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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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Causes of Appendicitis
Appendicitis is caused by both anatomical factors of the body and lifestyle dietary patterns. The appendix is a tube that is open at one end and closed at the other, communicating with the cecum. Due to its narrow and long nature, it is easy for fecal matter to block the appendix, leading to increased pressure within the tube, mucosal ischemia necrosis, and subsequently triggering inflammation. Additionally, irregular eating habits, such as binge eating, habitual drinking, and consumption of spicy food, can provoke inflammation of the appendix. Once appendicitis is diagnosed, it is mostly treated surgically. The laparoscopic appendectomy is commonly used nowadays, which is a minimally invasive treatment that allows for a faster recovery and leaves smaller scars on the body surface.
What to eat with appendicitis
During the acute phase of appendicitis, no food should be consumed. In the recovery or remission phase, a semi-liquid diet is appropriate, such as drinking rice soup, noodle soup, and vegetable soup, and consuming vegetables like Chinese cabbage and cabbage to supplement dietary fiber and vitamins. On the day of appendicitis surgery, eating is also prohibited. A semi-liquid diet is recommended for 1 to 2 days post-surgery, gradually transitioning to a normal diet over 3 to 5 days. After transitioning to a normal diet, foods like beef, lamb, and eggs can be consumed to supplement nutrients and promote wound healing.
Can people with Crohn's disease eat fish?
Patients with Crohn's disease can eat fish, as it is delicate and delicious, and contains rich protein that provides nutrition. Patients with Crohn's disease should adhere to a diet that is light, nutritious, and easy to digest, consuming more green vegetables such as cucumbers, tomatoes, broccoli, and cabbage. It is also appropriate to increase nutrition, since Crohn's disease is a consumptive disease, and insufficient nutritional supplementation can lead to further weight loss. However, it is essential to avoid overly greasy and spicy foods and to pay attention to dietary hygiene.
Does appendicitis surgery require an incision?
Appendicitis surgery can be performed through traditional open surgery or minimally invasive treatment. Open surgery involves a traditional incision at McBurney's point to remove the appendix, which is now rarely used, predominantly replaced by minimally invasive treatment under laparoscopy. The procedure is the same for both methods, involving ligation of the appendicular artery followed by cutting the appendix at its base and suturing the stump. The advantages of minimally invasive surgery include less intraoperative bleeding, faster postoperative recovery, and less physical trauma. Patients can choose between open surgery or minimally invasive treatment based on their personal circumstances and financial conditions.
Does Crohn's disease cause swelling of the feet?
Crohn's disease generally does not cause swelling of the feet, but if it causes nutritional disorders, there will be manifestations of swelling of the feet. This is due to hypoproteinemia, which leads to a decrease in the colloid osmotic pressure of the plasma, and the water and fluids in the blood vessels flow out into the tissue fluid, forming swelling in the feet. In addition to foot swelling, there may also be abdominal pain, diarrhea, intestinal obstruction, and fever, and some may affect the liver, joints, or skin. For more noticeable foot swelling, it is appropriate to use diuretics. There is no specific treatment for Crohn's disease; it is mainly treated with medication and surgery to manage its complications and enhance nutritional support. (The use of medication should be under the guidance of a professional doctor.)
Can appendicitis be contagious?
Appendicitis is a nonspecific inflammation occurring in the lumen of the appendix. It is not contagious, therefore, it is not an infectious disease. Once appendicitis is diagnosed, it is mostly treated surgically because the main blood supply to the appendix is the appendicular artery, which can easily lead to ischemic necrosis during inflammation. If controlled solely by medication, symptoms are likely to recur easily. Currently, appendectomy is commonly performed using minimally invasive techniques, under laparoscopy, which results in less bleeding during surgery and faster recovery afterward. Generally, if there is no suppuration or perforation, patients can be discharged three days after surgery. Postoperative care should be enhanced, including eating more vegetables to prevent constipation.
Is hot compress effective for appendicitis?
The effect of using heat therapy for appendicitis is relatively minor; it can be said that it does not have any significant effect. Appendicitis is caused by increased pressure in the lumen, ischemic necrosis of the mucous membrane, leading to inflammation. In most cases, this requires surgical removal of the appendix. Medication can only temporarily control the symptoms and it is prone to recurrence. Currently, laparoscopic appendectomy is a common surgical method for treating appendicitis. It is a minimally invasive treatment, with less bleeding during surgery and quicker post-operative recovery. Post-operative care is also important, including regular dressing changes for the incision. Stitches can usually be removed after about a week. It is advised to drink more water and eat more vegetables to prevent constipation. Patients should rest for at least two weeks after surgery to fully recover.
Does acute appendicitis cause diarrhea?
Acute appendicitis rarely involves diarrhea. Typical symptoms include abdominal pain that begins around the navel or upper abdomen and gradually shifts to the lower right abdomen. The pain is persistent and localized. Additionally, irritation of the gastrointestinal tract may cause nausea or vomiting. If the appendix becomes suppurative or perforated, it can lead to tension in the abdominal muscles, tenderness, and rebound pain. Most cases of acute appendicitis require surgical removal, and currently, laparoscopic appendectomy is a commonly used procedure.
What should be noted for gastric ulcers?
Gastric ulcers are closely related to lifestyle, dietary habits, and work stress. First, it is important to rest more and reduce mental stress. Secondly, improve dietary habits by eating regular meals, consuming more vegetables and fruits, and easy-to-digest foods while reducing the intake of spicy, greasy, and irritating foods. Pay strict attention to quitting smoking and alcohol, drinking less strong tea and coffee, actively use medications that inhibit gastric acid secretion and protect the gastric mucosa, and persist in taking medication as prescribed by a doctor. Avoid life's irritants, strengthen physical exercise, and engage in more outdoor activities to regulate physical and mental health.
Causes of acute gastritis
There are mainly three causes for the onset of acute gastritis: First, excessive fatigue, due to lack of rest and physical overexertion, can lead to a decline in immune function and the protective function of the gastric mucosal barrier, resulting in the occurrence of gastritis. Second is irregular eating habits, such as frequent binge eating, consuming spicy foods, and a preference for alcohol, strong tea, or coffee, all of which can significantly irritate and damage the gastric mucosa. Third is emotional fluctuations, such as being irritable, depressed, or anxious, which can directly affect the gastrointestinal tract through neurohumoral regulation and cause acute gastritis.