Stomach discomfort and acid reflux?What inspections do you have to do?After reading this article, let you go to "stomach"

Popular science guidance: Department of spleen and stomach disease in Shenzhen Traditional Chinese Medicine Hospital

In life, there is always some uncomfortable

Let’s be helpless

for example……

Ai Xiaowen

My stomach is always uncomfortable, disgusting, stubborn, and not suitable for eating.Will I be infected with Helicobacter pylori?Will it be gastric cancer?

Let’s learn today. What should I do if my stomach is uncomfortable?What inspections should I do?Let you go to "stomach".


1. Detection and treatment of Helicobacter pylori

Helicobacter pylori is a type 1 carcinogen;

Helicobacter pylori infection can double the risk of gastric cancer.

But there is no need to panic over the Helicobacter pylori. After all, there is still a long distance from infected with Helicobacter pylori to gastric cancer.

The detection method of Helicobacter pylori mainly includes:

C13 exhalation test

Fast urine kinase test.

For patients with pylori infection, patients with spleen and stomachs can be found for treatment of HP treatment. The course of treatment is generally 14 days.

Ai Xiaowen

How to confirm whether the Helicobacter pylori was rushed away after eliminating the pylori?

Generally, after 4 weeks of stopping the drug, the review is the most accurate, the first choice of C13 exhalation test;

If the results of the review are considered positive, it is generally recommended to continue treatment in half a year.

Ai Xiaowen

How can I prevent the gangbachemia and the ash after eliminating the pylori?

Use public chopsticks to avoid each other;

Avoid food on the roadside stalls;

Tableware is replaced with disinfection regularly;

Quit smoking and drinking;

Develop good hygiene habits.

2. Perform regular gastroscopy

Before check:

Fasting after 20 pm before the inspection, you can drink water appropriately;

Check on the day of fasting and water forbidden;

Those who have a history of heart disease or age 60 or more, the ECG examination must be performed before the examination;

Painless gastroscopy must be accompanied by family members.

In inspection:

Please relax the whole body when inserting the mirror, do not lean backwards;

Please make your nose inhalation and mouth.

If there is a saliva, it can allow it to flow out of the export cavity without swallowing;

During the inspection, I always bite the cushion.

After inspection:

It can be eaten normally 1 hour after inspection to avoid irritating foods such as spicy, alcohol;

If biopsy, eat a warm and cool semi -current diet or fasting (please pay attention to the doctor’s notification and the precautions below the gastroscopy);

Drives are prohibited on the day of painless gastroscopy. A few people have severe dizziness and nausea, which can gradually alleviate;

If there are severe abdominal pain, vomiting, and black stool, they will come to the hospital for treatment.

Precautions for commonly used drugs:

Diabetic patients are discontinued and hypoglycemic drugs before examination. After the examination, the use of insulin and hypoglycemic drugs is restored after the examination;

Patients with hypertension should take an oral antihypertensive drug 2 hours in advance;

The use of antiepileptic drugs and immunosuppressants is used normally;

For special patients, please consult the outpatient specialist;

Patients with childbearing age must ensure that gastroscopy is not possible without pregnancy.

3. Precautions for gastroscopy anesthesia

Before anesthesia:

To anesthesia clinic: fill in the physical condition table for anesthesia evaluation;

Fasting for 8 hours and 2 hours forbidden water;

Must be accompanied by family members, and valuables such as mobile phones and wallets are kept by the family members. They must wear loose clothes;

Women’s long hair must be tied, not to apply nail polish, and easy to fall, such as earrings, necklaces, hearing aids, etc., must be removed.

When anesthesia:

When inferring the intravenous anesthesia, your arms are slightly painful. Please take a deep breath. Do not speak, spit, or move your body.

After anesthesia:

After completely awake, you can drink warm water and liquid food slowly to avoid coughing;

A few people have severe dizziness and nausea, and they will gradually relieve;

Do not drive on the day after anesthesia (it will affect the judgment);

Do not take antihypertensive, hypnosis and other drugs within half a day after anesthesia.

Fourth, correctly understand atrophic gastritis

Atrophic gastritis, with gastric mucosal epithelium and glands atrophic, decreased, gastric mucosa becomes thinner, or chronic digestive diseases characterized by gastrointectomy and intestinal glandularization, or have different types of hyperplasia.

There is often the following performance:

It is a multi -pathogenic factor disease and a pre -cancer lesion.It is recommended to actively regular gastroscopy monitoring and serum gastric function monitoring.

Repeated or continuous Helicobacter pylori infection is one of the most important causes of atrophic gastritis.It should be rooted in the pylori to improve the inflammation of the gastric mucosa and delay progress.TCM syndrome differentiation can relieve symptoms and delay progress.

In the daily life, the appropriate amount of folic acid, vitamin C, and trace element selenium; avoid high -salt diets, smoking quitting alcohol, avoiding smoky fried foods, and developing good eating habits.

5. How much does the digestive endoscope know


It is divided into: gastroscopy, gastroscopy, colonoscopy (duodenum, small intestine, colon), etc.;

The endoscopy type is divided into: amplify endoscopy, ultrasonic endoscopy, capsule endoscopy, etc.


Diagnosis and treatment: including gastritis, digestive ulcers, gastroesophageal reflux disease, gastrointestinal bleeding, digestive tract polyps, inflammatory bowel disease, digestive tract tumors, etc.

Under mirror operation:

Pochrus removal and resection, biopsy, tube operation, foreign matter removal, pyradal knife therapy (APC), electrocoagulation and titanium hematopoietic surgery, stenosis expansion, esophageal vein tie surgery, esophageal varicocele sclerosis agentTreatment, esophageal stomach vein tissue injection therapy, subcarcidal tumor resection, stent implantation, mucosal stripping (ESD), ultrasonic endoscopic spangling biopsy, pseudo -dwarf cystInternal puncture and inflow, adoptimony of natural cavity endoscopic diagnosis (Notes), endoscopic duodenal intestinal papillary sphincter (EST), endoscopic duodenal papilla airbag dilatation, endoscopic retrogradePancreatic bile duct fostering (ERCP), endoscopic pancreatic bile duct expansion and stent reservation, nasal bile duct drainage, nasal pancreatic duct drainage, and oral endoscopic muscle laminate (POEM), etc. (POEM).

Department of spleen and stomach disease in Shenzhen Traditional Chinese Medicine Hospital

The Department of Spleen and Diseases of Shenzhen Traditional Chinese Medicine Hospital is a key specialist in traditional Chinese medicine in the Traditional Chinese Medicine Administration, a high -level key specialist in Guangdong Province, a key specialist in clinical clinical clinical of traditional Chinese medicine in Guangdong Province, a brand discipline of the municipal medical management center, and a specialty of Shenzhen Traditional Chinese Medicine.He has Chen Furu, Professor Huang Bin, and Professor Huang Minghe and Professor Li Jian in Shenzhen famous Chinese medicine medicine.

The Center for Spleen and Steriology has advanced high -end inspection equipment such as advanced high -definition hosts (Olympus 290, Fuji endoscopic Eluxeo 7000, Fuji Blue Laser, Bin De) and amplify endoscopy.At present, almost all digestive endoscopic four-level surgery has been carried out, including ESD, ESTD, ERCP, EUS-FNA, POEM, STER, oral biliary mirror technology, SPYGLASS technology.Intersection

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