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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
Do gastric polyps require surgery?
Gastric polyps are relatively common in clinical settings. Generally, patients do not exhibit symptoms and discover the condition either during physical examinations or incidental gastroscopic examinations. Of course, a small portion of patients may experience certain gastrointestinal symptoms, manifesting as dull pain in the upper abdomen, bloating, nausea, etc. The treatment for gastric polyps generally varies depending on the location, size, and number of the polyps. If the polyps are small, particularly less than 0.5 cm, it is recommended that patients undergo regular observations and gastroscopic examinations every six months to a year. If there are no significant changes in the polyps, symptomatic treatment may not be immediately necessary. However, if the polyps are larger, especially if they are numerous or larger than 1 cm, it is advisable for patients to have them removed via gastroscopy for biopsy to rule out the possibility of malignant changes. Therefore, for patients with gastric polyps, it is recommended to have regular follow-ups and consider endoscopic removal, which is generally a relatively safe procedure that should not be overly worrisome.
Why is a biopsy necessary for atrophic gastritis?
Atrophic gastritis is generally treated with biopsy, which is the standard for diagnosing atrophic gastritis, so biopsy is typically conducted when considering atrophic gastritis. Atrophic gastritis is increasingly common in clinical settings, especially among middle-aged and elderly patients. It begins with symptoms of chronic gastritis, such as abdominal pain, bloating, nausea, and belching, and sometimes may include changes in appetite. Patients usually undergo gastroscopy, which shows atrophy of the gastric mucosa, alterations in red and white patches, or white-like mucosa. Histopathological examination can further support the atrophic changes. In clinical settings, when considering atrophic gastritis, treatment focuses on protecting the stomach and screening for Helicobacter pylori. If Helicobacter pylori is positive, treatment targeting Helicobacter pylori is recommended. Regular gastroscopic examinations are necessary, typically every six months to a year.
Chronic gastritis and reflux esophagitis symptoms
Chronic gastritis and gastroesophageal reflux disease (GERD) manifest clinically with typical symptoms including abdominal pain, bloating, nausea, heartburn, and acid reflux, generally starting with gastrointestinal symptoms and often with a prolonged history. In cases presenting with abdominal pain, this generally occurs in the upper abdomen and can be characterized as dull, distending, or burning pain. These symptoms are usually related to diet, and some patients may feel better after eating. There is generally no associated nighttime pain, fever, or jaundice. GERD typically presents with heartburn and acid reflux, which are commonly seen in clinical settings. The symptoms are usually more noticeable after eating, especially after a full meal, and do not usually occur at night. The pain, generally a burning sensation, occurs in the precordial and esophageal areas and can be episodic, spontaneously resolving. There may occasionally be nausea, and even a tendency to vomit. Diagnosis of GERD primarily relies on gastroscopic examination.
What medicine is used for colitis?
Colitis may involve choosing some medications that protect the intestinal mucosa and regulate the intestinal flora, along with other symptomatic treatments. If the intestinal inflammation presents as abdominal discomfort or significant illness, one might choose to use antispasmodic pain relief and antidiarrheal medications, which can generally achieve certain control. Ileitis is also relatively common clinically, with patients usually presenting with discomfort in stool or service and, after undergoing a thorough colonoscopy, inflammatory changes in the intestines are found, characterized by mucosal congestion, edema, and even scattered erosion and ulcer formation. Treatment options include oral medications, but in terms of diet, it primarily involves choosing clean, easily digestible foods and supplementing with some nutrients. Colitis generally presents with lower abdominal pain and discomfort in the lower left abdomen, typically occurring in paroxysmal attacks without specificity. (Please take medication under the guidance of a professional physician.)
Can colitis cause back pain?
Colitis is commonly seen in clinical settings and generally does not cause back pain. The typical symptoms include abdominal discomfort and abnormal stools. It may manifest as discomfort in the left side of the abdomen, such as bloating and abdominal pain. Abnormal stools can be reflected by an increased frequency of defecation, generally more than two to three times. The character of the stool may change; for instance, a patient who previously suffered from constipation may now experience watery diarrhea or have stools that are relatively loose, but generally, there is no accompanying bloody stool, commonly referred to as stool with blood. Symptoms can also include a decrease in appetite, nausea, and vomiting. Common causes of back pain are generally considered to result from the urinary system or spinal pathology, such as ureteral stones, kidney stones, or herniated lumbar discs, etc. It is recommended for patients to undergo further examinations to clarify these conditions.
Do you need anti-inflammatory medication after gastric polyp surgery?
The treatment of gastric polyps generally involves endoscopic removal. After the surgery, patients are usually advised to fast to protect the stomach and anti-inflammatory treatment is typically not necessary. Normal eating can usually resume after one to two days, and stomach protection might be appropriate for about 2 to 4 weeks, generally without the need for anti-inflammatory medication. Therefore, anti-inflammatory treatment is usually not necessary. The incidence of gastric polyps is increasing, and most patients do not exhibit specific symptoms. These polyps are often discovered incidentally during physical exams or gastroscopic examinations. Typically, gastric polyps are not large; those smaller than 0.5 cm can be observed, while those larger than 1 cm, or those that increase in size or number over time, can be treated endoscopically. Currently, endoscopic treatment of gastric polyps is a safe and effective method. Most of these polyps are benign, with fewer being malignant, so patients need not worry excessively.
What are the symptoms of cholelithiasis cholecystitis?
Cholecystitis due to gallstones is relatively common in clinical practice, with abdominal pain being a frequent reason for seeking medical attention. The pain usually manifests in the upper abdomen or right side, occurring in intermittent or continuous episodes. Typically, the nature of the pain is described as distension, colic, or dull pain. Patients may also experience radiating pain in the lower back, typically extending to the right side of the abdomen. Additionally, a small number of patients may experience nausea, vomiting, and even fever alongside abdominal pain. Fevers are usually mild to moderate, with body temperatures around 38°C (100.4°F). Nausea and vomiting occur as a digestive response following gallbladder contraction and subsequent inflammatory stimulation, with vomitus generally consisting of gastric contents and bile, but not blood. Therefore, if gallstone-induced cholecystitis is suspected, it is recommended for patients to undergo active endoscopic removal, typically via laparoscopic surgery. Of course, older patients might be treated conservatively with medications.
Esophagitis should be seen in the Gastroenterology department.
For esophagitis, we generally recommend that patients visit the department of gastroenterology. As the name suggests, esophagitis refers to inflammatory changes in the esophagus, which can have many causes such as diet, medications, and acid reflux, among others. Endoscopy is the gold standard for diagnosing esophagitis; under endoscopy, we can observe congestion, edema, and even erosions in the esophageal mucosa. Severe esophagitis can also present as ulcerations. Clinically, most cases of esophagitis present with heartburn and acid reflux, especially heartburn, which is characterized by a burning pain in the esophageal area. This is usually related to diet and symptoms can worsen after eating, leading most patients to seek care from a gastroenterologist. Additionally, a small portion of patients may experience other gastrointestinal symptoms such as burping and nausea. Thus, it is recommended for patients with esophagitis to undergo a thorough endoscopic examination at a gastroenterology clinic.
Can I take Intestine Inflammation Relief for proctitis?
Rectitis is quite common in clinical settings, and oral Intestine Inflammation Relief can generally be chosen for treatment without issues. Typically, the symptoms of rectitis include discomfort in the lower left abdomen and abnormal stools, particularly diarrhea, where the stool is watery or there is a feeling of rectal prolapse among others. For patients with rectitis, besides choosing oral Intestine Inflammation Relief for treatment, it's important to pay attention to diet and rest, ensure smooth bowel movements, and avoid constipation. Additionally, other oral medications can be used, such as laxatives and drugs to protect the intestinal mucosa, which generally have a good effect in treating inflammation of the intestines. However, rectitis generally does not involve symptoms of bloody stools. If a patient experiences bloody stools during treatment, commonly referred to as stools with blood, it is advised to continue diagnosis and treatment at a local hospital. It is particularly suggested to complete a colonoscopy to further rule out conditions such as hemorrhoids or intestinal tumors.
What are the symptoms of rectal polyps?
Rectal polyps due to proctitis are generally benign lesions, so the symptoms are not obvious. Some patients may have no specific symptoms and polyps are incidentally found during routine physical examinations or colonoscopies where proctitis is seen in conjunction with polyps. Of course, a small number of patients may experience abdominal discomfort and abnormal bowel movements. The abdominal discomfort generally focuses on the lower abdomen, or occurs sporadically in the lower left abdomen, and can manifest as bloating pain, dull pain, or an unexplained discomfort. The abnormality in bowel movements can be seen as stools being more liquid-like and frequent, with some patients having watery stools, but there are no symptoms of fever or bloody stools. Therefore, the symptoms of rectal polyps from proctitis are usually not obvious and can be further clarified through colonoscopic examination. If the rectal polyps are not large, periodic observation with colonoscopy every six months to a year may be advised. Of course, if the polyps grow larger or symptoms become pronounced, treatment through endoscopic removal may be chosen.