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Jiang Guo Ming
Gastroenterology
About me
In 1994, graduated from Nanjing University of Chinese Medicine and started working at Yanshan Branch of Liyang People's Hospital and Liyang Maternal and Child Health Hospital in the same year. From May 1999 to August 2000, underwent further training in the Gastroenterology Department of the First People's Hospital of Changzhou. Currently serving as the Director of the Emergency Department at the hospital, with the title of Associate Chief Physician.
Proficient in diseases
Mainly engaged in the treatment of gastroenterology with a combination of traditional Chinese and Western medicine, as well as the operation of digestive endoscopy.
Voices
How to treat chronic gastritis?
For the treatment of chronic gastritis, it is generally considered necessary to decide the treatment plan based on whether there is a Helicobacter pylori infection. This can be determined through a C13 or C14 breath test. If the test is positive for H. pylori, it indicates a bacterial infection. The typical treatment in this case would involve a quadruple therapy that includes a proton pump inhibitor, two types of antibiotics, and a bismuth agent. If there is no H. pylori infection, symptomatic treatment is generally sufficient, such as inhibiting stomach acid, protecting the stomach lining, increasing gastric motility, etc. Additionally, it is necessary to develop good dietary and living habits. Furthermore, emotional factors are closely related to the activity of chronic gastritis, so maintaining a positive mental attitude is beneficial for digestive system diseases.
What causes gastritis?
Chronic gastritis can be divided into two main categories: chronic non-atrophic gastritis, which was previously referred to as chronic superficial gastritis, and chronic atrophic gastritis. The primary cause of chronic gastritis is generally considered to be Helicobacter pylori infection, which has a very high infection rate in our country, exceeding 50%. Moreover, inappropriate diet can also cause chronic gastritis, such as stimulation from smoking and drinking, irregular eating habits, overeating, as well as excessive consumption of raw, greasy, spicy, and other irritating foods. Additionally, emotional factors are closely related to chronic gastritis.
Symptoms of gastroenteritis
Gastrointestinal flu is caused by a viral infection, commonly seen in the summer and fall seasons, and its symptoms often include those of both upper respiratory tract infections and acute gastroenteritis. Symptoms of upper respiratory infection include fever, chills, dizziness, headache, fatigue, general muscle pain, sore throat, cough, etc.; symptoms of acute gastroenteritis are vomiting, diarrhea, abdominal bloating, abdominal pain, etc., often presenting as watery stools. This disease can be diagnosed through routine blood tests and stool exams, which help distinguish it from bacterial infections causing diarrhea. Treatment typically involves oral antiviral medications and anti-diarrheal drugs.
Asymptomatic peptic ulcer
Peptic ulcers typically include duodenal bulb ulcers and gastric ulcers. They more or less have typical related symptoms, such as long-term, recurrent, regular upper abdominal pain related to eating, along with symptoms like acid reflux. Diagnosis can be confirmed through gastroscopy. A small portion of patients, especially middle-aged and elderly patients with a history of cardiovascular and cerebrovascular diseases, often take non-steroidal anti-inflammatory drugs (NSAIDs) year-round. This situation can easily lead to the occurrence of acute gastric mucosal lesions and often results in asymptomatic gastric ulcers. Many patients present with symptoms like vomiting blood and black stools when they seek medical advice.
How many days can acute enteritis be cured?
Acute gastroenteritis is primarily characterized by symptoms such as abdominal pain, diarrhea, and vomiting, and sometimes accompanied by fever. It is mainly caused by exposure to cold or unhygienic food consumption. Gastroenteritis caused by exposure to cold, also known as a "stomach cold," generally follows a natural course of about a week and can be fully cured with symptomatic treatment. Infectious diarrhea caused by bacterial infections should be comprehensively assessed based on specific symptoms and the severity of the disease. For general cases of enteritis, recovery can usually occur within a day or two, or two to three days after administering antibiotics orally or intravenously. Bacterial dysentery, however, typically presents with more severe symptoms and requires a longer treatment period, generally needing at least a week or even longer. (The use of medications should be under the guidance of a professional doctor.)
How long does acute gastroenteritis take to get better?
Acute gastroenteritis is one of the common diseases of the digestive system, and occurs more frequently in the summer and autumn seasons. During these seasons, the hot weather can lead to food spoilage. Additionally, people often like to eat cold drinks and use air conditioning, which can easily trigger acute gastroenteritis. It usually presents with symptoms such as intermittent abdominal pain, diarrhea, vomiting, and bloating, and sometimes symptoms like fever and chills may also appear. In such cases, examinations like routine blood tests, stool tests, and C-reactive protein tests can be conducted to determine whether it is infectious diarrhea or a gastrointestinal type of cold, and then targeted treatment can be applied. How long it will take to recover depends on specific symptoms and the patient's medical history among other factors. Generally, for a gastrointestinal cold, symptoms typically alleviate in about 2-3 days; for bacterial gastroenteritis, recovery might take a bit longer, generally about 3-5 days. If the patient is elderly, frail, or has underlying conditions such as chronic bronchitis, heart failure, or diabetes, the recovery might take slightly longer, but generally it can still be cured.
Does acute gastritis require hospitalization?
Acute gastritis often presents with symptoms such as acute abdominal pain, bloating, acid reflux, heartburn, nausea, and vomiting. The symptoms are typically more severe than those of chronic gastritis. Whether hospitalization is necessary depends on the specific symptoms. If the symptoms are not severe and the patient can eat, treatment can be achieved through oral medication. If there is severe vomiting or inability to eat, hospitalization for intravenous therapy may be needed. Additionally, acute gastric mucosal lesions caused by certain medications may lead to bleeding, which also requires hospital observation to prevent worsening of the condition. (Specific medications should be used under the guidance of a doctor.)
Is gastritis contagious?
Chronic gastritis is one of the common upper gastrointestinal diseases, which is usually divided into two main categories under gastroscopy. One is chronic non-atrophic gastritis, also known as chronic superficial gastritis; the other is chronic atrophic gastritis. The principal cause of these types of gastritis is likely infection by Helicobacter pylori. In addition, stimulants like smoking and alcohol, and inappropriate dietary habits are also contributing factors. As for the transmission of gastritis, it is not appropriate to say that gastritis itself is contagious, as the main cause is Helicobacter pylori infection, which means the transmission involved is due to the bacteria. Helicobacter pylori is a bacterium that resides in areas like the anterior gastric antrum and the oral cavity, and can be transmitted through dietary means, such as through saliva and shared utensils.
How many days to get an IV for acute gastroenteritis?
Acute gastroenteritis can be divided into bacterial enteritis and gastroenteric flu. When this condition occurs, it is first necessary to conduct relevant examinations such as routine blood tests, C-reactive protein, and routine stool tests. After identifying the specific cause, targeted treatment can be administered. Generally, for mild acute gastroenteritis, treatment can be achieved through oral medication. If symptoms of severe vomiting and diarrhea are present, and normal eating is impossible, then infusion therapy is required. As for the duration of infusion therapy, it depends on the specific situation; generally, if it is not very severe, a complete cure can be achieved in two to three days. If the inflammation is more severe, and the patient is elderly, weak, or has underlying diseases, the duration of infusion therapy may be appropriately extended. (Please use medication under the guidance of a doctor.)
Symptoms of peptic ulcer
Peptic ulcers typically include gastric ulcers, duodenal bulb ulcers, and complex ulcers, among others, all of which feature upper abdominal pain. For gastric ulcers, the pain is generally located below the xiphoid process or in the upper left abdomen, primarily occurring after meals and often accompanied by symptoms such as abdominal bloating and acid reflux. Duodenal bulb ulcers usually present as hunger-like pain in the upper abdomen, which can be alleviated by eating and may include nighttime pain, often with significant acid reflux and heartburn. These can be definitively diagnosed via gastroscopy. Additionally, many elderly individuals may develop gastric ulcers after taking nonsteroidal anti-inflammatory drugs, often without significant pain, typically requiring a gastroscopy for accurate diagnosis.