Doctor insights on:
Causes Of Duodenal Stricture
Duodenal ulcer and stricture. Abdo pain that goes to left chest and back. Nausea. Anemia. Faintness. Sweating. Runny nose when eating?
Runny nose: I will answer the runny nose part, that has no relation to the other symptoms. Runny nose after eating is called vasomotor rhinitis and can be treated with an antihistamine or anticholinergic nasal spray. Oral antihistamines do not affect it. Ask your doctor for a prescription instead of walking around with tissues all the time. ...Read more
Folds: Decreased duodenal folds may be a sign of past or present inflammation or superficial ulceration/inflammation. Your physician would review these findings with the radiologist and have a better idea of their significance or whether any additional testing or treatment are advisable. ...Read more
Many things: A bacterial infection could cause this (helicobacter). Excessive acid production can cause this. Medications (aspirin, ibuprofen) can cause this. Stress can cause this. There are many other causes. Acid peptic disease is the more common cause along with the h. Pylori infection. Treatment is available. Rarely now is surgery needed. Diagnostics are readily available. See a GI doctor. ...Read more
Duodenum-congenital: The cause is the same, a failure of the process of developing an opening in the duodenum in utero. About 1/3 of the cases are found in children with down syndrome. That is the single most common association. There are children born with both esophageal and duodenal atresia and that is a surgical emergency. ...Read more
Duodenal Ulcers: The most common cause of duodenal ulcer is a stomach infection associated with the helicobacter pylori (h pylori) bacteria. Other risk factors for duodenal ulcers include overuse of alcohol, tobacco, and medications such as Aspirin and nonsteroidal anti-inflammatory drugs (nsaids). Severe illness has also been implicated as a risk factor in the development of duodenal ulcer. ...Read more
No short answer:
Everyone has some lymphocytes in their duodenum and as usual normalcy is a bell curve. And you can be on either end or even off of it, if you have a lymphoid follicle in the intestinal wall.
You need to talk to your gastroenterologist and ask him if you need other testing and if you are not happy with the answer get a second opinion. ...Read more
Normally there: If they mean anything in the clinical context -- and they may -- the pathologist will make a note of it. If extremely abundant, mastocytic enterocolitis is a consideration. ...Read more
Possibly: This is a problem that requires a face-to-face meeting with your doctor. In that meeting, your doctor will listen to you, perform a throrough examination and possibly order labs or other tests. Based on this information, he/she will be able to tell you what's wrong and what to do about it. ...Read more
All possible causes of chronic non-specific inflammation in duodenum (shown in biopsy) in INDIA???
Non specific: I see this frequently and think it has no clinical significance. Don't worry about it. ...Read more
Causes of lymphoplasmacytic infiltrate in lamina propria shown in biopsy of Duodenum (in india)???
AiP: Not knowing the details of your Biopsy, if any CD4 or Autoimmune markers were positive. I would advise you to consult a gastroenterologist and follow his advise. Please inform us as to the follow up. ...Read more
Causes of chronic non-specific inflammation in duodenum other than celiac disease in INDIA?? please tell about every other possible causes.
Inflammation: Acid, drugs, or trauma, infections (H. pylori), ulcers, internal bleeding, diverticulii. Advanced cases with other symptoms may signal a more serious and chronic underlying condition like Crohn's Disease or tumors. ...Read more
Which tests are needed to be positive for proper diagnosis of TROPICAL SPRUE in INDIA? As I have chronic inflammation in duodenum but cause is unknown.
Blunt trauma: If you have undergone surgical repair of a ruptured duodenum, you need to wait until you are completely healed before playing soccer again. If you return to play too early, there is a risk of reopening the surgical wound should you fall. I hope that you recover quickly. Wait until your surgeon clears you to return to soccer, since he sees you regularly post-operatively and knows your condition. ...Read more
Causes of lymphoplasmacytic infiltrate in lamina propria (Duodenum) other than celiac in india as my celiac test came negative twice???
Not clear: This sound some what ominous. The celiac test is only for people with gluten allergy. I would be concerned over some type of lymphona. One type might be MALT lymphoma. Make sure you are getting the opinion of gastroenterologist. And heme / oncology. This type of problem can cause a pseudo-obstruction follow up closely. ...Read more
Unlikely, but...: ... If the pathologist has only signed out "mild inflammatory changes" and given no other description, what's really the point is, "this isn't tumor, and it isn't something I can diagnose as any specific illness." the clinician can ask the pathologist, "can the mild duodenitis be due to taking motrin? " and the pathologist can probably answer. Key is "this is a non-tumor biopsy" which is good. ...Read more
I live in india. I have ulcerative colitis but also have inflammation in Duodenum (D2). What could be the cause for this Inflammatio??
Could be Crohn's: Lots of things cause duodenitis, most commonly H. pylori infection or medications such as ibuprofen. Something else to consider is that your ulcerative colitis might actually be Crohn's disease. This mistake is frequently made in the diagnosis of inflammatory bowel disease. Some people even undergo colectomy only to have recurrent symptoms in the small intestine more typical of Crohn's disease. ...Read more
It will be hard to p: Metaplasia can be caused by any number of irritants. In the duodenum, it could be related to bile exposure, acid exposure and unknown causes. It will be very hard to pin point the cause. But you already know it is there, so better monitor it regularly through your gastroenterologist's supervision. ...Read more
What can cause "equivocal edema and scalloping of the second duodenum" if h.Pylori and celiac are negative?
GB removed 2 yrs ago. Left w/ abd. Burning/ itching. Stretta, Linx /duodenal switch 3 wks ago (bile reflux). What causes internal abd. Itching?
Internal itching: Do you have itching anywhere else? Talk to your surgeon to see if you need a full work up or Consult with us to determine if you need further evaluation. ...Read more
Can ulcers in the stomach, duodenum, and/or intestines cause these locations to become permeable to any degree?
Yes: Ulcers are the result of the loss of the normal protective lining...Permeability will increase until the ulcer heals. ...Read more
What causes mild inflammation and gastric foveolar metaplasia in duodenum. On biopsy. No h pylori? No medications.
Secretions: Foveolar hyperplasia and metaplasia is a response of one epithelium to injury or as a reactive pattern. This is most often seen in the stomach. However, if there is irritation (chemical by secretions from the pancreas or liver) or inflammation (gallstones, alcohol, etc), you can get metaplasia in the duodenum. In general, helicobacter pylori don't grow in the duodenal ph. ...Read more
I had endoscopy. I have gastritis and mild duodenal villi blunting. Some bile was found in stomach. No celiac disease. What could cause this?
Many things: Gastritis is inflammaton of your stomach lining and can be caused by chemicals such as bile reflux or medications such as aspirin, nonsteroidal antiinflammatories and some antibiotics like doxcycline. It is also associated with some bacterial infections like helicobacter. Villous blunting can cause malabsorption and can be caused by bacteria li as well as immune causes ...Read more