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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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What are the symptoms of chronic gastritis?
Chronic gastritis is a relatively common clinical disease in gastroenterology, mainly including chronic superficial gastritis, chronic erosive gastritis, and chronic atrophic gastritis. The clinical manifestations are diverse and there are no specific signs or symptoms. Most patients with Helicobacter pylori infection do not show obvious symptoms, while a minority of patients may experience nausea, vomiting, and postprandial fullness in the upper abdomen, among other symptoms of indigestion. Most cases of chronic gastritis are discovered during physical examinations or endoscopic examinations. The main principles of treatment for chronic gastritis are dietary adjustments and oral medication. It is important to maintain regular eating habits, avoid spicy and irritating foods, and pay attention to one's daily life and routines.
What is acute gastritis?
Acute gastritis is caused by various reasons leading to acute inflammation of the gastric mucosa, primarily due to stress, medications, infections in the stomach, and bile reflux. The main symptoms include upper abdominal pain, accompanied by nausea and vomiting, often with enteritis causing diarrhea, bloody stool, and signs of dehydration. The treatment for acute gastritis is mainly symptomatic, with timely fluid replenishment through intravenous hydration. Additionally, bed rest is recommended, along with cessation of all gastric irritants in food or medications, and fasting if necessary. For abdominal pain, local heat application or the use of antispasmodic analgesics can be considered; generally, anti-infection treatment is not required.
Is acute gastritis serious?
Acute gastritis is a relatively common disease, and if not treated actively, the symptoms can be quite severe. This is because acute gastritis can lead to damage to the gastric mucosa, causing erosion of the mucosa, or symptoms such as bleeding and perforation of the gastric mucosa, leading to severe symptoms. For acute gastritis, active treatment is necessary, primarily involving the use of medications to protect the gastric mucosa and inhibit gastric acid secretion, as well as appropriately selecting antibiotics. If there is an associated Helicobacter pylori infection, it is necessary to completely eradicate the Helicobacter pylori. Additionally, dietary adjustments should be made, such as eating more vegetables and fruits and avoiding spicy foods.
How to manage chronic gastritis normally?
The regulation of chronic gastritis mainly involves adherence to dietary routines, appropriate outdoor exercises, and regular daily living patterns. In terms of diet, it is advisable to eat smaller, more frequent meals and avoid spicy and irritating foods, focusing primarily on nutritious food. Engaging in appropriate outdoor exercises can help regulate both physical and mental health. Since there is a direct relationship between stomach diseases and emotions, maintaining a good mood and avoiding irritability and tension are also very important for the regulation of chronic gastritis. Finally, it is crucial to maintain a regular daily routine, go to bed early and rise early, rest on time, avoid staying up late excessively, and prevent overwork, as these aspects are very important in the regulation of chronic gastritis.
Are stomach polyps likely to lead to stomach cancer?
Gastric polyps are precancerous lesions of gastric cancer, posing a significant risk of developing gastric cancer. There are several types of gastric polyps, including fundic gland polyps, hyperplastic polyps, and adenomatous polyps. Adenomatous polyps, in particular, have a higher rate of malignant transformation, with 11% of patients developing gastric cancer through dysplastic growth over four years. Therefore, patients with gastric polyps should undergo early removal under gastroscopy, followed by pathological classification. After treatment, regular gastroscopic examinations are necessary. It is also important to adjust the diet, avoid eating moldy food, and reduce consumption of salty and pickled foods, while increasing intake of fresh foods, fresh green vegetables, and fruits, and maintaining a positive mental attitude.
Can people with Crohn's disease drink honey?
Crohn's disease is an inflammatory bowel disease, the exact cause of which is not very clear, and honey is safe to consume. The dietary principle generally involves eating small frequent meals, favoring low-fat, high-calorie foods. You can eat vegetables like carrots, yams, and potatoes, and should avoid raw, cold, spicy, and irritating foods such as onions, chili peppers, bean products, and leeks. The symptoms of Crohn's disease primarily include abdominal pain, diarrhea, fever, and nutritional disorders. Currently, the disease is managed with a combination of medication and surgery to actively prevent complications. However, symptoms can recur frequently, and the disease course can be prolonged. It’s important to maintain reasonable work and rest habits and avoid excessive fatigue. (Please follow the guidance of a professional physician for medication usage.)
What to do about acute gastroenteritis?
Acute gastroenteritis is considered to be caused by unclean food or bacterial and viral infections. It is important to actively provide symptomatic treatment. For nausea and vomiting, use antispasmodic and antiemetic medications; for repeated diarrhea and dehydration, use intestinal firming and antidiarrheal medications; for obvious bacterial infections, antibiotics should be used, preferably quinolones. Be sure to drink plenty of water and replenish fluids in a timely manner. During the acute phase, do not eat anything to avoid overburdening the gastrointestinal tract. After recovery, increase the consumption of vegetables to enhance nutrition and improve the body's resistance. (Please use medication under the guidance of a doctor.)
The difference between gastric ulcers and duodenal ulcers.
Gastric ulcers and duodenal ulcers are collectively known as peptic ulcers, formed under the self-digestion action of gastric acid and pepsin. Gastric ulcers are more common in middle-aged and elderly people, generally occurring at the lesser curvature of the stomach body. The pain of a gastric ulcer typically appears within an hour after eating, also known as postprandial pain, which gradually eases after one to two hours of digestion and absorption; gastric ulcers can easily lead to bleeding and perforation. Duodenal ulcers are more common in young and middle-aged adults, frequently occurring in the duodenal bulb. Typical symptoms include postprandial pain and midnight pain, which can be alleviated by using antacids. The treatment methods for gastric and duodenal ulcers are similar. Additionally, it is important to pay attention to diet in daily life, eat less spicy, greasy, and irritating food, and consume more soft, easily digestible food.
Does Crohn's disease have a genetic component?
Crohn's disease has a certain genetic predisposition, but not all cases of Crohn's disease are inherited from one generation to the next. Current research indicates that its occurrence is related to environmental factors, immune factors, and genetic factors, with a higher incidence in males than in females. The prevalence of Crohn's disease is not particularly high in China. Symptoms are primarily abdominal pain, diarrhea, intestinal obstruction, and nutritional disorders. Some cases may also involve complications such as iridocyclitis, clubbing arthritis, oral mucosal ulcers, and chronic hepatitis. It is important to rest adequately and adjust your diet, favoring frequent light meals, low in fat and high in calories.
Can you smoke with Crohn's disease?
Patients with Crohn's disease are advised not to smoke, as smoking can cause many harms, including disturbances in intestinal blood circulation, which can exacerbate the symptoms of Crohn's disease. Typical symptoms include abdominal pain, diarrhea, and intestinal obstruction, as well as possible fever and nutritional disorders. The diet should consist of frequent small meals, low in fat and high in calories, and may include vegetables such as carrots, potatoes, and yams, while avoiding raw, spicy foods and foods that cause gas. During active phases, strict rest is recommended along with calorie supplementation and high nutritional support to actively prevent complications. Crohn's disease tends to recur frequently and can have a protracted course.