Gastroscopy: Insights on Stomach Inflammation and Duodenum Examination - Gastroenterology and Hepatology

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Hello! Thank you for your question regarding your recent gastroscopy and the findings related to stomach inflammation and the duodenum. It’s understandable to have concerns about the results and the implications for your health.

Firstly, during a gastroscopy, the doctor examines the esophagus, stomach, and the first part of the small intestine, known as the duodenum. This procedure allows for direct visualization of these areas, and if necessary, biopsies can be taken for further analysis. If your doctor mentioned that there was inflammation in your stomach, this is often referred to as gastritis, which can be caused by various factors including infection (such as Helicobacter pylori), excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or stress.

Regarding your specific question about the duodenum, it is indeed part of the examination during a gastroscopy. If there were any abnormalities noted in the duodenum, such as ulcers or inflammation, the doctor would typically inform you of these findings. If you are experiencing pain in the right upper quadrant of your abdomen, it could be related to several factors, including gastritis, duodenitis (inflammation of the duodenum), or even gallbladder issues.
Pain in the area near the ribs, especially if it is persistent or severe, should not be ignored. It’s essential to communicate this symptom to your healthcare provider, as it may require further investigation. Sometimes, conditions such as gallstones or biliary colic can cause pain in that region, and an ultrasound of the abdomen might be warranted to rule out these possibilities.

In terms of management, if you have been diagnosed with gastritis, treatment often includes medications to reduce stomach acid, such as proton pump inhibitors (PPIs) or H2 blockers, and lifestyle modifications. These may include dietary changes, avoiding irritants like alcohol and caffeine, and managing stress. If Helicobacter pylori infection is present, a specific antibiotic regimen may be prescribed.

If your symptoms persist despite treatment, or if you experience new symptoms such as significant weight loss, vomiting, or changes in bowel habits, it is crucial to follow up with your doctor. They may recommend additional tests, such as a CT scan or further endoscopic evaluations, to ensure that there are no underlying issues that need to be addressed.

In summary, a gastroscopy is a valuable tool for diagnosing conditions affecting the stomach and duodenum. If you have concerns about your symptoms or the findings from your procedure, I encourage you to have a detailed discussion with your gastroenterologist. They can provide you with tailored advice based on your specific situation and help you understand the next steps in your care. Thank you for reaching out, and I wish you the best in your health journey!