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Zhu Dan Hua
Gastroenterology
About me
Hunan Provincial People's Hospital attending physician.
Proficient in diseases
Specializes in the diagnosis and treatment of common liver, gallbladder, and pancreatic diseases.
Voices
Can people with chronic gastritis eat bananas?
Patients with chronic gastritis can moderately consume bananas without any issue. Generally, it is advised that patients with chronic gastritis eat a diet that is easy to digest and clean, avoid overeating and binge eating, and avoid consuming spicy and irritating foods. In fact, chronic gastritis is quite common in clinical practice, with most patients presenting with abdominal discomfort. Of course, some patients might experience a decrease in appetite. The abdominal discomfort is primarily characterized by dull pain, bloating, or even burning pain in the upper abdomen. This may be accompanied by some nausea and vomiting, among other symptoms. For such patients, it is crucial to conduct a thorough liver function test and gastroscopy. Liver function tests are mainly to rule out abdominal discomfort caused by hepatobiliary diseases, while gastroscopy is the gold standard for diagnosing chronic gastritis, hence its increasing use in clinical practice.
Symptoms of acute exacerbation of chronic gastritis
Common symptoms of acute exacerbation of chronic gastritis include abdominal pain, bloating, nausea, vomiting, etc. Among these, abdominal pain is the most common clinical presentation, manifested as upper abdominal distension, burning pain, or dull pain, generally associated with unhygienic dietary habits, and acute attacks are more common among some healthy individuals or young people. The diagnosis of chronic with acute exacerbation mainly relies on medical history and gastroscopy. Under gastroscopy, the gastric mucosa can be observed to show acute inflammatory changes, presenting as gastric congestion, edema, and even erosion formation. Regarding treatment, it mainly consists of dietary adjustments and the selection of medications. Dietary recommendations include adopting a liquid and light diet, and medications may include acid suppression and gastric mucosal protection drugs. Of course, if the patient has significant abdominal pain, a small dose of pain reliever can be used, generally over a short course of treatment. Indeed, chronic gastritis is a common disease in clinical practice, so it is essential to adjust your diet and develop good living and eating habits regularly.
Is acute gastroenteritis contagious?
Acute gastroenteritis is generally considered a self-limiting disease that is not contagious. The course of the disease is about a week, after which patients will gradually recover. Most patients with acute gastroenteritis have a history of unhygienic dietary practices, and the condition is caused by viral or bacterial infections. From a symptomatic perspective, the most obvious reasons for seeking medical advice are abdominal discomfort or abnormal stools. Abdominal discomfort can manifest as abdominal pain and bloating, with paroxysmal colic being relatively common in clinical practice. Of course, some patients also experience nausea and vomiting, with the vomit consisting of gastric contents and not accompanied by hematemesis, among other symptoms. Abnormal stools are often characterized by diarrhea, typically with an increased frequency of bowel movements, watery in nature, and possibly accompanied by bloody stools. The treatment of acute gastroenteritis generally focuses on symptomatic relief, including the consumption of easily digestible and clean foods. Treatment may include the use of gastroprotective agents, antispasmodics, and modifiers of the intestinal flora. Of course, if the patient has significant diarrhea, antidiarrheal medications may be added for symptomatic treatment.
What medicine is used to stop bleeding in the upper gastrointestinal tract?
Pharmacological treatment for upper gastrointestinal bleeding may include aggressive fluid resuscitation to improve symptoms of hypovolemia, transfusion of red blood cells when necessary to correct anemia, and the use of acid-suppressive and gastroprotective medications to prevent further bleeding. Common causes of upper gastrointestinal bleeding include gastric ulcers, duodenal ulcers, and even vascular anomalies. Therefore, in the early stages, it is advisable to choose acid-suppressive and gastroprotective medications to treat common causes such as gastric ulcers and gastritis, which lead to bleeding. The main symptoms of upper gastrointestinal bleeding are vomiting blood or bleeding from the bowels. In severe cases, the patient may also experience dizziness and fatigue due to low blood volume. For such patients, once the condition stabilizes, it is important to conduct routine blood tests, electrocardiography, and gastroscopy to identify the specific cause of the bleeding. Different causes require different treatment approaches. If the bleeding is suspected to be caused by a tumor, pharmacological treatment may not be very effective, and surgical intervention might be more appropriate. (The use of medications should be under the guidance of a doctor.)
Can appendicitis cause a fever?
Appendicitis can cause fever, and generally, it is considered an inflammatory condition. Besides fever, patients may experience abdominal pain, nausea, vomiting, etc. Typically, the abdominal pain manifests as lower right quadrant pain, which is referred pain. If a patient has fever and typical lower right quadrant pain, further investigations like abdominal ultrasound, complete blood count, and CT scans should be carried out. Diagnosing appendicitis is usually not difficult. The treatment of choice for appendicitis is generally surgical intervention, especially for early-stage patients with symptoms lasting less than three days, where an appendectomy is recommended. However, in some elderly patients with conditions like hypertension, diabetes, etc., who are not suitable for surgery, especially if the duration of the illness is more than three days, conservative medical treatment can be chosen. Conservative treatment primarily involves active anti-infection and anti-inflammatory measures and usually takes longer. (Medication should be administered under the guidance of a doctor.)
How long does acute gastroenteritis take to heal?
The natural course of acute gastroenteritis is about one to two weeks, so it is recommended that patients undergo regular treatment. Acute gastroenteritis is commonly seen in clinical practice, with patients generally presenting with abdominal pain, nausea, vomiting, and abnormal stools. The main manifestation of stool abnormalities is an increase in the frequency of bowel movements, appearing as diarrhea, with the stools being watery. Additionally, patients may experience some fever and chills. Given the symptoms of acute gastroenteritis and its short duration, it is generally considered to be caused by viral or bacterial infections. Therefore, treatment can involve the use of anti-infective medications in small doses, especially when the patient has a fever. Other medications can include acid suppressants, mucosal protectants, antidiarrheals, and those affecting the intestinal flora, so the treatment generally has a good effect. Patients need not worry too much, and we adhere to a 1-2 week treatment period. (Medication should be taken under the guidance of a doctor.)
What should I do if I have a stomach ulcer?
Gastric ulcers are generally treated with internal medicine medications in clinical settings, primarily through oral medications. Patients may select from antacid and stomach-protecting drugs for a course of 6-8 weeks, after which most ulcers can be healed. It is advised that patients eat clean, easily digestible foods, and avoid intake of spicy, stimulative, and pickled foods, as well as foods like raw fish and strong coffee. If the patient has a habit of drinking alcohol, it is advised to abstain from alcohol for these two months. It is also important to focus on resting and maintaining adequate sleep. Gastric ulcers are relatively common in clinical settings and generally improve with active treatment. Patients typically seek treatment for abdominal pain or complications, with the pain usually manifesting as upper abdominal pain. The most common complication is gastrointestinal bleeding, presenting as vomiting blood or bloody stools. Therefore, it is recommended that patients experiencing such discomfort should actively seek a comprehensive gastroscopy examination.
Does bile reflux gastritis cause fever?
Bile reflux gastritis, considered a type of chronic gastritis, generally does not cause fever. Its typical symptoms include abdominal pain, bloating, nausea, vomiting, and a sense of fullness, among others. As the name implies, bile reflux gastritis is believed to be caused by bile inducing damage to the gastric mucosa, characterized by congested and swollen mucosa, erosion, and ulcers, typically without causing fever. If a patient with gastritis also presents with fever, other causes should be considered, such as gallstones, pancreatitis, or stones outside the gallbladder. In terms of treatment, medication is generally considered, potentially including the use of acid reducers and gastroprotective agents, as well as medicines that constrict bile, which are usually effective. If the patient has recurring fevers, other causes should be considered, as fever is generally not considered to be caused by bile reflux gastritis.
Treatment of proctitis
Proctitis is relatively common in clinical settings, especially in the department of gastroenterology. It generally presents as abdominal discomfort and abnormal bowel movements. Abdominal discomfort typically manifests as discomfort in the lower left abdomen, and abnormal bowel movements may include increased frequency and looser stool texture. The treatment of proctitis generally falls into two categories: general treatment and medication. General treatment includes maintaining smooth bowel movements, eating smaller meals more frequently, and ensuring that the stool remains soft. For medication, options include oral medications and topical treatments. Oral medications can soften stools, protect the intestinal mucosa, and control inflammation, among other effects. Topical medications may be chosen to protect the intestinal mucosa and prevent itching, and generally, they are quite effective, so patients need not worry too much.
Is the routine blood test normal for colitis?
Patients with colitis generally have normal routine blood tests, indicating that their white blood cells, hemoglobin, and platelets are generally normal. Patients with colitis commonly present clinically with abdominal discomfort and abnormal bowel movements. Abdominal discomfort typically manifests as discomfort in the lower abdomen and left side, with symptoms such as bloating, colicky pain, and dull pain, often occurring sporadically and generally related to diet and bowel movements. If abdominal pain improves after passing gas or stools, then the bowel movement abnormalities typically manifest as an increased frequency of bowel movements, generally more than 2 times. The stool texture is relatively loose, appearing mushy, and some patients may have watery stools. However, patients generally do not have bloody stools, and there are no clear changes in bowel abnormalities at night after a good sleep, so treatment is currently considered symptomatic.