Patient's question:
Okay, here is the translation, following your instructions:It's okay. No unpleasant odor, no pain or swelling, no nausea or vomiting, normal bowel movements. Abdominal auscultation revealed no abnormalities, the abdomen was soft, the liver and spleen were not palpable, and there was no tenderness in the upper abdomen. The worst it got was hitting continuously every 2 seconds or so. Now my throat also hurts and swells, feels very dry, I don't know if it's because I've been pushed by qi for a long time. I've taken things like Domperidone and Digestant Tablets, but they didn't help, and the Chinese medicine I took also didn't help. So much suffering. I had an endoscopy on May 1st: Endoscopic Findings: All the preceding descriptions were normal. Multiple small elevations in the duodenal bulb, about dozens in number, with a diameter of approximately 0.2cm-0.3cm, the tips were mostly congested. A biopsy sample was taken, the tissue was soft.
Doctor's answer:
① Hello, "burping" and "hiccups" are commonly associated with digestive system diseases, including common conditions such as "gastritis," "duodenal bulbitis," "peptic ulcer," "gastroesophageal reflux disease," and "liver and pancreatic diseases." Recurrent "hiccups" may also be seen in cases such as "gastric and duodenal tumors," "phrenic nerve lesions," and "increased vagal nerve tone." ② Mucosal chronic inflammation with eosinophilic infiltration and local lymphoid tissue hyperplasia are manifestations of non-specific inflammation. Recommendations: ① Polyps are recommended for endoscopic treatment or open surgical treatment, as there is a potential for malignancy; ② It is suggested to take acid-reducing, prokinetic, Helicobacter pylori-killing, gastric mucosal-protecting, and spasmolytic drugs concurrently for 2 months, followed by a follow-up endoscopic examination; ③ It is best to avoid cold and raw foods, as well as foods that are difficult to digest, and maintain a regular diet; ④ Amoxicillin itself has an effect on "Helicobacter pylori" and can be taken concurrently; ⑤ If there is no significant improvement after taking the medication for 3–5 days, further examination and consultation at a higher-level hospital are recommended, along with bringing medical records from previous hospital visits.