Patient : Due to irregular diet, I used to have stomach pains, which have improved in the past two years. Last Tuesday, after drinking alcohol at noon and eating spicy food at night, I started to have intermittent stomach pains, which worsened at night when I slept, with acid reflux. In the past, I didn’t have any examination, and when I had stomach pain, I took some Sanjiu Gastrodia granules to relieve it, but this time it has been a week, and my stomach is still uncomfortable. Please consult if it is necessary to go through gastroscopy to check. I heard that there is a swallowed capsule that does not need to be intubated and is excreted with the stool after the examination, does the hospital have this type of gastroscopy and how much does it cost to do this type of gastroscopy? Doctor: Hello, if it’s just a few days of stomach discomfort and you’re only in your 20s, it may just be due to improper diet and you don’t necessarily have to have a gastroscopy. But if the time has dragged on for some days and the symptoms persist, and you can’t rule out having a duodenal ulcer or other disease, you’ll have to have a gastroscopy. Generally speaking gastroscopy is the gold standard for esophageal, gastric and duodenal examinations, and the so-called gold standard means that the results of this method are most reassuring, while capsule endoscopy is mainly used for the examination of small intestinal diseases that cannot be reached by gastroscopy, and capsule endoscopy has a certain blind spot for gastric examination, so it is not suitable for stomach disease examination, and the cost is about 3,000 yuan, which is more expensive (because it is a single-use electronic instrument). And gastroscopy now has the so-called painless gastroscopy method, that is, using a small amount of anesthetic drugs to put the patient to sleep, no perception during the examination, and recover soon after the examination, costing about 300 yuan, which is the best method for stomach disease examination.