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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
What should I do if cirrhosis causes general weakness?
Liver cirrhosis can lead to general weakness due to electrolyte disorders or severe liver function impairment, causing the symptoms mentioned above. Once general weakness occurs, it is necessary to go to the hospital for comprehensive auxiliary examinations, such as liver function tests, routine blood tests, and electrolyte tests. Additionally, imaging studies of the abdomen should be performed to determine whether conditions like ascites, anemia, or hyponatremia exist. Different treatments are administered based on different disease diagnoses. For instance, if the weakness is due to severe ascites causing dilutional hyponatremia, sodium supplementation might be necessary, along with appropriate ascites drainage.
Can you drink milk if you have upper gastrointestinal bleeding?
Patients with upper gastrointestinal bleeding are advised not to drink milk. Although milk can dilute gastric acid, it can stimulate the secretion of gastric acid, exacerbating symptoms of upper gastrointestinal bleeding. In severe cases, it can lead to a recurrence of upper gastrointestinal bleeding. Therefore, patients with upper gastrointestinal bleeding should avoid drinking milk during the acute phase. After the onset of upper gastrointestinal bleeding, it is recommended to visit the gastroenterology department of a formal hospital as soon as possible, and complete auxiliary examinations such as an electronic gastroscopy to clarify the diagnosis. Additionally, treatment for upper gastrointestinal bleeding can be carried out through relevant endoscopic therapies. Patients with upper gastrointestinal bleeding should consume easily digestible foods in their diet.
Do people with cirrhosis and their family members need to use separate bowls and chopsticks when eating?
Patients with cirrhosis and their family members do not necessarily have to use separate bowls and chopsticks when eating. The causes of cirrhosis include infectious and non-infectious cirrhosis. Among infectious cirrhosis, some are transmitted through blood and others through fecal-oral transmission. Only diseases transmitted via the fecal-oral route require separate bowls and chopsticks, such as hepatitis A and hepatitis E. These types require separation from family members during meals. However, hepatitis B, or some non-infectious types such as alcoholic hepatitis, do not require the use of separate eating utensils.
The cause of vomiting coffee-colored substances due to upper gastrointestinal bleeding.
Upper gastrointestinal bleeding results in the vomiting of coffee-colored blood because the combination of fresh blood with stomach acid forms a coffee-colored liquid. If the bleeding volume exceeds 200mL in a short period, coffee-colored vomit may occur. It is necessary to seek prompt medical attention at a regular hospital’s gastroenterology or emergency department. Adequate diagnosis with an electronic gastroscopy is essential to identify the source and location of the bleeding, and active endoscopic treatment should be undertaken. Additionally, it is crucial to actively replenish fluids, correct the loss of body water, and restore blood volume. Treatment should also include the use of proton pump inhibitors and gastric mucosal protectants.
What causes stomach pain in the early stages of cirrhosis?
Early stages of cirrhosis may present with stomach pain, likely due to erosion in the stomach caused by the cirrhosis. It is recommended to promptly complete a gastroscopy to rule out the presence of portal hypertensive gastropathy or esophagogastric varices, while also testing for Helicobacter pylori infection. If the diagnosis is confirmed, treatment should be based on the underlying cause. Consider using proton pump inhibitors to suppress stomach acid secretion, or using antacids like aluminum magnesium carbonate to protect the stomach lining. (Please use medication under the guidance of a doctor.)
Is functional dyspepsia related to chronic cholecystitis?
Functional dyspepsia sometimes has a certain relationship with chronic cholecystitis. Patients with chronic cholecystitis generally experience upper abdominal pain after eating greasy food, accompanied by symptoms such as belching and abdominal distension. Functional dyspepsia can also exhibit similar symptoms, such as acid reflux, belching, and heartburn, indicating a certain connection between functional dyspepsia and chronic cholecystitis. Once a patient develops chronic cholecystitis, they can follow medical advice to use anti-inflammatory and gallbladder-benefitting tablets for treatment, or use Jin Dan tablets or gallstone relief tablets. Meanwhile, patients with indigestion can also consider using medications that regulate intestinal flora for treatment.
Risk of cancerous transformation in ulcerative colitis
The likelihood of cancerous transformation in ulcerative colitis is not very high. Generally, patients with ulcerative colitis who have had the disease for more than a decade and have not undergone treatment might be at risk of malignancy. Active treatment and regular gastroscopic checks can prevent the development of cancer. Therapeutically, options include using mesalazine for anti-inflammatory treatment, as well as using Bacillus cereus or Bifidobacterium triplex to regulate the intestinal flora. Additionally, if a patient with ulcerative colitis experiences chills, fever, and severe purulent bloody stools, it may be necessary to consider treatment with steroids and immunosuppressants. (Please use medication under the guidance of a physician.)
Is reflux esophagitis serious in lab results?
Reflux esophagitis of grade LA B is not very severe, indicating one or more esophageal mucosal injuries, approximately five millimeters in length, but without confluence lesions. Patients with reflux esophagitis should take medication regularly, must undergo periodic gastroscopy, and the selection of specific medications and their dosage should be under the guidance of a doctor. Commonly, proton pump inhibitors can be used to suppress gastric acid secretion, and medications like aluminum hydroxide magnesium carbonate can be used to protect the gastric and esophageal mucosa. Additionally, drugs like mosapride and itopride can be used to promote esophageal motility, as well as gastric motility.
Upper gastrointestinal bleeding, vomiting blood, amount of bleeding.
Patients with upper gastrointestinal bleeding may experience vomiting blood once the stomach bleeding reaches more than 200 mL. The occurrence of vomiting blood also indicates a significant amount of bleeding. Therefore, patients who experience vomiting blood need to actively seek medical attention as soon as possible at the gastroenterology department of a reputable hospital. If the condition permits, a thorough examination with an electronic gastroscope should be carried out promptly to determine the cause, location, and amount of the bleeding. Endoscopic hemostasis can also be performed at the same time. If necessary, oral or intravenous medications that suppress gastric acid secretion can be administered, along with other comprehensive treatments.
What will happen if someone with cirrhosis occasionally stays up late?
Patients with cirrhosis occasionally staying up late may also exacerbate the extent of liver function impairment, thereby accelerating the progression of cirrhosis and causing some complications such as spontaneous peritonitis, liver failure, hepatic encephalopathy, etc. Therefore, patients with cirrhosis should also not stay up late occasionally. Patients with cirrhosis should pay attention to rest, combine work with rest, avoid staying up late, and avoid eating overly spicy and stimulating food. They should also consume more fresh vegetables and fruits rich in vitamins, regularly check liver function, and take treatments targeting the cause of cirrhosis and liver protection, etc.