Gastroenterologist - a doctor who specializes in the treatment and diagnosis of diseases of the digestive tract. The jurisdiction of the gastroenterologist are bodies such as the esophagus, stomach, small and large intestines, liver and bile duct, pancreas.
At the reception to the gastroenterologist, usually, patients get the advice and direction of a therapist. Sometimes people complaining of digestive problems independently seek the advice of a gastroenterologist. Many people before you see a specialist, read reviews of Gastroenterology.
There is continuity and stages in the treatment of the digestive tract. Medical care can be obtained from ambulatory outpatient at a reception at the gastroenterologist, and, if necessary, patients are hospitalized in a specialized gastroenterology department. Gastroenterologist helps to exclude life-threatening condition, such as ulcer perforation or obstruction.
Features gastroenterological examination
Before you engage in therapy, gastroenterologist familiar with the patient's life history and the history of his illness. For this gastroenterologist asks the patient about the living and working conditions, heredity, the possible harmful factors at work and eating habits that can cause disturbances in digestion. For example, gastric ulcer and duodenal ulcer has a distinct genetic predisposition, and can also be triggered by constant stress at work.
Gastroenterology is important to know history of the disease - the prescription of its occurrence, frequency and seasonality of exacerbations, the nature of pain, symptoms that manifest the disease and ways to facilitate the patient's condition.
In consultation with a gastroenterologist, patients often complain about:
- stomach ache;
- Violations of appetite, weight reduction;
- Dyspepsia (nausea, vomiting, heartburn, belching);
- Abnormalities in the nature and frequency of stool;
- Bleeding from the digestive tract.
The next step in the diagnosis of diseases of the digestive tract to laboratory examination.
Directed correct diagnosis gastroenterologist can help refine the general and biochemical analysis of blood (enzymes, bilirubin, total protein and its fractions, PTV), markers of viral hepatitis, and antibodies to mycoplasma, chlamydia, protozoa, giardia. The fecal pathogens can be detected intestinal infections, ova or protozoa.
Help to identify the location and nature of the disease of the digestive tract following instrumental methods of diagnosis:
- Intragastric pH monitoring;
- Manometry of digestive tract;
- Radiography with contrast, etc.
Endoscope with a flexible fiberoptic endoscopy performed endoscopist. With it, you can see the surface of the hollow digestive organs, as well as to take the material for a biopsy (microscopic examination of tissue). Endoscopy reveals erosions and ulcers, polyps, neoplastic changes or bleeding.
Intragastric pH meter is carried out during an endoscopy or using special pH probe in the form of capsules, which the patient swallows. Measurement of pH occurs at various levels of the digestive tract from the esophagus to the intestine. This method of examination by the reviews of Gastroenterology is the most reliable in detecting gastroesophageal reflux (casting of gastric contents into the esophagus). He also is an auxiliary to the gastroenterologist in the diagnosis of hyperacidity gastritis (accompanied by high acidity of gastric juice) and anatsidnyh states (when the acidity on the contrary, decreased).
Gastrointestinal manometry allows us to study the contractile activity of the esophagus, stomach and intestines. It is indicated for esophageal motility disorders (achalasia, diffuse esophageal spasm, etc.), Constipation, are not amenable to standard therapy, and suspected ileus, in violation of colonic motility.
Ultrasound examination of the digestive tract is most useful in the diagnosis of liver lesions, its ducts and pancreas - ie parenchymal and not tubular organs. Abdominal ultrasound can detect abnormalities in the structure of the gastroenterologist these organs, increasing their size, stones or tumor inclusion.
X-ray method of diagnostics with contrast media used to detect ulcers, strictures, tumors, impaired patency of the biliary tract and intestine. In the opinion of Gastroenterology despite radiation exposure to the patient, in some cases it is indispensable, for example, in cases of suspected perforation of a hollow organ or bowel obstruction.
On the basis of a complete picture of the survey exposes a gastroenterologist at the reception diagnosis and prescribes treatment. In some chronic diseases, patients are observed constantly gastroenterologist.
Due to the fact that the body of a young child is different characteristics of the structure and functioning of health of the digestive tract it has been a separate specialist - a pediatric gastroenterologist.
It features the work of children's gastroenterologist is the difficulty of collecting complaints and medical history, as well as difficulty in carrying out instrumental diagnostics. Profile diseases in children is also somewhat different from adults, and drug dosages are calculated on the weight of the child, a pediatric gastroenterologist and considers it in its work.
Before Pediatric Gastroenterology important task - not only cure the disease, but also to prevent its transition to a chronic form, which affects the development and growth of the child.