Stomach « ThePclinic

Pain Upper Mid-Abdomen-1

: Interior Of Stomach

Pain in middle of upper abdomen in a commonly encountered complain from patients in any hospital.There are vast nuber of causes for it.Many of them are for academic interest.Among the most commonly encountered conditions Acid Peptic disease is one.

Here there is pain in the middle of upper abdomen .This pain may come in empty stomach or after taking food.It is typically colicky in nature,sometimes subsides after taking food or aggravated after taking food.It my appear seasonally in the winter.Gradually this timing of pain changes and pain is always felt. There may appear vomiting which may contain freshly eaten food to stale food, blood and bile.Some times there occurs blood vomiting and passing of black stool.Some times patient may present in the emergency with a complication called perforation of stomach or duodenum.

This disease may be seen in the stomach,duodenum,Lower esophagus or in a mackel’s diverticulum.The symptoms and signs may differ according to the site of disease. To-day we will see the disease of stomach and duodenum.

: Endoscopy Image of Stomach Ulcer

Hydrochloric acid secretion is an integral part of stomach inner layer called gastric mucosa.There in also secretion of protein digesting enzyme called pepsinogen.The digestion of own gastric mucosa hangs on a fine balance between the secretions and mucosal defense. Mucosal defense rests on the amount of bicarbonate and mucus present in the stomach.There are various means to dis-balance it.It my be stress and strain,Ingestion of analgesics and steroid,Severe trauma lading to blood loss and infection by a microbe called H.Pylori. There may occur inflammation to ulcerations in mucosa and may progress to other layers of stomach and duodenum.

The disease can very nicely be diagnosed by an endoscopy.This can be treated by newer proton pump inhibitor drugs.This drug has left the surgical option for this disease limited to the complications only.If drug treatment fails nice surgical options are available.

Upper Endoscopy (Gastroscopy) Procedure, Video, Pictures, Cost (healthhype.com)

Filed under: Stress and Diseases — Tags: Conditions and Diseases, Digestion, Digestive Disorders, Esophagus, Health, Hydrochloric acid, Peptic ulcer, Stomach — Dr.Prahallad @ August 27, 2009 7:19 pm

Vomiting Stale Food

: Flexible Endoscope.

One patient came to me in great distress with hiccup,pain in the abdomen and inability to stand. Apart from this ,patients present to a doctor with complains of vomiting of stale food some hours or days of taking food.There is loss of appetite ,weakness,malnutrition,hiccup and desire to induce vomiting to get relief from pain.

These are the cardinal symptoms of obstruction to passage of food from stomach called Pyloric obstruction/Duodenal stenosis.Causes are varied.Important common cause are development of stenosis after a benign duodenal or pyloric ulcer,a cancer obstructing the passage from stomach and a foreign body such as leaves or hair ball(eaten) seen in psychotics.After invent of stomach acid suppressing drugs these cases are seldom seen.But the patient in question was a road side vendor with irregular and bad eating habit.The patient said that he is in empty stomach .So to find out the cause in hope of some interesting findings the endoscope was put. (more…)

Filed under: General — Tags: Cancer, Conditions and Diseases, Digestive Disorders, Endoscopy, Health, Peptic ulcer, Pylorus, Stomach — Dr.Prahallad @ August 22, 2009 5:08 pm

HELICOBACTER PYLORI/GASTRITIS/CANCER STOMACH

H. pylori colonized on the surface of regenera...

Image via Wikipedia

H.pylori a comma shaped bacteria generally contaminate drinking water has been linked to development of gastritis and duodenal ulcer and found associated with cancer stomach.This bacteria remains under the mucous layer of stomach , infect the cells and sets inflammation.This gradually progress to type B gastritis which may in the long run gives rise to development of cancer stomach.
Now-a-days drugs are given to target this bacteria with an intension to cure gastritis and duodenal ulcer.