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BANGKOK 22 March 2019 11:02
scubascuba3

Potential Stomach Ulcer

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4 minutes ago, Sheryl said:

That takes more stoicism than most of us have any wish to try to summon up.

 

Especially for the colonoscopy!

 

Sorry, but possibly a masochist as well.

 

There are certainly more uncomfortable procedures out there  but  why suffer unnecessary pain.   

 

i wouldn't want to be in a hospital longer than necessary  either, but    go for the painless route.

 

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You can and it will certainly save money vs a gastroscopy which deopending where it is done will be anywhere from 13 - 30K, the lower end of that being at RSU Helaht in Bangkok so you'd have to travel and spend at least one, maybe two nights in bangkok  so add travel + hotel to that to the cost.
 
What a gastroscopy can do that just a test for h. pylori can't, is rule out a mass in the stomach. (It can also determine if you have an actual ulcer or gastritis but if you are h. pylori + it really doesn't matter if it is gastritis alone or gastritis with ulcer, treatment pretty much the same).
 
Suggest you see Dr. Varocha and discuss with her. In my experience she is pretty flexible and willing to involve the patient in deciding what tests to do.
I had a look online for Dr., Varocha Mahachai at BPH but she's not on their list of doctors.

Any recommendation for Bang Lamung? i may just go with the test first

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Be aware that gastroscopies can often be inconclusive.

 

Ask for a biopsy at the same time to avoid having to come back later for something they could have done at the time.

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39 minutes ago, scubascuba3 said:

I had a look online for Dr., Varocha Mahachai at BPH but she's not on their list of doctors.

Any recommendation for Bang Lamung? i may just go with the test first

She is on their list

 

https://www.bangkokpattayahospital.com/en/doctor-profile?v_id=240&depid=11

 

At Bang Lamung (1) you cannot choose your doctor and (2) I am not sure they have a GI specialist or do gastroscopies. Very, very, very much doubt they do the h. pylori antigen stool test or breath test.  It is just a small community hospital, they refer anything specialized to Chonburi Hospital (in Chonburi town - a regional level hospital).

 

If you want a government hospital and don't mind the red tape and waits then either Chonburi Hospital, Queen Sirikit Naval Hospital or the Red cross Hospital in Sri Racha.

 

You can't get tests on demand in a government hospital, have to see doctor first, might need 2 trips for tat and then there will likely be a wait list for the endoscopy if they agree to do it. (or the breath test if they do them, I'm not sure they do).

 

 

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She is on their list
 
https://www.bangkokpattayahospital.com/en/doctor-profile?v_id=240&depid=11
 
At Bang Lamung (1) you cannot choose your doctor and (2) I am not sure they have a GI specialist or do gastroscopies. Very, very, very much doubt they do the h. pylori antigen stool test or breath test.  It is just a small community hospital, they refer anything specialized to Chonburi Hospital (in Chonburi town - a regional level hospital).
 
If you want a government hospital and don't mind the red tape and waits then either Chonburi Hospital, Queen Sirikit Naval Hospital or the Red cross Hospital in Sri Racha.
 
You can't get tests on demand in a government hospital, have to see doctor first, might need 2 trips for tat and then there will likely be a wait list for the endoscopy if they agree to do it. (or the breath test if they do them, I'm not sure they do).
 
 
Dr., Varocha Mahachai is no longer at Bangkok Pattaya they said, so I've booked in to see another specialist i didn't get the name. You were right about Bang Lamung no GI centre

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She is on their list
 
https://www.bangkokpattayahospital.com/en/doctor-profile?v_id=240&depid=11
 
At Bang Lamung (1) you cannot choose your doctor and (2) I am not sure they have a GI specialist or do gastroscopies. Very, very, very much doubt they do the h. pylori antigen stool test or breath test.  It is just a small community hospital, they refer anything specialized to Chonburi Hospital (in Chonburi town - a regional level hospital).
 
If you want a government hospital and don't mind the red tape and waits then either Chonburi Hospital, Queen Sirikit Naval Hospital or the Red cross Hospital in Sri Racha.
 
You can't get tests on demand in a government hospital, have to see doctor first, might need 2 trips for tat and then there will likely be a wait list for the endoscopy if they agree to do it. (or the breath test if they do them, I'm not sure they do).
 
 
Sheryl, can you recommend anyone else at Bangkok Pattaya hospital? Or i can take pot luck out of the 3 in the GI Centre. I cancelled my initial appointment because i wanted to give it a few more days on a changed diet. Its changed slightly in that originally i had the uncomfortable feeling after eating, now its before eating on an empty stomach. Eating helps. I stopped taking PPI which i only took for 9 days, didn't make much difference. My now educated guess is its Gastritis rather than an Ulcer

The plan is to see a specialist and arrange a test for H. pylori infection and then see whether an endoscopy is needed

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Dr. Varocha is at the RSU Health you recommended so I'll go there.

 

Costs are:

13C-UBT Breath Test 2,600 baht

Gastroscopy 9,000 baht

Biopsy 1,000-2,000 baht

Colonoscopy 15,000 baht

 

I'll start with the Breath test

 

 

 

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7 hours ago, scubascuba3 said:

... My now educated guess is its Gastritis rather than an Ulcer ...

I think that's what I had.  But it's been 40 years and don't remember much about it.  But it didn't take anything radical to fix it in my case. Mine might have been stress related, as I was working in the refugee camps at the time.  Or maybe it was the clean water, food and good sanitary conditions. ... :cheesy:

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10 hours ago, scubascuba3 said:

Sheryl, can you recommend anyone else at Bangkok Pattaya hospital? Or i can take pot luck out of the 3 in the GI Centre. I cancelled my initial appointment because i wanted to give it a few more days on a changed diet. Its changed slightly in that originally i had the uncomfortable feeling after eating, now its before eating on an empty stomach. Eating helps. I stopped taking PPI which i only took for 9 days, didn't make much difference. My now educated guess is its Gastritis rather than an Ulcer

The plan is to see a specialist and arrange a test for H. pylori infection and then see whether an endoscopy is needed

I have no basis for recommending one over the other.

 

If you don't mind a trip to Bangkok can see Prof. Varocha at Bangkok Hospital there or at RSU health as other poster said. She is only there 1-2 times a week but it is substantially less expensive than any hospital.

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1 minute ago, Sheryl said:

I have no basis for recommending one over the other.

 

If you don't mind a trip to Bangkok can see Prof. Varocha at Bangkok Hospital there or at RSU health as other poster said. She is only there 1-2 times a week but it is substantially less expensive than any hospital.

You do need to exclude h. pylori as important to treat if present.

 

Doesn't actually matter if gastritis vs ulcer, treatment is the same. the main advantage of getting a gastroscopy is to exclude stomach or esophageal cancer.

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You do need to exclude h. pylori as important to treat if present.
 
Doesn't actually matter if gastritis vs ulcer, treatment is the same. the main advantage of getting a gastroscopy is to exclude stomach or esophageal cancer.
I went to RSU yesterday and had the Breath test for h. pylori, results today were negative which is good but cause of symptoms is still a mystery. Symptoms have improved the last few days to being virtually gone, I'll see how it pans out over the next week, if it doesn't continue to improve I'll probably go with a gastroscopy.

Thanks for the recommendation of the Dr, she agrees with the above approach. Also said i could go with both gastroscopy and colonoscopy because of my age 49 where a colonoscopy is recommended every 5 years starting at around that age. I don't really want to go down that road yet unless absolutely necessary

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