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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 department should I go to for esophagitis?
Esophagitis is a disease of the digestive system and can be treated at the Department of Gastroenterology. Generally, it requires routine examinations such as barium meals of the esophagus or endoscopy. Through the examination of the barium meal, one can observe the disordered folds of the damaged esophageal mucosa, sometimes small niches and narrowing of the esophageal lumen can be seen. Upper gastrointestinal endoscopy can reveal inflammatory changes in the esophageal mucosa. For milder cases of esophagitis, medication can be used primarily to inhibit the secretion of stomach acid and for anti-inflammatory purposes. More severe cases may require hospitalization for infusion therapy.
Typical symptoms of acute appendicitis
The typical symptoms of acute appendicitis include abdominal pain, which starts in the upper abdomen or around the navel and, after several hours, shifts and localizes to the lower right abdomen. Additionally, reflexive gastric spasms may cause nausea and vomiting. Due to the inflammation, the body may develop a fever, generally not exceeding 38 degrees Celsius. If the inflammation affects the parietal peritoneum, it can cause tenderness, rebound pain, and abdominal muscle rigidity. These are the typical symptoms, and a preliminary diagnosis can usually be made based on them. Most cases require an appendectomy.
Early symptoms of Crohn's disease
Crohn's disease early in its onset is characterized by symptoms such as abdominal pain, diarrhea, and intestinal obstruction. As the condition progresses, it can lead to anemia, nutritional disorders, eye involvement, joint involvement, and liver involvement. It is important to maintain a reasonable daily routine, eating multiple small meals that are high in calories but low in fat, and include a variety of vegetables. During active phases, bed rest should be observed, and a diet high in nutrition but low in fat should be provided, combined with medical and surgical treatments. The symptoms of Crohn's disease are prone to recurrence, and the prognosis is not particularly good. It is essential to actively cooperate with the doctor’s treatment.
What should I do about acute gastritis and abdominal pain?
The abdominal pain due to acute gastritis is considered to be caused by acute gastroenteritis. The inflammation irritates the gastrointestinal mucosa, leading to muscle spasms that cause pain. It is appropriate to use antispasmodic and analgesic medications, as well as drugs that protect the gastric mucosa and inhibit gastric acid secretion. During this period, it is important to rest more and avoid physical labor as much as possible. Also, pay attention to dietary adjustments, eat soft, easily digestible foods, and avoid spicy, greasy, and irritating foods. After recovery, it is advisable to engage in appropriate outdoor exercises to regulate physical and mental health.
What are the symptoms of chronic gastritis?
Chronic gastritis has many symptoms in clinical practice, but there is no specificity. Most patients present with symptoms of indigestion such as pain in the upper abdomen, nausea, and acid reflux, which are related to the severity of chronic gastritis. In cases of atrophic gastritis, there is also abdominal pain. If the gastritis is caused by Helicobacter pylori infection, there may not be specific symptoms, just a feeling of fullness in the abdomen after eating. For chronic gastritis, gastroscopy and gastrointestinal barium meal examination can be performed, and treatment can be administered according to the type of gastritis.
How to improve diet for fatty liver
Patients with fatty liver should pay attention to a reasonable diet, ensuring three meals are balanced, both coarse and refined, eating more vegetables and fruits as well as whole grains, and eating less greasy and spicy foods, especially avoiding the intake of animal fats, and strictly abstaining from smoking and drinking. While adjusting the diet, it is important to engage in appropriate physical activities, such as jogging, playing table tennis, and practicing Tai Chi, to enhance the consumption of fat in the body. Be cautious when using medication to avoid liver-toxic drugs, maintain a positive attitude, and try not to get angry. (Medication should be used under the guidance of a doctor.)
Esophagitis examination methods
Currently, for the examination of esophagitis in clinical practice, imaging studies are primarily used, including barium swallow tests and upper gastrointestinal endoscopy. Barium swallow tests are more commonly used in primary care hospitals, while upper gastrointestinal endoscopy is more frequently used in county-level and higher hospitals. Under barium swallow exam, it is possible to observe the disordered mucosal folds of the damaged esophagus, sometimes small niches and narrowing of the esophageal lumen can be seen. Under endoscopy, inflammatory changes in the esophageal mucosa can be detected.
Do fatty livers need to be treated?
Fatty liver refers to the excessive accumulation of fat in liver cells. For mild fatty liver, clinical symptoms are not obvious, and there are not many abnormal indicators during physical examinations. In such cases, one can adjust the diet and increase exercise appropriately to promote the consumption of fat in the body. If there is a significant liver function abnormality, increased transaminases, and symptoms of nausea and vomiting, one can choose to use medications that protect the liver, reduce lipids, and provide antioxidants for treatment. At the same time, it is important to maintain a positive mindset and regularly visit the hospital for follow-up checks. (The use of medications should be under the guidance of a doctor.)
How serious is Crohn's disease exactly?
Crohn's disease is an inflammatory bowel disease that can cause intestinal absorption disorders, malnutrition, and decreased body resistance leading to fever. The inflammation of the intestines can trigger abdominal pain, diarrhea, or bowel obstruction, and ischemic necrosis of the intestinal wall can lead to perforation and bloody stools. It can also affect other organs such as joints, liver, and skin, causing damage. Currently, the cause of Crohn's disease is not well understood, and it tends to have a long course, with frequent relapses and is difficult to cure completely. The current treatment methods combine pharmacotherapy with surgical techniques to treat complications and minimize damage to organs.
What to drink for vomiting due to acute gastritis?
For acute gastritis with vomiting, you can drink millet porridge, rice soup, or vegetable soup. These foods have the least irritation to the gastric mucosa and will not aggravate vomiting by irritating the stomach lining. Additionally, active medical treatment should be pursued, commonly involving protectors of the gastric mucosa, drugs that suppress gastric acid secretion, and antispasmodic analgesics. In daily life, it's also important to maintain a regular diet, eating three well-timed and measured meals, and avoiding raw, cold, spicy foods, as well as avoiding strong tea, coffee, and hard liquor that may harm the gastric mucosa. Ensure meals are eaten at consistent times without overeating. Regular patterns of rest and appropriate outdoor exercise can positively impact gastrointestinal health. (Medications should be used under the guidance of a doctor based on individual circumstances.)