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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.
Voices
Is a small intestine ulcer the same as Crohn's disease?
Small intestinal ulcers and Crohn's disease are different. Crohn's disease is an inflammatory bowel disease of unknown cause, commonly occurring in the terminal ileum and right half of the colon. Small intestinal ulcers may be caused by intestinal inflammation and damage to the mucosa, making the ulcers easier to heal, whereas Crohn's disease tends to recur frequently and is not easily cured. Crohn's disease can also affect the joints, skin, liver, and other parts, and may be complicated by acute perforation, bloody stools, intra-abdominal abscesses, and malabsorption syndrome. It is advisable to consult a gastroenterologist and pay attention to adjusting the diet structure, eating meals regularly, and maintaining nutritional balance.
Symptoms of acute appendicitis
The typical symptoms of acute appendicitis include abdominal pain that starts around the upper abdomen or navel area, then localizes to the lower right abdomen. There are also manifestations of gastrointestinal spasms such as nausea and vomiting. Due to inflammation entering the bloodstream, there can be a systemic infection, often accompanied by fever, generally not exceeding 38 degrees Celsius. If there is an appendix perforation and peritonitis, the temperature can exceed 38 degrees. After the appendix becomes suppurative, symptoms can include abdominal muscle rigidity, dental pain, and rebound tenderness.
Harm of Functional Dyspepsia
Functional dyspepsia is very common in life, especially among adolescents, which can lead to a further decrease in appetite. Food accumulates in the gastrointestinal tract for a long time, making it difficult to move downwards, causing stomach and intestinal bloating. Over time, it affects the appetite, and the patient's mental and nutritional status will be impacted. It is necessary to use some digestive aids and drugs that promote gastrointestinal motility in a timely manner. Attention should also be paid to dietary adjustments, eating regular meals in fixed quantities, and eating more soft, easily digestible food. Try to eat less raw, cold, or spicy food. (Please use medication under the guidance of a doctor)
Which department checks for Helicobacter pylori?
Current research suggests that Helicobacter pylori infection is the primary cause of various gastric diseases. It is best to visit the gastroenterology department of a hospital to check for Helicobacter pylori, where a Carbon-14 breath test can be conducted to determine the amount of Helicobacter pylori in the stomach. If there is a high quantity of bacteria, or if there are gastrointestinal diseases present, one might consider a treatment to eradicate Helicobacter pylori. This generally involves the use of two types of antibiotics along with a gastric mucosal protector or a medication that inhibits stomach acid secretion. It is also important to regularly follow up, maintain a regular diet, and avoid spicy and irritating foods.
What are the symptoms of colitis?
Proctitis is an inflammation that occurs in the mucosa of the rectum. Typical symptoms include abdominal pain, diarrhea, a feeling of heaviness around the anus, and urgency followed by a sensation of incomplete evacuation. More severe inflammation can also lead to the presence of mucus and bloody pus in the stool. Bleeding from the rectum is another typical symptom, with the amount of bleeding related to the severity of the inflammation. Severe inflammation can directly cause pain in the anus and rectum. Abdominal pain and diarrhea may alternate, and long-term proctitis can also lead to loss of appetite, weight loss, fever, nausea, and vomiting. It is necessary to promptly perform a colonoscopy to understand the severity of the lesions and actively provide symptomatic treatment.
Precursors of acute appendicitis
Acute appendicitis is acute inflammation of the appendix lumen, and currently, there are no particularly typical precursors, but the causes of acute appendicitis should be noted, which are related to obstruction and infection of the appendix cavity. If the appendix lumen is compressed for a long time, the accumulation of secretions can cause blood supply disorders in the distal appendix wall, directly causing damage to the appendix mucosa, and inducing infection that leads to appendicitis. Additionally, gastrointestinal dysfunctions such as diarrhea and constipation can also cause spasms of the appendix muscles and vessels, leading to blood supply disorders and mucosal damage, thereby causing acute appendicitis.
How to medicate for acute appendicitis
Acute appendicitis is commonly treated surgically in clinical settings. Medication for acute appendicitis should be used with caution according to indications; if the appendix is not purulent, it is appropriate to use anti-inflammatory drugs to control the infection and choose sensitive antibiotics, such as quinolones. If the appendix becomes purulent or perforates, timely surgical treatment should be administered to prevent further exacerbation of appendicitis. Before and after the surgery, it is important to monitor whether the patient's symptoms and signs have significantly worsened. (Medications should be taken under the guidance of a physician and based on actual conditions)
The cause of acute appendicitis
The etiology of acute appendicitis is directly related to obstruction and infection of the appendiceal lumen. The appendix, a narrow and elongated tube connected to the cecum, can develop increased luminal pressure due to obstruction, leading to disturbances in the blood supply to the appendiceal wall. This can easily cause damage to the mucosa and subsequent infection. Infection of the appendiceal lumen can directly cause acute appendicitis. Additionally, gastrointestinal dysfunction can also cause muscle and vascular spasms in the appendix leading to blood supply disturbances and the invasion of bacteria, resulting in acute inflammation. For acute appendicitis, surgical treatment should be administered immediately upon diagnosis.
Which department should I go to for acute gastroenteritis?
Acute gastroenteritis should be treated in the gastroenterology department of the hospital. Acute gastroenteritis is mostly caused by unclean food or excessive fatigue, with the main symptoms being abdominal pain and diarrhea, accompanied by signs of dehydration in the body. Treatment mainly involves the use of antibiotics to control the infection and antidiarrheal medications to treat diarrhea. It is important to promptly replenish fluids and water if there is significant dehydration. During treatment, a light diet should be maintained, eating small meals frequently, and avoiding spicy, stimulating, and greasy foods. (Medication should be used under the guidance of a doctor.)
Acute gastroenteritis causes and symptoms
Acute gastroenteritis is common in summer and autumn, often caused by consuming unclean food. Consuming chilled watermelon or cola straight from the refrigerator can also trigger acute gastroenteritis. The primary symptoms include abdominal pain, diarrhea, nausea, and vomiting. Frequent diarrhea can lead to signs of dehydration in the body, such as sunken eyeballs and pale lips. For acute gastroenteritis, immediate fluid replacement therapy should be administered, and antibiotics should be used to control the infection along with medications to stop diarrhea and firm up the stools. (Please take medication under the guidance of a doctor)