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