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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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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Are stomach polyps scary?

As people's living conditions continue to improve and medical technology advances, the general public's demand for better health is increasing, correspondingly raising the rate of routine gastroscopic examinations. Therefore, the incidence of gastric polyps has significantly increased compared to the past. Discovering gastric polyps is not necessarily alarming. There are adenomatous polyps and hyperplastic polyps; only adenomatous polyps, if left untreated over a long period, might develop into malignant tumors. Generally, if polyps are detected and treated in a timely manner, there should be no issues. Polyps can be excised under gastroscopy, a procedure that is minimally invasive, quick, and has few side effects. After treatment, regular gastroscopic follow-ups can be conducted without major concerns.

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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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What should I do if a gastric polyp becomes cancerous?

If gastric polyps undergo malignant transformation, we generally refer to it as malignant tumors of the stomach, commonly known as gastric cancer. However, treatment varies depending on the size and extent of the malignant transformation of the gastric polyps. Generally, endoscopic resection is the preferred method of treatment. However, if the gastric polyps have become significantly large or deeply infiltrative, we recommend surgical intervention, such as partial gastrectomy under laparoscopy. Gastric polyps are relatively common in clinical settings, and most of them are benign. Of course, over time, a small percentage of patients may develop malignancy, commonly known as gastric cancer. Typically, for gastric cancer, endoscopic resection is the primary treatment choice, supplemented by laparoscopic surgery removal. Furthermore, if the patient shows lymphatic spread, it is considered progressive gastric cancer, and in addition to surgery, chemotherapy can be considered. Generally, the treatment outcomes for early-stage gastric cancer are quite favorable, hence it is recommended that patients pursue proactive treatment.

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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.