home Audience 1 Pronounced dgr. Symptoms and treatment of duodenal gastric reflux

Pronounced dgr. Symptoms and treatment of duodenal gastric reflux

Duodenogastric bile reflux is not always considered by doctors as a disease. An absolutely healthy person can show this condition during sleep or physical activity. Only this will happen practically asymptomatically and will not require treatment. But most often this is a pathology for which they turn to a specialist.

Duodenogastric reflux bile is when everything that has accumulated in you duodenum, and first of all, this, of course, is bile, which naturally flows back into the stomach. We can say that this process is recognized as an independent disease only in 30% of cases of such pathology. All other cases are classified as a syndrome that accompanies other diseases. Bile reflux is caused by gastritis and peptic ulcers of the stomach or duodenum.

This process occurs because the closing function of the pylorus is weakened in your body, the pressure in the duodenum is increased, and it also has an effect chronic duodenitis. In turn, these reasons also do not come out of nowhere. The likelihood of their occurrence increases if you smoke or take medications that weaken the tone of the smooth muscles of the esophagus. This is also helped by weakened esophageal muscles that separate the duodenum and stomach, as well as dysbacteriosis. You may also suffer if you have inflammatory processes in the pancreas or gall bladder. Even such a wonderful condition as pregnancy can affect bile reflux.

Symptoms

Very common symptoms of this disease do not specifically point to it. Reflux disguises itself as other diseases gastrointestinal tract. Sometimes there are no symptoms at all and a person finds out that he has problems in this area by chance, while being examined for a completely different problem. Based on the complaint, the doctor sends for fibrogastroduodenoscopy, and there the problem of the duodenum is already discovered gastric reflux.

If we talk about symptoms, this disease may be indicated by:

If some time after eating you experience a painful spasm in the epigastric area.
Again, after eating, you feel bloated and as if you are bursting with what you have eaten, even if the portion was very small.
There is a yellowish coating on the tongue.
There is a bitter taste in the mouth, as if from spilled bile.
The belching is either just air or something sour.
After eating, nausea sets in, and sometimes there is vomiting, in which bile is clearly felt.
Some time after you eat, you feel heartburn.

If you have these symptoms, it is serious reason contact a specialist. He will send you for FGDS or contrast radiography of the stomach and duodenum. These studies will leave no doubt about the diagnosis.

Prevention

To avoid facing all the above problems, you can take timely measures. To do this, first of all, you need to control your diet and diet. Do not overeat, do not take a horizontal position after eating, do not bend over. In addition, do not allow physical activity with increasing pressure in abdominal cavity soon after eating.

Naturally, you should quit smoking. Smoking in general causes many diseases, and if you give it up, your body will thank you very much.

Treatment

Like most diseases, biliary reflux requires complex treatment. In the event that he acts only as side effect another disease, the root cause should be treated, and at the same time you can cope with biliary problems.

The first and perhaps the most important condition for recovery can be called refusal alcoholic drinks and smoking. A specialist whom you should definitely contact can prescribe you choleretic drugs, aspirin or caffeine. In addition, if you are overweight, your doctor will prescribe a diet for you. Obesity is contraindicated in this disease.

Drug treatment

Medicines for duodenogastric reflux are prescribed those that improve the motility of the gastrointestinal tract. As the condition of the muscles improves, the condition of the shut-off valves between the organs will also improve. To improve motor skills, Trimedat is prescribed, for example. And so that food does not linger in the stomach and moves faster through the small intestine, you will take so-called prokinetics, which include Cerucal and Domperidone. Omez and Nexium will prevent the contents of the duodenum from negatively affecting the mucous membranes of the stomach.

Also, in order to alleviate the symptoms of the sore, others are prescribed medications, which do not directly contribute to healing. For example, to relieve a patient from heartburn, he will be given Almagel, Gaviscon or Phosphalugel.

Diet

A prerequisite for you will be to follow a diet. It will consist in the fact that your meals will have to be fractional, at least 5-6 times a day, and in small portions. You should not overeat and food should enter the stomach thoroughly chewed. Or grind it thoroughly before using. Food must be prepared by boiling, baking or steaming. The temperature of the food consumed should not be cold or hot, but only a comfortable warm temperature. After meal a whole hour You should not lie down or make physical efforts that will strain your stomach.

It is very important to detect and treat duodenogastric reflux in a timely manner, since in an advanced state it can lead to reflux gastritis.

Duodeno-gastric reflux is the backflow of the contents of the duodenum into the stomach. This pathological condition often accompanies other diseases digestive tract, such as gastritis or duodenal ulcer. Less commonly, duodenogastric reflux occurs as independent disease. To eliminate the problem, you need to know what it is and what drugs are used for treatment.

DGR and its causes

Duodenogastric reflux (DGR) occurs in more than half of the population. In 10–15% of people, this condition occurs occasionally, for example, during severe physical activity or during sleep. This condition does not appear clinical symptoms and is not considered a pathology.

Prevalence medical information led to the fact that the term “duodeno-gastric reflux” began to be distorted. In some information publications you can find duodenal gastric reflux or gastroduodenal reflux. These options are incorrect.

The cause of the disease is a decrease in the closing function of the gastric sphincter. In such cases, increased pressure in the duodenum causes reflux of bile, pancreatic enzymes and other components of intestinal secretions into the stomach. This causes irritation of the gastric mucosa and the appearance of unpleasant symptoms.

Long-term and frequent episodes of GHD can lead to irreversible changes in the gastric mucosa, the formation of ulcers and the development of chronic gastritis. Most cases of pathological duodenogastric reflux appear in patients who have undergone gastrectomy.

Other factors contributing to the problem:

alcohol intoxication and smoking;
pregnancy period;
inflammatory diseases of the gallbladder, pancreas and liver;
taking some medications affecting the smooth muscles of the intestines and stomach;
stressful situations and dietary errors;
excess weight.

Symptoms of duodeno-gastric reflux

The clinical manifestations of GHD are nonspecific and similar to most other pathological conditions of the gastrointestinal tract. GHD is often combined with gastroesophageal reflux (reflux of stomach contents into the esophagus), since these two diseases have common contributing factors.

Clinical signs of the disease depend on individual characteristics patient and severity of the disease. GHD may present with the following symptoms:

heartburn and regurgitation;
pain behind the sternum and in the epigastric region;
painful swallowing;
unpleasant taste and odor from the mouth;
feeling of fullness in the stomach;
bloating;
nausea, less often – vomiting mixed with bile;
at concomitant lesion there is a malfunction of the esophagus respiratory tract(hoarseness, dry cough, sore throat) and destruction of tooth enamel.

Unfortunately, the severity of GHD does not always correspond to the severity of symptoms. More than 80% of cases of pH changes in the stomach and esophagus are not accompanied by subjective sensations. The patient more often learns about the disease when irreversible changes in the mucous membrane develop, an ulcer, gastritis or other complications appear.

Diagnostic criteria

To diagnose DGR, use:

long-term pH measurement, which allows you to record the frequency, duration and severity of reflux;
radiography using contrast agent, through which it is possible to detect the penetration of contrast from the duodenum into the stomach, as well as detect hernia of the diaphragm;
electrogastroenterography, which provides information about the contractile activity of the stomach and duodenum;
FGDS (fibrogastroduodenoscopy), which allows to assess damage to the mucous membrane of the stomach and esophagus, identify the presence of ulcers, erosions and assess the severity of the pathological process.

If during a planned FGDS the patient is diagnosed with duodeno-gastric reflux, which is not accompanied by changes in the gastric mucosa and clinical signs, then it is ignored and not considered as a pathology.

How to treat duodenogastric reflux?

Most patients wonder if this problem can be cured. The disease responds well to treatment early stages, when irreversible restructuring of the gastric mucosa has not begun, and the process has not acquired chronic course. In these cases adequate treatment and prevention will protect against the development of complications of GHD. The goals of therapy are to eliminate symptoms, improve the patient’s quality of life, soothe irritated gastric mucosa, and avoid or eliminate complications of the disease.

Recommendations for diet and diet:

after eating, do not lean forward or take a horizontal position;
during sleep, the head end should be raised as much as possible;
do not eat before bedtime;
avoid tight and tight clothing, corsets and belts;
eat small portions;
a diet for this disease involves avoiding fats, coffee, chocolate, alcohol and citrus fruits;
control your weight;
Avoid the use of medications that can provoke reflux (sedatives, nitrates, beta blockers, tranquilizers, etc.).

Conservative therapy includes:

Reception antacids such as Smecta, Almagel, etc. These drugs are used to eliminate the symptoms of heartburn, belching and bad taste in the mouth.
Prokinetics (Cerucal, Reglan, Motilium). These drugs regulate and enhance gastric motility, accelerating its emptying.
Antisecretory agents (ranitidine, omeprazole). Suppress education of hydrochloric acid and accelerate the process of mucosal regeneration.
Taking enzyme preparations (Creon, Festal, etc.) is prescribed when DGR is combined with pancreatic diseases.
Stimulators of gastric secretion and agents that improve blood supply to the stomach wall (Pentagastrin, Eufillin, Trental).
Ursodeoxycholic acid, which displaces toxic bile acids.

Therapy with folk remedies

Drugs traditional medicine are used in a complex treatment regimen together with medications. To treat the disease use:

decoctions medicinal herbs with a calming effect (chamomile, sage, St. John's wort);
a little flaxseed has enveloping properties and soothes the inflamed gastric mucosa;
Plantain tincture and buckthorn tea enhance motility and promote gastric emptying.

Treatment folk remedies should be carried out in conjunction with drug therapy and under the supervision of a specialist, so as not to aggravate the course of the disease and achieve a lasting positive effect.

Duodeno-gastric reflux is a gastroenterological disease that is diagnosed in 15% of absolutely healthy people. Sometimes it occurs independently, but more often it accompanies and develops against the background of chronic gastritis, duodenal or gastric ulcers, gastroesophageal reflux disease.

What does duodeno-gastric reflux mean?

With this diagnosis, the contents of the duodenum are thrown into the gastric space. An independent diagnosis of duodenogastric reflux occurs only in 30% of all cases. In some patients, the disease occurs in outbreaks - it occurs suddenly during sleep or as a result of excessive physical exertion. At the same time, no visible symptoms no, and negative influence The condition does not affect the digestive system. Because in similar cases GHD is not considered a disease.

Duodeno-gastric reflux - causes

The disease appears when there is a violation of duodenal patency. As a result, the pressure inside the duodenum increases, and the closing function of the pylorus is noticeably weakened. When the pyloric sphincter cannot perform its basic functions, food that has passed on to the next stage of the digestive cycle returns back to the stomach.

As in some cases of gastritis, duodeno-gastric reflux is caused by the following reasons:

smoking;
inflammatory processes in the pancreas or bile;
taking medications that reduce the tone of the smooth muscles of the esophagus;
helminthic infestations;
abnormal development of the duodenum;
congenital syndromes of incomplete intestinal rotation and short bowel;
lack of the hormone gastrin;
pregnancy.

The phenomenon of duodeno-gastric reflux has several main risk factors. In most cases, the problem develops due to:

excessive consumption of fatty and spicy foods;
unbalanced diet (dry food);
irregular meals;
taking non-steroidal anti-inflammatory drugs or antispasmodics for too long;
obesity;
diabetes;
pancreatic insufficiency.

Duodeno-gastric reflux – degrees

As with any other disease, GHD has varying degrees of development. Depending on how long ago and actively the disease progresses, the manifestations change various symptoms. The degree of duodenogastric reflux is determined by the amount of bile acids contained in different parts of the stomach. And what earlier illness diagnose, the easier it will be to deal with it.

DGR 1st degree

The “simplest” degree is the initial one. Duodeno-gastric reflux of the 1st degree is diagnosed when a minimal amount of bile is detected in the pyloric gastric section adjacent to the sphincter. Symptoms in the first stage may not appear at all. And if signs do arise, most patients do not pay attention to them, believing that the discomfort appeared as a result of overeating or eating “on the run” and will soon pass.

DGR 2nd degree

Many people learn about their diagnosis just when the disease enters the second stage. Duodeno-gastric reflux of the 2nd degree is diagnosed in those patients in whom bile is found in higher departments stomach - in the antrum or fundus. At this stage, the symptoms acquire clear outlines and constantly remind themselves, which forces the patient to consult a specialist.

DGR 3rd degree

This is the most difficult and running form diseases. Severe duodenogastric reflux is determined when the contents of the duodenum reach the fundus of the stomach and the lower esophageal sphincter. The third stage is characterized by the manifestation of all the main symptoms. Moreover, they are all clearly expressed and cause the maximum amount of discomfort.

Duodeno-gastric reflux - signs

The symptoms of GHD are in many ways similar to those of other diseases of the digestive tract. This is explained by their relationship. Chronic duodeno-gastric reflux can be recognized by the following symptoms:

, which usually occurs after eating;
nausea and possible subsequent attacks of bile vomiting;
belching with air or a sour taste;
bloating and feeling of fullness in the abdomen;
cutting or cramping pain in the abdomen;
constant bitter taste in the mouth;
the appearance of a yellowish coating on the tongue.

Very often, duodeno-gastric reflux manifests itself as pain. Unpleasant sensations are usually concentrated in the upper abdomen. The pain is recurrent and generally tolerable. But some patients complain of too intense sharp and burning pain in the stomach, appearing almost immediately after eating, which unsettles you for several hours.

How to cure duodeno-gastric reflux?

In order for recovery to occur as quickly as possible, therapy must be comprehensive and should begin when the first signs appear. Before treatment is prescribed for duodenogastric reflux disease, specialists determine the cause of the problem. Regardless of why GHD appeared, the patient is recommended to reconsider his lifestyle: do not abuse alcohol and cigarettes, give up choleretic medications, caffeine, and Aspirin. If you have reflux, it is very important to control your weight and follow a diet.

Duodeno-gastric reflux - treatment with drugs

the main task drug therapy for DGR – restore normal functions Gastrointestinal tract and control the motor-evacuation function of the affected sections digestive system. How to treat duodenogastric reflux should be determined by a specialist. Mostly doctors prescribe:

Prokinetics - or Domperidone - which promote rapid digestion of food, its absorption and movement through the ducts small intestine.
To protect the gastric mucosa from the irritating effects of the contents of the duodenum, Omez and Nexium are used.
Such remedies as Almagel, Phosphalugel, Gaviscon help to cope with heartburn.
Serotonin receptor agonists – mosapride citrate – help to enhance peristalsis of the upper gastrointestinal tract.
UDCA (ursodeoxycholic acid) preparations are effective, which make the contents of the duodenum thrown into the stomach water-soluble and less aggressive (in practice, this leads to the elimination of bitter belching, vomiting, and pain relief).

Duodeno-gastric reflux - treatment with folk remedies

This disease is treatable alternative methods. But still, most experts recommend resorting to them only as part of complex therapy. When diagnosed with duodeno-gastric reflux folk recipes should be selected by doctors and only after determining the causes of the disease. Otherwise, the patient's condition may only worsen.

How to cure duodeno-gastric reflux with herbs?

Ingredients:

yarrow;
St. John's wort;
chamomile.

Preparation and use:

Mix the ingredients in any quantity in one bowl. You can use it “by eye”; you don’t need to follow precise proportions in this recipe.
The herbs are poured with boiling water and infused for 10-15 minutes.
It is recommended to drink the resulting tea every day, morning and evening.

Treatment of duodeno-gastric reflux with flax seeds

Ingredients:

flax seeds - 1 tbsp. l.;
water – 100 ml.

Preparation and use:

The seeds are filled with cool water.
The mixture should be infused until the seeds begin to swell. At this stage, beneficial mucus begins to secrete from them.
The resulting liquid should be drunk on an empty stomach, ¼ - ½ cup.

Calamus and sage against duodeno-gastric reflux

Ingredients:

calamus root – 50 g;
sage – 50 g;
angelica root – 25 g;
water – 1 glass.

Preparation and use:

Take one teaspoon of each dry mixture.
Boil water and add herbs.
The medicine needs to sit for about 20 minutes. After that, you can strain it and drink it.
To make the mixture more tasty, you can add honey to it.
You need to take the medicine three times a day, an hour after meals.

What kind of disease is this? Duodenogastric reflux appears against the background of gastritis, pancreatitis, ulcers, duodenitis. Also, this disease can appear if a person has undergone gastric surgery.

Symptoms

This is a disease in which the contents of the duodenum are thrown into the stomach cavity. Symptoms of the disease are expressed as follows:

coating on the tongue (yellow);

pain in the abdomen. Causes of pain: activity of the biliary tract and intestines, which leads to spasm;

heartburn (discomfort, burning behind the sternum). In some people, this may be expressed by a feeling of warmth, pressure, or fullness in the abdomen. Heartburn occurs with any acidity, but most often with increased acidity;

belching (food from the stomach entering the mouth). There are voluntary and involuntary belchings. Belching is accompanied by the release of sound and the release of air (from the mouth).

What complications does duodenogastric reflux cause?

A person suffering from duodenal gastric reflux for a long time may experience very severe complication. This:

chemical-toxic gastritis (type C),

reflux gastritis,

gastroesophageal reflux disease,

Symptoms and treatment of complicated duodenal gastric reflux. The disease leads to the formation of ulcers. A mixture of bile and pancreatic juice is aggressive environment, destroying the gastric mucous barrier. Moreover, over time, duodenogastric reflux causes metaplasia of the gastric epithelium. In addition, lysolecithin is formed, which has a toxic effect on the mucous membrane, gradually damaging it.

Diagnostics

This disease can only be detected through a (comprehensive) examination:

ultrasound examination abdominal cavity;

determination of the degree of acidity. This is very important, as it will allow a specialist to install accurate diagnosis, and to what extent the disease is expressed;

conduct electrogastroenterography;

Treatment of the disease can only be prescribed by a specialist, based on the result confirmed by the examination.

Treatment

Treatment of duodenal gastric reflux should be prescribed by a specialist - a gastroenterologist. Treatment of this disease will be aimed at normalizing the proper functioning of the organs - the stomach and duodenum. The specialist also prescribes a certain diet, which excludes everything fried, spicy and fatty.

To treat reflux, it is necessary to neutralize the effect of bile acid on the mucous membranes of the stomach and oral cavity, because bile has a very irritating effect. In addition, it is necessary to achieve accelerated emptying with the help of medications, and you also need to increase the tone of the esophageal sphincter.

Symptoms and treatment of duodenal gastric reflux chronic form. Typically, drugs from the group of prokinetics are prescribed. Perhaps doctors will prescribe Metoclopramide, Domperidone, but for a short continuous period, that is, a maximum of three weeks. Negative point Such therapy may mean that after cessation of therapy, reflux symptoms may recur.

Complex treatment should consist of inhibitor drugs, if the disease is accompanied increased level acidity. This group of drugs is able to neutralize the aggressive effects of acid on the mucous membrane. It is recommended to give preference to representatives latest generation, for example, the drug Pantoprazole. It has minimal side effect, is approved for use by pregnant women, as it is safe for health.

Home care tips

To prevent symptoms of the disease from tormenting you, do several useful tips:

eat more often, but little by little;

mouth treatment of duodeno-gastric reflux, rest more and sleep on the right side;

follow the regime;

spend more time in the air - this will ensure excellent digestion;

make a decoction of herbs (St. John's wort). Pour boiling water over one tablespoon (tablespoon) of St. John's wort herb. Let it brew for half an hour. Drink half a glass before meals (thirty minutes). Drink this decoction for two weeks.

It is recommended to increase your walks and stay outside as much as possible. fresh air(calm step), try not to get nervous over trifles. But everyone knows that all diseases come from nerves. Better smile, and then everything will be fine!

Using these tips, you will feel much better, the symptoms of the disease will appear much less.

Healthy diet

Almost every 5th person has a disease such as gastritis. For some it manifests itself in more expressed form(pain, spasms, nausea, etc.), for some to a lesser extent. If gastritis is not treated, it can lead to a disease such as duodenogastric reflux. The main component of the treatment of this disease is diet. It is also important in disease prevention.

Besides drug treatment It is extremely important to maintain a certain diet. This means that it is necessary to exclude from the diet: fried, spicy, fatty, citrus fruits, chocolate, cocoa, tomato, garlic. The following is recommended by specialists for the treatment of duodenogastric reflux:

vegetarian, low-fat soups meat broths;

vegetable and fruit salads;

include bran in your menu;

low-fat cottage cheese;

juice, mineral water, yoghurts.

The diet for duodenogastric reflux is generally accepted for the gastrointestinal tract, that is, it has not yet been fully developed, but there are a number useful recommendations, the implementation of which facilitates the course of the disease and prevents the development of complications. Here are some of these recommendations:

frequent split meals in compliance with the diet: 3 main meals for duodenogastric reflux and 2-3 “light” meals between them;

food for duodenogastric reflux should be easily digestible;

avoid overeating;

Food with symptoms of duodenogastric reflux should be chewed thoroughly;

During “snacks” in a diet for duodenogastric reflux, it is better to use crackers, crackers, cookies, and bran that promote the excretion of bile.

Nutrition rules

The following rules contribute to the effectiveness of the diet for duodenogastric reflux:

do not take after meals horizontal position not less than 1 hour;

If you have symptoms of duodeno-gastric reflux, do not allow physical activity for at least 1 hour after eating (especially those associated with bending over, tensing the abdominal muscles);

do not wear tight clothes and belts, so as not to contribute to the increase intra-abdominal pressure;

frequent walks in the fresh air, keeping active image life;

quitting smoking as a common cause duodeno-gastric reflux.

Sample menu for the diagnosis of duodenal gastric reflux

The diet includes:

avoid eating salty, spicy, fatty, smoked and fried foods;

exclude from the diet: citrus fruits, tomatoes, fresh bread, coffee, chocolate, garlic, onions and other foods that reduce the tone of the pyloric sphincter;

avoid foods that increase acidity in the diet for duodenogastric reflux gastric juice– for example, cabbage, apples;

use bran, which helps normalize the composition of bile for symptoms of duodeno-gastric reflux;

mineral water courses, rich in magnesium(for example, donate).

Diet for a complicated form of the disease

Since the occurrence of reflux is often caused by pathological conditions such as gastritis or peptic ulcer disease, for duodenogastric reflux the diet should be combined with the diets prescribed for this pathology. In this case, the following recommendations are added to the above recommendations:

“gentle” cooking: food should not be hot or cold, pureed soups and pureed porridges are recommended;

low-fat varieties meat and fish;

avoid acidic foods (including fermented milk products), sour juices;

Dairy products in the diet for symptoms of duodeno-gastric reflux are recommended: milk, non-acidic sour cream and yogurt, fresh cottage cheese;

avoid sour fruits and berries.

Full list products allowed or not allowed in the diet for duodeno-gastric reflux (table No. 2) and peptic ulcer(table No. 1) you can check with your doctor.

Do not forget that treatment of duodenal gastric reflux should be comprehensive. First of all, it is necessary to stop the pathological condition that led to its occurrence, otherwise even with proper nutrition duodeno-gastric reflux will occur again. Therefore, along with a diet for duodenogastric reflux and performing general recommendations Various medications are indicated, the doses and courses of which are selected qualified specialist individually for each patient, depending on the etiology of the disease that led to the occurrence of reflux.

Causes of the disease

Why does duodenogastric reflux occur? As is known, duodenogastric reflux is a consequence of many common diseases of the stomach and esophagus. Duodenogastric reflux can be observed with chronic gastritis, ulcers and duodenum. In addition, this type of reflux is considered the main cause of development chemical gastritis or as it is popularly called type “C” gastritis.

The bottom line is that with duodeno-gastric reflux, the normal, normal movement of bile is disrupted. The bile that accumulates in the duodenum is released back into the stomach, which should not happen. At the same time, once in the stomach, bile and enzymes (digestive) cause irritation of the mucous membrane. The cause of the disease is a dysfunction of the pylorus.

Provoking factors

Pyloric dysfunction is caused by the following factors:

chronic duodenitis;

more high pressure(above normal) in the duodenum.

It also happens that bile, from the duodenum entering the stomach, remains there. A so-called burn of the stomach (mucous membrane) occurs. After all, the mucous membrane is not able to resist such active and aggressive enzymes. Therefore, duodeno-gastric reflux occurs. There are cases of “high” duodeno-gastric reflux. In this option, bile goes not only to the stomach, but also to oral cavity. This is “high” reflux. In these cases, both the mucous membrane (lining) of the stomach and the esophagus are damaged.

Video: Symptoms and treatment of duodenal gastric reflux

Violations are widespread normal operation digestive system. Duodeno-gastric reflux is a pathology that causes the reflux of bile from upper section small intestine to the stomach. The disorder often develops against the background of other diseases of the human digestive system, as a complication after operations on the gastrointestinal tract. In thirty out of a hundred people who seek help, reflux develops as an independent disease. In 15% of the population, bile contents enter the stomach at night, but do not cause discomfort.

Reflux occurs as a result of increased internal pressure in the duodenum, which causes its contents to reflux into the stomach. There are external and internal reasons, resulting in disruption of organ function. Internal ones include:

External factors leading to the occurrence of DGR:

Violation of diet and abuse of junk food;
Long hunger strikes, alternating with heavy snacks;
Lack of physical activity or sports immediately after eating;
Long-term use medicines, affecting the muscles of the esophagus.

In a child, duodenal reflux appears when the time comes intensive growth body. The disease can also develop in children if:

Depending on the stage of mucosal damage, the following are distinguished:

There are three degrees of progression of DGR:

First degree - a small amount of duodenal contents enters the stomach. Has mild symptoms.
Second degree - a significant amount is thrown alkaline environment, which I highlighted gallbladder, which leads to inflammation and pathologies.
Third degree - has a clearly defined pain syndrome and symptoms of disruption of the normal functioning of the gastrointestinal tract.

Symptoms of the disease

The symptoms of gastroduodenal reflux are similar to those of other digestive diseases. The first sign of the disease is the appearance pain syndrome within thirty minutes after eating, which means there is a disturbance in the comfortable functioning of the stomach. Other signs of GHD:

Gastroduodenal reflux is accompanied by subtle symptoms: disruption of the structure of hair and nails - they become fragile, brittle; anemic skin; weight loss, poor appetite.

If the symptoms of the disease are ignored for a long time, the gastric mucosa is damaged and additional pathologies arise. Often duodenitis accompanies cardia insufficiency - acid-base environment the stomach enters the esophagus.

Diagnostics

Duodenogastric reflux does not have a clear pronounced signs, therefore, it is often diagnosed when a gastroenterologist examines other gastroenterological diseases.

A full examination includes:

Treatment

After studying the information obtained during the examination, the gastroenterologist will prescribe a treatment regimen. Therapy is aimed at normalizing the functioning and interaction of all organs involved in food digestion. Complex treatment includes the use of medications, physiotherapy, normalization of diet and the use of traditional medicine. For optimal choice treatment regimens need to establish what factors caused the onset of the disease.

The use of medications helps restore the natural functionality of the digestive system and reduce the pathological effects of injected substances on the stomach environment. For this purpose they prescribe:

Drugs that have a prokinetic effect - normalize the activity of the muscular structure of the digestive tract;
Medicines that neutralize the effects of bile acids;
Medicines, active active ingredients which help with heartburn.

Physiotherapeutic procedures help increase the tone of the abdominal muscles.

If duodenal reflux is diagnosed, it is recommended to change your diet and regimen. Nutritional rules are standard for reflux diseases of the gastrointestinal tract: fractional portions, avoidance of overeating and long fasts, adherence to temperature regime dishes, everything ready meals thoroughly crushed, avoid foods that provoke the secretion of gastric juice (smoked meats, hot and spicy dishes). Citrus fruits, apples, and caffeine-containing products can cause exacerbation of GHD. It is periodically necessary to drink for therapeutic purposes mineral water With increased content magnesium

Duodenitis can also be treated folk remedies How additional therapy. Mix chamomile, St. John's wort and yarrow in equal parts and brew as tea. Use twice a day. This decoction helps with heartburn.

Flaxseed infusion is prepared from one tablespoon of raw material per 100 ml cold water. Leave until a mucous substance appears on the seeds. Drink on an empty stomach.

Mix 25 g of angelica officinalis root with one hundred grams of a mixture of sage and calamus root. One tsp. pour a glass of boiling water. Leave for 20 minutes. Drink 60 minutes after eating.

Prevention of GHD

To cure the manifestations of duodenitis and avoid new attacks, you need to follow some rules and restrictions. Should be abandoned nicotine addiction, reduce or completely eliminate the consumption of alcoholic beverages, do not take uncontrolled medications, and follow a diet. Prepare dishes by boiling, baking and stewing. Dishes made from dietary meat and fish are healthy. Vegetables, berries, fruits should not be sour. Non-acidic sour cream, kefir, fermented baked milk, and milk are allowed. After meals, it is recommended to walk in the fresh air.

If you do not contact a specialist in a timely manner, there is a risk that duodenitis will develop into duodenogastroesophageal reflux. Following simple principles healthy image life, there is a significant chance to reduce the likelihood reappearance diseases.