Yung Tito ko po 50 yrs old na-confine kahapon, 4 days ago suka ng suka araw araw, ayaw tanggapin ang kahit anong pagkain. Sabi uminom daw ng gin. ..Until now di pa siya nalabas ng hospital. Sa tingin ninyo, ganung bang kagrabe para i-confine siya? Ano kaya sa tingin ninyo ang pwedeng diagnosis?
Last edited by jparanoia; Aug 4, 2007 at 09:48 PM.
jparanoia, your description does not provide enough information to even warrant an "educated guess." Vomiting is a very non-specific symptom, and the immediate alcohol intake might even have nothing to do with his current problem. However confining a person who vomits everything is correct, not only because the root cause should be investigated, but also to provide IV nutritional support (dextrose, TPN, etc.).
The decision to confine a patient with AGE depends mainly on 1) the ability of the patient to in take food/liquids and 2) the risk of dehydration. If the patient cannot take in food/liquids in reasonable amounts (e.g. vomits them), and/or the patient has diarrhea severe enough to cause dehydration, then these are reasons to confine the person. There is no fixed period in which the patient should be confined or discharged, it all depends on his or her improvement.
3 days na today, masyado matagal.
Three days isn't that long for AGE. I've had such an attack before and it lasted for 5 days. I stayed at home though, avoiding dehydration via oral rehydration therapy and taking antibiotics to cover for likely pathogens.
Grabe po ba yun? Ooperahan po ba pag ganun?
Acute gastroenteritis is not a serious problem. It only becomes dangerous when the person becomes dehydrated and medical attention is still not sought (this occurs most often in babies and the elderly). In fact diarrhea kills more than 2.2 million people annually, most of whom are under 5 years of age and living in Third World countries.
Majority of acute gastroenteritis cases are caused by viral, bacterial, or protozoal infections and thus surgery has no role in treating it.
H.pylori (Helicobacter pylori) is a bacteria that infects the stomach and duodenum. It's an important causative agent of peptic ulcers. Although many people actually have H.pylori infections, only a fraction of them develop ulcers.
If you are diagnosed or considered to have peptic ulcer disease, H.pylori testing should be done. If tests show that a person is infected, eradication therapy, typically consisting of two antibiotics and an acid-suppression/gastroprotective agent, should be done. If the person tests negative, therapy with acid suppressing agents for several weeks will often lead to healing of the ulcer.