You are not gastritis

◇ Xin yusi (www.xys.org) (xys3.dxiong.com) (www.xysforum.org) (xys.xys-reader.org) ◇ You Are Not gastritis Author: lw56102 has a lot of so-called gastritis people, whether I go to a haircut or take a taxi, as long as the other party knows my identity as a digestive doctor, of course, they also need to know what the digestive department is doing. Generally, the next sentence is to consult their own gastritis and the gastritis of their relatives and friends. With the popularization of gastroscopy, almost all patients with gastroscopy will be diagnosed with gastritis if there are no more serious cases. Probably not a few Chinese digestive surgeons have seen or published completely normal gastroscopy reports. At the same time, both the textbook and the doctor's own practice show that the so-called stomachache symptoms of a patient is very big, and the so-called gastritis reported by the gastroscope is irrelevant. In other words, some patients have severe symptoms and are uncomfortable, but have a normal gastroscope. On the contrary, some patients have serious gastroscopy and their symptoms are not so obvious. This is not a secret among specialists, because they all know that a considerable number of so-called gastritis patients should be able to provide another diagnosis, that is, functional indigestion. Like most medical terms, most of our terms come from the translation of foreign languages, rather than being obsessed with fans of traditional Chinese medicine. Functional Dyspepsia is the English language of Functional Indigestion. The former is the attribute of "functional", and the latter is translated as "Indigestion", which is actually just a habit, there will be a big gap with the true meaning of this word. "Indigestion" may not be a real problem of digestion. If, according to the broad explanation of digestion, all gastrointestinal diseases are considered indigestion, functional Dyspepsia may not have real physiological abnormalities, either explained in a narrow sense. In fact, the definition of dyspepsia is relatively simple, but it only describes the symptoms of discomfort in the middle of the upper abdomen, and there is a certain relationship with eating and eating, and there is a lot of overlap with what ordinary people say about stomachache. The attribute "functional" is added to distinguish it from the obvious abnormalities that can be found to cause symptoms of patients, such as gastric cancer and ulcer disease. Therefore, to diagnose functional indigestion, the premise must be that there is no obvious abnormality in the routine examination, including the gastroscope. What does Functional Indigestion count for patients with "stomachache? The exact number is often boring. I can say that there are not more than half or half of them. It is really caused by gastritis, which is effective according to gastritis treatment, but not the majority. The placebo effect should also be excluded because, for patients with functional indigestion, the placebo effect without any pharmacological action can reach more than 1/3. Even evidence-based medicine in foreign countries shows that many therapeutic drugs have no obvious effect compared with placebo. As mentioned above, in fact, many of the gastritis reported by the gastroscope do not reflect the actual situation of the patient. Why have no one seen a completely normal gastroscope report? This is also a controversial topic in the digestive circle. Some famous experts have pointed out that most of our so-called gastritis are actually functional indigestion. In many academic conferences and academic journals, there are also dedicated guides from time to recommend that you standardize the diagnosis and treatment of gastritis and indigestion, but why does most hospitals and doctors continue to report gastritis to patients, it may be because the knowledge update is slow, or it may be because of laziness. It may be because the patient is worried about giving a completely normal report after suffering and spending money, making the patient feel unacceptable. In short, as long as it is a gastroscope patient, as long as the stomach is not more serious than gastritis, such as ulcer, tumor, etc., will still get a diagnosis of gastritis. Some people seem to have suddenly realized that it is not for doctors to make money by doing so? Such speculation cannot be completely unfounded, but I don't think it is the main reason, or even in many cases. A few reasons: first, a gastroscope doctor is often not the same as a doctor who prescribed medicine. Diagnosis of gastritis is not directly beneficial to the former, and in reality there is no money for the latter and the former; second, the diagnosis of Functional Indigestion does not mean that you do not need to take medicine, diagnosis of gastritis is not necessarily to take medicine, everything depends on the patient's individual circumstances. The next log will tell you about the treatment of gastritis and indigestion. (Xys20081123) ◇ (www.xys.org) (xys3.dxiong.com) (www.xysforum.org) (xys.xys-reader.org) ◇