All complaints can be further limited by specific questions, in medicine also referred to as anamnesis. For example, pain may occur in the upper abdomen or below the navel, it may be convulsive or permanent, and it may occur before or after eating. All these distinctions help the doctor to find the right diagnosis, because different clinical pictures have different symptoms - ie complaints that the patient expresses.
Inspection, palpation, percussion and auscultation
No one can overlook a bulging stomach in case of flatulence, and palpation of a painful abdomen helps the doctor to pinpoint the cause more precisely. A filled intestine feels different from an empty one, and also the resistance of a patient (defense tension) during palpation allows to draw conclusions about the illness.
Tapping on the belly can make fluid between the intestinal loops audible and while listening to the "play" the gut sometimes rippling, grumbling or not at all - which is not a good sign and can point to an intestinal obstruction. For persistent symptoms, there is often no choice but to carry out further examinations. In addition to blood and urine examinations, sometimes invasive methods are necessary.
Blood tests / breath tests
Many gastrointestinal disorders affect the blood count and blood levels. A blood test will determine if inflammation levels are elevated or the red blood pigment (Hb level) is lowered (in case of bleeding). A breath test can detect the stomach bacterium Helicobacter, it is important trigger for gastric mucosal inflammation and ulcers.
Gastric and colonoscopy (gastroscopy and colonoscopy)
In gastroscopy (gastroscopy), a thin tube is pushed through the mouth and esophagus into the stomach, a small camera allows recordings from the inside of the stomach. Thus, the mucosa of the esophagus and stomach is accurately examined and taken from suspicious-looking areas samples (biopsies).
A stomach bleeding can be treated via this probe. Even ultrasound examinations on the liver or pancreas are possible via this stomach sounding. The colonoscopy (colonoscopy) is performed for the small intestine on the mouth and esophagus, for the large intestine on the anus. In addition to inspection and biopsy, the removal of polyps (intestinal protuberances) is possible.
Ultrasound, X-ray, Computed Tomography (CT) and Magnetic Resonance Imaging (MRI)
In the ultrasound, individual intestinal loops become visible, and it is also possible to see fluid that stays outside the intestine in the event of illness. An X-ray on standing shows, for example, in a broken gastric ulcer, free air under the diaphragm. Computed tomography or magnetic resonance tomography decompose the body technically into many thin slices, so that even the smallest changes or cancerous ulcers are visible.
In addition to things that common sense advises, such as easy-to-digest food or no food, lots of fluids and bed rest, home remedies like teas, a hot water bottle and natural remedies for bloating, flatulence and constipation generally help. Surprisingly, spicy spices can clear a sensitive stomach of pain and did you know that sleeping on the left side helps prevent heartburn?
For various diseases, a diet that is tailored to the disease is an option - such as lactose intolerance or celiac disease. Of course, there is a special procedure for each disease with nutritional advice, medication or possibly other measures such as hospitalization, infusions or surgery - you will find that in the respective disease.
Diet, exercise, cancer prevention
Nutrition, exercise and cancer prevention - these are the three most important cornerstones of a healthy gastrointestinal system.
- High-fiber diets rich in vegetables and fruits keep digestion going and are recognized for protection against cancer and diverticular disease. Especially nutrition is now considered an important factor in carcinogenesis.
- Adequate exercise supports the intestine in its daily work, for small exercises in between, offers the 20-point program. So the intestinal activity gets going and flatulence or constipation are avoided. In addition, exercise and relaxation exercises in stress-related diseases such as gastritis or irritable bowel balm for the soul and stomach.
- Cancer prevention - a sensitive issue. Colon cancer is common, is usually recognized too late and could often be treated early or even cured - if the free checkups would be visited! Unfortunately, only every sixth man and every second woman is aware of the early detection measures.