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Duodenitis Without Bleeding
Board-certified gastroenterologist Dr. Nghia Nguyen at GastroDoxs in Houston specializes in treating duodenitis without bleeding. Utilizing endoscopic evaluation, H. pylori testing, and personalized dietary and medication plans—like proton pump inhibitors—he helps patients reduce inflammation, alleviate discomfort, and restore health.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
What Is Duodenitis Without Bleeding?
Duodenitis without bleeding is inflammation of the duodenum (the first part of the small intestine) that does not produce visible blood in the stool or vomit. It causes discomfort and pain but lacks the deep ulcers or erosions that lead to bleeding.
Discomfort that worsens after eating or when lying down
How Dr. Nghia Nguyen Diagnoses Duodenitis Without Bleeding?
Dr. Nguyen uses a step-by-step approach:
Symptom Review & Medical History
He begins by asking about your epigastric pain, eating habits, use of NSAIDs or aspirin, alcohol intake, smoking, and stressors.
Physical Examination
Dr. Nguyen palpates your upper abdomen to identify areas of tenderness, bloating, or guarding.
Upper Endoscopy
A thin, flexible scope is passed through the mouth into the duodenum to directly visualize inflammation. He may take small biopsies to confirm duodenitis and rule out other conditions.
H. pylori Testing
Breath test to detect active Helicobacter pylori infection.
Stool antigen test for noninvasive confirmation.
Advanced Diagnostics (if needed)
In uncommon cases, abdominal ultrasound or CT is ordered to exclude complications or alternative diagnoses.
Treatment
Our Team offers a full range of care for duodenitis without bleeding.
1. Diet and Lifestyle Changes
Eating smaller meals more often
Avoiding spicy foods, caffeine, and alcohol
Quitting smoking
Staying upright after eating
Reducing stress with light exercise or deep breathing
2. Medications
Proton pump inhibitors such as omeprazole
H2 blockers such as famotidine
Antacids for quick relief
Antibiotics to eradicate H. pylori infection when indicated
3. Advanced Treatment Options
Endoscopic procedures to protect or repair the duodenal lining
Interventions to remove obstructions if present
Specialized therapies for patients unresponsive to standard care
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
How is duodenitis different from an ulcer?
Duodenitis is inflammation of the duodenal lining, while an ulcer is a deeper sore that can bleed and penetrate tissue.
Can duodenal erosions turn into ulcers?
Yes. If left untreated, erosions may worsen over time and develop into ulcers.
What is the ICD-10 code for duodenal erosion with bleeding?
The ICD-10 code for duodenal erosion with bleeding is K26.4, used for medical records and insurance purposes.
What is the treatment for bleeding duodenal erosions?
Mild cases are treated with acid-reducing medications such as proton pump inhibitors or H2 blockers. Severe bleeding may require endoscopic intervention.
Can lifestyle changes help with duodenitis?
Yes. Avoiding alcohol, spicy foods, NSAIDs, and smoking, eating smaller meals, and managing stress all support healing.
Can H. pylori cause duodenitis?
Yes. H. pylori infection is a common cause; treating it with antibiotics is key to reducing inflammation and preventing recurrence.
What happens if I ignore duodenitis?
Untreated duodenitis can lead to ulcers, scarring, obstruction, and increased risk of complications in the digestive tract.
