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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
Methods to alleviate gallbladder inflammation pain
The primary symptoms of cholecystitis include sudden, severe pain in the upper right abdomen, which typically radiates to the right shoulder, scapula, and back. The pain often occurs more frequently at night and can be exacerbated by consuming a large amount of fatty foods, which may lead to acute cholecystitis. In terms of treatment, if severe abdominal pain occurs, timely pain relief is necessary. Spasmolytic painkillers and analgesics, such as opioids, can be used for pain relief. Additionally, treatment should address the underlying cause, including the use of antibiotics. Aminoglycoside antibiotics or cephalosporin antibiotics can be effective in treating the infection, and controlling the infection will also help alleviate the pain.
How to rule out the possibility of rectal cancer
Common symptoms of rectal cancer include abdominal pain, changes in stool characteristics, and rectal bleeding. These symptoms could suggest the possibility of rectal cancer. An initial examination can be conducted via a digital rectal exam to preliminarily exclude rectal cancer. If a mass is felt during the digital rectal exam, a high suspicion of rectal cancer should be maintained. Additionally, a colonoscopy can be performed for a definitive diagnosis. If a mass on the rectal mucosa is observed during the colonoscopy, a biopsy can be conducted for histopathological examination to determine the nature of the mass. Generally, if the surface of the mass is uneven, brittle, and bleeds easily, the likelihood of malignancy is high while a smooth surface suggests a greater possibility of benignity.
Is it normal to have a fever with gastroenteritis?
If it is acute gastroenteritis, its onset is sudden and the course of the disease is short. The main symptoms are abdominal pain, diarrhea, nausea, vomiting, and fever. The primary cause is due to unhygienic food consumption leading to bacterial infection in the gastrointestinal tract causing inflammation. It is a disease caused by bacterial infection. Fever is one of its most common symptoms. Thus, acute gastroenteritis does cause fever. The treatment primarily involves anti-inflammatory measures, rehydration, and symptomatic treatment. Generally, after two to three days of treatment, the disease will heal. After recovery, it is essential to pay attention to food hygiene, avoid eating overnight leftovers and spoiled food as they can easily trigger acute gastroenteritis.
What are the early symptoms of Helicobacter pylori infection?
Helicobacter pylori can cause chronic gastritis, peptic ulcers, and even stomach cancer. Infection with Helicobacter pylori may result in symptoms such as upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, poor appetite, bad breath, and indigestion. A carbon-14 breath test can confirm a Helicobacter pylori infection. Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%. If an infection is present and symptoms or diseases of the digestive system occur, eradication treatment for Helicobacter pylori is necessary. The treatment regimen consists of a proton pump inhibitor, two types of antibiotics, and a bismuth agent, adjusted to a 14-day course.
What should be done with chronic non-atrophic gastritis with erosion?
Chronic non-atrophic gastritis with erosion requires a biopsy of the eroded area during a gastroscopy for a pathological examination to determine the nature of the erosion, whether it is inflammatory, intestinal metaplasia, or atypical hyperplasia, etc. If the erosion is inflammatory, oral medication is needed for treatment, such as treatment against Helicobacter pylori, as well as acid suppression, stomach protection, promotion of gastric motility, and protection of the gastric mucosa. If intestinal metaplasia or moderate to severe atypical hyperplasia is present, endoscopic mucosal resection is recommended. This is because moderate to severe intestinal metaplasia or atypical hyperplasia has a certain rate of malignancy, and endoscopic mucosal resection is necessary for thorough treatment, as oral medication alone cannot completely cure this lesion.
Non-atrophic gastritis with focal erosion treatment
Non-atrophic gastritis with erosive lesions, primarily diagnosed through gastroscopic examination that revealed erosive and other changes in the gastric mucosa. If erosion is detected, doctors generally perform a biopsy under gastroscopy to ascertain the nature of the erosion. If the erosion is inflammatory, it can be treated with oral medications, including acid-suppressing and stomach-protective drugs, promoting gastric motility, and protecting the gastric mucosa. If the erosion involves intestinal metaplasia or atypical hyperplasia, it requires endoscopic APC treatment or endoscopic submucosal dissection (ESD) to eliminate the erosive areas, thereby addressing the erosion fundamentally. Additionally, attention should be paid to a light and easily digestible diet.
Does reflux esophagitis cause mucus in stool?
The symptoms of reflux esophagitis mainly manifest as chest pain, acid reflux, as well as upper abdominal bloating, belching, nausea and vomiting, etc. Generally, it does not involve the occurrence of mucus in stools. If mucus in stools occurs, we consider two diseases. The first one is chronic colitis, which can cause abdominal pain and diarrhea, and sometimes mucus in stools. The other is ulcerative colitis, whose main symptoms are abdominal pain, diarrhea, and stools with mucus and pus blood. A colonoscopy can be conducted to determine which specific disease is present, and then targeted treatment can be administered based on the results of the colonoscopy.
How to deal with acute gastroenteritis?
Acute gastroenteritis is primarily caused by unsanitary eating habits or exposure to cold, spicy, and other irritants, leading to acute inflammation. The main symptoms include abdominal pain, diarrhea, nausea, vomiting, or fever, and a routine blood test may show elevated white blood cells and neutrophils. If these symptoms appear, it is advisable to visit a hospital promptly for a routine blood test. Once a diagnosis is confirmed, doctors will treat with anti-inflammatory fluids, antiemetics, antidiarrheals, etc. Generally, mild acute gastroenteritis can be cured within two to three days of treatment. However, some patients may experience severe vomiting and diarrhea, leading to dehydration, electrolyte disorders, and even shock, which would extend the required treatment duration.
Symptoms and Treatment of Atrophic Gastritis
Common symptoms of chronic atrophic gastritis include upper abdominal distension, belching, acid reflux, nausea, vomiting, postprandial fullness, heartburn, and indigestion. Gastroscopy can reveal atrophy of the gastric glands in the mucosa, and a definitive diagnosis of chronic atrophic gastritis can be made through biopsy and histopathological examination. In terms of treatment, the first step involves eradicating Helicobacter pylori, using a regimen that includes a proton pump inhibitor, two antibiotics, and a bismuth agent, over a 14-day treatment period. Additionally, treatments aimed at acid suppression, gastric motility enhancement, and gastric mucosal protection are also necessary. Traditional Chinese medicine can also be effective in treating atrophic gastritis. A combined approach utilizing both Western and Chinese medicine can yield better outcomes for the treatment of atrophic gastritis.
Can you smoke with irritable bowel syndrome?
Irritable Bowel Syndrome (IBS) is the most common functional gastrointestinal disorder, characterized primarily by abdominal pain associated with changes in bowel habits and stool characteristics. The abdominal pain is related to defecation, typically easing after bowel movements. This condition tends to be recurrent and persistent. As for whether individuals with this syndrome can smoke, given that smoking can significantly harm many organs, including the gastrointestinal tract, it is advised against. Smoking can potentially exacerbate the symptoms of Irritable Bowel Syndrome. Therefore, smoking is not recommended for individuals with this condition.