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Duodenitis Without Bleeding
Discover the causes, symptoms and modern treatments for duodenitis without bleeding at GastroDoxs in Houston. Led by Dr. Scott, our personalized approach combines advanced diagnostics, lifestyle modifications and targeted therapies to relieve discomfort, promote healing and prevent duodenal inflammation recurrence.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
What Is Duodenitis Without Bleeding?
Duodenitis without bleeding is inflammation of the lining of the duodenum (the first part of the small intestine) without any visible blood in stool or vomit. You may experience discomfort or pain, but there are no signs of active bleeding.
Common Causes and Risk Factors
Helicobacter pylori infection
Long-term use of NSAIDs (e.g., ibuprofen, naproxen)
Excessive stomach acid production
Smoking, alcohol use, or chronic stress
Underlying conditions such as Crohn's disease
Signs and Symptoms
Burning or aching pain in the upper abdomen
Bloating or feeling full soon after eating
Nausea or mild indigestion
Reduced appetite or slight, unintentional weight loss
How Dr. Scott Diagnoses Duodenitis Without Bleeding?
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms (epigastric pain, bloating, nausea), NSAID or alcohol use, smoking history, stress levels and any prior GI conditions.
H. pylori Testing
Non-invasive breath, blood or stool tests to detect Helicobacter pylori infection.
Laboratory Studies
Complete blood count (CBC) to check for anemia.
Stool antigen testing to confirm eradication if you've been treated before.
Imaging and Ultrasound
Abdominal ultrasound to rule out gallbladder disease, pancreatitis or other abdominal causes of pain.
Upper Endoscopy (EGD)
Direct visualization of your duodenum to assess the mucosal lining.
Targeted biopsies to identify inflammation, rule out bleeding or test for H. pylori.
Advanced Testing (if needed)
For persistent or atypical cases, additional studies such as gastric pH monitoring or motility tests may be ordered.
Treatment
Our Team offers a full range of care for duodenitis without bleeding.
1. Diet and Lifestyle Tips
Eat smaller meals more often to ease duodenal stress
Avoid spicy, greasy, or acidic foods that can irritate the lining
Cut back on caffeine and alcohol
Quit smoking and adopt stress-reduction techniques
2. Medications
Proton pump inhibitors (PPIs) to reduce stomach acid
H2 blockers for additional acid control
Antibiotics if testing confirms H. pylori infection
3. Minimally Invasive or Advanced Procedures
Endoscopic treatments performed at our Houston clinic for persistent symptoms
Upper endoscopy (EGD) with biopsy if further evaluation is needed
Follow-up endoscopic monitoring to ensure healing and prevent recurrence
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is duodenitis without bleeding?
Duodenitis without bleeding is inflammation of the duodenum lining without any visible bleeding. You may experience upper abdominal pain or discomfort but won't see blood in your stool or vomit.
What's the ICD-10 code for duodenal erosions without bleeding?
The ICD-10 code is K29.5 - chronic duodenitis without bleeding.
Can stress cause a duodenal ulcer without bleeding?
Yes. Stress can increase stomach acid production, which may irritate the duodenal lining and contribute to ulcer formation even without bleeding.
Do I need an endoscopy?
Most patients benefit from an upper endoscopy (EGD). This procedure lets Dr. Scott directly visualize the duodenum and take small biopsies if needed to confirm the diagnosis.
How long does recovery take?
With appropriate medication, diet modifications, and lifestyle changes, most patients feel significantly better within 4 to 6 weeks.
Is H. pylori always the cause?
No. While H. pylori infection is a common culprit, other factors like long-term NSAID use, excessive acid production, smoking, alcohol, or underlying conditions (e.g., Crohn's) can also lead to duodenitis.
Can the condition return?
Yes, it can recur. However, adhering to dietary recommendations, avoiding irritants (NSAIDs, alcohol, tobacco), and attending regular follow-up visits can greatly reduce the risk of relapse.
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