The doctor, excruciates me a hiccup after meal. Also there are problems with digestion (... [Архив]

Rasulov M.I.

03.05.2004, 21:59

For specification of the diagnosis it is necessary to make research of a stomach, a cholic bubble, analyses.
The stomach or belly hurts, have appointed or nominated analyses?!
You send or have come on reception to the gastroenterologist. And he to you has appointed or nominated a heap of researches. What for he does or makes it? That you have spent money for analyses that it seemed to you, that you survey or to establish or install the diagnosis. About it or this you learn or find out from clause or article.
1) the General or Common analyses of a blood and urine. These universal researches help or assist the doctor of any speciality. In the general or common analysis of a blood there are parameters of a level of a hemoglobin and erythrocytes (depression of these parameters can suggest about hidden or latent zheludochno-an intestinal bleeding); the level of leucocytes and an ESR shows presence of the inflammatory centers which can be and in an intestine; the eosinophilia (augmentation of quantity or amount of eosinocytes) can testify to worms. The general or common analysis wet shows presence of infections or inflammations and in urinary ways which are closely connected with a status of an intestine especially at girls and women.
2) US - ultrasonic research of organs of an abdominal cavity. One of the most accessible and informative methods of research zheludochno-an intestinal tract (GASTROINTESTINAL TRACT). On US it is possible to see the sizes of organs of an abdominal cavity (a liver, a cholic bubble, a pancreas, etc.), indirect attributes of a gastritis and gastroduodenita besides it is possible to investigate or research sokratitelnuju function of a cholic bubble (assay with a load). Especially helps or assists US when character is not clear be ill or sick at the top of a stomach or belly: whether this disease of a stomach, whether a pancreas or a liver, or zhelchevyvodjashchih ways.
3) the Scatology. The analysis of the feces, giving the information on digestion of various components of nutrition (fibers, Adepses, a fat), and also about appearance of excrements, including presence of pathological impurity (a blood, slime, pus). Under this analysis judge that as as occurs or happens in an intestine at a level of cells and t. Item
The Analysis of a feces on a dysbacteriosis (a status of an intestinal microflora). Also very important and informative analysis. The intestinal microflora carries out great volume of functions GASTROINTESTINAL TRACT (digestion of peep, synthesis of vitamins, protection against pathogenic microbes, etc.), therefore its or her status - a parameter of normal functioning of an intestine. Some problems can disappear after correction of a dysbacteriosis. Besides under this analysis it is possible to do or make indirect conclusions about presence in an intestine of the centers of a chronic infection.
For revealing an occult blood there is a special analysis.
This analysis is important at bleedings from erosions, ulcers and so forth
Feces on carbohydrates. The special analysis on studying of mastering in an intestine of carbohydrates (a glucose, lactose, Amylum, a galactose, etc.). At some diseases carbohydrates are not acquired, also rising of a level of carbohydrates can be at functional disturbances (for example, secondary laktaznaja a failure on a background of a dysbacteriosis of an intestine).
Feces on eggs of worms and the elementary, soskob on an enterobiosis. The researches directed on revealing very widespread both among children, and among adult, intestinal parasites. Presence of worms or the elementary can lead to chronic disturbance of function GASTROINTESTINAL TRACT, allergies, to weakening of immunity, a chronic intoxication. Unfortunately, the listed analyses are not so authentic, t. To. There are periods when presence of parasites is not accompanied by their detection in analyses, that is the negative answer of the analysis not always means, that parasites in an intestine are not present. Therefore the given analyses need to be retaken on some times if nothing comes to light or is taped. And if the doctor considers or counts, that it is necessary to spend therapy, to spend it or her.
4) EGDS - a gastroscopy. The endoscopic research, allowing to see by means of special optics - an endoscope (it is possible to translate or transfer as the device to see inside) - a mucosa of an esophagus, a stomach and a duodenum. This research for diagnostics of a peptic ulcer and oncologic diseases of a stomach is especially important. For this purpose the patient should swallow of a long tube that is not so pleasant, but results of research as a rule are very informative. Except for that through the special channel of an endoscope it is possible to spend an aim biopsy, introduction of medicines in edge or territory of a ulcer, to define or determine acidity and microbial contamination mucous a stomach.
5) the Colonoscopy. The same, as the gastroscopy, only an endoscope is entered into an anus and the status of a rectum and a thick intestine is studied or investigated.
6) the Laparoscopy. Also an endoscopic method when the endoscope is entered through a small aperture in a forward abdominal wall. Usually this method is used at suspicion on an acute inflammation in an abdominal cavity (an appendicitis, a peritonitis, etc.), and also at diseases of a liver and a cholic bubble.
7) the Biopsy. At carrying out of endoscopic researches the small slice of a mucosa zheludochnokishechnogo a tract or a tumour that then to study or investigate it or him separately under a microscope can be taken. It is absolutely painless procedure it is rather informative and exact.
8) Gastric intubation. A method of reception of a gastric juice, and also contents of a duodenum. It is appointed or nominated at gastritises for definition of acidity of a gastric juice, and also at diseases of a liver and zhelchevyvodjashchih ways. One of methods of parasitologic research on ljamblii. In modern endoscopes simultaneous definition of acidity under the control of vision over different departments of a stomach and 12 ti perstnoj intestines that will allow your attending physician to pick up therapy correctly is stipulated.
9) the X-ray analysis - a survey picture, contrast research, irrigografija. At survey roentgenography it is possible to see clumps of gas, some tumours and stones, and also alien or foreign subjects in an intestine which can be casual or are deliberately swallowed. Research with a contrast agent (okis barium) shows permeability of various departments GASTROINTESTINAL TRACT from an esophagus up to a rectum. At contrast research it is possible to see the tumours growing in a lumen of an intestine and a ulcer of an intestine on a picture. If contrast is entered through a rectum, this research is called irrigografija.
10) the Biochemical analysis of a blood. Such parameters of the biochemical analysis as AlT, AsT, a bilirubin, an alkaline phosphatase, a cholesterin directly testify to job of a liver. Other parameters, for example a level of serumal iron, fiber, electrolytes, also can help or assist with diagnostics of different diseases GASTROINTESTINAL TRACT.
11) Researches on an infection. Except for originators of intestinal infections (salmonellas, shigelly, rotavirusa, cryptosporidiums, etc.), causing acute diseases, exist microbes which can live in an intestine, causing chronic problems from GASTROINTESTINAL TRACT. Therefore, be not surprised, if the gastroenterologist will advise you to hand over analyses on a chlamydia, Trichomonases, jersinii or recommends to address to infektsionistu.
Always remind the doctor of necessity of check on a lues, AIDS and a virus hepatitis if operation or endoscopic research is necessary to you.