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Wu Hai Wu
Gastroenterology
About me
Wu Haiwu, chief physician of gastroenterology, professor, with 22 years of experience. After graduating from university, he has been engaged in clinical work at the People's Hospital of Ganzhou. He has furthered his studies in gastroenterology at Ruijin Hospital in Shanghai and Zhongshan Hospital in Xiamen in 2008 and 2012, respectively, and has abundant theoretical foundation and professional knowledge.
Proficient in diseases
With unique experience in the anti-viral treatment of digestive system diseases such as esophageal, gastric, intestinal, liver, gallbladder, and pancreatic diseases, especially elderly digestive diseases and viral hepatitis and cirrhosis, proficient in dealing with upper gastrointestinal bleeding, severe acute pancreatitis, refractory ascites in cirrhosis, and a series of complicated critical conditions, inflammatory bowel disease, etc., skilled in using gastroscopy and colonoscopy for diagnosis and treatment of diseases, actively participated in the medical emergency response to major public health incidents and government-directed healthcare conferences.
Voices
How many times a day does lactose intolerance cause diarrhea?
Patients with lactose intolerance can have multiple bowel movements per day after consuming milk; a mild case can result in 3-4 bowel movements, while severe cases might lead to dozens, potentially causing dehydration and electrolyte imbalance. For lactose-intolerant patients who need to consume milk, it must be specially treated beforehand. Additionally, if diarrhea is caused by poor digestion in the gastrointestinal tract, certain medications that adjust the gut microbiota can be used to aid digestion, such as Bifidobacterium triple viable bacteria and Bacillus cereus, etc. If the diarrhea is caused by allergies, allergen testing should be conducted. (Please use medication under the guidance of a doctor.)
Is hot compress effective for duodenal ulcer?
Patients with duodenal ulcers may achieve some effects through hot compresses, but hot compresses cannot truly effectively treat duodenal ulcers. To effectively treat duodenal ulcers, it is first necessary to detect the presence of Helicobacter pylori infection through the carbon-13 breath test or carbon-14 breath test. If the Helicobacter pylori infection is positive, it is necessary to eradicate Helicobacter pylori using a quadruple therapy containing bismuth. Subsequently, it is important to use proton pump inhibitors or H2 receptor antagonists to inhibit gastric acid secretion, and medications like aluminum magnesium carbonate to protect the gastric mucosa. (The use of medications should be under the guidance of a physician.)
Is functional dyspepsia hereditary?
Functional dyspepsia is not a hereditary disease and does not have a genetic component. Functional dyspepsia refers to indigestion caused by the dysfunction of the stomach and intestines without any obvious organic diseases. The main symptoms include dull pain in the upper abdomen, which can manifest as burning or bloating pain. There are also symptoms such as acid reflux, belching, heartburn, diarrhea, vomiting, and sometimes the passage of mucus stools. Generally, it does not lead to purulent or bloody stools, nor does it cause fever or severe urgency after defecation, among other symptoms.
How large does a duodenal ulcer have to be to be considered severe?
There is no specific size to determine the severity of a duodenal ulcer. However, ulcers with a diameter greater than 1.5 cm are generally considered large. In such cases, strong acid-suppressing medications are needed for treatment, along with drugs to protect the gastric mucosa. Additionally, it is necessary to test for Helicobacter pylori infection. If the infection is positive, a bismuth-containing quadruple therapy should be used for two weeks to eradicate Helicobacter pylori. The choice of specific medications, as well as their dosages and administration, should be under the guidance of a doctor.
What should I do if reflux esophagitis causes vomiting and choking?
Patients with reflux esophagitis who experience vomiting and choking is relatively rare. Once vomiting and choking occur, it is necessary for the patient to urgently lie on their side, quickly expel the contents of the stomach and mouth, and they may drink some water to keep the respiratory and digestive tracts clear. If the patient still experiences choking after these measures, it is recommended to urgently visit a hospital for treatment. The specific treatment plan will be determined by a doctor based on the situation. The main symptoms of reflux esophagitis include reflux and a burning sensation in the stomach, which are the most common and typical symptoms for patients.
Can massage therapy adjust lactose intolerance?
Lactose intolerance cannot be managed through massage, and patients with lactose intolerance still need to take appropriate treatment measures to eliminate symptoms and avoid nutritional deficiencies. For primary lactase deficiency, it is advocated to reduce lactose intake, and for congenital lactase deficiency, lifelong lactose abstention is necessary. However, for patients with secondary lactose intolerance, treatment should be based on the underlying disease. For example, if Crohn's disease has caused secondary lactose intolerance, treatment with medications like mesalamine or sulfasalazine salicylate is necessary. (Please use medications under the guidance of a doctor.)
What should I do if lactose intolerance makes me feel like vomiting?
People with lactose intolerance often feel nauseous and should avoid drinking milk. If they must drink milk, it needs to undergo special treatment first. Consuming untreated milk can lead to diarrhea in lactose-intolerant individuals, and severe cases may result in dehydration and electrolyte imbalance. Additionally, those with lactose intolerance should also check for any milk allergies or diarrhea caused by indigestion. It is essential to conduct allergen tests and, if necessary, take oral medication to regulate the digestive system.
What is the cause of ear pain in reflux esophagitis?
Patients with gastroesophageal reflux disease generally do not experience ear pain. If a patient does have ear pain, it is advised to visit an ENT (ear, nose, and throat) doctor at a hospital to determine the cause. The main symptoms of gastroesophageal reflux disease include reflux and a burning sensation in the stomach. These symptoms are the most common and typical, often occurring about an hour after a meal, and some patients may experience reflux during night sleep as well. Additional symptoms can include heartburn, nausea, chronic cough, asthma, etc. However, generally speaking, it does not cause ear pain.
Can indigestion cause chest tightness?
Indigestion generally does not cause chest tightness. The main symptoms of indigestion include upper abdominal pain, accompanied by belching, acid reflux, heartburn, nausea, vomiting, constipation, or diarrhea, among others. If a patient experiences chest tightness, along with chest pain and difficulty breathing, it is necessary to consider whether it is due to a cardiac disease or a pulmonary disease, and it is recommended to go to the hospital for a formal examination. Initially, it is important to complete an electrocardiogram and a chest radiograph, followed by cardiac auscultation and pulmonary auscultation.
Does irritable bowel syndrome cause sensitivity to cold?
Irritable bowel syndrome may cause symptoms of feeling cold. Patients with irritable bowel syndrome are greatly influenced by emotions. If a patient is overly tense or anxious, it may lead to a sensation of feeling cold, although there may be no actual drop in body temperature or external temperature. Sometimes, patients with irritable bowel syndrome may need to use anti-anxiety medications for treatment, such as fluoxetine, buspirone, etc. It is also crucial to pay close attention to dietary adjustments, avoiding spicy, irritating, and cold foods, ensuring regular meals, and consuming easily digestible foods. (The use of medications should be under the guidance of a physician.)