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Ren Zheng Xin
Gastroenterology
About me
General practitioner, currently working at Zhangye People's Hospital affiliated with Hexi University, with 21 years of clinical experience in general medicine.
Proficient in diseases
Specializes in the diagnosis and treatment of common and prevalent diseases in clinical practice such as diabetes, cardiovascular diseases, gastrointestinal diseases, pediatrics, as well as the combination of examination items, comprehensive analysis, and handling of routine physical examinations. The scope of diagnosis and treatment mainly includes: diabetes, coronary heart disease, common gynecological diseases, common pediatric diseases.
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Which is more serious, acute appendicitis or chronic appendicitis?
The symptoms of acute appendicitis are relatively more severe because acute suppurative appendicititis can cause perforation of the appendiceal lumen. After the perforation, pus can flow into the abdominal cavity causing diffuse peritonitis, leading to abdominal muscle tension, tenderness, and rebound pain. If not treated promptly, it can lead to multiple organ failure. Chronic appendicitis is mostly due to incomplete treatment of acute appendicitis, or chronic latent appendicitis. The symptoms of chronic appendicitis are sometimes mild and the physical signs are not definite. Surgical removal of the appendix should be the first choice for treating acute appendicitis.
What is acute appendicitis?
Acute appendicitis refers to the acute inflammation occurring in the lumen of the appendix, which is caused by the narrowing or blockage and subsequent infection of the lumen. The primary symptom is abdominal tenderness and rebound pain, accompanied by nausea, vomiting, and fever. During the acute phase, blood tests often show an elevated white blood cell count. The main treatment is surgical removal of the appendix, with laparoscopic appendectomy being the commonly used method. This is also a minimally invasive approach to appendicitis treatment. Postoperative care is important, and it is advised to fast on the day of the surgery. Once gas passes through the rectum, a liquid diet may be resumed.
The difference between peptic ulcer and gastric ulcer.
Peptic ulcers refer to ulcers occurring in the digestive tract, including duodenal ulcers and gastric ulcers, whereas gastric ulcers specifically refer to ulcerative lesions occurring in the gastric mucosa. Clinically, there is often a distinction made between duodenal ulcers and gastric ulcers. Clinically, gastric ulcers cause postprandial pain, while duodenal ulcers are characterized by midnight pain and hunger pain. Additionally, the locations of occurrence differ; gastric ulcers commonly occur on the lesser curvature of the stomach, whereas duodenal ulcers commonly occur in the bulb. The treatment methods are fundamentally similar, primarily involving the use of medications that inhibit gastric acid secretion and protect the mucous membrane. Moreover, it involves enhancing health education, maintaining a regular diet, reasonable rest, and avoiding excessive fatigue. (Please use medication under the guidance of a physician.)
How to treat functional dyspepsia?
Functional dyspepsia, which is considered temporarily non-organic, should first be managed by dietary adjustments. Meals should be regular and portion-controlled to avoid overeating; softer, easily digestible foods should be favored while gas-producing foods like leeks and soy products should be limited. Medications that enhance gastrointestinal motility and accelerate food emptying can be used, as well as those that adjust microbial imbalances. Engaging in moderate outdoor activity after meals can also effectively enhance gastrointestinal motility and promote gastric emptying. (Please take medications under the guidance of a doctor)
What does Crohn's disease abdominal pain feel like?
Crohn's disease is an inflammation that occurs in the intestines, most commonly found in the terminal ileum and the right half of the colon. Due to the irritation from the inflammation, there is noticeable abdominal pain, which often presents as cramping, and sometimes as dull pain. The severity of the abdominal pain varies with the intensity of the inflammation. In addition to abdominal pain, symptoms may include diarrhea or manifestations of intestinal obstruction. Due to damage to the intestinal wall, complications such as intestinal perforation or rectal bleeding can occur, as well as fever and extraintestinal manifestations like malabsorption disorders. Crohn's disease tends to recur frequently and has a protracted course. It is not easily cured, and thus, strengthening daily care is essential.
Acute appendicitis nursing care
The nursing care for acute appendicitis includes preoperative care and postoperative care. Before surgery and on the day of surgery, fasting is required; the patient should not eat anything. At the same time, it is important to soothe the patient's emotions. If the pain is very severe, sedative analgesics can be used. After the surgery, dietary care should be intensified. On the first day after the surgery, a liquid diet should be administered. After bowel gas is passed, a normal diet can be resumed on the third to fourth day. It is important to monitor vital signs and the condition of the surgical incision to prevent infection. The patient can engage in activities out of bed 24 hours after surgery. Elderly patients should be assisted in expectoration to prevent dependent pneumonia.
Colitis is what disease.
Colitis is caused by various reasons, leading to inflammatory lesions in the colon. Depending on the cause, it can be divided into nonspecific inflammatory changes and specific inflammatory lesions. It can be caused by bacteria, fungi, or parasites, with typical symptoms such as diarrhea and abdominal pain. Severe anemia and intestinal dysfunction may occur. Due to repeated diarrhea, an imbalance of acid-base equilibrium can happen. Patients generally see a gastroenterologist and require long-term treatment, as well as dietary adjustments.
Can esophagitis cause chest tightness?
Esophagitis generally does not cause symptoms of chest tightness, as the inflammation in the esophagus typically leads to symptoms of the digestive system, and does not cause disorders of the respiratory or circulatory systems. Clinically, common symptoms of esophagitis include a burning sensation, along with difficulty swallowing and pain behind the breastbone. When the esophagitis is severe, it can lead to a narrowing of the esophageal lumen, causing a choking sensation when swallowing food, and possibly inducing vomiting. The inflammation can cause bleeding, which may manifest as vomiting blood or black stools.
What should I do about acute gastritis and stomach pain?
Stomach pain caused by acute gastritis is usually due to inflammation irritating the gastric mucosa. It can be managed with medications that suppress stomach acid secretion, protect the gastric mucosa, and relieve spasms and pain. Additionally, using a warm water bottle on the abdomen can help alleviate stomach pain. Regular care for the gastrointestinal tract is important, including eating soft, easily digestible foods and avoiding spicy, irritating, and greasy foods. Engaging in outdoor activities and maintaining overall physical and mental health can also benefit the stomach. It is advisable to avoid strong tea, coffee, and hard liquor, which can further irritate the stomach.
What causes bleeding from gastric ulcers?
Gastric ulcers can cause damage to the gastric mucosa, and if the ulcer further affects the blood vessels, it can lead to rupture of the vessels and cause bleeding. Therefore, gastric ulcers should be treated actively. If the amount of bleeding is substantial, it is advisable to opt for endoscopic hemostasis or use hemostatic medications, while also treating the ulcer fundamentally. If the ulcer is large, a major part of the stomach may be removed surgically. Post-operative care is crucial, including maintaining a balanced diet; the diet should consist mainly of soft, easily digestible foods, with an emphasis on consuming more vegetables and fruits, and avoiding spicy and cold foods.