Wednesday, July 9, 2008

Duodenal ulcer and gastric ulcer symptoms What are the different

Clinical gastric ulcer for a duodenal ulcer than Most of the recent statistics to 1.56:1. Duodenal ulcer and gastric ulcer in general than the large area. Gastric ulcer and duodenal ulcers are often accompanied by chronic gastritis, gastric ulcer at a higher rate. Gastric ulcer is the most common symptoms of abdominal discomfort or pain, the typical Jiantu, located on the abdomen, sometimes the left, the typical rhythm of the lack of pain, abdominal pain after meal there early. Most of duodenal ulcers and the pain of a rhythm, cyclical and long-term, the limitations on the abdominal pain often occur in the stomach emptying, especially 10-11 o'clock in the morning, afternoon and 3-4 o'clock 10-11 o'clock at night around 1-2 o'clock in the morning also will wake up with pain, such as the use of more acid or eating food can ease the pain, the rhythm of the very prominent, the patient can clearly To the doctors described; pain in Jiantu most of the site under the right. Cyclical attack and mitigation is the highlight of the performance of duodenal ulcer. Varying duration of each attack, about half of 2-4 weeks, the rest can be only a short period of a few days, up to 8-10 weeks long. Attack the remission also vary in length, some for 1-3 months, some shorter, some longer, occasionally seen in the first attack after a remission period, more than 10 years. In remission, patients can eat and not in any pain. Many cases, such attacks were seasonally cyclical, often in the spring and autumn when the disease, while in summer and winter eased, and climate change were relevant. In addition to some cancerous gastric ulcer, duodenal ulcer and cancer rate is very low

Gastric ulcer and should be differentiated from the diseases

Gastric ulcer is a common disease, as medical diagnosis and screening of the means of progress, the current diagnosis is not very difficult, but should pay attention to the following types of diseases and identification: (1) of gastric cancer: a benign stomach ulcer and malignant ulcers in the differential is very important, both the identification sometimes very difficult, in order to avoid mistakenly malignant ulcers as benign ulcer surgery and missed the opportunity, not a typical clinical manifestations of age Over the age of 45, low acid patients, even once the X-ray and endoscopy for cancer and could not confirm when, in medical treatment should be conducted under regular observation until complete healing ulcers. In addition, the part of patients, gastric biopsy showed a change between, even if the endoscopic ulcer has healed, but also to maintain contact with patients, regular follow-up and repeat the necessary checks, as mentioned earlier, some early gastric cancer Can be as benign as ulcer repair. In endoscopy and X-ray, benign and malignant ulcers in the differential points are as follows: ① benign ulcers for more than round or oval-shaped, smooth edges, tidy; malignant ulcers and more irregular shape. ② more benign ulcers at the bottom of smooth, white moss or moss covered huangbai; malignant ulcers can be at the bottom of a nodular, rugged, surface contamination. ② most benign stomach ulcer in the cavity profile outside the contrary is a vicious ulcer. ④ benign ulcers around the mucosal edema of the small, not deep into the stomach cavity, forming the edge of the filling smooth and symmetrical range. ⑤ benign gastric ulcer wrinkle wall radiation to mouth ulcers; malignant ulcers not radiating surface wall, the wall or mucosal surface disruption. Biopsy may improve the diagnosis rate. (2) chronic gastritis: chronic gastritis gastric ulcer patients can have similar performance, such as the rhythm of abdominal pain, and so on, are often confused with canker. Gastroscopy is the primary means of identifying them. (3) of gastric prolapse: As income from gastric mucosa H. pylori is often intermittent, the disease of pain not eased by the acid agent, lasting no clear rhythm, and posture-related pain and often left Lateral position to reduce pain, and the right of lying when pain increased. Confirmed to be subject to regular X-ray or gastroscopy. (4) gastrointestinal neurosis: In addition to the types of patients have gastrointestinal disease, with, at the same time functional existence of the other symptoms, such as palpitations, and more dreams, hyperhidrosis, Zhenfa of facial Chaohong, emotional instability, X-ray confirmed the diagnosis rely on the barium meal and gastroscopy. (5) gastrinoma: gastrinoma patients often have a number of gastrointestinal ulcers and ulcers stubborn, the general acid treatment was not obvious. Through the determination of the level of serum gastrin and analysis of gastric juice to make a diagnosis often

Saturday, July 5, 2008

Bronchial asthma diagnosis and differential diagnosis

Children over the age of 3, doctors diagnosed based on the following criteria: 1. Respite was the author or repeatedly back and some allergens or incentives related to. 2. Attack the lungs and Asthma Wen-ming. 3. Antiasthmatic drug effects are obvious. Choice of one in 1,000 suspected cases subcutaneous injection of adrenaline 0.01 ml / kg body weight, or Salbutamol Aerosol Ling deep liquid aerosol or 15 minutes to observe whether obvious effect. Asthma is a symptom of the disease, although the performance of more or less the same breath, but the reasons for the surge are varied, bronchial asthma is the most important reasons, with the identification of the disease are the following: Bronchiolitis is a type of pneumonia, more than occurred in small babies, because of bronchiolitis of edema and cramps and Asthmatic symptoms appear. Asthmatic bronchitis it is a breathing attack bronchitis, with the exception of a breathing space performance, there are clinical manifestations of bronchitis, breathing with the infection control and more. Baby jets wheezing is a congenital abnormality of the larynx, accompanied dysplasia or lower down the tongue, throat clinical obstruction caused by asthma. Foreign body aspiration due to inhalation of bronchial foreign body, bronchial obstruction, lumen stenosis, a suction of breathing difficulties. Cardiac asthma in various left ventricular heart failure, lung congestion due to hypoxia and bronchial spasms, can cause breathing problems and asthma. Nasopharyngeal adenoidal hypertrophy of the other, around the tonsil abscess, acute laryngitis, the throat spasms caused by low calcium, of endobronchial tuberculosis, TB hilar lymph nodes, lymph node cancer, and so can cause asthma.

Pregnant women with asthma how to deal with

Asthma is an allergic lung disease, characterized by repeated attacks of breathing difficulties, self-improvement, drug use or discharge. Attack only a few minutes short-term, the elderly a matter of hours or days (medically known as "Asthma Status "). Bronchial asthma during pregnancy pregnant women should avoid contact with the onset can be induced by certain allergens, such as spices, pollen, dust, tobacco, such as cold air to ensure that adequate rest and avoid over exertion and mental tension and less to public places to prevent respiratory tract Infections, sudden changes at the injection temperature change between the appropriate clothing. Drug treatment should be under the guidance of doctors, according to the severity of the correct medication. The first three months of pregnancy, the embryo is differentiation and organ development stage, the impact of external factors on the extremely sensitive, it should avoid unnecessary period of the fetus teratogenic drugs such as tetracycline family, sulfonamides, such as iodine preparations. Mild asthma patients can take drugs, commonly used are: isoproterenol, Salbutamol Aerosol Ling, aminophylline, salbutamol Ling tablets. At the same time use of antibiotics to control and the prevention of respiratory tract inflammation (penicillin, erythromycin pregnancy is a safe drug antibiotics), supplemented by sedation, expectorant cough medicine. Asthma status, due to serious lack of oxygen, can cause stillbirth or premature delivery , Should be hospitalized. Reflect on the long-term chronic asthma attack have serious heart and lung function of the lower, or the treatment of asthma status invalid, consideration should be given to induced abortion or induced abortion with. In short, asthma, pregnant women as long as confidence in conquering the disease, doctors and close coordination and attention to adjust diet, personal, avoid and reduce asthma attacks, the general is through the pregnancy.