Symptoms. Learn how we can help. Here are some duodenitis prevention tips: Duodenitis can be an aggravating condition and while it is true that some people are forced to give up some foods that they really like, it is worth the sacrifice. In the first days it is recommended to clean the stomach, lie more, fast, and on the second or third day you can eat a little. To prevent dehydration, drink plenty of fluids. The mortality rate ranges reported from 8% to 25% in the literature. Gastritis and duodenitis often respond well to treatment and heal without issue. Summary. Related Questions. . Instead of taking unused ranitidine products to a drug take-back site, a person should dispose of them according to the products instructions or by following the FDAs guidance. This cellular change is a precursor to cancer. Each case of duodenitis is at a different intensity, which is due to the underlying cause. They can also determine whether or not medication may resolve the issue. High-fiber diets. Breakfast: cereal porridge (liquid), compote of dried fruits, (snack: yogurt to 1.5% fat, puree from pears). It connects to the stomach. Known symptoms of duodenitis include: Abdominal pain; vomiting; nausea; discomfort in stomach; Causes. When people work with doctors and adhere to their treatment plan, complications are not common. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. Curcumin can also limit weight gain. Antacids can make it difficult or impossible for the body to absorb certain medications. Has sent me to ER. If you continue to use this site we will assume that you are happy with it. In many cases, gastritis and duodenitis occur at the same time. This could mean cutting down on certain foods or changing some lifestyle habits. An H. pylori infection may damage the cells over time, leading to scar tissue or possible cancer formation. You have trouble breathing or are breathing faster and passing only a little urine. Bel Marra products are produced For some sufferers, a duodenitis home remedy can be effective in helping treat the condition. The extra acid spills into the duodenum where it damages the cells in the mucosa. Both gastritis and duodenitis have the same causes and. 2006-2023 Healthwise, Incorporated. Duodenal ulcer, type of peptic ulcer, symptoms, diet, treatment, and home remedies . The entire list of reference links is also provided at the bottom of the article. A low-fiber diet limits fiber intake to between 8 and 12 grams of fiber, depending on the severity of the flare-up. Our team thoroughly researches and evaluates the recommendations we make on our site. This information does not replace the advice of a doctor. A doctor should examine you to make an accurate diagnosis to prevent more severe damage to the stomach. Duodenitis is inflammation of the duodenum. All rights reserved. Anyone experiencing symptoms, such as indigestion or burning stomach pain, which require antacids more than twice a week should see their doctor for a full diagnosis. (2015, April 22). My duodenitis was caused by celiac disease, I also later found out I had gastritis as well. Citrus Fruits and Juices. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. It's about 10 inches long and curved, almost forming a circle. Many things can cause it. In the first days it is recommended to clean the stomach, lie more, fast, and on the second or third day you can eat a little. Each person with gastritis or peptic ulcers reacts differently to various foods, so it's best to try an elimination diet to kick-start your gastritis diet in order to test which foods tend to cause you the worst pain or help provide relief. The most common cause of duodenitis is infection by H. pylori (Helicobacter pylori) bacteria. Two foods that may help treat gastritis are broccoli and yogurt. The diet with gastroduodenitis has several variations. The duodenum is the first part of the Tech in Metallurgical Engineering and Materials Science from IIT Bombay. Other people have digestive symptoms like: Severe cases of duodenitis can cause sores in the lining called ulcers. But if you take aspirin for a health problem, such as heart If your doctor recommends over-the-counter medicine to reduce stomach acid, such as Pepcid AC (famotidine) or Prilosec (omeprazole), follow the directions on the label. primary involvement: ulcer, stricture. Cook the soup 15 minutes, stirring constantly. 100.4 One study showed a significant difference in people with gastritis that drank tea with honey just once a week. The information published on the portal is for reference only and should not be used without consulting a specialist. The stomach and duodenum are close to each other in the body, and many factors affect them in comparable ways. What are the causes and symptoms of chronic gastritis? If doctors find that a person is gluten-intolerant or has celiac disease, the individual will need to remove gluten from their diet to avoid an inflammatory flare-up. Avoiding or limiting the use of alcohol and tobacco may help reduce. They may also recommend a breath test, in which the patient consumes either a liquid or tablet and then breathes into a bag. We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. You have new or more blood in your stools or your stools are black and tarlike. You may need tests to confirm that you have an H pylori infection. Do not stop taking them just because you feel better. Other diseases like Crohns disease, ulcerative colitis, and gastroesophageal reflux disease, or GERD, can also cause duodenitis. A diagnosis of apparent duodenitis should be confirmed by the histological criteria described. In the first days it is recommended to clean the stomach, lie more, fast, and on the second or third day you can eat a little. Many healthcare professionals agree that a duodenitis diet is the best treatment. Lunch: soup with chicken breast, steam meatballs from fish, mashed potatoes, tea (snack: rice porridge, tea). This procedure involves inserting a small tube, or endoscope, with a camera on the end of it through the mouth and down into the stomach and small intestine to investigate this area. At ArizonaHealthNet.com you can find valuable information regarding health, exercise and diet. The Health Encyclopedia contains general health information. For better results, one can add black pepper powder or cumin seeds powder to a glass of buttermilk and consume this mixture at regular intervals; 2-3 times a day is the recommended dosage. Prepare the resulting cutlets for a couple or in a steamer for 25-30 minutes. Choose decaffeinated coffee, tea, or caffeine-free soft drinks. Yourhealthcare providercan tell you more about what treatments are needed. Adopting a gluten-free diet However, if they grow out of control, they may take over portions of the intestine or stomach and cause inflammation and other symptoms. All rights reserved. Last updated on Apr 2, 2023. Not taking NSAIDs such as When duodenitis you need to limit honey, sweets, sugar and salt. The menu should dominate the protein products (meat, cottage cheese, fish). Just what is duodenitis? Etiologyand prevention of gastric cancer. Antacids are available to purchase online. Medical News Today only shows you brands and products that we stand behind. The nutritional value of nutrition is reduced mainly due to carbohydrates, products containing vitamins of group B, A, C, PP and mineral substances are also needed. Breakfast: steam omelet, oats sauce, (snack: 200ml fermented biscuits, zucchini). Whole grains include whole-wheat breads, cereals, pasta, and brown rice. Learn all about the symptoms of gastritis, an inflammation of the stomach, Gastric and duodenal ulcers are types of peptic ulcer. Duodenitis is a condition where there is inflammation in the duodenum, which is located at the start of the small intestine. Lunch: vegetable soup, potato mashed potatoes, steamed beef steak, tea (snack: carrot puree with yoghurt, boiled egg, tea). Medicines may be given to help treat a bacterial infection or decrease stomach acid. and third party partners, Home Colon And Digestive Colon Health How to treat duodenitis: Natural remedies and diet. Remain in a sitting position for at least 45-60 minutes after eating. ), coffee, garlic, onion, fatty fish or meat, strong tea, alcohol, and you should eat only in warm conditions . Individuals who regularly consume foods that promote inflammation or stomach irritation are also at risk of developing duodenitis. The duodenum is the first part of the small intestine, just below your stomach. To eat is recommended in small portions 5-7 times a day. Diet with duodenitis requires compliance with certain rules, especially in the acute period. The therapeutic diet for chronic inflammation of the duodenum helps to heal ulceration and erosion, reduces inflammation. post-radiation therapy. Precautions need to be taken at all times until it is completely cured. An ardent follower ofnaturopathy, she believes in healing with foods. Lopez, P., Gogna, S., Khorasani-Zadeh, A., Anatomy, Abdomen and Pelvis, Duodenum, StatPearls Publishing, 2021. Gastritis shares some similarities with peptic ulcers, which also cause inflammation of the stomach lining. for quality and safety during the production process. Cooked or canned fruit with the skin and seeds removed. The duodenum precedes the jejunum and ileum and is the shortest part of the small intestine.. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. NSAIDs, aspirin, and other medications may also increase the risk of damage to the gut. naturopathy, she believes in healing with foods. It is best in this disease to replace tea with herbal medicines. Many doctors will recommend lifestyle changes to help reduce inflammation in the gut and treat gastritis or duodenitis. You should be able to relieve the problem by taking medicine. Day 3. The most common symptom of duodenitis is pain or feelings of fullness in the upper abdomen below the stomach. Ang unang item sa listahan ng mga therapeutic action ay isang duodenitis diet. You may also need any of the following: Your symptoms may go away without treatment. Therefore, it is best to always take antacids separately from other medicines to avoid interactions. When an allergy is not the cause of gastritis or duodenitis, it is best to avoid foods that agitate the stomach or contribute more acid. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Here are 5 easy meal ideas th. Eat slowly in a relaxed atmosphere. You have new or worsening symptoms, even after treatment. Duodenal perforation is a rare but lethal condition. The bacteria can move out of the stomach and into your duodenum, which can cause peptic ulcers here, too., Overusing pain medications. aspirin and ibuprofen, for a long time, Have celiac disease, an allergy to gluten. This means excluding spicy foods, bakery products, and including foods like oats and berries in your diet. The action of coffee on stomach acid secretion has raised the issue of a possible increase in dyspepsia (poor digestion, discomfort, nausea, heartburns, eructation, and flatulence), or esophageal burns, gastritis or ulcers, and gastro-esophageal reflux disease (GERD). Manuka honey has also been shown to have antibacterial properties that effectively keep H. pylori in check. Many things can cause it. Typical symptoms may include: In some people, pain in the stomach will spread to the back or lower abdomen. Created for people with ongoing healthcare needs but benefits everyone. Dinner: steam omelet, fruit and berry jelly, tea. Sign In Previous in vitro and animal experiments have shown that sulforaphane, which is abundant in broccoli, inhibits Helicobacter pylori (H. pylori) infection and blocks gastric tumor formation. ; Non-erosive and erosive - when you non-erosive duodenitis the walls of the tube are inflamed but no erosions and erosive is when the inflamed wall is eroded and forms open sores. It is important to pay close attention to symptoms and seek professional medical advice if and when symptoms dont seem to be subsiding. The cells in the lining of the stomach or esophagus change to resemble the tissues that line the intestines. In fact, the name duodenum was given to this part of the small intestine because of its length. Thus, individuals with duodenitis may experience discomfort during or after meals. The products released by Bel Marra Health. Medications that reduce stomach acid production, such as proton pump inhibiting drugs, may also be effective when taken for several consecutive weeks. Sugar, 2-3 glasses of oatmeal, corn flour, a little salt. Rights Reserved. 2005 - 2023 WebMD LLC, an Internet Brands company. Grains . It can sometimes happen along with gastritis, which is inflammation in your stomach lining. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Depending on the causes of the disease, signs of duodenitis may vary. Bacterial infections, such as Helicobacter pylori infection, and overuse of pain medications, such as aspirin and other non-steroidal anti-inflammatory drugs (NSAIDs), are associated with duodenitis. Health benefits of hibiscus tea include its ability to control hypertension & reduce high blood pressure, lower blood sugar levels, & improve liver health. Chronic inflammation of the esophagus (esophagitis) or stomach (gastritis) can lead to intestinal metaplasia, a cellular change in the tissues. In reality. In general, diet with duodenitis provides a gentle diet for the whole digestive system. Lunch: vegetable soup ground, mashed potatoes (liquid), carrot parsley, compote of dried fruits (snack: cereal cereal, fruit and berry jelly, tea). Youre Not Alone, Pesticide in Produce: See the Latest Dirty Dozen, Having A-Fib Might Raise Odds for Dementia, New Book: Take Control of Your Heart Disease Risk, MINOCA: The Heart Attack You Didnt See Coming, Health News and Information, Delivered to Your Inbox, Gastroparesis: What to Eat and What to Avoid, Newly Diagnosed With Crohn's? Cheng, X. J., Lin, J. C., & Tu, S. P. (2016, September). Treatments include antacids, alginates and antibiotics. In case you experience any burning, add a generous dollop of honey and / or blend in a few mint leaves in the decoction. (2016, February). The purpose of the duodenitis diet is to limit the intake of foods that have a negative effect on the duodenum or gastric mucosa. It can be difficult to deal with the symptoms of gastritis and duodenitis, which are often uncomfortable. Duodenitis and gastritis are quite serious diseases, in which diet is one of the main methods of treatment. And it may help to change your diet. Nuts and nut butter are high in protein, but also high in fat. When erosive duodenitis is forbidden sour, spicy, fatty and fried, seasonings and spices. Be safe with medicines. You have bloody or black, tarry bowel movements or vomit. These fruits are beneficial to a healthy stomach; however, the acid they contain causes pain in any stomach ulcer. The terms "gastritis" and " duodenitis " are used to denote inflammation-associated mucosal injury . symptoms of flushing, pruritus, abdominal pain, and diarrhea. Other intestinal diseases. One of the more common causes of inflammation in the digestive tract is an infection of the bacteria H. pylori. Doctors use a variety of techniques to diagnose each of the conditions, which will require different methods of treatment. Request for confidential communications forms. What is peptic duodenitis? Regardless of the cause, doctors are likely to recommend prescription or over-the-counter (OTC) drugs to reduce acid production in the stomach and promote healing. Only after we are satisfied with the products. Foods that are low in fat and acidity but high in fiber will help alleviate symptoms. Can you drink coffee with an inflamed stomach? Sample menu for five days: 1 Breakfast: oatmeal liquid (150g), chamomile tea (snack: 2-3 cookies, apple-raspberry jelly). symptoms. Gastritis is commonly caused by an infection of Helicobacter pylori bacteria. It can cause pain, indigestion and feeling sick. Can any foods or diet plans help with gastritis and duodenitis? Erosive duodenitis is an uncommon form of peptic duodenitis, however. They need the right pH level to work properly., Cholecystokinin. Unusual causes of peptic ulcer disease. Could time-restricted eating cause fertility problems? Images are provided by Shutterstock & our contributors. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Choose water and other clear liquids until you feel better. This spicy root is also good for mitigating obesity and relief from menstrual pain. Copyright 2011 - 2022 iLive. Sipponen, P., & Maaroos, H.-I. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. into a duodenal ulcer. PPIs work by blocking the cells that produce acid. One of the main signs is considered pain in duodenitis giving to the navel and upper . In children, gastritis (inflammation or irritation of the stomach lining) is a common symptom. You may belch, vomit, and feel sick to your stomach. In addition to the main diet number 1, you need to follow the diet number 5. Duodenal inflammation can be very uncomfortable as it comes with pain, bleeding, and other gastrointestinal symptoms. Klebsiella in the feces of an adult and a child. The healthy diet for duodenal ulcer patients include fruits, veggies, grains, fat free dairy products, pasta, whole wheat bread, cereals, brown rice, beans, eggs, lean meats, fish, eggs, and poultry. Chamomile/Dandelion tea: Consumed either hot or cold, this tea is said to help heal many different types of infections. Breakfast: carrot steam cutlet, tea (snack: cereal liquid, yogurt). In this diet with duodenitis and gastritis should provide the patient with all the necessary nutrients and vitamins, the absorption of which slows down with inflammation. This may cause the stool to be sticky and very dark brown or black. Dang sounds like your duodenum is angry! Some symptoms and complications require immediate attention, such as: Without treatment, gastritis and duodenitis may lead to other complications. last updated - February 05, 2020 Make a habit to include honey in meals regularly. A healthy diet for duodenal ulcer has low salt, bad fat content and sugar. Stomach acid. WebMD does not provide medical advice, diagnosis or treatment. At night, it is recommended to drink a glass of milk. Fruits and vegetables. If your doctor prescribed medicine to decrease stomach acid, take it as directed. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. He successfully recovered, tolerated an oral diet, and was discharged after a prolonged course. In her free time, she loves to travel and taste different types of teas. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. In order not to provoke irritation of the mucosa, it is recommended to eat only in boiled or steamed form, it is also better to grind or grind with a blender. Hello @sub12 and welcome to Mayo Clinic Connect. The food should be liquid (semi-liquid), food fractional (6-7 times small portions). Breakfast. While we provide information resources related to exercise, diet and health, the content here is not a substitute for medical guidance from a professional. Prevention of relapses consists in regular monitoring and annual outpatient examination, sanatorium treatment. A peptic ulcer also carries a higher risk of bleeding and cancer, and it can lead to stomach perforation. You can use baking soda, chalk, or dishwashing liquid to loosen the stain before a wash. 2023 Organic Information Services Pvt Ltd. All the information on this website is for education purpose only. Avoiding particular foods that trigger symptoms is highly recommended. Be sure to make and go to all appointments, and call your doctor if you are having problems. Treatment for duodenitis is usually the same as it is for gastritis. Analyzing these tissues may help doctors make a diagnosis. Doctors may also recommend drugs called H2-receptor blockers, especially if the person is taking NSAIDs long-term and is at risk of other issues, including ulcers. It causes inflammation and gas in the stomach lining and can be very dangerous. Dr. Diane Minich answered. Photo Credit: Shutterstock. Fruits rich in vitamin A are effective against duodenitis. It's also a good idea to know your test results and keep a list of the medicines you take. Half a glass of pomegranate juice with a tablespoon of honey, taken twice a day, can also help cure duodenitis. Pancreas does not like fatty foods either. of these treatments may help: Taking antibiotic medicines Which diet is best for hormonal imbalance? In a crisis, it is recommended to reduce foods high in carbohydrates and increase the protein diet. if celiac disease is the cause. vomiting, A full feeling soon after Inflamation: Duodenitis is inflammation of the duodenum (the first part of the small interstin).. Tuskey, A., & Peura, D. (2013, July 24). As you probably know, on Connect we are not medical professionals but patients, like yourself, who support and encourage each other. and obviously . Duodenitis (say "doo-aw-duh-NY-tus") may feel like an upset stomach. The whole duodenum is about 25 cm long. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. This can involve one or more drugs, and treatment could take a few weeks. Erosive gastritis diet may also be set up using the advice of a dietician. In the prepared dish, you can add a little salt, greens (if necessary, rub through a sieve or blender). An endoscopy allows doctors to check for signs of inflammation, bleeding, or peptic ulcers, as well as any abnormal tissues. Your doctor might prescribe: Antibiotics Antacids Proton pump inhibitors Stopping NSAIDs Stopping smoking Drinking less alcohol Eating a gluten-free. Proton pump inhibitors. Most of our health problems are sensed by us when it is in the 3rd and 4th stage of progression. This sheet tells you more about this health problem. Other foods. Avoid coffee, tea, cola drinks, chocolate, and other foods with caffeine. In severe cases, sores called peptic ulcers may appear in the duodenum. It is thought that it can also lessen the type of pain that is linked to duodenitis. Steps to Take, Stool samples to test for other infections, Upper gastrointestinal series, which uses X-ray tests to examine your upper digestive tract and breathing tests to check for. Well to mix up forcemeat (it is possible to beat off slightly), to form small cutlets and to prepare for pair within 30-40 minutes (it is possible to use multivarku). Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. However, most cases do not cause long-term or severe complications, and both conditions are generally easy to cure. Non-. are clickable links to these studies. There are many different types of whole grain bread a person can choose from. Symptoms. If symptoms do happen, you may have: Burning, cramping, or hunger-like pain in your stomach, Upset stomach (nausea) and Lunch: milk soup, compote of dried fruits (snack: oatmeal, biscuits). Most people have some H. pylori in the stomach. For H. pylori in your digestive tract, your doctor may recommend a combination of antibiotics, such as clarithromycin (Biaxin XL) and amoxicillin (Amoxil, Augmentin, others) or metronidazole (Flagyl), to kill the bacterium. Diet with erosive duodenitis is important. Call your doctor if you think you are having a problem with your medicine. This is sometimes called peptic duodenitis. From the diet in the period of exacerbation, products that contribute to the production of gastric juice, irritate the gastrointestinal mucosa (acute, acidic foods, etc.) Diet with erosive duodenitis is important. Ginger also helps boost bone health, strengthen the immune system, and increase appetite. These include alcohol, fruit juice, spicy foods, and greasy, fatty, and fried foods. The primary prevention of duodenitis is a proper balanced diet, smoking cessation and moderation in alcohol consumption. To help alleviate the symptoms of duodenitis and encourage quicker healing, doctors suggest avoiding these types of foods. The Miracle Cure: A Step-by-Step Guide to Banish Your Hangover for Good! Northeast Ohio 216.444.7000 If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink. choices. In rare cases, it can be an ongoing (chronic) problem or progress Average rating 4.0 out of 5.0 based on 239 user(s). Diet with erosive duodenitis is important. Copyright 2023 Bel Marra Health. Choose lean meats, poultry (chicken and turkey), fish, beans, eggs, and nuts. While there are different types of duodenitis, the inflammation almost always causes an irritation of the mucus lining of theduodenum. These enzymes and juices are secreted from your gallbladder, liver, and pancreas into your intestine., The duodenum also releases hormones to help with digestion. Your healthcare provider can tell you more about what treatments are needed. Dinner: apple puree, cereal cereal, 200ml kefir 0% fat. The duodenum is the upper part of your small intestine thats located just past your stomach. Keep batteries and similar objects out of the reach of children. Another common cause of gastritis and duodenitis is the long-term use of certain medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs). be bloody or look like coffee grounds), Dark, tarry, or bloody Data sources include IBM Watson Micromedex (updated 2 Apr 2023), Cerner Multum (updated 17 Apr 2023), ASHP (updated 10 Apr 2023) and others. Health benefits of apple cider vinegar include its ability toregulate blood sugar levels, boost weight loss,improve skin & gut health, & lower cholesterol levels.Read more! Many things can cause it. The basis of nutrition - porridge (mainly rice and oatmeal). Call 911 anytime you think you may need emergency care. Here, learn which foods to eat and which to avoid to minimize symptoms. When duodenitis shouldn't be handled rapidly, it could result in duodenal ulcers or different issues. Read more! These substances can make it harder for the swelling to resolve. This may be helpful for people experiencing burning stomach pains or indigestion. At an aggravation it is better to replace bread with crackers, several times a week you can eat a hard-boiled egg or an omelet (in the oven), during this period it is necessary to exclude poultry meat. There are a few things which should be completely avoided: Meenakshi Nagdeve, Co-Founder, Organic Factsis ahealth and wellness enthusiast and is responsible for managing it. Gastroduodenitis needs the accompanying treatment of not only the duodenum and stomach itself, but also the liver and bile ducts. is infection by H. pylori (Helicobacter pylori) bacteria. You asked about a diet for duodenitis, gastritis, and pancreatitis. Certain medicines or having a sore (ulcer) on the lining of the duodenum also can cause it. The powerful health benefits of dates include providing an energy boost, increasing iron in the body, and aiding digestion. Not eating or drinking things that can irritate your stomach lining. Treatment for both gastritis and duodenitis varies from person to person. We comply with the HONcode standard for trustworthy health information. If your symptoms don't get better or they go away and come You can learn more about how we ensure our content is accurate and current by reading our. The use of H2 antagonists in treating and preventing NSAID-induced mucosal damage. Schedule an appointment today. Inflammation in the lining of your duodenum can cause problems with digestion and affect how you absorb nutrients from your food.. It disrupts the mucus barrier that usually protects the duodenal lining from acid in the stomach. an unhealthful plant-based diet that emphasized consumption of less healthy plant foods, such as fruit juices, refined grains (pasta, white rice, and processed breads and cereals), potatoes (French fries and potato chips), and sugar-sweetened beverages, while reducing the intake of healthy plant foods as well as animal foods. Avoiding or limiting the use of alcohol and tobacco may help reduce inflammation and promote healing in the gut. An acute case of gastritis or duodenitis comes on quickly and lasts for a short period before going away. Duodenitis Diet and Lifestyle Spicy foods, fatty foods, and coffee can aggravate stomach acid, the stomach lining, and the duodenum. If you have Celiac disease and eat gluten, parts of your intestine will become inflamed and damaged and can cause duodenitis..

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