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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
Do you always need to take medication for reflux esophagitis?
Gastroesophageal reflux disease (GERD) doesn't necessarily require continuous medication. If symptoms are effectively relieved, and patients no longer experience recurrence for four to eight weeks following adjustments to their diet and lifestyle, then it might be considered appropriate to temporarily discontinue medication. However, if symptoms recur after these treatments, prompt pharmacological treatment should be administered to prevent worsening of the condition. Treatment might include the use of proton pump inhibitors such as omeprazole and lansoprazole to suppress gastric acid secretion, as well as antacids like aluminum magnesium carbonate and sucralfate to protect the gastric mucosa. Additionally, medications like mosapride or itopride may be used to enhance motility in the esophagus and gastrointestinal tract. (Medication should be taken according to medical advice.)
Does early-stage liver cirrhosis cause petechiae on the skin?
In the early stages of cirrhosis, it generally does not cause petechiae on the skin. However, if the disease progresses to a later stage, the decline in coagulation function and reduction in platelets may lead to skin manifestations such as petechiae and ecchymosis. Therefore, if a patient with cirrhosis experiences petechiae in the early stages, it is important to seek further consultation at a reputable hospital's department of gastroenterology and hepatology. When necessary, a consultation at the dermatology department may also be required to complete coagulation function tests and a routine blood examination to assess the patient's condition. If the patient's condition, including the symptoms mentioned above, is due to cirrhosis, further comprehensive evaluations are needed, including gastroscopy and imaging studies of the liver, to rule out the occurrence of liver complications.
How to treat dry heaving in chronic gastritis?
Patients with chronic gastritis who experience dry retching should consider whether it is due to insufficient gastrointestinal motility or excessive secretion of gastric acid. It is recommended to avoid overly spicy and irritating foods, eat regularly and in proper amounts, and maintain a pleasant mood without being disturbed by anxiety, sadness, and anger. Eating more fresh vegetables and fruits rich in vitamins is also advisable. At the same time, try to avoid using drugs that damage the gastric mucosa, such as hormones, antirheumatics, and non-steroidal anti-inflammatory drugs, etc.
What should I do if I feel uncomfortable in my stomach and intestines after treatment for Helicobacter pylori?
The main reason for discomfort in the stomach and intestines after treatment for Helicobacter pylori might very likely be due to the consumption of clarithromycin, metronidazole, etc., as metronidazole, clarithromycin, and others can also irritate the gastrointestinal tract. Therefore, it is recommended to take metronidazole, clarithromycin, and other similar medications about half an hour after meals to reduce their side effects. If the patient experiences gastrointestinal discomfort, consider using medications that regulate the gut flora for treatment, such as compounded lactobacillus, bifidobacterium triple live bacteria, and bacillus coagulans, etc. If the stomach discomfort is quite severe, medications that protect the gastric mucosa, such as magnesium trisilicate or vitamin B6, may be taken. These medications can help alleviate the side effects of other drugs and reduce symptoms of nausea and vomiting. Discomfort might also be due to incomplete healing. First, it is necessary to return to a regular hospital for a follow-up consultation. If the symptoms have not worsened, it is important to continue taking the prescribed medications as advised by the doctor. Recent dietary habits should include eating regularly, having smaller, more frequent meals, and avoiding spicy, stimulating, and greasy foods. Rest should also be prioritized. (Please follow medical advice when using medications.)
Indigestion Abdominal Massage Method
Patients with indigestion may experience upper abdominal pain, nausea, belching, acid reflux, heartburn, or cause diarrhea, or constipation. If patients experience indigestion, they can massage the abdomen clockwise, focusing on the area around the navel. During the massage, gently rub without applying too much force, and hot compresses can also be used for treatment. If the effect is still poor after the above treatments, consider using medication, such as drugs that regulate intestinal flora, and Bacillus cereus can also be used.
Is it okay to drink alcohol occasionally with pancreatitis?
Patients with pancreatitis absolutely must not drink alcohol, as it can lead to malnutrition and cause damage to organs such as the liver and pancreas, thereby reducing the patient's immunity. Even a single drinking session can provoke an episode of acute pancreatitis. Therefore, patients with pancreatitis must decidedly abstain from alcohol. Additionally, they should avoid overeating, as it can disturb gastrointestinal function, hinder normal bowel movements and emptying, and obstruct the normal secretion of bile and pancreatic juice, thus triggering a recurrence of pancreatitis.
Is the cancerous transformation of atrophic gastritis related to the duration of the disease?
The carcinogenesis of atrophic gastritis does not have a significant relationship with the duration of the disease. The main cause of atrophic gastritis is Helicobacter pylori infection, with autoimmune abnormalities and genetic factors also playing a significant role in atrophic gastritis. Sometimes, patients with a short duration of atrophic gastritis may also develop cancer, while those who have had the disease for many years may not necessarily develop cancer. Therefore, once atrophic gastritis is diagnosed, it is important to regularly re-examine with gastroscopy to rule out the possibility of early malignancy.
Can treatment for Helicobacter pylori be stopped at any time?
During the treatment of Helicobacter pylori, it is not advisable to stop the medication arbitrarily, as doing so may lead to insufficient treatment duration and result in a failure to eradicate the bacteria. Therefore, it is recommended to use a bismuth-containing quadruple therapy for two weeks to eradicate Helicobacter pylori. The specific medications included in this two-week quadruple therapy are a proton pump inhibitor such as pantoprazole or lansoprazole, plus two antibiotics such as amoxicillin, clarithromycin, or metronidazole, combined with bismuth potassium citrate. The medication should be taken under medical supervision. Helicobacter pylori infection can be detected through a carbon-13 breath test or a carbon-14 breath test.
Is it serious that bile reflux gastritis causes frequent hunger?
Bile reflux gastritis, which often manifests as frequent hunger, also needs attention because if not actively treated, it can lead to a worsening of the condition. Therefore, once a patient exhibits the aforementioned symptoms, it is necessary to treat the cause and symptoms accordingly. If there is an infection with Helicobacter pylori, it is necessary to use proton pump inhibitors along with antibiotics and gastric mucosal protectants to eradicate Helicobacter pylori. At the same time, it is necessary to use medications like aluminum hydroxide, sucralfate, and aluminum magnesium suspension to adsorb bile, and drugs such as domperidone to promote gastric motility. (Please use medications under the guidance of a doctor.)
Reactions during the treatment of Helicobacter pylori
During the treatment of Helicobacter pylori, there usually isn't significant discomfort, but a small number of patients may experience upper abdominal discomfort, nausea, vomiting, and other symptoms after taking antibiotics. Treatment of Helicobacter pylori requires a two-week quadruple therapy including a bismuth-containing agent. During the treatment of Helicobacter pylori infection, it is recommended to consume fresh vegetables and fruits rich in vitamins, avoid spicy and irritating foods, quit smoking and drinking, and avoid strong tea and coffee. Furthermore, it is advisable to avoid overeating and drinking excessively during the treatment period.