How to know if the stomach ulcer is healed, whether to do a gastroscopy to know

Shanghai Xupu Gastrointestinal Hospital (East China Institute of Gastroenterology) is a new generation of gastroscope that uses the principle of ultrasound to diagnose and detect digestive system diseases, and is an instrument and equipment that leads the cutting-edge technology of the times. In particular, the use of instant gastrointestinal ultrasound additives, no intubation, no injury, ** bitterness, in a short period of time can be a variety of acute and chronic, superficial, atrophic gastritis, gastroduodenal ulcer decoction, gastric prolapse, acute and chronic colitis, various tumors, inflammation, polyps and other lesions can be clearly detected; Provide scientific diagnostic basis for clinical **. Because it is not intubated and does not come into contact with the patient's body, it reduces the cross-infection of infectious diseases and expands the scope of examination, which is more suitable for the examination and diagnosis of the gastrointestinal system of patients with hypertension, heart disease, coronary heart disease, severe asthma and hepatitis B.

The American Apache digital scanner is equipped with the best observation and video, the image is clear, and the inspection is in place in one step. Eliminate the fear of long-term troublesome patients and friends to do gastrointestinal endoscopy, no need to intubate, no need to bear the risk of anesthetics, and the detection time only takes a few seconds, and the condition can be clearly seen from the display screen; All-round imaging technology with no blind spots.

Depending on whether the symptoms are not accurate, or do a gastroscopy can be determined, if you are afraid of discomfort, you can do a barium meal, but the effect of a barium swallow is poor.

In addition to taking a history and physical examination, it is more important to perform auxiliary tests to diagnose gastric ulcers. It is necessary to choose the most appropriate examination method according to the patient's own condition.

Commonly used methods are:

1. X-ray barium swallow examination: X-ray barium swallow examination, also known as X-ray barium swallow imaging, the patient takes barium sulfate filler orally, and it can clearly show the contour of the stomach during X-ray fluoroscopy. Barium x-rays can diagnose a variety of conditions, including gastric and duodenal ulcers, gastric perforation, gastric bleeding, and pyloric obstruction.

It is suitable for patients with poor general condition, who cannot tolerate gastroscopy, or those with abnormal liver function.

2. Gastroscopy: Fiber gastroscopy is currently the most valuable and commonly used method for gastric diseases. It has the characteristics of wide field of vision, safe inspection, intuitive image, accurate and timely diagnosis, reliable data, and convenience.

During the examination, the doctor sends the mirror directly from the patient's mouth and through the esophagus to the stomach cavity. In this way, the condition of the mucosa in the stomach can be directly observed, and the presence or absence of ulcers can be clearly seen, whether there is bleeding, the identification of benign and malignant ulcers, and the identification of gastric polyps or gastric cancer. During gastroscopy, biopsy can also be used for pathological examination, which is convenient for clear diagnosis and greatly improves the detection rate of early gastric cancer.

Gastroscopy is not only used for diagnosis, but also can be used for **, such as when gastric bleeding is found, microwave or laser can be used to stop bleeding, and the bleeding site can also be directly sprayed with Montessori solution or thrombin to stop bleeding, so that the patient can avoid the pain of surgery. In addition, the gastroscope also has the functions of water delivery, water absorption, air supply, and air extraction. It is suitable for patients with good general condition, normal cardiopulmonary function, normal liver function, able to tolerate gastroscopy and no other contraindications.

3. Gastric juice analysis: gastric juice analysis is the oldest and most commonly used method for diagnosing gastric diseases. It refers to the removal of gastric juice for measurement and examination of relevant indicators (such as gastric acid) to determine whether the gastric juice is normal.

It mainly consists of three parts, namely general trait examination, chemical examination and microscopic examination. Gastric juice analysis can not only reflect whether a person's gastric acid secretion is normal, but also has certain significance for the diagnosis of gastric ulcers, duodenal ulcers, and even gastric cancer. Indicated for patients who need to find out the secretion of gastric acid.

4. Fecal occult blood test: hematemesis or black stool, or suspected bleeding tendency. of patients with ulcer disease, fecal occult blood testing may be an option. A positive fecal occult blood test may indicate gastric bleeding.

The main test for gastric ulcers.

Gastroscopy is the gold standard.

Pepsinogen.

Hebei friends: Hello!

It is recommended to upload your gastroscopy and pathology results** to understand the specific condition and give appropriate diagnosis and treatment suggestions.

Chang Yuying of the Fourth People's Hospital of Sichuan Province.

Gastric ulcer is a common disorder of the digestive system, which typically manifests as hunger discomfort, fullness, belching, pantothenic acid, or chronic mid-upper abdominal pain after meals, and in severe cases, melena and hematemesis. The more obvious ** are Helicobacter pylori infection, non-steroidal anti-inflammatory drugs (NSAIDs) and gastric acid hypersecretion; It can also be caused by genetic factors and factors such as mood swings, overwork, eating disorders, smoking, and alcoholism.

On the **, first of all, before the start of **, it is necessary to clarify whether it is a benign ulcer, and now when an ulcer is seen during gastroscopy, a biopsy is routinely done to obtain pathological confirmation. Sometimes for patients with suspicious gastroscopy and negative pathology report, biopsies are often repeated to obtain reliable results; In addition, it should be determined whether it is a high-acid ulcer or a low-acid ulcer before **, because the two are different in ** regimen. In general, benign ulcers have undergone strict internal medicine**, and most of them can achieve good results, that is.

After **, stomach ulcers are OK**. But since stomach ulcers are also susceptible, it is important to ask how to prevent them. The current view is to continue taking the maintenance dose of the drug after the stomach ulcer has healed, for a period of 1 to 1 and a half years.

Patients with gastric ulcers should be re-examined 3 months and 6 months after the ulcer heals1subgastroscopy to observe changes in efficacy and ulcers. Due to the high rate of peptic ulcer after drug withdrawal, the high complication rate, and the natural history of the disease can be as long as 8 to 10 years, drug maintenance is an important measure.

There are three options to choose from:

1) Normal maintenance**: suitable for patients with recurrent **, persistent symptoms that are not relieved, and those with multiple risk factors or complications. Maintenance Method:

Cyanamiguanidine 400 mg, ranitidine 150 mg, or famotidine 20 mg should be taken once before bedtime; Sucralfate 1g can also be used orally twice a day. The ideal time for long-term maintenance of the ulcer is difficult to determine, and most advocate at least 1 2 years of maintenance, and for the elderly, those who are expected to have serious consequences of ulcers**, it can be maintained for life**.

2) Intermittent full dose**: A course of full dose** can be given when the patient has severe symptoms** or an endoscopy proves ulcer**, and it has been reported that more than 2 3 patients can achieve satisfactory results. This method is simple and easy to implement and is easily accepted by most patients.

3) On-demand**: This method gives a short course ** when the symptoms **, and the drug is stopped after the symptoms disappear. In symptomatic patients, a short-course drug** is given to control symptoms and allow the ulcer to heal spontaneously.

In fact, a significant number of patients with peptic ulcers automatically stop taking the drug as soon as the symptoms disappear. On demand**, although ulcer healing was slower, there was no significant difference in overall efficacy compared to the full course of ulcers**. The following cases do not apply to this law:

Those over 60 years old, with a history of ulcer bleeding or perforation, more than 2 times a year, and those with other serious diseases.

In terms of medication, it is necessary to fully understand the effect of the drug, so as to avoid it as much as possible when taking the drug, especially when 2 or 3 drugs are combined.

Judging from the report, it is not particularly serious, but it must be noted that when oral antibiotics ** some inflammatory diseases, functional probiotics should be drunk at the same time, which supplements nutrition and avoids the production of antibiotics on the human body, because functional probiotics contain a large number of active bacilli, which can rebalance the intestinal flora imbalance caused by antimicrobial drugs, and protect the gastric mucosa. We must eat less and more meals to improve nutrition and reduce the burden on the stomach, and at the same time we must avoid smoking and alcohol.

If the following situations occur, the level should be taken seriously

The pain becomes sporadic or becomes a persistent, dull ache; After a period of regular use of anti-ulcer drugs**, the effect becomes less noticeable; recurrent hematemesis, persistent melena, or tarry stools, persistently positive fecal occult blood test; Constant emaciation. In the above cases, you should go to the hospital for gastroscopy and pathological biopsy examination in time.

From the gastroscopy report, there is no major problem, indicating that the stomach disease is still a bit serious and has nothing to do with cancer. Attention should be paid to self-care and medications**. I don't know if I do a biopsy when I do gastroscopy, so that the examination effect will be better.

Uncle, it's hard to say if you develop an ulcer, not only a stomach ulcer, but also chronic atrophic gastritis can become cancerous, you should pay more attention to your diet in the future, drink and smoke and quit, and be in a good mood.

Cardia mucosal congestion: cardia (which is not diagnosed in general hospitals) has a depression on the right posterior wall, covered with white moss, and the expansion is acceptable: gastric ulcer (at present, it is a simple ulcer, according to the doctor's **).

A large amount of coffee-colored retention, and the rest of the mucosa has scattered punctate congestion: it may be that the ulcer bleeding has about 4* depression on the side of the greater curvature of the antrum, covered with filthy moss, and the edges are irregularly raised: what is this not good, serious or not serious You ask your attending doctor is better than asking questions online.

Gastric ulcer is generally obvious abdominal pain after eating, mainly epigastric pain, about 2 hours after a meal generally does not hurt, too hungry can also cause pain, with a little inhibition of gastric acid medicine effect is more obvious.

If a cardia ulcer and antral cancer is possible, it is recommended to take a biopsy on the side of the greater curvature of the antrum under immediate gastroscopy. Immediately after diagnosis, a CT of the abdomen and a large part of the stomach were removed.

It's okay to just have a stomach, just pay attention to your diet, but you should pay attention to the pain in the heart socket, which is an early sign of many diseases.

It's hard to say, to see if the patient has been emaciated recently? See what the pathology results are. Don't be too nervous, your attending physician will explain to you, as long as the stomach is not found too late, the survival rate after surgery is still very good!

10g of peach kernels (peeled tips), raw ground, 50g of cooked pork belly slices and rice, appropriate amount of ingredients. Finely slice the belly slices; Take twice the water to decoction the juice, add pork belly and rice to cook into thin porridge, season and serve when cooked, 1 dose per day. It can invigorate qi and blood, dissolve stasis and relieve pain.

10g bergamot, 30g of white lentils, 30g of yam, appropriate amount of pork belly soup and salt. Decoction the juice of bergamot water, remove the slag, add lentils, rice, yam and pork belly soup, cook it into thin porridge, and slightly add salt to taste it, 1 dose per day. It can be used for stomach burning pain, dry mouth, bitter mouth, irritability, constipation, etc.

Also, you can try to drink 9 flavors of Xinwei tea, tea therapy to help regulate stomach ulcers, nourish the stomach warm.

Cancer is not going to happen, so don't worry.