Practice diagnosis and treatment of digestive disorders

2021-03-25 12:00 AM

Diagnosis is mainly based on symptoms and learn about the patient's lifestyle and diet to detect and determine the cause.

Gastrointestinal disturbances are a term used to refer to symptoms related to the digestion of food such as abdominal pain, bloating, nausea, irritability ... Indigestion after a meal is also called a disorder. digestion and are described with a feeling of discomfort in the upper abdomen, usually due to overeating or too quickly, eating a lot of acidic, spicy or high-fat spices, especially animal fats. Indigestion also has a number of neurological conditions, with the most common cause being excessive stress. If the indigestion is persistent or repeated, it may be related to gallstones, esophagitis, or stomach ulcers.

Reason

Unhealthy, fatty, spicy foods. Eat in moderation, eat when you are too hungry, or eat too full, eat quickly, do not chew well.

Due to taking certain medications, such as nonsteroidal anti-inflammatory drugs or aspirin.

Using many stimulants and harmful to the digestive tract such as alcohol, tobacco, coffee ...

There is a lot of mental stress or experience too strong emotions such as sadness, pain, fear ...

Certain diseases of the digestive tract such as stomach ulcers, gallstones or esophagitis.

Diagnose

Diagnosis is mainly based on symptoms and learn about the patient's lifestyle and diet to detect and determine the cause.

In some cases there may be no clear cause, but often symptoms tend to decrease rapidly and not for long.

Some diagnostic tests may be needed if the condition is complicated or persistent with an unspecified cause:

Endoscopy usually gives the most accurate results.

X-rays with baryt contrast , sometimes doubled in doses, often help detect or rule out the possibility of cancer.

Other tests, such as pH checks or oesophagal pressure measurements, are sometimes used.

Cases with high risk of cancer, with many suspicious symptoms such as anorexia, rapid weight loss, vomiting, language disorders, anemia ... especially when the patient is over 45 years old, should be Immediately refer to a specialist or recommend hospital treatment.

Treatment

In the majority of cases of gastrointestinal disturbances, drug treatment is not necessary. Just identify the right cause and guide the patient to eliminate the cause, the symptoms will quickly disappear. Such as:

Stop taking nonsteroidal anti-inflammatory drugs or aspirin .

Stop smoking or drink alcohol, coffee, or cut down on stimulant spices, reduce the amount of fat in the meal, especially animal fat.

Advise patients to keep a regular diet, not to be too hungry, not to eat too full, eat slowly, and chew food well.

Eliminate stressors or take a relaxing break to overcome emotional instability ...

Cases caused by gastrointestinal disease require treatment of such conditions, such as treatment of stomach ulcers, esophagitis or gallstones.

For mild symptomatic cases, a common antacid, such as magnesium trisilicate ( Alusi ) 5g, divided into 3 times a day, taken after meals or during pain.

If the patient does not respond to mild antacids or has gastrointestinal ulcer symptoms, an H2-receptor antibiotic, such as Cimetidine, Famotidine ... 400mg, twice a day, can be given. continuous for 10 days. If the results are good, treatment should continue for about 3 weeks.

Non-ulcerative gastrointestinal disturbances, with symptoms of bowel disturbances such as nausea or bloating, can be treated with drugs such as metoclopramide, domperidone or cisapride.

Cases of poor response to H2-receptor antagonists or recurring immediately after discontinuation of the drug should be referred to a specialist or to request treatment in a hospital.