Chronic duodenitis: symptoms and treatment

Chronic duodenitis is a disease of the duodenum, in which the structure of the organ is disturbed, and its upper layer is depleted. Often manifested due to the course of other inflammatory processes in the organs of the digestive tract or can result from malnutrition. Because the disorder is chronic, it alternates with periods of exacerbation and withdrawal of symptoms. That is why it is necessary to undergo long-term treatment, and adhere to a special diet throughout life.

In medicine, there are several theories about whether or not to use folk remedies in treatment, so do not resort to self-therapy without first consulting a doctor.

The main signs of the disease are abdominal pain, nausea, vomiting, increased sweating, trembling of the fingers of the upper limbs. Despite the fact that this is one of the most common pathologies of the duodenum, an independent disease is very rare — very often chronic duodenitis is accompanied by a chronic gastritis. For men, this disorder is more characteristic than for women. This is due to the fact that such a disease is often the first sign of the occurrence of ulcers in the stomach, which are very often affected by middle-aged men.


Since the onset of chronic duodenitis is closely related to other pathological processes of the digestive tract, there are many reasons why it can manifest itself. They include:

  • constipation, especially of a chronic nature
  • difficult mobility of the pelvic organs
  • inability to contain urine in strong urge
  • chronic gastritis — high acid content leads to the fact that it damages the walls of the intestine. This leads to thinning of the mucosa;
  • chronic disorders of the functioning of organs such as the pancreas, liver and gallbladder
  • Helicobacterial infection.

In addition, there are a number of factors that contribute to the expression of this disease:

  1. long-term stress effects
  2. adherence to strict diets
  3. allergic reactions to certain foods
  4. hormonal imbalance
  5. abuse of nicotine and alcoholic beverages
  6. the immense reception of medications without the need or appointment of a physician;
  7. absorbing a large number of spicy dishes.

Precisely these predisposing factors, when exposed for an extended period, lead to a violation of blood supply in the organs involved in the digestive process. Because of this, their resistance to inflammatory processes decreases.


Chronic duodenitis can occur in several forms:

  • superficial — insignificant, no more than three months, inflammation of the duodenal mucosa
  • atrophic — at which there is a thinning of the membrane, because of what the secretion of this organ is broken;
  • erosive — the appearance on the mucous membrane of erosion and small sores

Depending on the spread of the inflammation, chronic duodenitis can be:

  1. total — affects the entire duodenum;
  2. limited — only some parts of the organ undergo a pathological process.

For percolation phases:

  • aggravation;
  • remission or withdrawal of symptoms.

Depending on what signs prevail, the disease is distinguished:

  1. gastritis-like
  2. ulcerous
  3. cholecyst like;
  4. pancreatic-like
  5. mixed;
  6. hidden, in which a person may not be aware of what is the carrier of such a disease.


The course of chronic duodenitis occurs much easier than its other form. Soreness in such cases is constant, but not pronounced. The remaining symptoms of a chronic disease include:

  • nausea accompanied by vomiting
  • acute pain in the upper abdomen (increases after eating)
  • A significant decrease in appetite, which often leads to a decrease in body weight, sometimes to critical markers
  • In some cases, pain from the epigastric region can move to the back;
  • severe dizziness;
  • migraine
  • general weakness of the body
  • a slight increase in body temperature;
  • eructation occurrence
  • the skin and the whites of the eyes acquire a yellowish hue;
  • trembling in the toes of the upper limbs;
  • disorders of the nervous system
  • increased sweating
  • increased heart rate
  • the appearance of a white plaque on the tongue
  • diarrhea;
  • heartburn, regardless of food intake

The disease is most often manifested by several of the above symptoms.


In order for the doctor to prescribe the correct treatment, it is necessary to carry out a diagnosis. It is not difficult for doctors to determine the presence of this disorder on examination, but since there are many forms and no specific symptoms, it is necessary to conduct additional examinations:

  1. examination of the esophagus, stomach and duodenum with gastroscopy
  2. biopsy, in which a small piece of tissue is collected for subsequent laboratory tests
  3. Ultrasound — performed to determine the condition of internal organs
  4. study of gastric juice
  5. upper gastrointestinal examination
  6. sounding;
  7. A breath test that will help determine if there is a bacterium such as Helicobacter pylori in the body
  8. PCR research will help to establish the nature of the onset of the disease.


Treatment of chronic duodenitis, similar to diagnosis, consists of a set of measures:

  • elimination of symptoms with various medications
  • Enrichment of the body with vitamins and proteins
  • prescribing antidepressants (with prolonged exacerbation)
  • adherence to a special diet
  • Treatment with the help of folk remedies is possible only after the approval of the advisability of their reception by a doctor

Not the least role in the treatment plays a diet that provides:

  1. refusal from sharp and fatty foods
  2. eat small portions five to six times a day. Food should not be too hot or cold;
  3. reception in any quantity of low-fat meat and fish
  4. The first dishes made from rice, buckwheat or semolina
  5. Limited use of eggs. You can eat only hard-boiled eggs, or omelettes made exclusively from proteins;
  6. dairy products and cottage cheese;
  7. There is bread only in the form of dried bread or crackers;
  8. drink a lot of loose teas or fresh.

Diet is not allowed to use:

  • smoked sausages
  • Pickles
  • bakery products
  • fat meat and broths from it
  • sour cream and cream
  • sweet carbonated drinks
  • cabbage, radishes, radishes, onions, garlic;
  • Ice cream
  • Grapes.

In addition to diet, you can use folk remedies, which include recipes from:

  1. mixtures of leaves of aloe, red wine and honey
  2. Propolis and alcohol;
  3. celery juice
  4. potato decoctions and juices
  5. sea buckthorn oil
  6. chamomile tea and dandelions
  7. valerian, anise fruit and ayr root;
  8. decoction from the flowers of calendula
  9. oat flakes jelly.

But do not forget that folk remedies for chronic duodenitis can only be used after consultation with a specialist.

Surgical methods of treatment are treated extremely rarely, and only in those cases when all the above-mentioned methods of therapy failed.


Preventive measures of chronic duodenitis are extremely important, as they will help to avoid frequent recurrence of exacerbations of symptoms. To do this:

  • lead a healthy lifestyle. Even in small quantities, alcohol and smoking are prohibited;
  • give up acute and fatty foods and adhere to a non-strict but effective diet
  • timely treatment of diseases of the digestive tract;
  • undergo a preventive checkup several times a year;

  • use traditional therapy (after approval by the attending physician).