Stomach bleeding after 1 night of sleepless nights because her husband has a third person

April 13, 2022 14:50 GMT+7

Increasing number of patients with digestive examination

Ms. NLT (34 years old, HCMC) went to the gastroenterology clinic because of black stools and abdominal pain. The doctor diagnosed her with a stomach ulcer. Ms. T. has a history of gastritis that has been treated stably for a long time without recurrence.

A few days ago, there was a family matter that made her think a lot. When she discovered that her husband had a third person, she did not sleep all night until early morning, when the abdominal pain came, and the epigastric pain.

Because she had gastritis, she guessed there was a possibility of stomach recurrence. Abdominal pain still occurs with black stools.

When she went to the hospital for examination, Ms. T was diagnosed with stomach bleeding. She was endoscopically to stop the bleeding.

The case of female student Nguyen NBN, (15 years old) also went to the hospital for examination because of frequent abdominal pain. Abdominal pain can strike at any time. At first, the family thought it was because he had Covid-19 before, but on physical examination, the doctor diagnosed the child with a stomach ulcer with reflux esophagitis not related to Covid-19 disease.

At this time, the child’s parents said that the child was under academic pressure. Last year, N. took the entrance exam to a specialized school and lived up to his family’s expectations, but when he entered the school, the academic pressure was too great. Half a year of online learning, from the day of going to face-to-face classes, female students feel even more pressure from books.

Prof. Dr. BS. Bui Huu Hoang – Head of Gastroenterology Department, University of Medicine and Pharmacy Hospital, Ho Chi Minh City Recently, the number of patients coming to the clinic related to digestive problems has increased, an average of 500 cases per day.

Most patients are related to gastritis, reflux esophagitis, irritable bowel. Many patients are very young, even schoolchildren suffer from this problem.

Illustrated photo.

According to Assoc. Prof. Hoang, patients all face situations that are heavy life pressure after the pandemic in 2021. Some patients change jobs, economic pressure causes them to have stomach ulcers and even stomach bleeding.

There is a patient who constantly has chest pain, difficulty breathing, lying down to sleep is breathing difficulty thinking that he has heart disease. The overload of life after the pandemic or the death of a loved one after the pandemic has caused them stress and gastrointestinal disease to develop or recur.

Common diseases

Gastrointestinal diseases that are easily related to psychology are stomach ulcers, reflux esophagitis, irritable bowel syndrome.

With stomach ulcers, Associate Professor Hoang said, stomach ulcers can occur due to many causes (HP bacteria infection, autoimmune disease, abuse of anti-inflammatory drugs – pain relievers).

Excessive stress and anxiety cause gastric juice to increase, causing an imbalance in gastric function. In addition, eating disorderly and using a lot of stimulants and spices (hot spicy foods, sour foods, alcohol, etc.) also affect the contractile function of the stomach, increasing the secretion of gastric juice leading to gastric mucosal inflammation.

Initially, the inflammatory and ulcerative lesions on the gastric mucosa will cause the gastric mucosa to be eroded, exposing the underlying tissue layer, leading to ulcers and bleeding. If not intervened, detected early, the patient can be exhausted, even die from bleeding.

Gastroesophageal reflux: This is the reflux of acid in the stomach. If left untreated, the disease can cause complications on the respiratory organs (esophagitis …), making the patient malnourished.

Patients may experience symptoms such as heartburn, belching, nausea, burning in the lower chest spreading to the neck, difficulty swallowing, cough, hoarseness, bitter mouth.

Irritable bowel syndrome is chronic colitis, spastic colitis…. The disease is not life-threatening, is a benign disease, but brings a lot of trouble, seriously affecting the patient’s life. .

The leading causes believed to be related to irritable bowel syndrome: stress, food (depending on the individual), gastrointestinal infections, genetic factors and changes in hormone levels in the body. women on their menstrual cycle.

‘The patient has symptoms such as abdominal pain, loose stools or constipation. The pain may occur immediately during or after eating and resolve spontaneously after the patient has a bowel movement. The disease is more common in women,’ said Associate Professor Hoang.

When there are symptoms related to the digestive tract, Associate Professor Hoang recommends that patients should go to a gastroenterologist, should not try to endure it, which can cause complications and discomfort for the patient.

Khanh Chi