Diabetes is complex and various reasons, good diabetes control, prone to complications during treatment of diabetes is also a lot of trouble. If the complications of diabetes by approaching the hospital for further examination and treatment. In addition to suffer the common diabetic foot complication of diabetes and diabetic eye disease, diabetic patients more susceptible to stomach.
Gastrointestinal complications of diabetes: diabetes, stomach paralysis, gastric ulcer, gastric acid deficiency and vitamin B12 deficiency.
According to the report, occurred 20% to 30% with diabetes, current paralysis. Present paralysis due to dominant surface gastric motility caused by nerve damage. In ketoacidosis, it may be temporary. Showed decreased gastric tone, dynamic field weakening and draining more. Conscious patients with abdominal complaints, such as eating a few bites of food with little feeling of fullness, nausea and vomiting. Violent vomiting from the stomach into the visible content of the food a few days, sometimes visible from the heavy food, a “bezoar form.”Frequent vomiting can lead to malnutrition. Since the gastric emptying of food on time and steamed bread and can not be included, can cause low blood sugar, and when the human intestinal emptying of food after a few hours later, would lead to high blood sugar levels that influence it can affect blood sugar levels to . control
The treatment of gastric paralysis may metoclopramide, domperidone, cisapride and other drugs to stomach emptying or a cyanide smell smoke and other drugs stimulate acid output inhibition is used, the latter class of drugs may reduce stomach secretions, and thus a feeling of fullness.If it Gastrolith endoscopy can be removed.
Reportedly occurs about 10% of diabetic ulcer, vomiting blood or even died from hemorrhagic shock. The reason for this is that the microcirculation dysfunction of the stomach, making the capacity of local defense, stomach acid is low, less or no endogenous insulin secretion, reduction of surface-induced secretion of gastric juices and the neurological disorder that reduce by Tan properties caused gastric . In addition, gastric mucosal microvascular disease, oral hypoglycemic agents may be combined with acute ulcers. In order to prevent occurrence of ulcers should avoid to improve smoking and drinking, and the hygiene of foodstuffs, stimulating food intake has to aspirin aspirin, phenylbutazone, Lee almost blood, caffeine, corticosteroids, etc., and ulcers associated with drugs, with caution and are not used.
Acid deficiency, caused by autoimmunity. Type I diabetes itself has its own immune system abnormalities, but also because the control of gastric acid secretion caused by nerve damage.Achlorhydria can not kill the alien bacteria, easy to infections, inflammation of the stomach, and the lack of stomach acid, even on the digestion of food.
If the stomach cells to reduce the internal factors, it can in the body of vitamin B12 deficiency anemia. Because the combination of internal factors that can prevent the destruction of vitamin B12, and the latter absorbed in the small intestine.
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