May 26, 2012
Topics A-Z Unanswered Questions Severe indigestion, acidity and vomiting sensation after dudodenal ulcer.
Severe indigestion, acidity and vomiting sensation after dudodenal ulcer. |
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Dear Ask The Doctor: I have gastroentrology problem 4 months back i was treated for duodenal ulcer. after that my ulcer had cured but i still feel vomiting sensation, indigestion, acidity problems. i was asked to take ct scan, biospy and endoscopy by the doctor. ct scan impression was1. mild irregular wall thickening involving the D1/D2 segment of duodenum causing luminal narrowing. 2.necrotic adenopathy in the porta and peripancreatic region. biospy reports : history: gross single containal received consists of multiple irregular grey white tissue bits each meausring 0.2*0.2cm. all embedded in single block. microscopy -serial sections from the endoscopic biopsy show multiple fragments of duodenal mucosa. all the fragments show benign glands and lining epiphelium. lamina propria show dense mixed inflammatory cell infilterate consisting of neutrophils and eosinophils. one of the fragment show few of the glands showing evidence of regenerated atypia. no granulomas/ evidence of malignancy seen in the section studied. the impression is: features are suggestive of chronic non specific duodenitis. endoscopy report diagnosis: duodenial stenosis with gastric stasis. i got small ball like thing below my chest which was cured after treatment from ulcer. but now it started again. doctor suggested me for operation. do i really need it. please suggest my problem thankyou. Dear Sridhar: I realize how worried you are about your condition. Duodenitis apparently was confirmed with histology and imaging tests. The symptoms that you present are also common to this entity. This condition is thought to be part of the development and healing of a Duodenal Ulcer. Usually the treatment for this condition is the same as an ulcer, antacids and avoiding alcohol, aspirin and smoking. I would suggest you to follow these recommendations in the meantime, but if the grade of the duodenal stenosis grants a surgery option then in my opinion you would have to consider it to avoid possible complications such as hemorrhage. I wish you prompt recovery. |
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| Last Updated ( Thursday, 31 March 2011 ) |
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