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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 pancreatitis keeps recurring?
After recovering from acute pancreatitis, the recurrence rate varies depending on the cause of the disease. Especially in cases of biliary pancreatitis, if gallstones or bile duct stones are not removed in time, the probability of recurrence of acute pancreatitis is still very high. Therefore, for patients with acute pancreatitis, we must emphasize treating the cause of the condition. For example, surgical removal of the gallbladder or extraction of stones from the bile duct. At the same time, patients should avoid overeating and drinking alcohol, and consume more fresh vegetables and fruits rich in vitamins. Their diet should also be light.
Does having fatty liver and farting a lot mean expelling fat?
Fatty liver causing frequent flatulence does not involve expelling fats. The condition may be due to indigestion and rapid intestinal movements caused by the fatty liver. In such cases, further comprehensive auxiliary examinations are required, such as liver function tests, colonoscopy, hepatic imaging studies, and lipid tests to identify the causes of these symptoms and provide appropriate treatment based on those causes. Treatment can include the use of compound digestive enzymes to aid digestion, as well as medications like Bacillus cereus and Bifidobacterium tribacillus to regulate the gut flora. Patients with fatty liver should also control their diet by adopting a low-fat diet and engaging in feasible physical exercise and weight loss. (Please use medications under the guidance of a doctor.)
Color of vomit from duodenal ulcer
The color of vomit from a duodenal ulcer may appear as a coffee-colored liquid or green. If the stomach contents expelled include bile, the vomit may appear green. If the vomitus contains blood, the combination of blood and stomach acid may result in a coffee-colored liquid. Therefore, a detailed analysis is necessary. Once a patient with a duodenal ulcer experiences vomiting, it is important to promptly complete an endoscopic examination. Treatment should be based on the results of the endoscopy.
Is reflux esophagitis related to staying up late?
Gastroesophageal reflux disease (GERD) may not be closely related to staying up late. However, patients with GERD should still pay attention to rest, balance work and leisure, and try to minimize staying up late. The occurrence of GERD is considerably related to one's diet. If a patient consumes strong tea, coffee, spirits, spicy or irritating foods, or high-fat foods, it could easily trigger an episode of GERD or worsen the symptoms in patients. The primary symptoms of GERD include heartburn, belching, nausea, etc. Treatment involves suppressing stomach acid secretion and promoting gastrointestinal motility.
Can chronic gastritis exercise?
Patients with chronic gastritis can exercise, but they should not engage in excessive physical activity. The main considerations for patients with chronic gastritis are dietary and medicinal precautions. In terms of diet, it is advisable to eat plenty of fresh vegetables and fruits rich in vitamins and to avoid foods that irritate the stomach, such as strong tea, coffee, and hard liquor. Regarding medication, it is important to avoid drugs that can damage the stomach lining, such as nonsteroidal anti-inflammatory drugs, antirheumatic drugs, and steroids. Additionally, patients with chronic gastritis should quit smoking. (Medication should be administered under the guidance of a professional doctor.)
Color of vomit due to upper gastrointestinal bleeding
The color of vomit from upper gastrointestinal bleeding can be bright red or coffee-colored liquid. Because if the bleeding in the upper gastrointestinal tract exceeds 200ml, it can lead to vomiting blood. At this time, the vomited blood combines with stomach acid, turning into a coffee-colored liquid. If the bleeding is massive and does not have enough time to mix thoroughly with the stomach acid, it might result in the vomiting of bright red blood. Upper gastrointestinal bleeding is an emergency in gastroenterology, and it requires prompt medical treatment. It's also crucial to thoroughly complete an endoscopic examination to make an accurate diagnosis. If necessary, hemostatic treatment can be performed under gastroscopy.
Atrophic gastritis with intestinal metaplasia of the glands is cancer?
Atrophic gastritis with intestinal metaplasia of the glands is not cancer, but it is a precancerous lesion that requires high attention from the patient. If the patient does not promptly revisit gastroscopy, does not undergo periodic review, or does not adopt active medication treatment, it may eventually degenerate into gastric cancer over time. Therefore, once atrophic gastritis with intestinal metaplasia is detected, active treatment should be initiated. Treatment with traditional Chinese medicine can be considered, but it should be carried out under the diagnosis and treatment of an experienced Traditional Chinese Medicine (TCM) doctor.
Will early portal hypertension from cirrhosis get better?
As for whether early portal hypertension caused by liver cirrhosis can improve, it depends on the cause of the liver cirrhosis and the effectiveness of the treatment for liver cirrhosis. If the liver cirrhosis is caused by viral hepatitis, then with proactive antiviral treatment, the early stage of liver cirrhosis might be reversible to some extent, and the portal hypertension might also be treatable. If it is due to some difficult-to-treat causes of liver cirrhosis, then the patient’s portal hypertension is likely hard to improve. For example, in cases of early liver cirrhosis caused by autoimmune liver disease, the liver cirrhosis will progressively worsen, and at this point, the portal hypertension cannot improve. Once portal hypertension occurs, it is necessary to regularly perform gastroscopy examinations.
Does early-stage cirrhosis cause itchy skin?
Generally, early-stage cirrhosis does not cause itchy skin. However, if a patient with cirrhosis has a high jaundice index, or the cirrhosis is caused by bile stasis or primary sclerosing cholangitis, itchy skin might occur. Once a patient with cirrhosis experiences itchy skin, it is recommended to complete relevant auxiliary examinations, such as liver function tests, routine blood tests, gastroscopy, and abdominal ultrasound, to determine the extent of the cirrhosis and actively identify the causes of the cirrhosis and itchy skin, to promptly treat the condition based on the underlying causes.
Does portal vein widen in the early stages of cirrhosis?
Patients with early-stage cirrhosis may also experience an enlargement of the portal vein. At this time, patients will need to complete related auxiliary examinations, such as electronic gastroscopy and abdominal color ultrasound, to rule out other complications caused by cirrhosis, such as esophageal and gastric variceal bleeding, or ascites associated with cirrhosis. It is crucial for early-stage cirrhosis patients to identify the cause as soon as possible and undergo etiological treatment, which sometimes can be very effective. For alcohol-related cirrhosis, abstaining from alcohol is necessary. If the cause is viral, such as chronic hepatitis B, antiviral treatments like entecavir are required. (Please use medication under the guidance of a doctor.)