Duodenal Ulcers and White Spots: What You Need to Know

Pylorus/Duodenum: There are necrotic white spots?????

Hello! In the past two days, I underwent a colonoscopy and an upper gastrointestinal endoscopy.
On the day of the endoscopy, the doctor mentioned that there were areas of erosion in the pylorus and duodenum.
Today, during the outpatient visit to review the report, the doctor stated that there are erosions with white spots in the pylorus, duodenum, and colon, which will require 10 years to heal.
The doctor did not mention any precautions, and it seemed like they were in a hurry to make a diagnosis, prescribing a month's worth of medication before asking me to leave.
On the day of the endoscopy, four samples were taken; will this type of report take longer? Otherwise, why didn't the doctor bring it up? Recently, I've been experiencing numbness in my hands and feet, as well as dizziness, and the doctor suggested it might be related to my gastrointestinal issues, which is puzzling.
What could this condition be called? What dietary and lifestyle changes should I be aware of? If I need to transfer my case to another hospital, what steps should I take?

Michelle, 30~39 year old female. Ask Date: 2008/04/12

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello,
1.
Regarding the diagnosis using endoscopy (gastroscopy and colonoscopy), it is advisable to consult a physician.

2.
Four samples may be taken, which could involve biopsies that require histopathological examination; the results will take longer, approximately one week to be available.

3.
Symptoms such as numbness in the limbs and dizziness can have many causes, some of which may be due to gastrointestinal autonomic reflexes.

4.
If there is a peptic ulcer, it is recommended to avoid overeating, refrain from consuming irritating foods, and to chew food thoroughly (avoiding overly sweet or spicy foods).
It is also important to maintain a normal lifestyle and avoid stress.

5.
You may inquire at the hospital's service desk, as procedures may vary between hospitals.

Wishing you good health,
Dr.
Lin Ming-Hui, Taoyuan Hospital, Department of Health

Reply Date: 2008/04/12

More Info

Duodenal ulcers, commonly known as peptic ulcers, are sores that develop on the lining of the duodenum, which is the first part of the small intestine. These ulcers can be caused by several factors, including infection with Helicobacter pylori bacteria, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, smoking, and high levels of stress. The presence of "white spots" in the context of your report could indicate various conditions, including inflammation or infection, and may require further investigation.

Based on your description, it seems that your doctor has identified some lesions in the duodenum and possibly the pylorus (the opening from the stomach into the duodenum). The mention of "white spots" could suggest areas of inflammation or other pathological changes that need to be monitored. The statement about needing "10 years to heal" is concerning and suggests that the doctor may have indicated a chronic condition that requires long-term management.

The symptoms you are experiencing, such as numbness in your hands and feet and dizziness, could be related to several factors. While your doctor has suggested that these symptoms may be gastrointestinal in origin, it is essential to consider other potential causes, including nutritional deficiencies (such as vitamin B12 deficiency), neurological issues, or even anxiety and stress-related disorders. It's crucial to communicate these symptoms clearly to your healthcare provider, as they may warrant further evaluation.

Regarding the biopsy samples taken during your endoscopy, it is common for pathology reports to take several days to weeks to process, depending on the laboratory's workload and the complexity of the samples. If your doctor did not discuss the results of the biopsies with you, it may be beneficial to follow up with them to ensure that you receive all pertinent information regarding your condition.

In terms of dietary and lifestyle modifications, individuals with duodenal ulcers are often advised to avoid irritants such as spicy foods, caffeine, alcohol, and smoking, as these can exacerbate symptoms. Eating smaller, more frequent meals can also help reduce gastric acid production and minimize discomfort. Additionally, managing stress through relaxation techniques, exercise, and adequate sleep can be beneficial.

If you are considering transferring your medical records to another hospital or specialist, you typically need to request a copy of your medical records from your current healthcare provider. This process may involve filling out a release form and ensuring that you have all necessary documentation, including your endoscopy and biopsy results.

In summary, it is essential to maintain open communication with your healthcare provider regarding your symptoms, treatment plan, and any concerns you may have. If you feel that your current provider is not addressing your needs adequately, seeking a second opinion from another specialist may provide you with additional insights and treatment options. Remember, your health is paramount, and you deserve thorough and attentive care.

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