duodenal hormone deficiency. Inflammation, destroying the duodenal mucosa, causes the death and inhibition of cells that secrete hormones. Insufficiency of the hormonal function of the duodenum causes indigestion, carbohydrate metabolism, significant emaciation or excessive fullness. There are pronounced neuropsychiatric and cardiovascular disorders.

In young women, duodenal hormonal deficiency begins to appear in the premenstrual period. There are headaches, nausea, vomiting, irritability, poor performance. Attacks of severe weakness sometimes last for several weeks, accompanied by palpitations, pain in the heart, nausea, vomiting, more often in the morning on an empty stomach. Patients completely lose their ability to work, interest in life and family. In a number of patients, attacks of weakness with trembling, pain in the region of the heart, frequent urination occur immediately after eating or after 2-3 hours, sometimes at night.
In men hyperfunction of the hormonal apparatus of the duodenum predominates, often leading to peptic ulcer disease.

The disease is most severe in patients with diencephalic syndrome. Attacks of severe weakness, palpitations, tremors, nausea. vomiting lasts for several weeks, causing a complete loss of ability to work, interest in work, family. Often, the patient soon and two or three hours after eating, sometimes in the middle of the night, there are attacks of trembling and weakness. Attacks are accompanied by a feeling of fear, heat in the whole body. end with loose stools or copious urine output (polyuria). During an attack, the patient is covered with cold sweat, sometimes she loses consciousness for a short time. In a number of patients with duodenal insufficiency, in addition to diencephalic phenomena, there are attacks of dizziness, staggering, accompanied by nausea and vomiting.

Treatment
First of all, a diet is prescribed. During the period of exacerbation, mechanical, thermal and chemical sparing of the mucosa is prescribed. Food should be fractional 5-6 times a day. Medical treatment includes the appointment of antacids, drugs that reduce the secretion of hydrochloric acid, drugs that enhance the regeneration of duodenal cells, drugs that regulate the motility of the gastrointestinal tract. Physiotherapy treatment is mandatory and sanatorium-and-spa treatment is recommended.

Treatment of duodenitis begins with the elimination of the cause that caused inflammation of the duodenum.

Giardia duodenitis is treated aminoquinol cycles of five days with breaks between them 4-7 days. Usually 2-3 cycles are enough. Take the drug 20-30 minutes after eating. The adult dose is 0.15 ml two to three times a day. Suitable for the treatment of giardiasis flagyl, furazolidone, akrikhin, delagil, trichopolum, enteroseptol, erythromycin, garlic infusion. A combination of two or three drugs is used.

Phytotherapy for acute duadenitis gave a wonderful and fast effect. We used a hot infusion from collection No. 1: the color of chamomile, large plantain leaf and peppermint - two parts each; herb St. John's wort and common yarrow - one part each. Brew one tablespoon of the collection with half a liter of boiling water. Insist one hour. Strain. Drink a quarter cup every hour while warm for two to three days. Then half a glass four times a day 15 minutes before meals and at bedtime. Course - 14 days.

Duodenitis is an inflammation of the mucous layer of the duodenum. The overall 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, manifested by inflammation of the mucous membrane, the development of erosion (a superficial defect of 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 a diet and doctor's prescription, you can recover in 1-2 weeks. With the recurrence of duodenitis, the risk of chronicity is 90%.

Chronic duodenitis develops against the background of a chronic pathology of the digestive tract (gastritis, stomach ulcers, pancreatitis), with prolonged violation of the diet. Gradually, atrophy of the mucosa (atrophic duodenitis) or its erosion (erosive duodenitis) develops. Under the action of provoking factors, an exacerbation of the disease occurs. Treatment is longer than in the acute form.

Structure

After the pylorus, the duodenum follows. She, like a horseshoe, goes around the head of the pancreas (PG), 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 mucosa of the bulb is provided with longitudinal folds, the rest of the departments are transverse. When they contract, a lump of food moves into the jejunum.

A large or Vater's nipple opens into the duodenum cavity. It is formed by the confluence of the main pancreatic duct and the common bile duct. The papilla of Vater has a sphincter that regulates the flow of bile and pancreatic juice into the intestine. The small nipple is located in the area of ​​the outlet of the accessory pancreatic duct.

Functions

The duodenum performs several functions:

1. Neutralization of acidic gastric contents. The 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. Relationship with the stomach: the duodenum ensures the opening and closing of the pylorus, the entry of a new portion of the food bolus into the small intestine. This happens as the next amount of gastric contents is neutralized in the duodenal cavity.

What causes acute duodenitis

The reasons leading to the development of 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. Food poisoning caused by the bacterium Helicobacter pylori (which causes ulcers), staphylococci, enterococci, clostridia, as well as giardiasis, helminthiases. Pathogenic bacteria lead to the development of inflammation in the duodenal mucosa, damage to epithelial cells and their death. A large amount of fluid enters 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 backflow of the contents of the underlying segments of the intestine into the duodenum. This may be due to spasm or obstruction (due to a tumor or other causes) of the jejunum. Bacteria from the lower divisions 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

Causes leading to the appearance of chronic duodenitis:

1. Pathology of the intestine, leading to a deterioration in 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. Formed gastritis-duodenitis.
3. An anomaly of the liver, gallbladder and pancreas leads to a violation of the release of enzymes into the lumen of the duodenum 12, which impairs its functioning.
4. Regular violation of the diet and diet.
5. food allergy.
6. Prolonged stress.
7. Use a large number medicines.
8. Availability bad habits(drinking alcohol, smoking, substance abuse).

Clinic

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:

• Pain in the epigastric region, aggravated by palpation (palpation) of the abdomen. The 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 a meal;
  • with duodenitis caused by a violation of intestinal patency, the pain is arching, paroxysmal, occurs when the intestines are full;
  • with gastritis-duodenitis with high acidity - develops 10-20 minutes after eating, which is explained by the entry 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 appears similar to an attack of hepatic colic: pain in the right hypochondrium.
• Increased fatigue, weakness. This is due to the action of toxic substances formed in the process of inflammation.
• Perhaps a slight increase in body temperature (up to 37-38 0).
• Digestive disorders (dyspepsia):
  • nausea;
  • loss of appetite;
  • increased gas formation (flatulence);
  • belching, vomiting with a bitter taste (due to bile ingestion) - throwing food back into the stomach;
  • stool disorder (diarrhea or constipation).
• Yellowing of the skin and mucous membranes. Swelling 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 is a syndrome. Occurs after a large meal. When the duodenum overflows, a redistribution of the bloodstream occurs (blood flow to the digestive organs, outflow from the head). Manifested by dizziness, drowsiness, a feeling of fullness in the stomach, fever in the upper body.

With an asymptomatic course of the disease, there may be no complaints, the detection of pathology is an accidental finding during gastroduodenoscopy.

Diagnostics

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

1. Presence of characteristic complaints described above.
2. Inspection. On palpation (feeling) of the abdomen, there is pain in the projection of the duodenum.
3. Instrumental examination data:

• FGDS (fibrogastroduodenoscopy) - a scopic examination of the stomach cavity, duodenum. In the presence of duodenitis, characteristic signs are determined: (mucosal edema, redness). Each form of duodenitis is characterized by its own characteristics of FGDS - pictures:
  • a) with catarrhal (or superficial) duodenitis - uniform reddening 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 mucosa - about the nodular form;
  • e) hemorrhages - about hemorrhagic;
  • f) atrophy of the epithelium - about atrophic.
• X-ray contrast study - conducting fluoroscopy or graphy after the patient has consumed a contrast agent (barium sulfate). With such a study, it is possible to identify gross violations in the structure and functioning of the organ; restructuring of the mucosa in this way cannot be detected. In the pathology of the duodenum, a number of signs are found:
  • a) areas of narrowing indicate a tumor, adhesions, developmental anomalies;
  • b) areas of expansion indicate a decrease in tone, blockage of the lower intestines, 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;
  • e) reflux - reflux 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: in the initial stages of duodenitis, an increase in enzymes (eterokinase and alkaline phosphatase) will be noted, in the future their activity decreases;
• analysis of feces for occult blood (will be positive in the presence of bleeding, may be with an erosive form).

Features in children

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

The treatment is complex. If helminthiasis has become the cause of duodenitis, deworming is an obligatory component.

Treatment

The main tasks in the treatment of duodenitis:

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

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

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

Indications for inpatient treatment:

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

Treatment components:

• medical nutrition;
• folk remedies;
• medicines;
• physiotherapy;
• use of mineral waters.

Nutrition

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

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

Basic principles of nutrition:

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

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

meal	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 (oatmeal flakes - 40, milk - ¾ cup, eggs - ¼ pieces, butter - 10, sugar 2, water - 1¾ cups), meat puree (lean boiled beef - 100, milk - 1/4 cup, butter - 10), dried apple compote (water - 200, dried apples - 20, sugar - 15)
afternoon tea	Milk - 1 cup, 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.

• ulcer-like form - table number 1;

• gastritis-like option - table number 2;

• pancreatitis and cholecysto-like form - table number 5.

• boiled lean meat, scrolled 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 omelette;
• fats (butter, vegetable oil);
• juices;
• yesterday's bread and crackers (easier to digest than fresh pastries);
• natural sweets (honey, mousse, jelly).

Prohibited foods that stimulate gastric secretion containing indigestible fibers:

• 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 until hunger strikes 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, in order to exclude irritation of the duodenum mucosa. These are soups, cereals, steam dishes.
4. Avoid overeating, eating at night.

Folk methods

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

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

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

Recipes for the preparation of medicinal potions for duodenitis:

• 2 tbsp. tablespoons of St. John's wort raw materials are poured into 200 ml of boiling water, heated in a water bath for 0.5 hours, insisted for 15 minutes, filtered, drunk 1/3 cup 3 times a day 0.5 hours before meals;
• 3 art. tablespoons of plantain juice are mixed with 1 teaspoon of honey, take 1 tbsp. spoon 3 times a day before meals;
• 50 g of propolis is poured with 2 cups of alcohol, the resulting mixture is put 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 cup of boiling water, insisted 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 a glass jar, take 1 tbsp. spoon on an empty stomach.

Medical therapy

How to treat duodenitis? In accordance with the form of the disease, various combinations of groups of drugs are used:

medicinal group	Mechanism of influence	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	With 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	Suppress release of HCl.	Ranitidine	0.15 - 2 times a day, course 1 - 1.5 months.
		famotidine	0.02 g - 2 times
Antacids	Neutralize with HCl. Envelop the mucosa, have a local anesthetic effect.	Almagel Maalox Gastal	For heartburn, up to 3 times a day.
Prokinetics	Regulate peristalsis, help promote the food bolus	Itomed Ganaton	1 tablet 3 times a day.
Enzyme products	Contain pancreatic enzymes, help better digestion of food	Pancreatin Creon 10000	After every meal.
Antispasmodics	Remove spasm, relieve pain	No-shpa (drotaverine) Platifillin Duspatalin	1 tablet - 3 times.
Sedatives	Calming effect	Valerian tablets, motherwort	The course is 10-14 days.

Separately, it is worth touching on the drug De-nol. It combines antacid, antibacterial (directed against Helicobacter pylori), anti-inflammatory, astringent action, protects the duodenum mucosa, 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 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 are mandatory. If the disease is provoked by exposure to stress, sedatives are connected. With an increase in acidity, one cannot do without antacids, PPIs, histamine blockers.

Physiotherapy

Apply magnetotherapy, ultrasound, phonophoresis.

Application of mineral waters

Use low-mineralized alkaline waters that do not contain carbon dioxide: "Borjomi", "Essentuki No. 4", "Smirnovskaya No. 1", "Slavyanovskaya", "Luzhanskaya", "Berezovskaya". Before use, mineral water is slightly heated, gases are released. Take 1-1.5 hours after eating.

All these methods of treatment together help to remove the manifestations of inflammation, to achieve a stable remission of duodenitis.