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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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Can appendicitis recur?
Acute appendicitis, if not treated surgically, can relapse under poor lifestyle and dietary habits and then transform into chronic appendicitis. Therefore, appendicitis can recur. However, if the appendix is removed during an acute episode of appendicitis, then appendicitis will not recur. Currently, the primary clinical treatment for appendicitis is surgery, because without surgery, the recurrence rate of appendicitis is quite high, and ultimately, the appendix must be removed.
Can appendicitis cause a fever?
Appendicitis can cause fever. After the fever, a routine blood test will show a significant increase in white blood cells, which is often referred to as an elevated blood profile. In addition to fever, appendicitis may also cause vomiting and nausea. A typical symptom is abdominal pain, starting around the navel and then gradually moving to the lower right abdomen. For the fever, active symptomatic fever reduction should be pursued, or appendectomy can be chosen. Currently, laparoscopic appendectomy is more common, with less bleeding during the operation and faster post-operative recovery.
Does appendicitis cause fever?
Appendicitis often causes fever, due to systemic infection caused by inflammation entering the bloodstream. Generally, it only causes a low fever without chills. The temperature in suppurative appendicitis does not exceed 38 degrees Celsius. High fever above 38 degrees Celsius is mostly seen in cases of appendiceal perforation or concurrent peritonitis. In addition to fever, acute appendicitis also presents with abdominal pain, tenderness and rebound pain in the abdomen, tension in the abdominal muscles, as well as nausea, vomiting, and increased frequency of bowel movements due to reflexive gastric spasms.
How is acute appendicitis diagnosed?
The diagnosis of acute appendicitis is primarily based on clinical symptoms, signs, and auxiliary examinations. The patient describes abdominal pain accompanied by nausea and vomiting. During the physical examination, migratory pain in the lower right abdomen and significant rebound tenderness upon palpation are noted. Additionally, ultrasound diagnostics suggest swelling of the appendix lumen, all indicative of acute appendicitis. For acute appendicitis, once confirmed, surgery is generally required to remove the appendix, which is the only way to completely cure acute appendicitis.
Gastrointestinal cold with fever for a few days
Gastrointestinal colds are mostly caused by viral infections of the intestines leading to gastroenteritis and symptoms of upper respiratory infections. Typically, a fever may last two to three days, but this can vary from person to person. If the individual has a strong immune system, the duration of the fever may be shorter; however, in elderly people or infants, the duration may be extended. It is important to focus on active treatment, which includes drinking plenty of water, eating more vegetables, reducing time spent outdoors, actively using anti-cold medications and medications for treating intestinal infections. During this time, attention should be paid to maintaining a regular diet, with timely and measured meals, and reducing consumption of greasy, spicy, and irritating foods. (Specific medications should be used under the guidance of a physician.)
What department should I go to for appendicitis?
Appendicitis is a common disease in general surgery, so one can register for a general surgery appointment. In clinical practice, the diagnosis of appendicitis is mainly based on clinical manifestations. Typical symptoms include abdominal pain, vomiting, and fever. The abdominal pain starts around the navel and then moves to the lower right abdomen after several hours, where the pain becomes localized. Once diagnosed with appendicitis, surgery is often required. Currently, laparoscopic appendectomy is commonly used. This surgical method requires general anesthesia and is relatively complex, but recovery is quicker, and patients typically can be discharged after a routine 3-day hospital stay.
What can you eat with a stomach flu?
Gastrointestinal colds are caused by Coxsackie virus infection. Patients can eat more vegetables and fruits to supplement plant-based fiber and hydrate. Eating nutritious foods such as beef and mutton can help replenish energy and enhance resistance. Staple foods should be soft, such as rice soup, noodle soup, and vegetable soup. It is important to note that spicy and irritating foods should be avoided, and the consumption of strong tea, coffee, and alcohol should be minimized during the cold.
What to pay attention to with appendicitis
Patients with appendicitis should pay attention to diet adjustments and regular routines, as well as choosing the correct treatment method. Diet should be lighter, consume more vegetables, ensure smooth bowel movements, eat less raw, cold, and spicy foods, rest more, and avoid excessive fatigue, especially staying up late. Additionally, pay attention to active and effective treatments. Currently, surgical treatment is the main approach, and laparoscopic appendectomy can be chosen. This surgical method involves less bleeding during the operation and a faster postoperative recovery, requiring a rest period of two weeks post-surgery.
How many days until one can eat after a stomach flu?
Patients with gastrointestinal colds can continue to eat if they are able to do so without skipping meals. Therefore, it is not necessary to wait until the cold is over before eating. Additionally, consuming nutritious foods can aid significantly in the recovery from a gastrointestinal cold. It is advisable to eat soft, easily digestible foods, such as vegetable soup, noodle soup, and rice soup. Increase vegetable intake and stay hydrated. Avoid raw, cold, and spicy, irritating foods. It is important to rest and actively use medication for treatment.
What tests are done for chronic gastritis?
Chronic gastroenteritis is a chronic inflammation that occurs in the mucous membrane of the gastrointestinal tract. The basic pathological change is the infiltration of a large number of neutrophils or lymphocytes in the mucosa. Examinations mainly include endoscopy and routine stool tests. Gastroscope and colonoscopy can be used to assess the extent of mucosal lesions in the gastrointestinal tract, and routine stool tests can determine the presence of occult blood positivity. If there is blood in the stool, a routine blood test can also be conducted to check for chronic blood loss anemia. Based on the results of these examinations, the severity of the lesions can be understood, and appropriate medications can be actively chosen for symptomatic treatment.