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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
How to treat Helicobacter pylori infection
Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%. The carbon-14 breath test can be used to detect the presence of Helicobacter pylori infection. If the infection is positive and is accompanied by some symptoms or diseases of the digestive system, eradication treatment for Helicobacter pylori is required. The treatment regimen consists of a proton pump inhibitor, two antibiotics, and a bismuth agent, lasting for 14 days. After stopping the medication for a month, the carbon-14 breath test is rechecked to confirm whether the Helicobacter pylori has been converted to negative. If the conversion is negative, it indicates that the eradication treatment for Helicobacter pylori was successful. Helicobacter pylori has been confirmed as the main cause of chronic gastritis, peptic ulcer, and gastric cancer, thus if the Helicobacter pylori infection is positive, eradication treatment is necessary.
What are the symptoms of gastritis?
Common symptoms of chronic gastritis include upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, indigestion, and feelings of fullness after eating. Gastroscope examination can reveal signs like reddening, swelling, and erosion of the gastric mucosa, which can be diagnosed as chronic superficial gastritis. If there is glandular atrophy of the gastric mucosa observed, a diagnosis of chronic atrophic gastritis can be made through a biopsy. Treatment options include acid suppression and gastric protection, promoting gastric motility, and protecting the gastric mucosa. It is also recommended to perform a Carbon-14 breath test to determine the presence of Helicobacter pylori infection. If the infection is positive, eradication treatment for Helicobacter pylori is necessary. Chronic atrophic gastritis has a certain risk of turning cancerous, so it is advised to follow a diet that is light and easy to digest.
What is bile reflux gastritis?
Bile reflux gastritis refers to the chronic inflammation of the gastric mucosa caused by the reflux of bile or pancreatic juice from the duodenum into the stomach, known as bile reflux gastritis. The main symptoms include upper abdominal bloating, belching, acid reflux, nausea, vomiting, etc. A diagnosis of bile reflux gastritis can be confirmed through a gastroscopy that shows bile reflux into the stomach or bile spots attached to the stomach wall. The treatment primarily involves acid suppression, protection of the stomach, and enhancement of gastric motility, with a typical course lasting about six weeks. Bile reflux gastritis is closely related to poor gastric motility; therefore, regular exercise is recommended as it can promote gastrointestinal motility and strengthen gastric motility, which can be beneficial in the treatment of bile reflux gastritis.
Is Irritable Bowel Syndrome serious?
Irritable Bowel Syndrome (IBS) is one of the most common functional gastrointestinal disorders. It is primarily characterized by abdominal pain accompanied by changes in bowel habits and stool characteristics. The abdominal pain is related to bowel movements and generally improves after defecation. The symptoms are recurrent and tend to linger, showing a chronic pattern. This disease is of a functional nature. There are no organic changes in the body, meaning there are symptoms present but no other physical abnormalities. Thus, while IBS can be uncomfortable, it does not cause significant harm to the body. Probiotics can be used to adjust the gut flora and treat these symptoms, which can lead to some improvements.
The Harm of Fatty Liver
There are many causes of fatty liver disease, and the degree of harm varies according to the different causes. Non-alcoholic fatty liver is closely related to metabolic syndrome and often occurs in diseases such as hyperlipidemia, diabetes, coronary heart disease, and hypertension. It can easily lead to reduced arterial elasticity and increased risk of heart attacks, strokes, or sudden death. Fatty liver can also exacerbate liver damage. Long-term fatty liver may lead to liver fibrosis and eventually cirrhosis. If combined with chronic hepatitis B or chronic hepatitis C, the progression to liver fibrosis may accelerate.
What should I pay attention to usually for indigestion?
Indigestion mainly occurs in diseases such as chronic gastritis and peptic ulcer. In addition to identifying the cause and receiving standardized treatment for indigestion, attention must also be paid to diet and lifestyle habits. It is necessary to quit smoking and drinking alcohol, avoid strong tea, coffee, spicy, fried, grilled, sweet, and cold foods. Furthermore, avoid consuming milk, soy milk, glutinous rice, and sweet potatoes. A diet easy to digest should be prioritized, such as consuming porridge, soups, noodles, and well-stewed meats. Additionally, increasing physical activity is important as it can promote gastrointestinal motility and improve symptoms of indigestion. Avoid staying up late at night.
What are the symptoms of duodenal ulcers?
The main symptoms of duodenal ulcers include upper abdominal bloating, burping, acid reflux, nausea, vomiting, poor appetite, and indigestion. The characteristic of the upper abdominal pain associated with duodenal ulcers is that the pain intensifies when hungry and decreases after eating. In terms of treatment, the main approach includes acid suppression to protect the stomach, promoting gastric motility, and protecting the gastric mucosa, with the treatment course lasting about six weeks. Additionally, a Carbon-14 breath test is necessary to determine the presence of Helicobacter pylori infection, as Helicobacter pylori has been confirmed as the most important cause of peptic ulcers. If the Helicobacter pylori infection is positive, a 14-day treatment targeting Helicobacter pylori is required, using a regimen of a proton pump inhibitor, two antibiotics, and a bismuth agent.
Can an ultrasound detect irritable bowel syndrome?
Irritable bowel syndrome is one of the most common functional gastrointestinal disorders. Its main symptoms are abdominal pain and changes in the nature of stool, with the abdominal pain being related to defecation, meaning that the pain is followed by a bowel movement. Since it is a functional gastrointestinal disorder, there are no organic changes, meaning there are no physical changes in any part of the body. It is solely a functional change, and therefore cannot be detected through an ultrasound. In fact, no tests can detect the functional nature of this disorder. In terms of examining the intestinal mucosa, ultrasound cannot visualize it either. The only way to clearly see the intestinal mucosa is through a colonoscopy, so ultrasound cannot detect irritable bowel syndrome.
What are the symptoms of chronic gastritis?
Chronic gastritis does not have specific symptoms, and the severity of the symptoms does not necessarily correspond to the severity of the disease. Common symptoms include pain in the upper middle abdomen, belching, acid reflux, nausea, vomiting, heartburn, a feeling of fullness after eating, poor appetite, and indigestion. In severe cases of atrophic gastritis, patients may experience symptoms such as anemia and weight loss. Some patients may also experience psychological symptoms such as anxiety and depression. If a patient experiences the above symptoms, it is recommended to promptly conduct a gastroscopy to confirm the diagnosis. It is also advisable to conduct a carbon-14 breath test to determine the presence of Helicobacter pylori infection, as this infection is a major cause of chronic gastritis. After confirming the diagnosis, appropriate treatment should be administered.
Is rectal bleeding an indication of rectal cancer?
Rectal bleeding is not necessarily colorectal cancer; there are several reasons for rectal bleeding: First, caused by constipation, which leads to difficulty during bowel movements and tearing of the anal mucosa, resulting in bleeding. Second, ulcerative colitis, which commonly presents symptoms such as abdominal pain, diarrhea, and blood and mucus in the stool. Third, rectal or colon cancer, where the main symptoms also include abdominal pain, changes in stool characteristics, and rectal bleeding. Fourth, ischemic bowel disease, generally seen in older patients with some cardiovascular and ischemic diseases, where symptoms mainly include significant abdominal pain and rectal bleeding. Therefore, not all cases of rectal bleeding are due to rectal cancer; there are many causes, and it is essential to diagnose clearly before treatment.