Wednesday, July 9, 2008

Ulcer disease and old age should be differentiated from the diseases?

(1) functional dyspepsia. This means there are no symptoms of ulcer dyspepsia or other , such as chronic gastritis and duodenitis or biliary disease. Patients frequently have anxiety, insomnia, nervous tension, depression, mental factors can induce or increase, the effective treatment of anti-ulcer medicine, gastrointestinal motility drug use could significantly ease. In this disease is quite common in young women, the elderly are not uncommon, attention should be paid with identification. (2) of gastric cancer. Benign and malignant gastric ulcer ulcer (stomach cancer) is sometimes difficult to identify. Some ulcer type of gastric cancer in the early days, its shape and clinical performance and benign gastric ulcer is similar, or even the anti-ulcer treatment can be temporarily healed, and to the early diagnosis difficult. Benign and malignant gastric ulcer in the differential based on X-ray, pathology and endoscopy examination, therefore, for all elderly patients with gastric ulcer should visit gastroscopy, and many take some marginal ulcer biopsy to determine the nature of ulcers. (3) chronic gastritis. The disease may have similar symptoms of peptic ulcers and easy with their confusion. Analysis of gastric acid found lack of peptic ulcers can be ruled out, a higher incidence of the disease, gastroscopy is the identification of the two main methods. (4) chronic duodenitis. Has not yet sure whether the disease can be developed for the duodenal ulcer. Both clinical and X-ray imaging is similar, relying mainly on their differential diagnosis of duodenal endoscopy. (5) Gastroptosia. The disease can be associated with kidney, liver and other internal organs down, and indigestion symptoms appear. All of its symptoms when the increase in the upright, sits flat at ease. Barium X-ray inspection without the X-ray signs of ulcers, stomach and small bending shows that the lowest point in the iliac crest level Following is the basis for the diagnosis of the disease. (6) chronic biliary disease. Biliary motor dysfunction can cause seizures spastic right upper quadrant pain, pain more than in the meal, the application of basic drugs can not be alleviated. If asked in detail about history, with the gallbladder X-ray imaging, B-chao, liver and gallbladder γ camera flashes, such as inspection, can be diagnosed.

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