Do You Need Medication After Endoscopic Polypectomy? Insights and FAQs - Gastroenterology and Hepatology

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After undergoing an endoscopic polypectomy, it is common to have questions regarding post-procedure care, medication needs, and potential complications. In your case, you experienced vomiting and abdominal discomfort prior to the procedure, which led to the discovery of gastritis and a gastric polyp during the endoscopy. The polyp was removed, and you also noted the presence of scarring in the duodenum, suggesting a previous ulcer that may have healed.


Understanding Post-Polypectomy Care
1. Medication After Polypectomy:
After a polypectomy, it is not uncommon for doctors to prescribe medications to manage symptoms and promote healing. In your case, the medications prescribed (Topaal, Mopide, Kascoal, and Strocain) serve various purposes:
- Topaal (an antacid) helps reduce stomach acid, which can alleviate gastritis symptoms.

- Mopide (an antiemetic) is used to prevent nausea and vomiting.

- Kascoal (dimethylpolysiloxane) is an anti-foaming agent that can help relieve bloating and discomfort.

- Strocain (a local anesthetic) may help with pain relief in the gastrointestinal tract.

It is essential to continue taking these medications as prescribed, especially if they are effective in managing your symptoms. Always consult your physician before making any changes to your medication regimen.

2. Risk of Bleeding:
Endoscopic polypectomy is generally a safe procedure, but there is a risk of bleeding, especially if the polyp was large or if there were any complications during the removal. If you experience significant abdominal pain, persistent vomiting, or notice blood in your stool, you should seek medical attention immediately.

3. Duodenal Scarring:
The presence of scarring in the duodenum indicates that there was a previous ulcer, which may have healed. It is crucial to follow up with your healthcare provider regarding this finding, as they may recommend further evaluation or treatment to prevent recurrence.

4. Post-Procedure Symptoms:
Feeling warmth or discomfort in the abdomen after a polypectomy can be normal due to the procedure itself. However, if the sensation persists or worsens, it is advisable to contact your healthcare provider. They can determine if this is a typical post-operative symptom or if further investigation is needed.

5. Follow-Up Care:
Regular follow-up appointments are essential after a polypectomy, especially if you have a history of polyps or gastrointestinal issues. Your doctor may recommend periodic endoscopies to monitor for new polyps or changes in your gastrointestinal health.


Conclusion
In summary, after an endoscopic polypectomy, it is crucial to adhere to your prescribed medication regimen, monitor for any unusual symptoms, and maintain regular follow-ups with your healthcare provider. While the risk of complications exists, most patients recover well and can manage their symptoms effectively with appropriate care. If you have any concerns or experience significant changes in your health, do not hesitate to reach out to your doctor for guidance.