Hi,
Duodenal ulcers that occur on the inside of the upper portion of your
small intestine (
duodenum).
Usual treatment of
duodenitis includes the following, depending on the other tests.
Antibiotic medications to kill H. pylori
Medications that block acid production and promote healing
Medications to reduce acid production
Antacids that neutralize stomach acid
Medications that protect the lining of your stomach and small intestine
Not improving duodenitis might be due to the following reasons.
1. Not taking medications according to directions.
2. The fact that some types of H. pylori are resistant to antibiotics.
3. Regular use of tobacco.
4. Regular use of pain relievers that increase the risk of ulcers.
If you do not have any of the above reasons causing persistent symptoms then you might need to be evaluated in detail for the following conditions.
1. Extreme overproduction of stomach acid, such as occurs in Zollinger-Ellison syndrome
2. An infection other than H. pylori
3. Intestinal neoplasms
4. Other diseases that may cause ulcer-like sores in the stomach and small intestine, such as Crohn's disease