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Wang Hui Jie
Gastroenterology
About me
Shijiazhuang Central Hospital, Department of Gastroenterology, attending physician.
Proficient in diseases
Engaged in clinical front-line medical work, proficient in dealing with common and frequently occurring diseases in this profession, capable of carrying out daily medical teaching and scientific research work in this profession.
Voices
Reflux gastritis and reflux esophagitis are not the same.
It's different. Gastroesophageal reflux disease (GERD) refers to the abnormal reflux of stomach or duodenal fluids into the esophagus, causing a series of symptoms. Under endoscopy, severe esophageal inflammation and erosion can be seen, along with ulcers, fibrosis, etc. Prolonged episodes can lead to the development of Barrett's esophagus. On the other hand, reflux gastritis generally refers to bile reflux gastritis, which as the name suggests, is caused by the reflux of bile into the stomach. Endoscopically, swelling of the gastric mucosa can typically be seen, along with the presence of residual bile in the stomach, bile staining, and intestinal metaplasia, among others. Both conditions have clinically similar symptoms, including heartburn, acid reflux, and pain.
Symptoms of gastric ulcer
The clinical manifestations of stomach ulcers can vary from person to person. Some patients are asymptomatic and present to the clinic due to stomach bleeding or perforation. Generally, there are three main characteristics of peptic ulcers: First, they tend to be a chronic, recurrent condition. Second, they exhibit periodicity. Third, they have rhythmic manifestations. The primary symptom is periodic, rhythmic upper abdominal pain, often described as burning, dull, or bloating pain. This usually occurs in the upper abdomen, possibly on the left or right side, and typically manifests as post-meal pain. Nighttime pain is uncommon, and there may be localized tenderness. If the ulcer occurs in the pyloric canal, it may lack some of these typical symptoms. Post-meal intense pain is possible, and the effectiveness of medication is generally poor. This condition can easily lead to vomiting or pyloric obstruction and is also prone to perforation and bleeding. A minority of stomach ulcers may potentially become cancerous.
Can diarrhea cause anal fissures?
Diarrhea may cause anal fissures. An anal fissure refers to a full-thickness vertical tear in the skin of the anal canal below the dentate line, forming an ischemic ulcer. It is commonly found in young and middle-aged adults, and the exact mechanism of its development is not very clear. It is mainly related to local muscle spasms and infection following injury. The main symptoms include severe, sharp pain during and after bowel movements, along with occasional light, bright red bleeding. There may also be constipation and anal discharge. If the skin of the anal canal is chronically irritated by prolonged diarrhea, causing skin damage, it is very likely to lead to an anal fissure.
Difference between colitis and rectal cancer
The differences between proctitis and rectal cancer are that under endoscopy, proctitis can present with patchy congestion, with or without mucus, and unclear vascular patterns. In contrast, rectal cancer can present with a protruding mass, which may have an uneven surface, cauliflower-like changes, and possibly congested erosion, among other conditions. It could also simply be a very superficial lesion, and the texture is often more brittle, possibly involving the entire circumference of the colon, preventing the passage of a colonoscope. Clinically, proctitis may present with symptoms such as increased frequency of bowel movements, incomplete evacuation, and sticky stools that may contain mucus. Rectal cancer, on the other hand, may present with symptoms such as bloody stools, positive fecal occult blood, abdominal pain, etc.
The difference between gastric ulcers and duodenal ulcers.
The differences between gastric ulcers and duodenal ulcers, in terms of symptoms, include that gastric ulcers often manifest as burning pain, or dull pain, distention pain, etc., usually postprandial pain, occasionally with nighttime pain. If it occurs at the pyloric canal, it lacks typical symptoms, with intense pain likely occurring after eating, and poor drug efficacy, prone to vomiting and pyloric obstruction, perforation, and bleeding. Gastric ulcers have a minor possibility of becoming cancerous. Duodenal ulcer pain is mostly located in the upper abdomen, characterized by hunger pain and midnight pain. Abdominal pain generally eases after eating or taking some antacid medications. For ulcers occurring behind the bulb, nighttime pain and a radiating pain in the back are more common. However, the effectiveness of medication is relatively poor, and it is prone to bleeding. Duodenal ulcers are more likely to lead to perforation and pyloric obstruction, but generally do not become cancerous.