How are intestinal disorders diagnosed?

Gastrointestinal dysfunction can cause stomach discomfort, stomach pain, diarrhea, constipation or bloating. The condition will change with the patient's mood, so the patient can use positive suggestion methods to treat it. Intestinal dysfunction is not a single disease, but a general name for a group of gastrointestinal diseases without tissue lesions. So, how do we diagnose intestinal disorders? Now let me tell you about it.

Most patients are emotionally nervous and talk a lot when seeking medical treatment. Some even write down their symptoms on paper for fear of missing anything. The doctor should first listen to and analyze the patient's statement patiently, and 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, fiber colonoscopy, and colon gas barium double contrast. Excludes colon cancer, inflammatory bowel disease, diverticulitis, dysentery, etc. Patients with persistent abdominal pain and weight loss should undergo a full gastrointestinal tract barium meal radiography to exclude Crohn's disease. Patients with persistent upper abdominal pain after meals should undergo gallbladder ultrasound. If pancreatic disease is suspected, abdominal CT and amylase measurement should be performed. If lactase deficiency is suspected, a lactose tolerance test should be performed. Small intestinal mucosal biopsy should be performed to exclude small intestinal mucosal diseases; and colonic mucosal biopsy should be performed to exclude colitis. After the initial diagnosis of this disease, close follow-up is required over a period of time to ensure that the diagnosis is correct.

Neurogenic vomiting must be differentiated from chronic gastric disease, vomiting during pregnancy, uremia, etc., and intracranial space-occupying lesions should also be excluded. Anorexia nervosa must be differentiated from gastric cancer, early pregnancy reaction, and pituitary or adrenal cortex insufficiency.

The onset is usually slow, the course of the disease often lasts for years, and it is persistent or has recurring attacks. The clinical manifestations are mainly gastrointestinal symptoms, which may be limited to the pharynx, esophagus or stomach, but intestinal symptoms are the most common. They may also be accompanied by other common symptoms of neurosis.

Intestinal dysfunction can also be caused by organic diseases such as chronic gastritis, gastric ulcer, etc., and some are functional. Therefore, relevant examinations should be performed to rule out the possibility of organic diseases. If the disease causing the above symptoms is confirmed, treatment should be targeted at the cause. If no disease is found, it is considered to be functional. It should be noted that the purpose of cure cannot be achieved by relying solely on a specific drug, acupuncture or physical therapy.

The key to treatment is to resolve ideological contradictions and adjust organ functions. According to different situations, different methods should be used to patiently explain and enlighten the patient's mind, so that the patient can understand the nature of the disease, the cause of the disease, and a good prognosis, etc., in order to relieve ideological concerns, build confidence in recovery, and give play to their subjective initiative.

Unless the patient's overall physical condition is particularly poor, there is no need to stay in bed. The patient should pay attention to the combination of work and rest, not to be too tired, and eat easily digestible food and not eat too irritating food. If the patient is constipated, he should eat more vegetables, such as celery, which contains high fiber, massage the stomach every day, and apply a hot water bag to the stomach.

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