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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
The main causes of peptic ulcers
It is generally believed that Helicobacter pylori is closely related to gastric inflammation, ulcer formation, and malignancies. Therefore, the main cause of peptic ulcers should be the infection of Helicobacter pylori. Furthermore, certain conditions, such as connective tissue diseases and kidney diseases, may require long-term use of steroids or nonsteroidal anti-inflammatory drugs. This can damage the gastric mucosa and increase the secretion of gastric acid, thereby promoting the occurrence of peptic ulcers. Other factors like long-term poor dietary and living habits, such as smoking and consuming alcohol or spicy food, can also damage the gastrointestinal mucosa, thus leading to the development of peptic ulcers.
How to regulate stomach ailments and indigestion?
Indigestion is one of the common symptoms of upper gastrointestinal diseases, which can be functional or organic, such as functional dyspepsia, gastroptosis, chronic gastritis, peptic ulcer, gastrointestinal tumors, drug-induced gastric diseases, etc. As for how to manage digestive disorders related to stomach diseases, it is primarily necessary to identify the cause. It is generally advocated to conduct upper gastrointestinal radiography, gastroscopy, and Helicobacter pylori testing, and to adopt targeted treatments based on the test results, such as eradicating Helicobacter pylori, enhancing gastric motility, protecting the gastric mucosa, and so on. At the same time, it is important to develop good dietary and living habits, balance work and rest, quit smoking and drinking, eat on a regular schedule or eat smaller, more frequent meals, and try to avoid overeating or binge eating, as well as excessive consumption of raw, greasy, or spicy and irritating foods.
Helicobacter pylori symptoms
Helicobacter pylori itself is just a bacterium, often parasitizing the stomach or oral cavity of the human body. It cannot be said that Helicobacter pylori has symptoms, but rather that symptoms may occur after being infected by Helicobacter pylori. Many normal people infected with Helicobacter pylori may not exhibit any discomfort. However, if Helicobacter pylori causes gastritis or peptic ulcers, etc., related symptoms may appear. For instance, abdominal pain, bloating, belching, acid reflux, and so on; in cases of peptic ulcers, corresponding symptoms, such as periodic, recurrent episodes of upper abdominal pain associated with eating and so forth, may also occur and will need to be determined based on the specific situation.
How to regulate indigestion caused by stomach acid?
Symptoms of excessive stomach acid and indigestion usually indicate insufficient gastric motility and hypersecretion of stomach acid. Many gastrointestinal diseases may present these symptoms, so it is advisable to first check with a gastroscopy and a test for Helicobacter pylori. Treatment should be targeted based on the results of the tests. At the same time, it is important to develop good living habits, ensure proper balance between work and rest, and have meals at regular times and in controlled amounts, or eat smaller, more frequent meals. Try to avoid extreme hunger or overeating, and excessive eating and drinking, while also quitting smoking and alcohol. The principle for diet is to consume light and easily digestible food, and to avoid raw, greasy, spicy, and irritating foods.
Can peptic ulcers be cured?
Peptic ulcers include gastric ulcers, duodenal bulb ulcers, complex ulcers, and more. The primary cause is usually Helicobacter pylori infection, particularly in patients with duodenal bulb ulcers. Generally, eradicating Helicobacter pylori can cure the ulcer. However, a small number of patients, due to underlying diseases or irregular medication use, often develop resistance to Helicobacter pylori. In such cases, peptic ulcers are prone to recurrent flares. Additionally, peptic ulcers caused by other factors, such as smoking and alcohol stimulation, poor dietary habits, medication, emotional issues, etc., can generally be cured by removing the triggers. However, it's essential to develop good dietary and living habits and strictly follow medical advice regarding medications.
acute gastroenteritis symptoms
Acute gastroenteritis caused by catching cold is due to viral infection. This condition often accompanies symptoms of upper respiratory tract infection and acute gastroenteritis, such as fever, chills, dizziness and weakness, generalized body ache, sore throat, and other symptoms of viral infection, along with abdominal pain, diarrhea, vomiting, and other gastrointestinal symptoms. The abdominal pain is usually not very pronounced, and the stool is mainly watery. Laboratory tests generally do not show significant abnormalities. Acute gastroenteritis caused by bacterial infection can also present with fever, chills, chills, abdominal pain, diarrhea, etc. The abdominal pain is often more pronounced and typically presents as episodic periumbilical pain. The stool characteristics are often mucous or jelly-like, and may even include pus and blood. Laboratory tests often show clear abnormalities, such as elevated white blood cells, pus cells in stool, white blood cells, or occult blood, etc.
Can atrophic gastritis drink honey?
Honey is very common in daily life, tastes good, and contains rich nutritional components. It has the effects of promoting saliva secretion, quenching thirst, and relieving constipation, which makes it widely loved. For chronic atrophic gastritis, in addition to conventional drug treatments, such as antibacterial Western medicine and treatments that protect the gastric mucosa, traditional Chinese medicine can also provide symptomatic treatment. In terms of diet, it is essential to eat light, easily digestible foods, and avoid raw, greasy, spicy, and irritating foods, as well as stimulants like tobacco and alcohol, while also maintaining regular and measured eating habits. Honey does not have a significant conflict with atrophic gastritis and can be consumed. (Specific medications should be used under the guidance of a doctor.)
What medicine should be taken for atrophic gastritis with erosion?
Chronic atrophic gastritis with erosion requires drug treatment based on the specific symptoms of the patient and whether there is a Helicobacter pylori infection. The infection rate of Helicobacter pylori is very high, often exceeding 50%, so it is also necessary to check for Helicobacter pylori infection in cases of chronic atrophic gastritis. If there is a Helicobacter pylori infection, antibacterial treatment is needed, typically employing a quadruple therapy. If there is no Helicobacter pylori infection, symptomatic treatment is generally used. Common treatments include protecting the gastric mucosa, suppressing gastric acid, and enhancing gastric motility, among others. Additionally, it is important to pay attention to daily diet and lifestyle habits, focusing on light and easy-to-digest foods, and avoiding raw, greasy, spicy, and irritating foods; quitting smoking and drinking can also be helpful. (Specific medication usage should be conducted under the guidance of a doctor.)
Are stomach polyps scary?
As people's living conditions continue to improve and medical technology advances, the general public's demand for better health is increasing, correspondingly raising the rate of routine gastroscopic examinations. Therefore, the incidence of gastric polyps has significantly increased compared to the past. Discovering gastric polyps is not necessarily alarming. There are adenomatous polyps and hyperplastic polyps; only adenomatous polyps, if left untreated over a long period, might develop into malignant tumors. Generally, if polyps are detected and treated in a timely manner, there should be no issues. Polyps can be excised under gastroscopy, a procedure that is minimally invasive, quick, and has few side effects. After treatment, regular gastroscopic follow-ups can be conducted without major concerns.
Symptoms of peptic ulcers
Upper abdominal pain is a symptom common to peptic ulcers, including dull, mild, or bloating pain, which is generally tolerable and varies in characteristics. For instance, the pain from a gastric ulcer is usually located in the upper abdomen, predominantly on the upper left side, and sometimes extends to the lower abdomen. It typically occurs about half an hour to an hour after meals and gradually eases after two to three hours. For duodenal bulb ulcers, the pain is generally around two fingers to the right of the belly button. It often presents as hunger-like pain in the upper abdomen, accompanied by nighttime pain. If it is a post-bulbar ulcer, it often causes back pain. Complex ulcers may exhibit characteristics of both types. Additionally, ulcers are generally associated with excessive stomach acid, leading to symptoms like acid reflux, heartburn, and abdominal bloating. If there is bleeding, it is often accompanied by black stools or even vomiting blood.