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Li Jin Quan
General Surgery
About me
Loudi Central Hospital, General Surgery, attending physician, engaged in clinical work in surgery for many years, with rich clinical experience in the diagnosis and treatment of surgical systemic diseases.
Proficient in diseases
Specializes in common diseases such as gallstones, cholecystitis, bile duct stones, liver cysts, liver hemangiomas, etc.
Voices
Should you avoid certain foods if you have chronic appendicitis?
The majority of chronic appendicitis is transformed from acute appendicitis after treatment. Clinically, it mainly manifests as recurrent pain and discomfort in the lower right abdomen. In cases of chronic appendicitis, it is important to pay attention to a reasonable diet, avoid overeating and the consumption of gastrointestinal irritants, including spicy foods and some hard, cold foods, as these can induce pain in the lower right abdomen. Additionally, the diet should be low in sodium, sugar, and fat. Consumable options may include liquid or semi-liquid foods, as well as foods like yogurt. It is also advisable to eat fruits and vegetables rich in vitamins and anti-inflammatory substances, such as apples, bananas, cabbage, and cauliflower.
The dangers of chronic appendicitis
Patients with chronic appendicitis primarily exhibit persistent, recurring pain in the lower right abdomen, which may be accompanied by abdominal bloating, loss of appetite, and indigestion. These prolonged gastrointestinal symptoms can lead to malnutrition and a weakened immune system. Additionally, chronic appendicitis can acutely flare up and become suppurative, which can lead to perforation of the appendix. Once the appendix perforates, it causes diffuse peritonitis, leading to sepsis, septic shock, and even multi-organ failure, endangering the patient's life. This outlines the dangers associated with chronic appendicitis.
How to identify a concussion
The first patient has a history of head trauma. The second patient's CT scan did not reveal any substantive changes in brain tissue. The third patient may exhibit some clinical symptoms, such as transient consciousness disorders, typically lasting no more than half an hour. There is also recent memory loss; the patient cannot recall the incident. Additionally, the patient experiences self-reported symptoms of dizziness, headache, nausea, loss of appetite, insomnia, memory decline, and lack of concentration. With these medical histories, some CT scans, and symptoms, a concussion can be diagnosed.
Do you still need a skin test for tetanus allergy?
Under normal circumstances, if there is an allergy to tetanus, a skin test is not required. If tetanus vaccination is indeed necessary, human immunoglobulin can be injected, and this does not require a skin test. 250 units can be injected directly. Additionally, tetanus antitoxin desensitization injections can be used. The so-called desensitization injection involves diluting 1500 units of tetanus antitoxin into doses of 0.1 ml, 0.2 ml, 0.3 ml, and 0.4 ml, totaling 1 ml, and administering it in four doses, each 20 minutes apart. After the injections are completed, an observation period of 30 minutes is required to ensure there are no adverse reactions before the patient can leave.
Does chronic appendicitis cause fever?
Chronic appendicitis typically presents clinically as recurring pain and discomfort in the lower right abdomen. Usually, there are no signs of fever with chronic appendicitis. Only when the inflammation of chronic appendicitis is uncontrolled might a low-grade fever occur. Sometimes, when chronic appendicitis undergoes an acute episode and becomes a purulent infection, high fever can occur. In such cases of chronic appendicitis with high fever, complications like appendix perforation, diffuse peritonitis, and septicemia can arise. Therefore, if fever occurs in chronic appendicitis, timely anti-infection treatment should be administered. If the infection is not well-controlled, timely surgical treatment is recommended.
Can tetanus be cured?
In clinical practice, the vast majority of tetanus patients can be cured, provided there are no severe complications. Typically, tetanus is caused by the toxin produced by Clostridium tetani within the human body, leading to a specific type of infection. Clinically, it usually manifests as muscle tension and rigidity, and some patients might experience lockjaw, difficulty opening the mouth, a sardonic smile, and even stiff neck and opisthotonos. Severe cases can lead to difficulty breathing, respiratory arrest, or even cardiac arrest. Tetanus patients should go to the hospital for systematic, formal treatment and care. The vast majority of tetanus patients can be cured.
What to do if you feel dizzy from a concussion?
Patients with concussion often exhibit signs of transient consciousness disorders and recent memory loss after injury. Some patients may experience varying degrees of headache, dizziness, nausea, vomiting, blindness, and other clinical symptoms. If a patient with concussion experiences dizziness, the first step is to rule out the possibility of intracranial organic lesions through examination of the head and body. Then, the patient should rest in bed in a quiet environment with dim lighting. Additionally, symptomatic treatment with medications, including some that expand cerebral blood vessels, can be administered.
Symptoms of concussion
The primary symptoms of concussion mainly manifest as, initially, disturbances in consciousness such as patient comas, typically lasting no longer than half an hour. The second is recent memory loss, where the patient is unable to recall the circumstances of the injury. At the time of injury, the patient may also appear pale and experience a drop in blood pressure. Post-injury symptoms can include dizziness, headaches, nausea, loss of appetite, poor sleep, reduced memory, lack of concentration, and even tinnitus among various other clinical manifestations.
How much is the tetanus serum?
When there is a potential risk of tetanus infection in our wounds, we should promptly receive a tetanus shot. The tetanus treatments commonly used today include tetanus antitoxin and tetanus immunoglobulin, also known as tetanus serum. Generally, the price of tetanus antitoxin is about seven to eight yuan each. Tetanus serum can be divided into two types: human tetanus immunoglobulin and horse tetanus immunoglobulin. The price of human tetanus immunoglobulin is slightly over 80 yuan, while horse tetanus immunoglobulin costs slightly over 30 yuan. Horse tetanus immunoglobulin requires a skin test before it can be administered.
What department should I go to for a concussion?
Concussion is a relatively mild form of traumatic brain injury, usually involving disturbances in consciousness and short-term memory loss, with patients unable to recall the incident. Symptoms may include a drop in blood pressure, pale complexion, headache, dizziness, nausea, loss of appetite, reduced memory, or lack of concentration. Long-term effects can appear three months later. Patients with concussion can be treated in neurology or neurosurgery departments, among others.