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请教大家: 胃镜检查结果

bishop2(nio)

没做Serology，能确定就是幽门螺杆菌么?

Diagnosis

A. Duodenum- mild increase of mixed inflammation , some villi with preserved villous architecture, mild widening in others, occasional intraepithelial lymphocytes of unknown clinical significance-biopsy, see comment

B. Stomach-antral and oxyntic mucosa- chronic focally active gastritis, negative for intestinal metaplasia, negative for dysplasia, Helicobacter Pylori - rare equivocal staining by IHC - serology is indicated - biopsy

Comment

A. If serology for HP confirms presence of organisms, changes seen in the duodenum might be related to gastric pathology. if clinically concerned about celiac disease serology might be of benefit.

(#14955005@0)
Last Updated: 2022-11-14
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枫下家园 / 医药保健 / 请教大家: 胃镜检查结果 -bishop2(nio); 2022-11-14 {730} (#14955005@0)
没做Serology，能确定就是幽门螺杆菌么?
Diagnosis
A. Duodenum- mild increase of mixed inflammation , some villi with preserved villous architecture, mild widening in others, occasional intraepithelial lymphocytes of unknown clinical significance-biopsy, see comment
B. Stomach-antral and oxyntic mucosa- chronic focally active gastritis, negative for intestinal metaplasia, negative for dysplasia, Helicobacter Pylori - rare equivocal staining by IHC - serology is indicated - biopsy
Comment
A. If serology for HP confirms presence of organisms, changes seen in the duodenum might be related to gastric pathology. if clinically concerned about celiac disease serology might be of benefit.

一闻味就知道了，那不是一般的口臭 -shiyu(鲥鱼); 2022-11-14 (#14955169@0)

没有一丝丝这个气味 -bishop2(nio); 2022-11-14 (#14955216@0) +1

那为啥看医生？ -shiyu(鲥鱼); 2022-11-14 (#14955255@0)

胃难受，返酸，气嗝，饭后说话和走动会加剧... 检查结果是有慢性炎症的。主要是想知道是哪种炎症，大约10年前查出过也治疗过幽菌。谢谢你的热心! -bishop2(nio); 2022-11-14 (#14955286@0)

一般是同一种菌。年纪大免疫力下降，B细胞失忆了 -shiyu(鲥鱼); 2022-11-14 (#14955304@0)
幽门螺旋杆菌很难消失？ -**🎊; 2022-11-15 (#14956054@0)

胃镜肯定检查出来的，还有就是吹气的检测，自费100，也可以。胃镜更准。 -liz2002(jfm); 2022-11-14 (#14955181@0)

我理解胃镜报告是要作sorology排除celiac disease 才能确定是不是H.Pylori. -bishop2(nio); 2022-11-14 (#14955231@0)

乳糜泻（英语：coeliac disease 或 celiac disease）又称麸质敏感性肠病（gluten-sensitive enteropathy）[15]，是具有遗传倾向，对含麦胶食物不耐受而导致的肠源性吸收障碍的小肠自身免疫性疾病 -shiyu(鲥鱼); 2022-11-14 (#14955294@0)

腹部比超结果没问题。萎缩性胃炎是不是也差不多这些症状? -bishop2(nio); 2022-11-14 (#14955365@0)

萎缩性胃炎肯定有啦，都这么瘦了。喝点葡萄糖水补补吧 -shiyu(鲥鱼); 2022-11-14 (#14955412@0)

从哪儿买? 能稍微温热后喝么? -bishop2(nio); 2022-11-14 (#14955428@0)

GLUCOSE-POWDER-42DE-SYRUP-SOLIDS -shiyu(鲥鱼); 2022-11-14 (#14955473@0)

幽门螺杆菌不是你这个测法。 -curve(curve); 2022-11-14 {511} (#14955363@0)
Testing for H·pylori infection
a urea breath test – you'll be given a drink containing urea (a chemical that's broken down by H. pylori) and your breath is then checked after
a stool antigen test – a small stool sample is tested for the bacteria
a blood test – a sample of your blood is tested for antibodies to the H. pylori bacteria (antibodies are proteins produced naturally in your blood and help to fight infection); this has now largely been replaced by the stool antigen test

医生说不用做别的检查，开了4联2周的药量治幽菌，副作用很大，失重5磅(本来我就只90磅)，最后3-4天减了量，勉强吃够14天。10年前就吃了3联药7天，没什么副作用。大概4个月过去了，这些症状还在。气温低下来后更是难受了。 -bishop2(nio); 2022-11-14 (#14955384@0)

电热毯有吗？失重医生怎么说？ -shiyu(鲥鱼); 2022-11-14 (#14955387@0)

还没见着医生。从parking lot到办公室，戴口罩也抵挡不住凉空气的影响 -bishop2(nio); 2022-11-14 (#14955414@0)

Heated Jacket Men Women Heating Jacket Winter USB Heated Down Jacket Self Heating Vest Warm Jacket Heated Clothing -shiyu(鲥鱼); 2022-11-14 (#14955447@0)

你自己试试 gluten free die t -curve(curve); 2022-11-14 (#14955388@0)
7天的是第一線的3合1,第一線藥物失敗,才會第二線,二週的4合1藥物,4個月如果胃潰瘍傷口仍然沒癒合(“ 大概4个月过去了，这些症状还在”),你應該做取樣 -youarenotfunnyatall(草山); 2022-11-14 (#14955425@0)

怀疑是癌？ -shiyu(鲥鱼); 2022-11-14 (#14955436@0)

這個比例很低,病檢IHC沒有明確结果 -youarenotfunnyatall(草山); 2022-11-14 (#14955575@0)
近期做过血常规年检，指标偏离正常范围不远 -bishop2(nio); 2022-11-14 (#14955717@0)

你做了cancer marker testing? -youarenotfunnyatall(草山); 2022-11-14 (#14955785@0)

没有，就血常规。 -bishop2(nio); 2022-11-15 (#14955936@0)

医生说胃镜过程中没见着ulcer -bishop2(nio); 2022-11-14 {45} (#14955437@0)

4 个月前已做过取样
4个月前的胃镜已作取样了

你的IHC結果,醫生有沒有什麼意見？ -youarenotfunnyatall(草山); 2022-11-14 (#14955578@0)

他认为是H.Plori引起的,不用做别的检查了 -bishop2(nio); 2022-11-14 (#14955604@0)

你手上有沒有Rabeprazole？或是問一下醫生,先把胃酸的問題解決 -youarenotfunnyatall(草山); 2022-11-14 (#14955658@0)

一直吃pantoprazole.后来看别1的专科医生，有开了lansoprazole。 -bishop2(nio); 2022-11-14 (#14955734@0)

辛苦了,內視鏡如果沒有潰瘍,似乎也只是這幾個制酸能用,醫生有沒有給你回診預約?IHC不明你應該注意 -youarenotfunnyatall(草山); 2022-11-14 (#14955768@0)

幽门螺旋杆菌吹气测试就行，很准，我好多年前体检测出过，然后先深度洗牙（刮牙龈那种），然后用的四联药，连续吃两周，彻底杀光，在吹气就没有了。 -ditto(ditto); 2022-11-15 (#14955879@0)

后来看家庭医生时提起这个，她让找专科医生，专科难约，需要电话留言，对方再打回来。平时还算注意口腔清洁，每4-5个月洗一次牙。谢谢。 -bishop2(nio); 2022-11-15 (#14955937@0)

试一试喝一些可乐 -rebecasmith(rebecasmith); 2022-11-15 (#14955940@0)

胃不喜冷凉的食物饮料，即使吸入凉气，也会受影响。谢谢。 -bishop2(nio); 2022-11-15 (#14955944@0)

你纠结啥呢？胃镜检查幽门杆菌是其中一项，告诉你有就一定是有。吃完药过几个月去做一次吹气检测，没有了就没有了。这个检查家庭医生就可以给出表格，自费。如果还有，就需要家庭医生给换药，再杀，再检测，直到杀光为止。 -liz2002(jfm); 2022-11-15 (#14955951@0)

你是肚脐眼上腹部疼还是肚脐眼下腹部疼痛？ -greengrape(红枫); 2022-11-15 (#14955960@0)

大部分时候是脐上，有时候胀庝会向下，等气放出来了，就没事了。空腹和饮.餐后腹部会有响声，餐后漱口，嘴里发涩。谢谢。 -bishop2(nio); 2022-11-15 (#14956038@0)

@Ontario

请教大家: 胃镜检查结果

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