What are the symptoms of gastrointestinal disorders?

Gastrointestinal dysfunction will affect our dietary health and nutrient absorption, and often cause upper abdominal discomfort, pain, nausea, bloating, or vomiting. Therefore, once these similar symptoms occur, you must go to the hospital for a comprehensive examination and symptomatic treatment.

1. Gastrointestinal dysfunction. The clinical manifestations are mainly abnormalities in the gastrointestinal tract involving eating and excretion, and are often accompanied by other functional symptoms such as insomnia, anxiety, inattention, forgetfulness, nervousness, headache, etc. Gastrointestinal dysfunction is very common, and there is currently a lack of accurate statistics on the incidence rate in China. Among the neuroses of various organs, the gastrointestinal tract has the highest incidence rate and is more common in young and middle-aged people. There are many manifestations of gastrointestinal dysfunction. The main manifestations of the upper digestive tract include upper abdominal discomfort, pain, bloating, hiccups, nausea, vomiting, etc.; some people also have symptoms of the lower digestive tract, such as abdominal discomfort, difficulty in defecation, constipation, diarrhea, and increased flatulence. The above digestive tract problems are the most common. Common digestive system diseases such as indigestion, gastritis, ulcer disease, acute gastroenteritis, constipation, etc. are all caused by irregular eating habits.

2. Gastrointestinal dysfunction is very common in clinical practice, but it has not attracted the attention of most people. When I go to the outpatient clinic, I often see many patients carrying a stack of medical records, frequently going to various hospitals, talking incessantly about their illnesses, but they are troubled by the fact that no examination can show that they are indeed suffering from an incurable disease. In order to get a satisfactory answer, they are physically and mentally exhausted. For example, taking irritable bowel syndrome as an example, most patients are emotionally nervous and talk frequently and incessantly when seeking medical treatment. Some patients write down their daily symptoms in a diary for fear of missing any clues and preventing the doctor from fully understanding the condition. So what should a doctor do when faced with this situation? First of all, we must patiently listen to and analyze the patient's statement, carefully perform physical examinations and routine tests, including routine blood tests, erythrocyte sedimentation rate, routine stool tests, fecal occult blood worm eggs and bacterial culture, colonoscopy and double contrast barium radiography, to rule out colon cancer, inflammatory bowel disease, diverticulitis, dysentery, etc.

3. If there is persistent upper abdominal pain, a gallbladder ultrasound should be performed. If pancreatic disease is suspected, an abdominal CT scan and amylase test should be performed. If lactase deficiency is suspected, a lactose tolerance test should be performed. Small intestinal mucosal biopsy can rule out small intestinal mucosal diseases, and colon mucosal biopsy can rule out colitis. After the initial diagnosis of this disease, close follow-up is required. It will take some time to ensure that the diagnosis is correct.

4. If neurogenic vomiting is suspected, it needs to be differentiated from chronic gastritis, vomiting during pregnancy, uremia, etc., and intracranial space-occupying lesions should also be ruled out. Anorexia nervosa needs to be differentiated from gastric cancer and adrenal insufficiency.