How Dr. Nghia Nguyen Diagnoses This Condition?
Dr. Nguyen uses a step-by-step approach:
Medical History and Physical Exam
He reviews your epigastric pain, eating patterns, NSAID or alcohol use, smoking history and any family history of GI disease.
Laboratory and H. pylori Testing
We may order blood work (CBC, liver panel), stool antigen or antibody tests, and a urea breath test to detect H. pylori infection.
Upper Endoscopy
- A flexible endoscope examines the esophagus, stomach and duodenum for ulcers, inflammation or bleeding.
- Biopsies may be taken to confirm H. pylori, rule out malignancy or assess mucosal damage.
ICD-10 Coding
He assigns precise codes—such as K29 for gastritis or K27 for duodenal ulcer—to document the diagnosis and plan appropriate treatment.
Frequently Asked Questions
What are common diseases of the stomach and duodenum?
Some of the most common conditions include gastritis, peptic ulcers, duodenitis, gastric polyps, and Helicobacter pylori infection.
What are the symptoms of these conditions?
Typical symptoms include upper abdominal pain, bloating, nausea, vomiting, heartburn, and in some cases, bleeding or weight loss.
What causes ulcers in the stomach or duodenum?
Most ulcers are caused by H. pylori infection or long-term use of NSAIDs. Stress and spicy food can worsen symptoms but don�t directly cause ulcers.
Can these diseases be prevented?
Yes. Avoiding NSAIDs, quitting smoking, managing stress, and limiting alcohol use can reduce your risk. Treating H. pylori also helps prevent ulcers.
How are stomach and duodenal diseases diagnosed?
Diagnosis may include endoscopy (EGD), H. pylori testing, imaging, and lab tests to assess inflammation, bleeding, or infection.
Are these diseases treatable?
Yes. Most conditions respond well to medications like antacids, antibiotics, proton pump inhibitors, and dietary changes. Severe cases may require procedures.
When should I see a doctor?
If you experience persistent stomach pain, unexplained weight loss, vomiting blood, or black stools, you should seek medical evaluation immediately.
