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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
Symptoms of acute gastroenteritis
The symptoms of acute gastroenteritis depend on the cause, including gastroenteritis caused by a stomach flu or bacterial infection. The symptoms of gastroenteritis from a stomach flu usually include fever, chills, dizziness, fatigue, body aches, stomach pain, diarrhea with watery stools, sometimes accompanied by vomiting and bloating. Routine stool tests often show no significant abnormalities. Acute gastroenteritis caused by bacterial infection typically manifests as stomach pain and diarrhea, accompanied by fever and chills, with stools that are mucous in nature. Routine stool tests often reveal the presence of white blood cells, pus cells, or phagocytes, and a routine blood test may indicate an increased white blood cell count. Treatment methods vary and generally involve symptomatic treatment, which usually leads to gradual relief.
What are the clinical manifestations of acute pancreatitis?
Acute pancreatitis includes two main types: acute edematous pancreatitis and acute necrotizing pancreatitis. It is a common acute and critical condition of the digestive system, particularly acute necrotizing pancreatitis, which can often be life-threatening. The primary symptoms usually include severe upper left abdominal pain, fever, chills, shivering, vomiting, etc. There is a significant relationship between abdominal pain and eating; generally, the pain worsens after eating and can sometimes radiate to the back. The main causes could be binge drinking, overeating, cholecystitis, gallstones, or hyperlipidemia, among others. Diagnosis is usually confirmed through examinations such as an upper abdominal CT and serum and urine amylase tests, followed by appropriate treatment measures.
Clinical characteristics of peptic ulcer
The main cause of peptic ulcers is believed to be infection by Helicobacter pylori. Other factors such as smoking, alcohol, poor diet, living habits, medication use, or emotional issues can also play a role. Clinically, these ulcers are often characterized by upper abdominal pain. In the case of gastric ulcers, the pain is primarily in the upper left abdomen or below the sternum, and can manifest as dull pain, blunt pain, or a feeling of distension. This pain is often more apparent after meals, commonly occurring half an hour to an hour after eating, and usually subsides two to three hours later. Duodenal bulb ulcers are characterized by upper abdominal muscular pain, occurring around two centimeters above and to the right of the navel, sometimes accompanied by nighttime pain. If the ulcer is located behind the bulb, back pain can also occur. Peptic ulcers can lead to other complications, such as perforation, bleeding, or even cancer.
Do gastric polyps always need to be removed?
Gastric polyps first require a gastroscopy examination, combined with pathological examination to determine the nature of the lesion, because there are many types of gastric polyps, such as hyperplastic polyps, inflammatory polyps, hamartomatous polyps, fundic gland polyps, and adenomatous polyps, etc. After a definitive diagnosis, symptomatic treatment can be applied. Common inflammatory or hyperplastic polyps are related to Helicobacter pylori infection. If they are relatively small, eradication of Helicobacter pylori and regular follow-up can be performed. If the polyps are adenomatous, they generally have a family history, and there is a possibility of malignancy in such cases, generally requiring removal via gastroscopy. Additionally, if the polyp exceeds two centimeters in size, regardless of the type, removal is generally advocated.
Can people with colitis eat corn?
Rectitis is one of the common diseases of the digestive system, mainly characterized by changes in the nature and frequency of stool. It might involve simple inflammation of the rectum, but it is also necessary to rule out the possibility of inflammatory bowel disease. In such cases, it is first necessary to clarify the specific nature of the condition, and then targeted treatment can be adopted. It is also important to pay attention to daily habits, and the diet should be light and easy to digest. For example, cooked soft noodles, soft rice, and fresh vegetables should be prioritized, while spicy, greasy, and irritating foods should be avoided. As for corn, it is rich in nutrients and should not have obvious adverse reactions on the gastrointestinal tract, so patients with rectitis can consume it.
How to maintain gastric health usually?
Chronic gastritis is a common upper gastrointestinal disease, and it often relapses, so regular maintenance is particularly important. It is essential to develop good dietary and living habits, such as not getting chilled and avoiding excessive fatigue, quitting smoking and drinking, and eating a diet that is as light and digestible as possible. Eating regularly and in moderation, or having small, frequent meals, thoroughly chewing your food slowly rather than gobbling it down, minimizing stimulation from greasy, raw, or spicy foods, and maintaining a good mood all help.