Should gastroscopy be painless or ordinary? What is the difference between the two? May wish to listen to the doctor's advice

The reason why people feel panic about a thing or object is because it is unknown to you, and you have heard too many rumors!

　　Take gastroscopy as an example, everyone must have understood it more or less in daily life. Many people who have completed ordinary gastroscopy will tell the people around them, or post their own experience of gastroscopy online. They described that during the gastroscopy, they experienced strong nausea, vomiting, and pain , which made many people panic.

　　It has to be said that gastroscopy is indeed an invasive examination item, which is directly different from ordinary imaging examinations!

　　The so-called gastroscopy is to transport the fiber tube with camera into the patient's stomach through the human mouth and esophagus, and conduct a comprehensive and non-dead angle inspection of the esophageal mucosa and gastric mucosa . You should know that the stomach is originally a hollow organ, and the lesions that occur in the stomach all appear on the gastric mucosa. At first, it may be a small change in color and erosion of the mucosa.

　　It is difficult to find subtle changes in the gastric mucosa through imaging examinations such as CT and color Doppler ultrasound . Especially in the early stage of gastric cancer, without targeted gastroscopy, the missed diagnosis rate is almost 100%.

　　The gastroscope can directly observe the state of the gastric mucosa, and feed back the abnormalities to the large screen outside through the camera , helping doctors to better judge the lesion. If abnormalities are found in the gastric mucosa, the doctor will take out the tissue by the way , and conduct a pathological biopsy to further clarify the nature of the lesion.

　　But because ordinary gastroscopy is an invasive inspection method, ordinary gastroscopy does cause some discomfort. For example, the fiber hose of the gastroscope will cause pressure on the mouth and the root of the tongue, so during the examination, the patient may experience symptoms such as nausea and vomiting , and pain will also occur when the gastroscope is continuously pushed inward.

　　It 's just that each patient's sensitivity and tolerance to pain are different, so the pain is also different . Usually after the gastroscopy, some patients will experience throat pain or discomfort for a short period of time. A small number of people are affected by gastroscopy, and there will be short-term hoarseness symptoms afterward.

　　So the question is, what is the difference between ordinary gastroscopy and painless gastroscopy, and which one should I choose?

　　The so-called painless gastroscopy is actually very easy to understand. The only difference between it and ordinary gastroscopy is that the patient is anesthetized during the gastroscopy examination, so there will be no discomfort during the examination . Moreover, after the patient is anesthetized , the cricopharyngeus muscle is relatively relaxed, so it is more conducive to gastroscopic examination, and the patient and doctor cooperate more.

　　However, not everyone is suitable for painless gastroscopy. From a clinical point of view, if there are underlying diseases, such as cardiovascular and cerebrovascular diseases, various infectious diseases, pregnancy, or severe gastrointestinal bleeding, digestive For patients with tract perforation, in order to avoid accidents and harm to the body during painless gastroscopy, painless gastroscopy is not recommended.

　　Finally, I would like to emphasize that compared with ordinary gastroscopy, there is indeed no discomfort during painless gastroscopy. However, after the examination, some people also experienced symptoms such as nausea and vomiting, throat discomfort, and hoarseness.

　　Moreover, painless gastroscopy requires the cooperation of an anesthesiologist, so the appointment time is often longer and more expensive. Therefore, everyone should choose which kind of examination to carry out according to their actual situation and according to the doctor's advice.