Subscribe
115
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
Symptoms of cholecystitis
Appendicitis symptoms generally manifest as sudden onset of severe pain in the upper right abdomen, which can radiate to the right shoulder, scapula, and back. The initial pain is typically a feeling of distension, which gradually develops into intermittent, colicky pain. This usually occurs suddenly after a full meal or consuming a large amount of fatty foods. The pain is persistent and may worsen in episodes. There is also usually accompanying fever, ranging from mild to moderate, but high fevers with chills, abdominal muscle rigidity, and stiffness can occur, along with tenderness; pain intensifies when pressed. Symptoms also include nausea, vomiting, constipation, and indigestion.
What to do about vomiting in Crohn's disease?
Crohn's disease is a chronic non-specific inflammatory disease of the digestive tract, primarily characterized by symptoms such as abdominal pain, diarrhea, weight loss, and abdominal masses. Sometimes, symptoms of vomiting may also occur. This disease is difficult to cure and shows signs of lifetime recurrence, making the treatment of this disease particularly challenging. In cases of vomiting associated with Crohn's disease, oral prokinetic drugs such as mosapride can be used to alleviate the symptoms. Additionally, traditional Chinese medicine can also be taken. By adopting the differential diagnosis and treatment approach of traditional Chinese medicine, oral administration of Chinese herbal medicine can also effectively relieve symptoms.
How to treat chronic atrophic gastritis with intestinal metaplasia?
The treatment of chronic atrophic gastritis with intestinal metaplasia mainly includes the following aspects: The first is general treatment. Firstly, the diet should be light and easily digestible, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods. It is important to exercise regularly and avoid emotions such as anxiety and depression. The second is the treatment against Helicobacter pylori, including a proton pump inhibitor plus two antibiotics, and a bismuth agent, with a treatment course of 14 days. Additionally, medications that promote gastric motility and protect the gastric mucosa are used. The fourth involves endoscopic treatments, including endoscopic APC treatment or endoscopic mucosal resection. The fifth, combining traditional Chinese medicine, differentiating syndrome treatments and oral herbal medicines, can also achieve good effects.
Chronic non-atrophic gastritis
Chronic non-atrophic gastritis is also known as chronic superficial gastritis. It is a classification of chronic gastritis, which also includes chronic atrophic gastritis and special types of gastritis as other classifications. Chronic non-atrophic gastritis refers to a condition where the glands in the gastric mucosa do not show atrophy, thus it is called chronic non-atrophic gastritis. Generally, the endoscopic appearance of the gastric mucosa being hyperemic, edematous, or eroded can lead to a diagnosis of chronic non-atrophic gastritis. Treatment mainly focuses on acid suppression, protecting the stomach, promoting gastric motility, and protecting the gastric mucosa. If there is a positive Helicobacter pylori infection, eradication treatment for Helicobacter pylori is required. Patients with chronic non-atrophic gastritis should primarily consume a light and easy-to-digest diet.
How to treat Helicobacter pylori infection?
Helicobacter pylori has been confirmed as a major cause of chronic gastritis, peptic ulcers, and even gastric cancer. The infection rate of Helicobacter pylori in China is very high, exceeding 50%. It is related to the dietary structure in China, often linked significantly to the practice of sharing dishes during meals, which correlates with China's dietary habits. If someone tests positive for Helicobacter pylori and has symptoms of gastrointestinal disorders, such as indigestion, stomach pain, or bloating, then it is necessary to undergo treatment for Helicobacter pylori. The current standard treatment for Helicobacter pylori involves quadruple therapy: a proton pump inhibitor, two types of antibiotics, and a bismuth agent. This combination of medications is administered over a period of 14 days, representing the standardized treatment for Helicobacter pylori.
What are the symptoms of enteritis?
Enteritis is divided into acute enteritis and chronic enteritis. Acute enteritis is mainly caused by bacterial invasion of the gastrointestinal tract due to unhygienic food, leading to acute inflammation. The main symptoms include abdominal pain, diarrhea, fever, etc. If it is chronic enteritis, the main symptoms are only abdominal pain and diarrhea, with white mucus visible in the stool. Acute enteritis has a short course and a sudden onset. Chronic enteritis has a long history, a gradual onset, and recurrent attacks. The treatment of acute enteritis mainly involves anti-inflammatory measures, rehydration, and symptomatic treatment. Generally, the disease can be cured after two to three days of treatment. Treatment for chronic colitis primarily involves oral probiotics to regulate the intestinal flora. The treatment period is relatively long and the condition is prone to recurrence.
What should be noted in the early stages of cirrhosis?
Cirrhosis is a disease characterized by diffuse fibrosis of the liver tissue, pseudolobules, and regenerative nodules. In China, it is mostly caused by chronic hepatitis B, with a small portion caused by chronic hepatitis C and alcoholic liver disease. What should be noted if someone has cirrhosis? Firstly, alcohol consumption should be restricted; regardless of whether the cirrhosis is alcohol-related, abstaining from alcohol is critical as it can further damage the liver cells; Secondly, a low-sodium diet is advised, meaning that salt intake should be reduced. Excessive salt can lead to fluid retention, resulting in ascites or edema; Thirdly, increase the consumption of vegetables and fruits and intake some high-quality proteins, such as beans or fish, but avoid raw seafood; Lastly, be cautious with the use of various medications. Drugs that cause liver damage should be avoided to prevent exacerbating cirrhosis.
What foods are good for gastroesophageal reflux disease?
For reflux esophagitis, it is recommended to have an easily digestible diet and avoid smoking and drinking. One should not consume strong tea, coffee, fatty, greasy, spicy, fried, grilled, cold, or sweet foods. It is also advised against consuming milk, soy milk, glutinous rice, sweet potatoes, etc., as these foods may promote gastric acid secretion, leading to further irritation of the esophageal mucosa and worsening reflux esophagitis. Some are also difficult to digest, so it is recommended to avoid them. You can consume porridge, such as lean meat porridge, chicken porridge, fish porridge, etc.; or soups, such as chicken soup, pork rib soup, etc.; you can also eat noodles. When eating meat, remember to cook it until it's very soft, and it is also advised to increase physical activity.
What are the symptoms of the early stage of Crohn's disease?
Crohn's disease is a chronic, non-specific inflammatory disease, primarily characterized by symptoms of abdominal pain and diarrhea. Initially, the symptoms are predominantly abdominal pain and diarrhea, but later stages may include weight loss and abdominal masses. It is challenging to treat and prone to relapse, with a tendency for lifelong recurrence. Colonoscopy can reveal longitudinal, deep ulcers in the intestines, and the disease can affect the entire digestive tract. It is crucial to pay attention to diet, emphasizing easy-to-digest foods. Fatty, greasy, raw, cold, fried, grilled, and sweet foods should be avoided. Consuming easily digested foods such as porridge and soup, or well-cooked noodles, or ensuring meat is thoroughly cooked can help reduce the burden on the digestive tract.
What are the symptoms of early cirrhosis?
Early-stage cirrhosis does not have specific symptoms, and its manifestations are not typical. Some patients may have no symptoms at all, while others may experience general weakness, aversion to greasy food, nausea, vomiting, poor appetite, abdominal distension, and abdominal pain. If these symptoms occur, it is recommended to visit a hospital promptly for an examination to determine the specific illness. If diagnosed with cirrhosis, it is necessary to identify the cause. Common diseases that lead to cirrhosis include viral hepatitis, such as chronic hepatitis B or chronic hepatitis C, as well as alcoholic liver disease and fatty liver. Once the cause is identified, treatment can be targeted based on the specific cause.