What is gastric epigastric disease? This is a question many people want to ask. Gastric epigastric disease is a term used in traditional Chinese medicine. In fact, chronic gastritis causes the gastric mucosa to shrink, leading to a series of symptoms. The treatment of stomach discomfort requires three parts treatment and seven parts care. You should not smoke, drink alcohol, or eat spicy food. Rest is also very important for treating stomach discomfort, which many people may not know. Let us now take a closer look at what gastric epigastric disease is. Gastric distension is equivalent to chronic gastritis (including superficial gastritis and atrophic gastritis), functional dyspepsia, gastroptosis and other diseases in Western medicine : Superficial gastritis is a chronic superficial inflammation of the gastric mucosa. It is the most common type of chronic gastritis, accounting for about 50% to 85% of all chronic gastritis in gastroscopy examination. The peak age of onset of the disease is 31 to 50 years old, and males are more likely to be affected than females. The basic lesions of superficial gastritis are epithelial cell degeneration, proliferation of the foveal epithelium and infiltration of inflammatory cells in the lamina propria. Sometimes, intestinal metaplasia of the surface epithelium and foveal epithelium can be seen, without the reduction of the lamina propria. The lesion is usually obvious in the gastric antrum and is mostly diffuse. Gastroscopy shows congestion, edema, punctate hemorrhage and erosion of the gastric mucosa or accompanied by yellow-white mucous exudate. Chronic atrophic gastritis is a common clinical disease characterized by atrophy of the intrinsic glands of the gastric mucosa. Common symptoms include upper abdominal pain, bloating (worse after eating), heartburn, loss of appetite, belching, etc. It is non-specific, and gastric mucosal biopsy is the most reliable diagnostic method. The cases seen in clinical practice by traditional Chinese medicine practitioners generally have a clear diagnosis. Some people say that chronic atrophic gastritis is equivalent to what Chinese medicine calls "stomach distension", "consumption", "epigastric pain", etc. In my personal opinion, such a comparison is neither necessary nor appropriate. If the diagnosis is clear, you can just call it "chronic atrophic gastritis". Changing the Chinese medicine name does not seem to help with clinical differentiation and treatment. Functional dyspepsia refers to a group of common symptoms including upper abdominal pain or discomfort (including upper abdominal fullness, early satiety, burning sensation, belching, nausea and vomiting, and indescribable upper abdominal discomfort). Depending on the cause of dyspepsia symptoms, dyspepsia is divided into organic dyspepsia and functional dyspepsia (FD). Uninvestigated dyspepsia refers to patients who complain of dyspepsia symptoms but have not undergone endoscopy or other examinations. Investigated dyspepsia refers to those who have undergone endoscopy. If organic diseases such as peptic ulcer, reflux esophagitis, and upper gastrointestinal tumors are excluded, it is called non-ulcer dyspepsia, which is considered to be "functional dyspepsia" in which there is no organic disease that can explain the dyspepsia symptoms.Gastroptosis refers to the situation where the lower edge of the stomach reaches the pelvic cavity and the lowest point of the lesser curvature of the stomach drops below the line connecting the iliac crests when standing . Mild gastroptosis is usually asymptomatic, while moderate or severe gastroptosis often causes symptoms of poor gastrointestinal motility and indigestion. Clinical diagnosis is mainly based on X-ray, barium meal fluoroscopy and B-ultrasound examination, which can confirm the diagnosis. At present, Western medicine mainly treats chronic atrophic gastritis by protecting gastric mucosa, resisting Helicobacter pylori, enhancing gastric motility, and relieving pain, etc., but there is a lack of effective treatment methods. In more than ten years of clinical work, I have treated a large number of cases of chronic atrophic gastritis and accumulated a lot of experience. Personally, I believe that traditional Chinese medicine is not just a supplementary or alternative method for the treatment of this disease, but should be used as the main means, because whether it is improving symptoms or correcting lesions, the effect of traditional Chinese medicine treatment is definite and significant. |
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