Yu gɛt prɔblɛm wit yu bɛlɛ ɔ yu bɔdi? Lɛ wi tɔk bɔt wan gastroenterologist!

Sɔntɛnde wi kin gɛt difrɛn kayn prɔblɛm dɛn na wi bɛlɛ. Bɛlɛ de at, wi kin fil blo, wi kin fil lɛk se wi nɔ ebul fɔ dayjɛst it... I kin rili anɔynt we tin lɛk dis kin kɔntinyu fɔ apin, nɔto so? So, yu no se dɔktɔ de we spɛshal pan sik dɛn we gɛt fɔ du wit di dijestiv sistɛm? Dɛn kɔl da dɔktɔ de wan dɔktɔ we de mɛn di bɛlɛ . Lɛ wi tɔk mɔ bɔt am tide.

Udat na dɔktɔ we de mɛn di bɛlɛ?

Fɔ tɔk am simpul wan, gastroenterologist na dɔktɔ we spɛshal pan sik dɛn na yu dijestiv sistɛm – dat na, ɔl di ɔgan dɛn we de insay di dijestiv. Dɛn kin tren fɔs as jenɛral prɛktishɔn. Afta lɛk tri ia so na mɛdikal skul, dɛn kin gɛt ɛkspiriɛns fɔ trit ɔlkayn sik. Dɔn, fɔ bi gastroenterologist, dɛn fɔ stɔdi spɛshal fɔ tri ia mɔ bɔt sik dɛn we de na di dijestiv sistɛm. Fɔ dɔn, dɛn kin gɛt spɛshal sɛtifiket ``sɛtifikeshɔn``. Dis na wetin se dɛn na spɛshal pipul dɛn pan sik dɛn we de na di dijestiv sistɛm. Dɔn bak, dɛn gɛt spɛshal kwalifayeshɔn fɔ du sɔm tɛst ɛn tritmɛnt dɛn we jenɛral dɔktɔ dɛn nɔ kin du, ɛn fɔ ɔndastand di rizɔlt dɛn we dɛn kin gɛt.

Yu tink se spɛshal pɔsin de we sabi di we aw yɔŋ pikin dɛn de it? (Pediatric Gastroenterologist we de mɛn pikin dɛn)

Yɛs, dɛn rili de. Wi kin kɔl dɛn `(Pediatric Gastroenterologist)`. Dɛn kin tren dɛn dɔktɔ ya fɔs as `(Pediatrician)`. Dɔn dɛn kin gɛt spɛshal trenin fɔ lɛk tri ia mɔ fɔ di dijestiv sistɛm. Dɛn kin pe atɛnshɔn mɔ pan di sik dɛn we de na di dijestiv sistɛm ɛn di liva fɔ pikin dɛn, pikin dɛn we de smɔl, ɛn smɔl pikin dɛn . Dɛn kin bisin mɔ bɔt di it we pikin dɛn de it. Dɛn tren dɛn pipul ya spɛshal wan fɔ no di sayn dɛn we pikin dɛn gɛt ɛn fɔ chɛk insay dɛn smɔl bɔdi.

Us pat dɛn na di bɔdi we dɔktɔ we de mɛn di bɔdi kin pe atɛnshɔn pan?

We yu yɛri dis nem – (Gastroenterologist) – ‘Gastro’ min bɛlɛ , ‘entero’ min intestines . ‘ɔlɔjis’ min spɛshal pɔsin. So, mɔ di bɛlɛ ɛn di insay. Bɔt, wi dijestiv sistɛm big pas dat fa fawe.

Tink bɔt am, dis sistɛm kin bigin rayt frɔm di mɔt we wi de it.

Neks , di trot, di εsophagus, di bεlε , di sכ mכl intestכn, εn di big intestכn na in yon.

nכto dat nכmכ, bכt di כgan dεm we de mek bayl εn di dijestiv εnzym dεm we de εp fכ digεst it de involv bak. Dɛn na:

• Liva
• Galblad (ples usay dɛn kin gɛda di bayl frɔm di liva ɛn kip am) .
• Pankrias we de na di bɔdi
• Bayl dakt (tyub dεm we de kכri bayl) .

So wan dɔktɔ we de mɛn di bɛlɛ kin luk fɔ sik dɛn we kin apin na ɔl dɛn ɔgan dɛn ya .

Wetin mek wi nid fɔ go to dɔktɔ we de mɛn di bɛlɛ?

Gud kwɛstyɔn. Sɔntɛm yu gɛt dijestiv simptom dɛm (e.g., bɛlɛ at, dayarɛa, kɔnstipɛshɔn), bɔt yu rɛgyula famili dɔktɔ nɔr kin ebul fɔ no am, ɔr di mɛrɛsin dɛm wae dɛn kin gi yu nɔr kin woke. If na so i bi, i go fayn fɔ mek yu go to spɛshal pɔsin.

Ɔ, if yu dɔn no se yu gɛt siriɔs dijestiv kɔndishɔn (lɛk IBD), i bɛtɛ fɔ go to spɛshal dɔktɔ fɔ gɛt di bɛst tritmɛnt fɔ am.

Bikɔs dɛn spɛshal dɔktɔ ya de du risach, du risach, ɛn tɛst fɔ dɛn kayn sik ya ɔltɛm, dɛn kin ebul fɔ no di sik kɔrɛkt wan ɛn kwik kwik wan, ɛn dɛn kin trit am wit smɔl prɔblɛm dɛn .

Wetin na di men sik dɛm we gastroenterologist kin trit?

Bɔku sik dɛn de . Lɛ wi luk sɔm pan di men wan dɛn.

Di sik dɛn we kin apin na di bɛlɛ:

• Irritable Bowel Syndrome (IBS), na sik we kin mek pɔsin gɛt dayarɛa ɔ kɔnstipɛshɔn ɔltɛm
• Inflammatory Bowel Disease (IBD) (dis inklud di sik we dɛn kɔl Crohn ɛn Ulcerative Colitis) .
• Celiac disease , na wan alɛji to di prɔtin gluten we de insay wit flawa
• Smɔl Intestinal Bakterial Ɔvagrɔw (SIBO) .
• Fɔd alɛji ɛn intolerans to difrɛn it dɛn
• Ɔlsa na di bɛlɛ
• Diverticulitis ( sכm sכm pכch dεm we de fכm na di big intestכn εn kin kam wit infεkshכn ) .
• Apɛndiks (bɔku tɛm dis kin nid ɔpreshɔn) .
• sכm sכm sכmtin dεm we de gro na di kכlon we dεn kכl ``Colorectal polyps`` (i imכtant fכ pul dεn ya biכs dεn kin tכn to kεnsar)
• Ɛmɔroyd dɛn

Di prɔblɛm dɛn we kin apin na di ɛsophageal:

• I nɔ izi fɔ swɛla
• Gastroesophageal Reflux Disease (GERD) na wan kכndyushכn we de kכz we di bεlε asid de kam כp insay di εsophagus (wi kin kכl dis bak asid rεfluks).
• Esophagitis we gɛt di sik
• Hiatal hεnia ( pat pan di bεlε we de kכmכt na di chεst ) .

Sik dɛn we kin apin na di liva:

• Vayral ɛpatitis (e.g. ɛpatitis B, C) .
• Liva damej bikɔs ɔf pɔyzin (Toxic hepatitis) .
• Fat liva sik
• Sirosis ( we di liva de at ) .

Pankrias, biliary ɛn gal blad sik dɛn:

• Galston dɛn we de na di bɔdi
• Kɔlesistaytis we pɔsin kin gɛt
• Pankriaytis we gɛt sik

Wetin na di sayn dɛm we yu fɔ tɛl dɔktɔ we de mɛn yu bɛlɛ?

If yu gɛt ɛni wan pan dɛn sik ya, i rili impɔtant fɔ tɛl spɛshal dɔktɔ se:

• Pɔsin we de fil pen na di bɛlɛ
• Bɛlɛ we dɔn blo
• Prɔblɛm dɛn we de na di dijestiv, we pɔsin nɔ de it fayn
• Gas ɛn gas pen
• Nɔs ɛn vɔmit
• Blɔd we de kɔmɔt na di rɛktɔl (dis kin bi rɛd ɔ blak) .
• Dayarɛa (we yu kin muv yu bɔdi bɔku tɛm) .
• Kɔnstipɛshɔn ɔ i nɔ kin izi fɔ mek yu poop
• We yu de lɔs yu wet ɔ yu wet we yu nɔ ɛksplen
• At bɔn (lɛk insay GERD) .
• Di skin ɛn yay we de yɔlɔ (Jaundice) .

Wetin Gastroenterologist kin du?

Fɔs, di dɔktɔ go chɛk yu bɔdi . Dɛn go palpate yu bɛlɛ, lisin wit tiub, ɛn dɛn kin ivin put finga insay yu rɛktum (dijital rɛktal ɛgzam).

Dɔn, dɛn kin ɔda fɔ du blɔd tɛst , stɔl tɛst , ɔ ɛksternal imej tɛst lɛk ɛkstrem rayt fɔ gɛt mɔ infɔmeshɔn.

Bɔt if dɛn tɛst ya nɔmɔ nɔ ebul fɔ no di sik kɔrɛkt wan, dɛn kin tren di wan dɛn we de mɛn di bɛlɛ ɛn di bɛlɛ fɔ du ɛndoskopik prɔsidyu.

Wetin na ɛndoskopi?

Fɔ tɔk am simpul wan, dis min se dɛn fɔ put wan lɔng, tint, fleksibul tyub (we dɛn kɔl ɛndoskɔp) wit kamɛra we dɛn tay insay di bɔdi ɛn luk di ɔgan dɛn we de insay di bɔdi dairekt wan. Dis kin gi wi bɔku tin fɔ no bɔt.

difrεn men kayn εndoskopi tεst dεm de:

• di כp εndoskopi (EGD): dis involv fכ egzamin di εsophagus, di bεlε, εn di fכs pat pan di sכmכl intestin (duodenum) wit wan tכb we dεn put tru di mכt.
• sכm sכm bכdi εndoskopi (`Enteroscopy`): dεn kin yuz dis fכ luk di כl sכm intestכn.
• Kolonoskopi: Bɔku pipul dɛn dɔn yɛri bɔt dis. dεn de put wan tכb insay di an εn dεn de egzamin di כl big intestin (kכlon).
• εndoskopik כltra saund: dεn kin atak sכm pat pan כltra saund mashin na di εnd pan di εndoskop εn dεn kin egzamin di dip tisu dεm na di insay כgan dεm (especially di gal blad εn pankrias).
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Dis na tɛst we kɔmplikt smɔl. Dɛn kin du am lɛk ɔpa ɛndoskopi, ɛn dɛn kin put spɛshal tin insay di bayl dakt ɛn pankrias dakt ɛn tek ɛkstrem rayt.
• Polypectomy: Fɔ pul smɔl smɔl tin dɛn we de gro (polyps) na di bɛlɛ ɔ di intestinal we dɛn de du ɛndoskopi.

Ɛndoskopi tɛst nɔ jɔs de ɛp fɔ si ustɛm di sik, bɔt dɛn gɛt ɔda bɛnifit dɛn bak. di dכkta kin pas sכm sכm instrכmεnt dεm tru di εndoskop εn tek tisu sεmpl dεm (bayopsi) εn sεnd dεm na di labכtכri. Dɛn kin du smɔl smɔl tritmɛnt dɛn bak . Fɔ ɛgzampul, dɛn kin mek say we blɔk big, stɔp fɔ blɔd, ɔ pul smɔl smɔl tumbu dɛn bifo dɛn du di ɔpreshɔn. Bɔku tɛm, dɛn kin du dɛn wantɛm wantɛm.

Yu tink se di wan dɛn we de mɛn di bɛlɛ kin trit kansa bak?

Yes, bɔku tɛm, di dɔktɔ we de mɛn di bɛlɛ na di fɔs pɔsin fɔ no se i gɛt kansa na di dijestiv sistɛm (lɛk di bɛlɛ, di insay, di it, di liva, di pankrias, di gal blad). Dɛn kin yuz ɛndoskopi ɛn bayɔpsi fɔ fɛn di kansa we de gro ɛn tek sɛmpul fɔ kɔnfɔm di diagnosis.

if dεn kכnfכm kεnsar, dεn kin du fכda εndoskopik tεst fכ si aw fa i dכn spre (dεn kכl am `staging`).

Sɔntɛnde, di wan dɛn we de mɛn di bɛlɛ kin pul sɔm kayn kansa tru di ɛndoskɔp (dissecting) ɔ pwɛl dɛn wit lɛsa.

De kayn kansa wae dɛn kin gɛt mɔr fɔ gɛt na:

• Bɛlɛ kansa
• Kansa we de na di kɔlɔrɛkt
• Kansa na di εsophageal
• Kansa na di liva
• Kansa na di pankrias
• Kansa na di gal blad
• Bayl dakt kansa

Nɔto dat nɔmɔ, bɔt pɔsin we gɛt ɔda kayn kansa kin nid ɛp bak frɔm gastroenterologist fɔ si if di kansa dɔn skata to di dijestiv sistɛm, ɔ fɔ manej di sayd ɛfɛkt dɛm fɔ kansa tritmɛnt dɛm (e.g., `(Kemotherapy)`, `(Radiation therapy)`) we de afɛkt di dijestiv sistɛm (e.g., mɔt/intestinal ɔlsa `(Mucositis)`, `(Radiation enteritis)`, nɔs, vɔmit, dayarɛa, kɔnstipɛshɔn, nyutrishɔn dɛfisiɛns).

Wetin na di difrɛns bitwin Gastroenterologist ɛn Proctologist?

Gud kwɛstyɔn. di tεm we dεn kכl ``proctologist'' dεn nכ kin yus dis tεm ya. bifo dat, dεn kin yεri di tεm we dεn kכl ``kכlorektal sכja ''.

Fɔ tɔk am simpul wan, ``Proctologist'' ɔ ``Colorectal surgeon'' na ɔspitul dɔktɔ dɛn . Dɛn tren dɛn spɛshal wan fɔ du ɔpreshɔn pan sik dɛn na di kɔlon, rɛktum, ɛn anus. Dɛn kin spɛn lɛk fayv ia so na jenɛral ɔpreshɔn afta dɛn dɔn go na mɛdikal skul, dɔn dɛn kin gɛt spɛshal trenin fɔ di say we dɛn de kɔl kɔlorektal.

Bɔt, dɔktɔ we de mɛn di bɛlɛ na pɔsin we sabi bɔt mɛrɛsin, nɔto dɔktɔ we de du ɔpreshɔn . In men wok na fɔ no if pɔsin gɛt sik, trit am wit mɛrɛsin, ɛn du tɛst lɛk ɛndoskopi.

Wan dɔktɔ we de mɛn yu bɛlɛ kin tɛl yu if yu nid ɔpreshɔn ɔ yu nɔ nid fɔ du ɔpreshɔn. Bɔt i nɔ de du di ɔpreshɔn. I kin rifer yu to wan dɔktɔ we de mɛn yu kɔlɔrɛkt. Dis na di men difrɛns.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

di dijestiv sistεm we wi de digεstiv na wan komplεks sistεm we de kכnekt כgan dεm. Na tin we wi kin du ɔltɛm fɔ brok di it we wi de it, tek di tin dɛn we wi nid, ɛn pul di dɔti tin dɛn. So, if sɔntin go rɔng wit dis sistɛm, wi bɔdi go fil am.

Bɛlɛ we de at ɛn prɔblɛm wit di we aw yu de digest kin rili bɔku. Bɔt i nɔ kin izi fɔ no di rayt tin we de mek dɛn gɛt dɛn. Na da tɛm de yu nid spɛshal pɔsin fɔ ɛp yu. Wan dɔktɔ we de mɛn yu bɔdi kin ɔndastand aw ɔl dɛn ɔgan ya de wok togɛda, i kin no di rayt tin we nɔ fayn wit yu dijestiv sistɛm, ɛn gi yu di tritmɛnt we yu nid.

So, if yu gɛt bɛlɛ pen ɔltɛm ɔ yu gɛt prɔblɛm wit di we aw yu de digest, nɔ fred fɔ go to dɔktɔ we de mɛn yu bɛlɛ. I kin mek yu rili fil fri.

` Dijestiv sistεm, gastroenterologist, bεlε sik, εndoskopi, kכlonoskopi, liva, bεlε