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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
How long does it take to cure esophagitis?
The treatment period for esophagitis is generally around 4 to 6 weeks, and is considered appropriate. Most patients, especially after 4 to 6 weeks, can control the symptoms of esophagitis through active medication treatment. Of course, a small number of patients, due to their physical condition such as obesity, may have severe reflux symptoms and might need long-term oral medication, such as antacids, maintaining the effects with the minimum dosage generally sufficient to control symptoms. It is recommended that patients consume easily digestible food, avoid overeating, eat smaller meals more frequently, and pay attention to their posture after meals to control the symptoms of esophagitis through diet. If this is ineffective, patients are advised to control symptoms with oral medications and maintain with the minimum dosage for life; generally, this can be controlled and surgical intervention is not necessary. (Please use medications under the guidance of a doctor.)
Does proctitis require surgery?
Proctitis is a common clinical disease that can be asymptomatic or can present with recurrent discomfort symptoms such as abnormal stool, displaying characteristics like loose stool texture, increased frequency of defecation, or digestive bleeding accompanied by fresh red blood along with abnormal stool. If there are no specific abdominal symptoms and the stool condition is manageable, generally, surgical treatment is not necessary. Instead, dietary adjustments and rest can be made, including appropriate medication when necessary. Medication options may include suppositories, such as mesalazine suppositories, and oral probiotics for adjustment. Therefore, if there are truly no space-occupying lesions and no issues found in colonoscopy, surgical treatment may not be required for proctitis. It is advised to manage with medication and further adjust with oral probiotics, so there is no need for worry. (Please follow a professional physician's guidance when using medications and do not self-medicate.)
Ulcerative Colitis Symptom Characteristics
Ulcerative colitis is increasingly seen in clinical settings, especially among younger patients in gastroenterology. The symptoms typically include abdominal discomfort and abnormal stool, characterized by pain and distension in the lower left abdomen, and changes in bowel habits. Generally, the frequency of stool increases, often occurring more than a dozen times, at least six times or more. The stool characteristics are also indicative, generally appearing bloody and loose. Therefore, patients with ulcerative colitis need standardized diagnosis and treatment. The treatment mainly consists of two types: the first is lifestyle and dietary management; the second is medication. For diet, it is recommended that patients eat easily digestible, low-residue, high-quality protein foods to enhance nutritional support. Medicinal options may include drugs that regulate intestinal flora, protect the gastrointestinal mucosa, and others like amino salicylates. However, if complications such as gastrointestinal perforation, obstruction, or bleeding occur, surgical treatment is recommended. (Please consult a doctor for specific medication usage and do not self-medicate.)
Does fatty liver disease transmit?
Fatty liver is relatively common in clinical practice. It is not an infectious disease and is not contagious. Fatty liver is generally considered to be caused by various reasons leading to fat deposition in the liver. Usually, there are no specific symptoms. Some patients may experience pain, dull pain, or discomfort in the upper right abdomen, along with nausea, etc. Typically, patients discover they have fatty liver during a physical examination or incidental liver function tests and abdominal ultrasound that indicate changes due to fatty liver. The general principle of treatment is symptomatic management. If liver function is abnormal, hepatoprotective treatment can be considered. Of course, if liver function is normal and it's purely fatty liver, the main approach is adjusting dietary and lifestyle habits. It is advised that patients consume high-quality proteins and reduce intake of greasy, fatty, low-fat, and low-sugar foods. Maintaining a good mental state, appropriately reducing weight, and exercising can cure mild fatty liver. If there is severe fatty liver, it is recommended that patients visit a local hospital for treatment.
Acute pancreatitis clinical manifestations and signs
The clinical manifestations of acute pancreatitis generally present as upper abdominal pain, with some patients also experiencing fever, nausea, vomiting, and pain in the lumbar and back areas. In terms of physical signs, the main ones are abdominal distension and tenderness in the upper abdomen, with abdominal pain being the most commonly seen symptom in clinical settings. This pain is typically in the upper abdomen, persistent, and difficult to alleviate, although bending forward may provide some relief for the patient; some patients may also experience symptoms of vomiting. Diagnosis of the condition primarily relies on blood and urine amylase levels and imaging studies. Typically, an ultrasound and CT scan of the abdomen are completed, which can reveal typical changes associated with acute pancreatitis, such as effusion, etc. Treatment, for now, involves enzyme inhibition, fasting, acid suppression, fluid replacement, and other symptomatic treatments. Generally, the acute phase of pancreatitis can be controlled within five to seven days, but if severe pancreatitis is considered, the treatment period may be longer. (The use of medication should be under the guidance of a physician.)
What should I do if a gastric polyp becomes cancerous?
If gastric polyps undergo malignant transformation, we generally refer to it as malignant tumors of the stomach, commonly known as gastric cancer. However, treatment varies depending on the size and extent of the malignant transformation of the gastric polyps. Generally, endoscopic resection is the preferred method of treatment. However, if the gastric polyps have become significantly large or deeply infiltrative, we recommend surgical intervention, such as partial gastrectomy under laparoscopy. Gastric polyps are relatively common in clinical settings, and most of them are benign. Of course, over time, a small percentage of patients may develop malignancy, commonly known as gastric cancer. Typically, for gastric cancer, endoscopic resection is the primary treatment choice, supplemented by laparoscopic surgery removal. Furthermore, if the patient shows lymphatic spread, it is considered progressive gastric cancer, and in addition to surgery, chemotherapy can be considered. Generally, the treatment outcomes for early-stage gastric cancer are quite favorable, hence it is recommended that patients pursue proactive treatment.
Do stomach polyps require surgery?
Gastric polyps are relatively common in clinical settings, particularly in gastroenterology outpatient clinics. The treatment outcomes for gastric polyps are generally good, so there is no need for excessive worry. Most gastric polyps are asymptomatic, but a small number of patients may experience abdominal discomfort, bloating, pain, nausea, and decreased appetite, with the polyps being discovered during a thorough gastroscopic examination. Treatment for gastric polyps typically falls into two categories: the first involves conservative management with close follow-up monitoring. Most gastric polyps are small, less than 1 cm, and do not present any alarming symptoms, such as anemia. It is recommended that patients undergo regular comprehensive gastroscopic examinations every six months to a year. The second type of treatment involves endoscopic intervention, especially when there are numerous polyps or if polyps increase in size during follow-up, exceeding 1 cm. In such cases, gastroscopic treatment is performed, and there is no need for open surgery, so patients should not worry excessively.