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Tuesday, 3 December 2013

Duodenitis Prevention - The do`s and do not`s list

Duodenitis is defined as a condition of inflammation in the lining of the duodenum, the first section of the small intestine. 

Prevention
A. The do`s and do not`s list
1. Avoiding spicy foods
Prolonged intake spicy foods incinerates the risk of irritation and inflammation of the lining of stomach and duodenum. 

2. Changes in food tolerance and lifestyle
If you develop Duodenitis as result of bacterial infection, changes in food tolerance and lifestyle can be helpful. The prevalence of food intolerance decreased from 71% to 44% among patients with peptic ulcer disease (PUD) (P < 0.0001) and from 76% to 63% among patients with  duodenitis (G/D) (P = 0.09). Tolerance improved for coffee, orange juice, fried foods, spicy foods and fruits, according to the study by Haukeland University Hospital(17).

3. Quit smoking
In the study to  investigate whether cigarette smoking has an additive effect on the clinical presentation and course of disease in Helicobacter pylori-positive dyspeptic patients, researchers at the  Tel Aviv University, indicated that Gastric and duodenal ulcers were significantly less prevalent in non-smokers than in current or past smokers (gastric 1.8%, 4.1%, 6.3%; duodenal 39.8%, 50%, 51.4%, respectively) (P < 0.05). The incidence of gastrointestinal bleeding was significantly lower in non-smokers than in current or past smokers (7.1%, 8.1% and 20.7%, respectively) (P < 0.05). Bacterial density, as assessed by the UBT value in 244 patients, was higher in non-smokers (mean 352.3 +/- 273 units) than in past smokers (mean 320.8 +/- 199) or current-smokers (mean 229.9 +/- 162) (P < 0.05)(18).

4.  Excessive alcohol drinking and stress
Excessive drinking and stress are associated with the risk of  Duodenitis(19)(20).

5. Avoiding prolonged use  of anti-inflammatory drugs, such as Ibuprofen and Aspirin
Prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin), naproxen (Aleve), or aspirin, in some people, it can lead to irritation causes of  inflammation in the lining of the duodenum(21).

6. Moderate exercise
Exercises can reduce stress at work and at home(22), thus, reducing the risk of Duodenitis.

7. Etc.
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Sources
(17) http://www.ncbi.nlm.nih.gov/pubmed/12737441 
(18) http://www.ncbi.nlm.nih.gov/pubmed/11344768
(19) http://www.ncbi.nlm.nih.gov/pubmed/12898897
(20) http://www.ncbi.nlm.nih.gov/pubmed/9479996  

(21) http://www.ncbi.nlm.nih.gov/pubmed/18158085
(22) http://www.ncbi.nlm.nih.gov/pubmed/22988262