Saturday, February 16, 2008

Elderly canker disease which should be differentiated from?

(1) functional dyspepsia. This means there are no symptoms of ulcer dyspepsia or other organic diseases, such as chronic gastritis, duodenitis, or biliary disease. Accompanied with anxiety, insomnia, nervous tension, depression, may induce or aggravate mental factors, the anti-ulcer treatment effective medicine taking gastrointestinal motility drugs can significantly ease. The disease in young women is common in the elderly is not uncommon, should be aware of the differential. (2) of gastric cancer. Benign gastric ulcer and malignant ulcer (stomach cancer) is sometimes difficult to identify. Some ulcer in the early gastric cancer, and the morphological and clinical manifestations of benign gastric ulcer is similar, and even the anti-ulcer healing after treatment temporarily, to the early diagnosis difficult. Benign and malignant gastric ulcer main basis for the differential X-ray and endoscopic and pathologic examination, and therefore, for all elderly patients with gastric ulcer should visit gastroscopy, and in multiple ulcers from some marginal biopsy to determine the nature of ulcers. (3) chronic gastritis. The peptic ulcer disease may have similar symptoms easily confused with the. Analysis of gastric acid found lack of peptic ulcer can be ruled out, the higher the incidence of this disease, gastroscopy is the identification of the two most important methods. (4) chronic duodenitis. Has not yet sure whether the disease could be developed for the duodenal ulcer. Both clinical manifestations and is similar to X-ray findings, the diagnosis of duodenal mainly rely on endoscopic examination. (5) Gastroptosia. The disease can be accompanied by kidney, liver and other organs to sag, and a dyspeptic symptoms. All its aggravating symptoms in the upright, lying at ease. X-ray with barium meal examination of the X-ray findings of ulcer, gastric and small bending the lowest point in the iliac crest level below is the basis for the diagnosis of this disease. (6) chronic bile duct disease. Biliary motor dysfunction can cause seizures spastic right upper quadrant pain, the pain occurs after a meal in the application of basic drugs not eased. If asked in detail about history, the gallbladder with X-ray angiography, B-γ hepatobiliary scintillation camera, and other inspections, a clear diagnosis.

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