Today, went to endoscopy unit at HUSM since my brother has been complaining stomach pain for the past one month. Done as emergency case since he will be leaving for Gallway in early Sept. And also, to give my parent some peace in their minds before letting him go 13 hours awaaaaay from us. Ehehee.
So, I asked him how was the pain. Stabbing ke, continuous ke, intensity, bla bla bla. *budget laa tau* "Well, it feels like senggugut..." Ahhaaa, seriuosly dude.....as if awak tuh penah rase senggugut.
Accompanying him there were my elder brother (insyaAllah, he + his wife are applying to be staff there) and me, myself, medico-yg-budget-enthusiast. It was a nice experience for me to see live Oesophago-Gastric-Duodeno-Scopy (OGDS). That's quite mouthful to say :). Ala-ala mcm appetizer before going for clinical phase. Unfortunately for my brother, it was quite a nitemare kot. Just imagine, if putting something at the back of your throat pun can stimulate ur gag reflex. Apatah lg, when u insert a tube down into ur stomach. Perghh, termuntah2 laa die tadi.
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Starting the procedure. Pulse oxymetry was placed at his thumb.
Then, nurse bagi LA at the back of his throat. (tp mcm xde beza pn, ahaha)
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The procedure was really simple. Like 5-10 mins je pn.
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Dr said, it's better for him to be concious during the procedure (yela, kan byk kerja plak klau nk bagi GA).
And it will be a 'great' experience for him. Pastu Dr tuh gelak besar. Ahaha. |
The doctor herself was very friendly and nice. Sempoi plak tuh. She reminds me a lot to Dr Syahrina. Siyeees, teringin nak jd student die. :)
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| Did the tissue biopsy too to check for H.pylori |
So, all the time during the procedure, my thots were racing intensely to remember back the lectures; Gastritis, H.pylori, peptic ulcer, flat-edged ulcer, heaped-up border ulcer, which one is pre-maglinant and yada yada. Ohh, how I miss patho laaa (and the lecturers as well). ahaha. :)
Finally, the result of it...
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| Lighting xcanteek |
Take ur attention to the pic on the left side of 2nd row. If you notice, the mucosal layer of the gastric is granulated and there are a few bleeding spots. And the pic above it, is actually the vocal cords. The mucosal layer around it is swollen. Most probably due to acid reflux.
The diagnosis isssss....
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As expected la, pan-gastritis. 'Pan' because tgk2 the whole stomach part dh inflamed.
No wonder la the pain is excruciating smpai xleh nk wat ape2 klau sakit. |
Doc-yg-baik+comel prescribed him with Pantoprazole (sblum ni asyk pnggil controloc je, xtau la plak ubat ni PPI rupe nye), antacid and tramadol for painkiller.
Konklusinya, (ahaa, poyo je), be grateful and say ALHAMDULILLAH that Allah has blessed us with wonderful stomach. With the potent acidity of its content, Allah has created so many ways to protect it from corroding other structures. Hopefully, the resultant pain is to cleanse our sins and to make us ponder more on His creations. :)
P.s. Trivia! ehehe. Skrang kaan tgh puasa....
So, like after being sprayed with LA at the back of the throat, inserted with the tube + gel around it, poured water into the stomach after the biopsy and muntah2 at end...
Apa agaknye hukum puasa? :) jeng jeng jeng.
