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After 9 o'clock in the evening before the gastroscopy, fasting and drinking, and going to the hospital on an empty stomach the next morning for examination It will be a little painful, and it is only when the pipe goes in and out, don't be nervous, swallow it slowly and it is not very painful There will be no adverse reactions, the human body does not absorb it, and it will be discharged through the intestines.
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There will be no adverse reactions, you should relax yourself, so that you can better cooperate with the doctor's examination, and the diagnosis will be more accurate!
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It is better for patients with chronic gastritis to have gastroscopy. Because gastroscopy has diagnostic value for the diagnosis and classification of chronic gastritis, it can not only determine the nature of the lesion, but also determine the type, scope and severity of the lesion. However, gastroscopy is not suitable for patients with poor general conditions, such as high blood pressure, poor heart, and elderly and frail patients.
In such cases, an upper barium x-ray is a simple and easy method. Although the barium swallow test is not very specific, it still has some diagnostic value for chronic gastritis.
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1. Contraindications to gastroscopy (1) Absolute contraindications 1Patients with severe coronary heart disease and myocardial injury with severe cardiac insufficiency. 2.
Esophageal stricture or cardia obstruction. 3.Aortic aneurysm.
4.Hemorrhagic shock. 5.
Acute pharyngitis and tonsillitis. 6.Pneumonia or other infection with high fever.
7.Asthmatic dyspnea. 8.
Severe pulmonary dysfunction. 9.Extremely debilitating constitution.
10.The patient is uncooperative or mentally abnormal. (2) Relative contraindications Acute illness or acute attack of chronic disease, which can be recovered after **, such as acute tonsillitis, pharyngitis, esophagitis, bronchial asthma attack, etc.
2. Contraindications to barium swallow examination 1. The general condition of the patient is extremely poor and severe failure. 2. Acute stage of esophageal corrosive injury. Adopt it.
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Precautions for gastroscopy: Eat less and easily digestible food for dinner the day before. Because even if the patient drinks a small amount of water, the color of the gastric mucosa can change, such as in the natural lesions of significant atrophic gastritis, the gastric mucosa can turn red after drinking water, so that the diagnosis is wrong.
If the gastroscopy is done in the afternoon, the patient can drink some sugar water before 8 a.m. on the same day, but cannot eat anything else, and do not eat at noon. In the case of pyloric obstruction. Gastric lavage must be performed the night before the examination to thoroughly wash the stomach contents until the flushed reflux fluid is clear.
Before the tube is withdrawn after gastric lavage, the patient is placed in a supine position with his head down and his feet high to allow the residual fluid in the stomach to be completely discharged. Gastric lavage should not be performed on the same day because it can change the color of the gastric mucosa after gastric lavage. If a barium swallow has been done, the barium swallow may attach to the gastrointestinal mucosa, especially the ulcer lesions, making the diagnosis of fiber gastroscopy difficult, so the gastroscopy must be done 3 days after the barium swallow examination.
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Problem Analysis: Hello, barium swallow can be used to diagnose certain esophageal and gastrointestinal diseases. It is an examination method for patients to show whether there are lesions in the digestive tract under X-ray irradiation after taking barium sulfate.
Because barium sulfate is insoluble in water and lipids, it will not be absorbed by the mucosa of the gastrointestinal tract, so it is basically non-toxic to humans.
Opinions and suggestions:
In contrast, gastroscopy will see the lesion more clearly, but gastroscopy is painful, and barium swallow is basically painless.
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