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Wang Ji Zhong
Internal Medicine
About me
Engaged in clinical medicine for a long time, experienced, participated in academic conferences domestically multiple times, and published several articles in domestic medical journals.
Proficient in diseases
Proficient in treating common internal diseases, especially hypertension, diabetes, mental disorders, and drug addiction, with rich experience.
Voices
Is a gum lump oral cancer?
Many oral diseases can present with gum swelling, such as gingivitis, periodontal abscess, and periapical periodontitis, all of which can cause swelling. Therefore, gum swelling is not necessarily indicative of oral cancer. However, the early symptoms of oral cancer are not very clear and typically include persistent oral ulcers that heal slowly, bleeding, pain, and swelling. Particularly in patients over 40 years of age, if such symptoms are present, it is advisable to visit a dental specialist hospital for an examination to treat the primary disease timely and to rule out the possibility of oral cancer.
What are the early symptoms of mumps?
Mumps has a significant impact on the human body, especially in children. Its complications include orchitis, pneumonia, etc., seriously affecting human health. Mumps can be categorized into purulent, immune, and epidemic types. Generally, when we refer to mumps, it is usually epidemic mumps, which has a relatively sudden onset and is caused by the mumps virus. Early symptoms include swelling of the parotid gland, with early redness and swelling at the opening of the parotid duct, and as it progresses, swelling around the earlobe. This can also lead to a lack of strength in the masseter muscles, affecting eating, localized skin heating, and severe cases may have headaches, fever, and loss of appetite among other systemic manifestations.
Is amoxicillin effective for gingivitis?
Gingivitis is primarily caused by the presence of dental plaque on the gums, which is erosive due to the large amount of bacteria. Taking oral amoxicillin, an antimicrobial drug, does not show a very obvious effect. One reason is that the gum tissue is relatively tough, and the concentration of the drug in the gum tissue when administered systemically is not sufficient to provide the expected therapeutic effect. Another reason is that oral bacteria, mostly anaerobic bacteria, cause this condition, and general anti-inflammatory drugs do not work well. The best method to treat gingivitis is still dental cleaning, which can directly remove the bacteria on the gums, clearly affecting the treatment. Subgingival scaling is also effective, which can lead to better outcomes.
Is mumps infectious during the incubation period?
We generally distinguish three types of mumps: epidemic mumps, suppurative mumps, and immune mumps. However, the most commonly seen type is epidemic mumps, which is caused by the mumps virus and is an acute respiratory infectious disease characterized by the swelling of the salivary glands. Patients with mumps are infectious during the incubation period. Research has shown that the virus can be detected from 7 days before the swelling of the salivary glands to 9 days after the swelling, approximately lasting a week. This indicates that these two weeks are the infectious period. Therefore, when we identify patients with mumps, it is crucial to isolate them in a timely manner and provide treatment to prevent the spread of the infection to others.
What causes angular cheilitis?
We often see cases of angular cheilitis, which occurs when there is inflammation at the corners of the mouth. There are many causes of angular cheilitis, including local irritation such as rubbing the corners of the mouth incorrectly or frequently licking them, as well as a lack of nutrients. A main cause of oral inflammation is a deficiency in vitamin B2, along with infectious factors, and the presence of bacteria and viral microbes. Candida albicans is a common fungal infection in angular cheilitis, along with other factors such as emotional stress, anxiety, mental factors, and immune genetic factors, all of which can lead to angular cheilitis. Therefore, it is important to pay attention to promptly supplementing needed nutrients, eating plenty of fruits, vegetables, and vitamin-rich substances. At the same time, maintaining a good mental state and eliminating irritants in the mouth can help in returning to normalcy.
Can frequent oral ulcers turn cancerous?
There are many causes of oral ulcers, they recur easily, and heal slowly. Frequent ulcers make many people worry about the possibility of cancerous changes. If an oral ulcer does not heal over a long period, there indeed is a tendency for it to turn cancerous. Chronic ulcers are also a cause of cancer, so it is essential to pay attention to one's oral health. For instance, oral ulcers must be treated promptly to eliminate the cause and provide symptomatic treatment. Treatment methods should combine systemic and local treatments. It is especially important to pay attention to those oral ulcers that do not heal over an extended period, as they are precancerous lesions and are very likely to turn cancerous. A biopsy may be necessary to make a definitive diagnosis to facilitate timely treatment.
Can oral cancer be treated?
Oral cancer poses a significant threat to human life, and it is crucial to detect and treat it early for optimal outcomes. Individuals over the age of 40, especially those frequently experiencing oral ulcers, particularly with symptoms of bleeding and pain, or when there is a growth at the base of the ulcer, should immediately seek hospital examination for timely pathological diagnosis. Early detection followed by prompt surgery, and deciding whether further radiotherapy or chemotherapy is needed based on the severity of the condition, can achieve the best treatment results. Therefore, oral cancer is treatable and can be cured if detected early.
What should I do if I have an esophageal burn?
Esophageal burns are a common and frequently occurring condition caused by consuming food or for other reasons where the temperature is too high, which damages the mucous membrane of the esophagus. At that time, one should immediately stop eating to reduce harm to the body. For mild cases, one can orally take egg whites or milk to protect the injured esophageal mucosa. Severe cases need to go to the hospital for medical treatment, take gastric mucosal protectants to prevent the formation of esophageal mucosal scars, prevent esophageal stricture, and at the same time, receive intravenous fluids, enhance nutritional support, supplement necessary vitamins, and can also use some drugs that promote the recovery of the esophageal mucosa, minimizing the damage of esophageal burns to the body.
How long does the flu vaccine last?
Compared to the common cold, influenza causes more severe symptoms and is more contagious. Antibiotics are ineffective against it, but influenza can be prevented, and vaccination is the most effective way. Currently, the immunity from the influenza vaccine generally lasts about one year. It starts to work about a month after injection, but after six months, the concentration of antibodies in the body gradually declines. Additionally, the virus mutates every year, so an annual vaccination is necessary to provide effective protection, reduce symptoms, and prevent influenza.
Treatment methods for tongue cancer
Tongue cancer poses a significant threat to human life, and since it can spread to the lymph nodes in the neck, it is crucial to detect and treat it early. The early symptoms of tongue cancer are not very noticeable, and many do not attract attention, such as initial tongue pain, ulcers, erosion, and lumps. For treatment, individualized approaches should be adopted depending on the condition of the disease. If it is an early-stage primary lesion, simple local surgical excision can be done, as well as chemotherapy and cryotherapy. In advanced stages, a comprehensive treatment approach should be adopted, combining surgery, radiotherapy, and chemotherapy, with neck lymph node dissection necessary for metastatic cases.