What should I pay attention to after doing gastroscopy?

Question 1: What should I pay attention to when doing gastroscopy? 1, prepare in advance, and don't eat or drink at least 8 hours before the exam. (Generally, food is prepared in advance in the hospital on an empty stomach the next morning. The food in the stomach easily affects the doctor's diagnosis and easily causes nausea and vomiting. In order to reduce throat discomfort, medical staff will spray anesthetic on the patient's throat 3 minutes before the examination.

2. Painless gastroscope is an anesthetic used for general anesthesia. Anesthesia time is very short, mainly depending on your gastroscope time. /kloc-you can wake up in 0/0 minutes. Of course, it is safe under the supervision of an anesthesiologist. Gastroscope can observe duodenum. At present, the most advanced gastroscope in clinic is electronic gastroscope. Electronic gastroscope has good image quality, large screen, clear image, high resolution and slender and soft body.

3. During the inspection, first put on loose clothes, take a left lying position, and slightly bend your legs. When the doctor puts the gastroscope into the patient's mouth with a plastic device, he should relax and swallow slightly, so that the gastroscope can smoothly enter the esophagus through the throat. When passing through the throat, there will be a feeling of pain and vomiting for a few seconds, which is a more uncomfortable moment during gastroscopy.

When making a diagnosis, the doctor should not swallow, but inhale through the nose and exhale slowly in the mouth, so as to successfully complete the examination. Some people feel flatulence and nausea because air enters the stomach with the tube. If you feel pain and discomfort, please make a gesture to the medical staff, and never grab the pipe or make a sound.

5. After the treatment, don't eat within 0 ~ 2 hours after the 65438+ examination. If there is no uncomfortable feeling in the throat, you can drink water first. If you don't choke, you can eat soft food first to avoid esophageal or stomach bleeding caused by rough food. Some people will have a brief sore throat and foreign body sensation, which can be recovered in 1 to 2 days.

Generally, painless gastroscopy has been done in the later stage, which may lead to poor appetite and other physical discomfort in the next few days because of personal physical reasons and anesthesia incompatibility. Suggest a painful gastroscope. Painful gastroscopy is not particularly complicated, nor is it really painful, but it is uncomfortable when oropharyngeal intubation is performed. The whole process lasts a few minutes. Don't be too sensitive after gastroscopy and don't have any adverse reactions. Some are psychological and personal.

Question 2: When doing gastroscopy, how can you relieve the pain and what should you pay attention to? Hello, we usually pay attention to the following aspects before gastroscopy:

First, in order to prevent hepatitis infection, hepatitis patients and non-hepatitis patients are separated during gastroscopy, and liver function and hepatitis B surface antigen are usually checked before gastroscopy.

Second, in order to clearly see the mucosa of the digestive tract, it is necessary to make the examined part very clean, and there can be no food or blood clots left.

Do gastroscopy in the morning: after 8 o'clock the night before, don't eat, drink or smoke. Eat less residue and digestible food for dinner the night before. Because even if patients drink a small amount of water, they can change the color of gastric mucosa, such as the true color of obvious atrophic gastritis, and the gastric mucosa can turn red after drinking water, which makes the diagnosis wrong.

Do gastroscopy in the afternoon: patients can drink some sugar water before 8 am, but they can't eat anything else and don't eat at noon. For example, patients with pyloric obstruction must undergo gastric lavage the night before the examination, and the contents of the stomach must be thoroughly cleaned until the reflux of gastric lavage is clear. After gastric lavage and before pulling out the gastric tube, the patient takes a supine position with his head down and his feet high, so that the residual liquid in the stomach can be completely discharged. Gastric lavage is not allowed on that day, because gastric lavage will change the color of gastric mucosa.

Have done barium meal examination: This barium meal may be attached to gastrointestinal mucosa, especially the ulcer lesion, and it is difficult to diagnose by fiberoptic gastroscopy, so gastroscopy must be done 3 days after barium meal examination.

3. In order to reduce saliva secretion, reflex and tension, atropine 0.5 mg and diazepam 10 mg or lumina 0. 1 g 65438+30 ml were given 30 minutes before the examination, and then 2 ~ 3 ml defoamer was drunk after the injection.

Fourth, local anesthesia is used for anesthesia, limited to the upper end of the throat and esophagus. Before using the above drugs, explain your drug allergy history to your doctor, that is, what drugs you were allergic to in the past.

Local anesthesia is to spray 2% dicaine or 2% serum caine, and the patient opens his mouth and sounds "A". At this time, the soft palate and lingual palatal arch move up, and the base of the tongue moves down, so that the medicine is sprayed on the back of the tongue, throat and soft palate. After each spray, the patient swallows the medicine left in his mouth to anesthetize his throat. Paste is also used, which is contained in the mouth to make the medicine stay in the throat and naturally flow into the esophagus to play a local anesthetic role.

5. Patients and doctors should cooperate. Before the examination, the patient should urinate and empty his bladder. After entering the examination room, loosen the neckline and belt, take off your dentures and glasses, and take a bent lateral position, or use other positions as needed. After entering the mirror, don't bite the mirror with your teeth to avoid biting the plastic pipe of the mirror body. The body and head can't rotate, so as not to damage the mirror and hurt the internal organs. If there is discomfort, the patient can't bear it for a while, and can signal the operator (doctor or nurse) to take necessary measures.

After gastroscopy:

After the examination, the patient sat up and spit. Because some air was injected during the examination, although it was sucked out when the mirror was removed, some people still felt abdominal distension and a lot of belching. Because the anesthetic effect has not disappeared, eating too early is easy to make food enter the trachea, so try to eat liquid food 2 hours after the pharyngeal effect disappears. During 1 ~ 4 days, the patient may feel discomfort or pain in the throat, but it does not interfere with the diet. Most people can work as usual, and seriously ill people can rest. The driver can't drive alone that day. It's best to have a family member accompany you to have a gastroscope and escort you home after the examination.

Contraindications of gastroscopy:

Some diseases can't be detected by gastroscopy, such as spinal deformity, unconsciousness, psychosis, cor pulmonale, asthma, hypertension and patients that doctors think are not suitable for gastroscopy.

Question 3: What should I pay attention to after gastroscopy? I often hear people say how uncomfortable it is to have a gastroscope. Aunt Zhang hesitated and insisted on not doing gastroscopy. The doctor told her that gastroscopy was the fastest developing technology in the early stage. Examination is generally safe, and gastroscopy plays a great role in the diagnosis of upper digestive tract diseases. At present, most clinical endoscopes are used, which can clearly see the situation of various parts of gastric mucosa, and can also take biopsy for pathological examination and bacterial examination to find early gastric cancer. 6? H5。 After listening to the doctor's words, Aunt Zhang had a gastroscopy with confidence. After the examination, the doctor told her to pay attention to prevent postoperative complications after gastroscopy. 6? H5, Mu Bai Medical. So what should we pay attention to after gastroscopy? 6? H5, Mu Bai Medical L. If you feel sore throat and a little bloodshot in saliva after gastroscopy, don't panic, let alone intentionally vomit and cough. This is caused by the damage of pharyngeal mucosa friction during the lens entry. Deliberate vomiting and coughing can lead to worse bleeding. You must temporarily fast and drink water for two hours, and then you can eat a semi-juicy diet, such as porridge and noodles. The next day, you can resume your normal diet. 6? H5, Mu Bai Medicine II. After gastroscopy, you will feel abdominal distension and discomfort, which is caused by gas injection to expand the stomach cavity in order to observe the condition. Don't lie down for a long time at this time, sit up and get out of bed, and relieve bloating by burping and exhausting. 6? H5, Mu Bai Medicine 3. Patients who have taken diseased tissues under gastroscope should be deprived of water for four hours after operation. After that, you can drink a small amount of warm salt water, eat a half-juice diet for dinner and three meals the next day. Avoid sharp, hard, spicy and sweet food, which is conducive to wound healing. 6? H5, Mu Bai Medicine 4. When collecting the pathological diagnosis report, it should be sent to the doctor together with the gastroscopy report. It is possible that the pathological diagnosis is inconsistent with the microscopic diagnosis, and many factors such as the location and depth of the examination will affect the examination results. Only by combining the two diagnosis reports with the disease analysis can the doctor make a clear diagnosis and prescribe the right medicine. 6? (* * Zhang Guohu, deputy chief physician of general hospital)

Question 4: What should I pay attention to when I finish my gastroscope? After gastroscopy, temporarily fasting water for two hours. After two hours, you can eat semi-liquid food, such as soft glutinous food such as porridge and noodles, and you can resume your normal diet the next day. Patients who have taken pathological tissue under gastroscope or received mucosal injection under gastroscope should be fasted and deprived of water for four hours after operation. Drink a small amount of water after four hours. Eat semi-liquid food on the same day and have three meals the next day. Avoid raw, cold, hard, hot and sweet food. Ask the clinician for instructions according to the specific situation. This answer is provided by the network service station of Digestion Center of Beijing Friendship Hospital affiliated to Capital Medical University. Beijing Friendship Hospital is the earliest public hospital in New China, located in Nanqianmen, Beijing. It is a national research center for digestive diseases and has a first-class diagnosis and treatment level in gastroenterology.