22-year-old often has stomach pain and doesn't want to have an endoscopy, what should I do?

Patient's question:

Alright, but now it's started to hurt again. I wonder if it's because of eating and drinking excessively every day in the past. What should I do?

Doctor's answer:

Considering the high possibility of gastric ulcer and the presence of ulceration, the most critical issue at the moment is not taking medication but rather undergoing a thorough endoscopy at the hospital for a definitive diagnosis. If it is a gastric ulcer, further testing for HP (Helicobacter pylori) infection is necessary. If the test is positive, treatment for HP eradication should be implemented. Additionally, a stool routine examination should be conducted, and if blood in the stool is detected, a complete blood count should be performed to check for anemia caused by chronic excessive blood loss.
Lifestyle Management: The prognosis for ulcer disease is generally favorable. In addition to treating gastric pain, patients are advised to pay attention to their diet and maintain a positive mood in daily life to enhance their physical condition and accelerate recovery.

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