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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
Is early-stage cirrhosis easy to detect?
Early-stage liver cirrhosis can be detected through abdominal ultrasound examinations or blood tests, such as liver function tests, liver fibrosis quartet tests, or transient elastography of the liver. Once early-stage liver cirrhosis is diagnosed, further diagnostic tests are necessary to promptly determine the underlying causes of liver cirrhosis, allowing for causal and symptomatic treatment to begin as soon as possible. After the onset of liver cirrhosis, it is crucial to regularly complete abdominal ultrasound examinations and gastroscopy to check for the presence of complications such as ascites or bleeding from esophagogastric varices, among others.
Is the treatment process for Helicobacter pylori uncomfortable?
The treatment process for Helicobacter pylori infection is not uncomfortable, primarily involving oral medication. Treatment options include a combination of two antibiotics such as amoxicillin, clarithromycin, furazolidone, metronidazole, etc., alongside a proton pump inhibitor like omeprazole, pantoprazole, or lansoprazole, and the addition of bismuth citrate. This forms a quadruple therapy administered over two weeks to eradicate the infection. During treatment for Helicobacter pylori infection, it is advised to consume a diet rich in vitamins, incorporating fresh vegetables and fruits. It is important to eat regularly, avoid overeating or consuming oily, spicy, and irritating foods. (Please follow medical advice when using medications.)
How to determine if upper gastrointestinal bleeding has led to hemorrhagic shock
Patients with upper gastrointestinal bleeding who experience symptoms such as cold sweats, fainting, reduced urine output, dry mouth, etc., may be experiencing hemorrhagic shock and should promptly visit the gastroenterology department or emergency department of a formal hospital for timely emergency treatment. Measures include establishing an intravenous line and actively rehydrating to replenish lost fluids and blood volume. Additionally, if the patient's condition permits, it is crucial to perform a thorough gastroscopy to ascertain the cause and location of the bleeding. When necessary, endoscopic hemostasis can be carried out. Patients with upper gastrointestinal bleeding also need treatments such as acid suppression and protection of the gastric mucosa.
Mild upper gastrointestinal bleeding symptoms
Symptoms of mild upper gastrointestinal bleeding mainly include dizziness, fatigue, poor appetite, etc., and there may also be cases of passing black stools. Once a patient experiences black stools accompanied by symptoms such as dizziness and fatigue, upper gastrointestinal bleeding should be considered. It is advisable to visit the gastroenterology department of a reputable hospital as soon as possible to undergo a gastroscopy to promptly determine the cause of the condition. Depending on the different causes, appropriate and active treatment measures should be taken. Additionally, endoscopic hemostasis treatment can also be considered. Patients with mild upper gastrointestinal bleeding should also be extra cautious, as delayed treatment may lead to the possibility of severe upper gastrointestinal bleeding.
What should I do if atrophic gastritis causes severe weight loss?
Patients with atrophic gastritis should be highly attentive if they experience significant weight loss and should receive standardized traditional treatments. Additionally, dietary habits also require careful attention; it is important to quit smoking and drinking alcohol, and to avoid using medications that damage the gastric mucosa, such as nonsteroidal anti-inflammatory drugs and steroids. Furthermore, eating habits should be regular, avoiding binge eating and foods that are too salty, spicy, or that are fried or deep-fried. Active treatment should also be directed against Helicobacter pylori, utilizing medications that protect the gastric mucosa, enhance its resistance to gastric acid, and improve the regenerative ability of gastric mucosal cells. Medications that inhibit bile reflux and improve gastric motility can also be employed.
Do people with chronic gastritis lose weight?
If patients with chronic gastritis often experience emotional anxiety and tension, leading to insomnia, irritability, reduced food intake, and indigestion, this may result in weight loss. Patients with chronic gastritis should not binge eat; they should eat regularly, maintain a diverse diet, and consume plenty of vitamin-rich fresh vegetables and fruits. They should avoid spicy and irritating foods, such as strong tea, coffee, and hard liquor. It is also important to quit smoking and avoid medications that damage the gastric mucosa.
What is the cause of recurrent atrophic gastritis?
Recurrent atrophic gastritis is likely caused by Helicobacter pylori infection. When atrophic gastritis recurs, a Carbon-13 urea breath test or Carbon-14 urea breath test should be conducted to detect whether there is an infection of Helicobacter pylori. If the test is positive, a two-week quadruple therapy containing a bismuth agent should be used to eradicate Helicobacter pylori. Consider using a proton pump inhibitor, such as omeprazole or lansoprazole, combined with two of the antibiotics amoxicillin, clarithromycin, metronidazole, and furazolidone, as well as bismuth citrate, to form the quadruple therapy. (Please use medication under the guidance of a doctor.)
Does liver palm mean liver cancer?
Liver palm is not liver cancer; it is a clinical symptom caused by the stage of liver cirrhosis in patients. Once liver palm appears, it is important to pay attention and visit the gastroenterology or hepatology department of a standard hospital for a complete liver function test and upper abdominal imaging to confirm the diagnosis of the disease. Depending on the specific diagnosis, appropriate treatment measures should be taken. If liver palm is caused by alcoholic liver disease leading to cirrhosis, active abstinence from alcohol is necessary. If it is caused by viral hepatitis, antiviral treatment is required, along with active liver-protective treatment.
Can pancreatitis be contagious?
Pancreatitis is not contagious; it is a serious digestive system disease. The main causes of pancreatitis include gallstones, binge eating, alcohol abuse, and consumption of greasy foods among other factors. Once an attack of pancreatitis occurs, the patient must immediately refrain from eating and drinking, undergo gastrointestinal decompression, and have gastric juices, acids, and stomach contents suctioned out. Meanwhile, treatments for pancreatitis may involve the use of somatostatin or octreotide to inhibit the secretion of pancreatic juice, as well as the use of third-generation cephalosporins or quinolone antibiotics for anti-infection treatment. (Please use medications under the guidance of a physician.)
Does bleeding after defecation followed by a feeling of discomfort in the anus indicate internal hemorrhoids?
Bleeding after bowel movements followed by discomfort in the anus may be due to internal hemorrhoids, but could also indicate ulcerative proctitis, rectal cancer, or infections around the anus. To confirm the diagnosis, it is necessary to conduct a thorough examination with a digital colonoscopy. Based on the results of the colonoscopy, appropriate treatment measures can be taken. If the symptoms are caused by internal hemorrhoids, surgical treatment may be considered. For diseases like ulcerative colitis, treatment with salicylate preparations may also be used.