Regimen For Treating Stomach Disease

I had a stomach ache for about 7 years, when I first got sick I often had pain in the abdomen. Recently, I have less pain, but I have indigestion and frequent burping, especially after eating and going out often. Can the doctor show me how to treat this disease. I feel so miserable when I suffer from this incurable disease, it greatly affects my daily life and study. Sincerely thank the Doctor (mai thanh nhu)
Reply
Duodenal gastric disease currently accounts for about 5 to 10% of the population

. In gastroenterology, the number of patients hospitalized to treat gastroduodenal disease accounts for about 30%.
Over the past decades, the diagnosis has been made more accurate by using endoscopic techniques. Moreover, thanks to the discovery and demonstration of the pathogenic role of Helicobacter Pylori (HP), it has changed the viewpoint of treatment
If before, the treatment of gastroduodenal disease is mainly surgical treatment, which means that the stomach is cut, nowadays the trend of medical treatment (medicine) is the main trend.




Patients should undergo clinical examination as well as subclinical examination to select a specific treatment regimen based on the site of the lesion, whether it is inflammation or ulceration, located in the position of the stomach or duodenum:
If ulcerative lesions are located at the position of the duodenum: the disease is usually benign
- First treatment time within 4 to 6 weeks.
- After that, if the lesions are healed, follow up, if relapse, treat again.
- If the disease is not improved after treatment, the lesions have not healed yet, they must be treated in the second phase, they have to change the regimen, transplanting specimens as antibiotics if the H.P (+) test counts.
If the scar is still not healed after the second regimen, then continue treatment with another regimen, if the scar is still not healed, the patient may still have pain and may need surgery.
- Particularly for cases such as: Patients with a history of bleeding, sutured gastric perforation, elderly patients, severe pain affecting life, callous ulcers, ulcers on the back, is it only necessary to treat it? supported by the second regimen is already able to consider surgery.
If ulcerative lesions in the stomach: may have a malignancy rate, especially small curved edge ulcers
Patients need to have at least 4 to 5 histopathological biopsies to eliminate malignancy
- If there is no dysplasia on biopsy, the patient can be treated within 6 weeks, then it will be checked by biopsy and biopsy again:
+ If healing: 1 time to follow up
+ If the scar is not healed, continue treatment for another 4 weeks or change the medicine, then check again if it still does not heal, you may consider surgery.




- If the tissue biopsy results in cell dysplasia, the patient will be treated according to the 8-week regimen, then examined by endoscopy and biopsy:
+ If healing: Follow up by endoscopy every 3 - 6 months
+ If there is no scar associated with older patients, a history of bleeding many times or a history of gastric perforation ... then surgery should be done.
Therefore, you should go to the doctor and do the tests necessary to choose a specific treatment regimen.
Wish you quickly recovered..

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