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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 positive?
The infection rate of Helicobacter pylori in our country has already exceeded 50%, and Helicobacter pylori has been confirmed as the main cause of chronic gastritis, peptic ulcers, and even gastric cancer. If Helicobacter pylori tests positive and is accompanied by symptoms or diseases of the digestive system, eradication treatment for Helicobacter pylori is necessary. The medication involves a proton pump inhibitor, two types of antibiotics, and a bismuth agent, with a treatment period of 14 days. After the 14-day treatment, the medication should be discontinued for a month before rechecking with a carbon-14 breath test to confirm whether Helicobacter pylori has turned negative. If it has turned negative, it indicates that the eradication treatment of Helicobacter pylori is successful. After infection with Helicobacter pylori, a diet easy to digest is recommended.
What are the complications of late-stage liver cirrhosis?
Late-stage cirrhosis can lead to many complications, such as bleeding from esophageal and gastric varices, which is one of the more common and severe complications of cirrhosis. Other complications include spontaneous peritonitis, liver cancer, hepatorenal syndrome, hepatic encephalopathy, portal vein thrombosis, and symptoms like ascites, palmar erythema, and spider angiomas. Additionally, there may be symptoms such as dark skin or hyperpigmentation and jaundice. Once cirrhosis is diagnosed, timely intervention and treatment are necessary to delay the progression of the disease.
Symptoms of gastritis
Gastritis is divided into two types: acute gastritis and chronic gastritis. The main cause of acute gastritis is bacterial or viral infection, with primary symptoms including abdominal pain, nausea, vomiting, and fever. Chronic gastritis is mainly caused by the digestion of the stomach itself due to stomach acid and pepsin. Its main cause is closely related to infection by Helicobacter pylori, with primary symptoms being upper abdominal distension, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. For acute gastritis, a routine blood test is necessary to confirm the diagnosis. For chronic gastritis, a gastroscopy and a carbon-14 breath test are required to determine if there is an infection with Helicobacter pylori, which are the main examinations.
What are the symptoms of atrophic gastritis?
The main symptoms of atrophic gastritis include upper abdominal pain, belching, acid reflux, poor appetite, nausea, vomiting, indigestion, etc., which are not specific compared to the symptoms of chronic superficial gastritis. Therefore, it is not possible to determine whether it is atrophic gastritis or superficial gastritis based solely on symptoms; a gastroscopy is necessary for a definitive diagnosis. If the gastroscopy reveals thinning of the gastric mucosa and atrophy of the gastric glands, atrophic gastritis can be confirmed. Additionally, if atrophic gastritis is suspected, a biopsy and pathological examination are also needed for a clear diagnosis. Regarding treatment, atrophic gastritis requires therapies such as anti-Helicobacter pylori treatment, acid suppression, promoting gastric motility, and protecting the gastric mucosa. Furthermore, it is recommended to combine traditional Chinese medicine differentiation-based treatment for better effects when used alongside Western medicine.
What are the symptoms of lactose intolerance?
Lactose intolerance refers to the symptoms of diarrhea caused by the difficulty in digesting lactose in human milk or cow's milk due to a deficiency of lactase in the body, also known as lactase deficiency syndrome. It is primarily seen in infants and young children who consume milk as their main food, with the highest incidence in China among children aged seven to eight years old. In cases of lactase deficiency, it is advisable to avoid using cow's milk or human milk. Instead, soy milk or sour milk can be used as substitutes, as they do not contain lactose, thus avoiding the phenomena of lactose intolerance.
What foods should I eat to regulate enteritis?
When dealing with colitis, dietary considerations are crucial. Smoking and alcohol consumption should be avoided, as well as fatty, rich, spicy, stimulating, fried, grilled, and raw cold foods. The diet should primarily consist of light and easily digestible foods. Suitable options include porridge, such as yam porridge, barley porridge, and millet porridge, as well as soups like chicken soup and pork rib soup, and even noodles. Additionally, when consuming meat, ensure it is thoroughly stewed before eating. Increased physical activity is also recommended, as it can promote gastrointestinal motility and potentially improve digestive functions. Avoid staying up late and excessive physical strain to maintain a relaxed mood and avoid excessive anxiety and depression.
Will early-stage cirrhosis cause lower back pain?
In the early stages of cirrhosis, there are generally no specific symptoms. Some patients may experience symptoms such as fatigue, nausea, vomiting, and aversion to oily foods. Typically, symptoms do not include lower back pain. However, if lower back pain occurs, it is necessary to consider and rule out diseases that frequently cause this symptom. Firstly, conditions such as lumbar muscle strain; secondly, issues like lumbar disc herniation or lumbar spine diseases; thirdly, kidney-related diseases, such as kidney stones, etc. Therefore, it is essential to first determine the cause of the lower back pain, or from the perspective of Traditional Chinese Medicine, whether the pain is related to kidney deficiency? Then, a differential diagnosis can be made, followed by treatment. This approach will ensure more effective therapeutic outcomes.
Can a CT scan detect Crohn's disease?
Crohn's disease generally cannot be diagnosed through a CT scan. Diagnosis of Crohn's disease relies on colonoscopy. If you experience abdominal pain and diarrhea, especially if there is mucous or bloody stool, it is recommended to undergo a colonoscopy to determine whether it is Crohn's disease or ulcerative colitis. Once the disease is confirmed, it is crucial to diagnose and treat it early. The treatment of this disease can be challenging and is highly prone to recurrence. The medical community still finds this disease a difficult problem to address. In addition to Western medicine, it is also advisable to seek treatment from Traditional Chinese Medicine (TCM). Diagnosis and treatment strategies based on TCM principles can be formulated, and combining TCM with Western medicine may achieve better results than using Western medicine alone.
Can Crohn's disease patients take tonics?
Crohn's disease is a chronic nonspecific inflammatory disease that can occur throughout the digestive tract, presenting with mucosal ulcers in a longitudinal and phased distribution. Crohn's disease can flare up in any part of the digestive tract, and currently, there are no highly effective medications to treat it, and the disease can relapse throughout a person's life. There are many supplements available on the market today, and most of them are composed of traditional Chinese medicines, animal proteins, and other substances. Some specific foreign proteins can directly or indirectly activate immune cells, thus exacerbating the immune response. This can potentially worsen the symptoms of the disease, leading to more severe mucosal damage and an overall aggravation of the condition. Therefore, it is not advisable for individuals with Crohn's disease to consume these supplements indiscriminately. It is best to maintain a good diet and lifestyle habits instead.
Which part is good for moxibustion in bile reflux gastritis?
Bile reflux gastritis can be treated with moxibustion on acupuncture points such as Zhongwan and Shenque, as well as the back-shu points Wei-shu and Pi-shu. This treatment can strengthen the spleen, boost qi, nourish the stomach, and relieve pain. The main symptoms of bile reflux gastritis include upper abdominal pain, belching, acid reflux, nausea, and vomiting. A gastroscopy showing bile reflux into the stomach or bile patches on the stomach wall can diagnose bile reflux gastritis. The primary cause is largely related to poor gastric motility. In terms of treatment, the focus is on enhancing gastric motility, protecting the gastric mucosa, and acid suppression. Additionally, increasing physical activity can promote gastrointestinal motility and strengthen gastric dynamics, playing a positive role in alleviating the symptoms of bile reflux gastritis.