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Si Li Li
Gastroenterology
About me
Medical Master, engaged in clinical work in gastroenterology at a Grade A tertiary hospital for more than ten years, with rich clinical experience, superb medical skills, and noble medical ethics, receiving widespread praise from patients. Published several papers in multiple academic journals in China.
Proficient in diseases
It has unique effects in treating diseases such as peptic ulcers, chronic gastritis, reflux esophagitis, upper gastrointestinal bleeding, hepatitis, cirrhosis, acute pancreatitis, and inflammatory bowel disease, especially excelling in the use of traditional Chinese medicine to diagnose and treat various diseases of the spleen, stomach, liver, and gallbladder.
Voices
What are the symptoms of reflux esophagitis?
The main symptoms of gastroesophageal reflux disease include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal lesions on the esophageal mucosa, and if such damage is observed, a diagnosis of gastroesophageal reflux disease can be made. The severity of the lesions on the esophageal mucosa can be classified into four grades: A, B, C, and D, with grade A being the mildest and grade D the most severe. Treatment primarily involves acid suppression, promoting gastric motility, and repairing the mucosa. The treatment course usually lasts about six to eight weeks. Moreover, gastroesophageal reflux disease is closely related to poor gastric motility, so regular exercise is recommended. Exercise can enhance gastric motility and promote intestinal peristalsis, which plays a positive role in the treatment of gastroesophageal reflux disease.
How to treat severe fatty liver?
The treatment of severe fatty liver is not significantly different from that of mild to moderate fatty liver in terms of medication. The main aspects of treating severe fatty liver include: Firstly, general treatment, which encompasses a healthy diet, appropriate exercise, weight control, and avoiding liver damage. Secondly, medication treatment: Due to large individual differences, there is no absolute, best, quickest, or most effective medication. Apart from using common over-the-counter drugs, it is important to select the appropriate medication based on individual circumstances. Additionally, surgical treatment options are available. For patients with severe obesity and type 2 diabetes, or for those with moderate cases but ineffective control of blood sugar through conservative treatment, weight loss surgery can be considered. Furthermore, combining treatment with traditional Chinese medicine and herbs can also yield excellent results for severe fatty liver.
What is the best treatment for liver cysts?
Liver cysts that are generally smaller than six centimeters do not require treatment, and surgical treatment of liver cysts is necessary for cysts larger than six centimeters. The most common surgical method for treating liver cysts is fenestration of the cyst, which involves removing part of the cyst wall. The cyst fluid can then be directly drained into the abdominal cavity through the opening, and as the surgery concludes, the remaining cyst wall adheres and causes the cyst to be completely absorbed. Another method is percutaneous drainage of the liver cyst, but this method may easily recur; thus, the best current treatment method is still fenestration surgery. Additionally, patients with liver cysts must abstain from alcohol and should not drink alcohol.
Is Helicobacter pylori three pluses serious?
Three pluses for Helicobacter pylori indicate that there is an infection with Helicobacter pylori, and the level of infection is not low. Helicobacter pylori is the main cause of chronic gastritis, peptic ulcers, and even stomach cancer. If a person tests positive for Helicobacter pylori infection, and has symptoms or diseases related to the digestive system, or has a family history of stomach cancer, eradication treatment for Helicobacter pylori is necessary. The treatment involves a proton pump inhibitor plus two types of antibiotics, along with a bismuth agent, for a total of 14 days. After stopping the medication for one month, a carbon-14 breath test should be re-conducted. If the result turns negative, it means that the eradication treatment for Helicobacter pylori was successful. If it does not turn negative, remedial treatment is required.
Which location does appendicitis hurt?
The typical symptom of appendicitis is pain in the lower right abdomen. Generally, during acute appendicitis, the pain can last for several hours or even longer, with about 70% to 80% of patients experiencing characteristic migratory pain in the lower right abdomen. Migratory pain in the lower right abdomen refers to initial pain in the upper abdomen that later manifests as persistent pain in the lower right abdomen. However, some patients initially present with pain in the lower right abdomen directly. In some cases of pregnant women with acute appendicitis, due to the appendix being pushed upward by the enlarged uterus, pain can also occur in the upper right abdomen. Additionally, acute appendicitis is often accompanied by nausea, vomiting, abdominal pain, and diarrhea.
Can I eat pumpkin with indigestion?
Patients with indigestion can eat an appropriate amount of pumpkin. Indigestion often occurs in several diseases, including gastrointestinal neurofunctional disorders, chronic gastritis, and peptic ulcers. An endoscopy can confirm the diagnosis. Patients with indigestion should pay attention to their diet; first and foremost, they should quit smoking and drinking. They should not consume strong tea, coffee, fatty and rich foods, spicy foods, fried foods, grilled foods, raw and cold foods, or sweets. Pumpkin is relatively easy to digest. Eating it in moderate amounts will not overburden the digestive tract or affect digestive functions, and generally does not cause symptoms of indigestion. Therefore, patients with indigestion can eat pumpkin in moderation.
Differences between Crohn's Disease and Common Colitis
The differences between Crohn's disease and common enteritis start with symptoms. Crohn's disease generally involves abdominal pain, diarrhea, and bloody stools, with symptoms recurring frequently and tending to relapse easily after medication. Common enteritis may also involve diarrhea, but it is rare for the stool to contain mucus resembling nasal discharge, and while mild abdominal pain may occur, bloody stools are uncommon. Moreover, common enteritis generally responds better to treatment, and the likelihood of relapse is lower. Under colonoscopy, Crohn's disease shows deep, longitudinal ulcers in the intestines, while common enteritis usually shows only some white mucus or mucosal hyperemia and at most mild erosion, which is much less severe compared to Crohn's disease. There are also differences in treatment. Crohn's disease requires specific medications, whereas common enteritis is generally treated with probiotics, thus the two conditions differ significantly.
What is the difference between Crohn's disease and colitis?
Crohn's disease is a chronic nonspecific inflammatory disease, whose cause is currently unclear but may be related to immune mechanisms. Its main symptoms include abdominal pain, diarrhea, weight loss, and poor appetite. A colonoscopy can reveal longitudinal ulcers on the mucosa, distributed in segments. This disease has signs of lifelong recurrence, and currently, there are no specific effective medications, making treatment very challenging. The lesions can develop throughout the entire digestive tract. Chronic colitis primarily presents symptoms such as abdominal pain and diarrhea. A colonoscopy can show intestinal mucosal redness, swelling, and erosion. The condition generally responds well to treatment and is relatively milder compared to others.
Can severe cirrhosis be cured?
Severe cirrhosis is understood to refer to the decompensated stage of cirrhosis, which is the later stage of the condition, primarily characterized by the hardening of the liver. Additionally, it presents a series of bodily complications such as ascites, as well as esophageal and gastric varices caused by portal hypertension. Sometimes, because of these varices, accidental rupture can occur during eating, leading to severe bleeding, which is a major upper gastrointestinal hemorrhage — a very dangerous complication. If this bleeding is not controlled, it can become life-threatening. Moreover, the skin may display spider nevi, and palmar erythema can appear on the hands; these are common manifestations and complications during the decompensated phase of cirrhosis. Thus, cirrhosis is not curable. Treatment focuses on symptomatic relief to minimize discomfort caused by the symptoms, but the disease itself cannot be cured.
Can Helicobacter pylori infection heal itself?
Helicobacter pylori infection generally does not heal on its own. Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%, which is very high. After being infected with Helicobacter pylori, most patients do not show any symptoms. However, some patients may develop chronic gastritis, peptic ulcer, and even stomach cancer due to Helicobacter pylori infection, presenting symptoms such as upper abdominal pain, belching, acid reflux, nausea, vomiting, and indigestion. These patients need to undergo gastroscopy to confirm the diagnosis. Additionally, eradication treatment for Helicobacter pylori is required, involving a proton pump inhibitor plus two antibiotics, along with a bismuth agent, totaling 14 days of treatment. If eradication treatment for Helicobacter pylori is not conducted, Helicobacter pylori will not heal on its own.