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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
Can people with gastritis eat peaches?
The main symptoms of chronic gastritis include upper abdominal pain, belching, acid reflux, nausea, vomiting, etc. It can be definitively diagnosed through a gastroscopy, which may reveal edema, hyperemia, and erosion of the gastric mucosa, thereby confirming the diagnosis of chronic gastritis. Once diagnosed, targeted and standardized treatment should be administered. Moreover, dietary habits must be carefully managed. Smoking and drinking alcohol should be avoided, as well as consuming spicy, fried, barbecued, and greasy foods. Fruit intake should also be controlled; for instance, only half a peach per day is advisable to avoid overconsumption. Overeating can exacerbate the burden on the gastrointestinal tract, making chronic gastritis more likely to recur. Additionally, one should not consume fruit taken directly from the refrigerator as such cold foods are strictly discouraged.
What should be noted for mild fatty liver?
People with mild fatty liver also need to pay special attention to their diet. It is important to consume a light diet and avoid high-calorie and high-fat foods such as fatty meats, fried foods, and animal organs; these should be minimized in the diet and replaced with more fruits and vegetables. Additionally, it is recommended to increase physical activity, as exercise can metabolize fats and has a certain therapeutic effect on patients with fatty liver. Simultaneously, alcohol should be avoided, as it can damage liver cells. If a patient with fatty liver frequently consumes alcohol, it can exacerbate the condition and may also lead to elevated liver enzymes.
Is chronic non-atrophic gastritis with erosion serious?
Common symptoms of chronic non-atrophic gastritis with erosion include upper abdominal bloating, belching, acid reflux, nausea, vomiting, poor appetite, indigestion, heartburn, etc. A gastroscopy can reveal symptoms like hyperemia, edema, and erosion on the gastric mucosa to diagnose chronic non-atrophic gastritis with erosion. It is also recommended to perform a Carbon-14 breath test to determine if there is an infection of Helicobacter pylori. If the infection is positive, a 14-day treatment for Helicobacter pylori is required, using a regimen of a proton pump inhibitor, two antibiotics, and a bismuth agent, with the course lasting 14 days. Additionally, treatment for chronic non-atrophic gastritis with erosion should include acid suppression, gastric protection, promoting gastric motility, and protecting the gastric mucosa, which typically requires about six weeks. With the above treatments, the disease can be cured.
Is upper gastrointestinal bleeding colon cancer?
Upper gastrointestinal bleeding cannot be caused by colon cancer, as the colon is part of the lower gastrointestinal tract. Therefore, upper gastrointestinal bleeding cannot result from colon cancer. There are several diseases that can cause upper gastrointestinal bleeding: The first common cause is peptic ulcer, including both gastric ulcers and duodenal ulcers, which can lead to bleeding in the upper gastrointestinal tract. The second cause is bleeding due to esophageal or gastric varices rupture associated with liver cirrhosis. This type of bleeding can be substantial and sometimes life-threatening. The third cause is acute gastric mucosal injury, such as that caused by heavy alcohol consumption or the use of nonsteroidal anti-inflammatory drugs (NSAIDs). The fourth cause is gastric cancer, which can lead to upper gastrointestinal tract bleeding. While colon cancer can cause rectal bleeding, it is not a cause of upper gastrointestinal tract bleeding.
What should I do about moderate fatty liver?
In cases of moderate fatty liver, it is essential to be very cautious about diet, strictly abstaining from smoking and drinking, and avoiding greasy foods. Additionally, engaging in appropriate physical exercise is advisable, ideally maintaining over half an hour of activity daily, which can boost immunity and prevent weight gain, potentially exacerbating the condition otherwise. Fatty liver is a reversible disease, but if not promptly addressed, it can progress to cirrhosis. Therefore, a light diet should be the primary focus, avoiding fried foods and high-fat foods, including animal organs. Regular follow-up visits to the hospital are also necessary.
Does the breath test for Helicobacter pylori require fasting?
Currently, the detection of Helicobacter pylori is highly accurate and specific, and a rapid, simple, and effective method is the Carbon-14 breath test. The Carbon-14 breath test requires no eating within six hours, so it is best to take it on an empty stomach. Therefore, it is preferable to test for Helicobacter pylori on an empty stomach. Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%. Helicobacter pylori is the principal cause of chronic gastritis, peptic ulcers, or gastric cancer. Therefore, if symptoms of the digestive system occur, such as belching, acid reflux, upper abdominal pain, nausea, and poor appetite, it is advisable to conduct a test for Helicobacter pylori, specifically the Carbon-14 breath test, to confirm the infection of Helicobacter pylori.
Symptoms of mild colitis
Chronic colitis is characterized by symptoms such as abdominal pain, diarrhea, and sometimes mucus in the stool resembling nasal discharge. These symptoms do not vary between mild or moderate to severe cases, as both mild and severe chronic colitis exhibit similar symptoms, making it impossible to distinguish between the severity from the symptoms alone. It is only possible to determine whether chronic colitis is mild or severe during a colonoscopy by observing the degree of mucosal hyperemia, edema, and erosion. Therefore, to differentiate whether chronic colitis is mild or severe, a definitive diagnosis must be made through a colonoscopy examination.
How to treat duodenal ulcer with Helicobacter pylori infection?
The treatment of duodenal ulcer accompanied by Helicobacter pylori infection begins primarily with anti-Helicobacter pylori therapy. The regimen includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent, lasting a total of 14 days. In addition, for duodenal ulcers, it is necessary to use acid-suppressing and stomach-protecting medications to promote gastric mobility and protect the gastric mucosa, with the treatment course lasting six weeks. At the same time, it is important to focus on a light and easily digestible diet, avoiding smoking and drinking alcohol, as well as avoiding strong tea, coffee, spicy, irritating, fried, grilled, raw, cold, and sweet foods. It is also crucial to avoid adverse emotional effects such as anxiety, depression, and stress, prevent excessive fatigue or staying up late, and it is advised to moderately increase physical activity.
Can a CT scan check for Irritable Bowel Syndrome?
Irritable Bowel Syndrome (IBS) is the most common type of functional gastrointestinal disorder, characterized primarily by abdominal pain accompanied by changes in habitual bowel patterns. The abdominal pain is related to defecation, often improving after bowel movements, and the symptoms frequently recur or are chronically persistent. Thus, IBS is a functional disease, meaning it does not involve organic changes. In other words, medical examinations do not reveal problems in any specific part of the body. Therefore, IBS cannot be detected with a CT scan, and CT also cannot visualize the intestinal mucosa. Even diseases like chronic colitis cannot be detected with a CT scan. Any diseases involving the gastrointestinal mucosa cannot be uncovered by CT, hence diagnosis requires the use of gastroscopy or colonoscopy.
Is moderate fatty liver serious?
Moderate fatty liver is considered a relatively severe condition, mainly caused by the excessive accumulation of fat tissue in the liver. Generally, moderate fatty liver can cause varying degrees of inflammatory changes in liver cells. It can be roughly divided into three stages: the first stage is simple fatty liver, the second stage is steatohepatitis, and the third stage is fatty liver fibrosis, also known as steatotic liver cirrhosis. Many factors can cause fatty liver, such as obesity, alcohol consumption, and drug toxicity. If a patient experiences indigestion, diarrhea, or loss of appetite, the possibility of fatty liver should be considered. It is advisable to visit a hospital for an upper abdominal CT scan or an abdominal ultrasound to confirm the diagnosis. The treatment mainly involves three aspects: removing the cause, dietary adjustment, and medication.