Can stomach polyps be felt by touch?

Written by Zhu Dan Hua
Gastroenterology
Updated on September 17, 2024
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Gastric polyps are relatively common in gastroenterology and are generally asymptomatic. However, if the polyps are relatively large or numerous, symptoms such as early satiety, abdominal distension, and nausea may occur. Gastric polyps cannot be detected through physical examination, which generally yields negative results. There may be some abdominal tenderness, but gastric polyps cannot be detected through physical examination. The diagnosis of gastric polyps primarily relies on completing a gastroscopic examination, which can provide reference values for the size, scope, and quantity of the polyps. Therefore, gastric polyps cannot be detected by physical examination, and it is recommended to complete a gastroscopic examination for further clarification. Thus, as mentioned above, gastric polyps cannot be detected by physical examination; a comprehensive gastroscopic examination is recommended.

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Written by Zhu Dan Hua
Gastroenterology
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Should gastric polyps be removed?

Gastric polyps are relatively common in clinical practice. For patients with gastric polyps, regular follow-up visits are the main focus, especially when the polyps are small, and particularly when they are less than 0.5 centimeters in size. We recommend that these patients have regular follow-up appointments, with a gastroscopy examination about every six months to a year being appropriate. Of course, if a patient has a history of gastric cancer and develops gastric polyps, especially larger ones over 1 centimeter in size, we recommend aggressive endoscopic removal. After removal, the polyps should be sent for examination to clarify their nature. Subsequent regular follow-up appointments are also necessary, typically involving a gastroscopy check every six months to a year. If gastric polyps continue to form, aggressive endoscopic removal treatment is advised. Therefore, treatment choices for gastric polyps vary depending on the size, location, and nature of the polyp, with regular follow-up as the primary approach and endoscopic removal when necessary.

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Written by Ren Zheng Xin
Gastroenterology
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Postoperative care for gastric polyp electrocautery

After undergoing endoscopic polypectomy for gastric polyps, dietary adjustments should be made according to the number and severity of the polyps removed, as well as the patient's constitution. Generally, food should be prohibited for a few days post-surgery to minimize the burden on the gastrointestinal tract. Nutritional support can be provided parenterally, especially for elderly bedridden patients who should avoid pressure sores. It is important to frequently turn elderly patients, and wipe their backs and buttocks. About two weeks after surgery, the patient can transition to a normal diet, including milk and other nutritional supplements. The healing process for gastric polyp removal by electrosurgery typically takes about 6-8 weeks.

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Written by Zhu Dan Hua
Gastroenterology
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Must gastric polyps be surgically removed?

Gastric polyps do not necessarily require surgical removal; regular follow-up appointments can be sufficient. Clinically, gastric polyps are generally small, especially those under 0.5 cm, and we primarily focus on regular check-ups, performing a gastroscopy every six months to a year. Of course, if the polyps increase in size or number, particularly those larger than 1 cm, we recommend removal via endoscopy. Generally, gastric polyps are benign lesions, so there is no need for excessive worry. They are commonly observed in clinical practice and most patients do not exhibit any specific symptoms. However, a small number of patients might experience stomach discomfort, bloating, stomach pain, nausea, belching, or indigestion, among other issues. Therefore, in terms of treatment, besides endoscopic removal or regular observation, symptomatic relief can also be achieved with the use of gastroprotective medication if the patient exhibits certain symptoms. (Note: The use of medications should be carried out under the guidance of a doctor.)

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Written by Jiang Guo Ming
Gastroenterology
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Can stomach polyps cause bleeding?

With the increasing popularity of gastroscopy, the detection rate of gastric polyps is rising year by year. Gastric polyps refer to the protrusions from the gastric mucosa into the gastric cavity, forming either round or semi-circular elevations. They are usually benign lesions, including hyperplastic polyps and adenomatous polyps. However, adenomatous polyps can potentially become cancerous and require prompt attention. If a polyp becomes eroded, it may cause a small amount of bleeding, but this generally does not lead to blood in the stool. Blood in the stool typically refers to intestinal bleeding, which can appear as bright red, dark red, or even jam-like or purplish colors. This is often caused by diseases around the anus or colon diseases, such as polyp ulceration or even tumors, etc., which should not have a significant connection with gastric polyps.

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Written by Zhu Dan Hua
Gastroenterology
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Do you need anti-inflammatory medication after gastric polyp surgery?

The treatment of gastric polyps generally involves endoscopic removal. After the surgery, patients are usually advised to fast to protect the stomach and anti-inflammatory treatment is typically not necessary. Normal eating can usually resume after one to two days, and stomach protection might be appropriate for about 2 to 4 weeks, generally without the need for anti-inflammatory medication. Therefore, anti-inflammatory treatment is usually not necessary. The incidence of gastric polyps is increasing, and most patients do not exhibit specific symptoms. These polyps are often discovered incidentally during physical exams or gastroscopic examinations. Typically, gastric polyps are not large; those smaller than 0.5 cm can be observed, while those larger than 1 cm, or those that increase in size or number over time, can be treated endoscopically. Currently, endoscopic treatment of gastric polyps is a safe and effective method. Most of these polyps are benign, with fewer being malignant, so patients need not worry excessively.