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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
Can people with atrophic gastritis eat eggs?
Chronic atrophic gastritis is one of the common gastrointestinal diseases and is more severe than chronic superficial gastritis. If allowed to progress, it could lead to intestinal metaplasia, or even dysplasia, which are precancerous lesions. The treatment plan should first be determined based on whether there is a Helicobacter pylori infection, following standard treatment protocols. Additionally, it is important to pay attention to daily dietary and lifestyle habits, maintain a positive mindset, and abstain from smoking and alcohol. It’s also crucial to avoid overly raw, fatty, or spicy foods. Eggs, a common food rich in nutrients, can be consumed, but it is best to avoid fried methods to lessen the burden on the stomach.
What medicine is used for bile reflux gastritis?
Bile reflux gastritis is often caused by the retrograde movement of bile from the duodenum into the stomach, leading to a series of symptoms. These can include upper abdominal pain, bloating, heartburn, and a bitter taste in the mouth. The fundamental cause of this condition is usually insufficient gastric motility or gastrointestinal motility. Regarding medication, the first choice generally includes acid-suppressing and pro-motility drugs, such as proton pump inhibitors combined with gastric motility drugs. Additionally, aluminum magnesium carbonate has the effect of neutralizing stomach acid and bile salts, which can help with bile reflux gastritis. At the same time, it is necessary to develop good dietary and living habits, and avoid excessive eating and drinking, as well as stimulants like tobacco and alcohol. (Specific medication use should be carried out under the guidance of a doctor.)
What can people with peptic ulcers eat?
Peptic ulcers include duodenal bulb ulcers, gastric ulcers, complex ulcers, etc. In such cases, formal treatment should be administered first. Depending on whether there is a Helicobacter pylori infection, different treatment plans should be adopted. At the same time, it is important to develop good dietary and living habits, quit smoking and drinking, and ensure that the diet is light and easy to digest. While ensuring adequate nutrition, efforts should be made to minimize gastric irritation. Foods like soft and mushy rice, porridge, and soft noodles are preferable. Fresh vegetables and fruits are fine. Try to avoid overly cold, greasy, spicy, or irritating foods. Be sure to eat regularly and in moderation or have small, frequent meals, and avoid binge eating.
What should I do if I have indigestion and excessive flatulence?
Indigestion and increased anal gas typically indicate gastrointestinal dysfunction. In cases where these symptoms persist, it is advisable to first undergo examinations such as gastroscopy and colonoscopy to rule out any organic diseases. Once cleared, targeted treatment can be applied. For gastrointestinal dysfunction, such as Irritable Bowel Syndrome (IBS), medications that regulate gastrointestinal function like Otilonium Bromide or Pinaverium Bromide might be prescribed. Additionally, maintaining proper dietary and living habits is crucial. The diet should include light, easily digestible foods, such as soft rice or noodles, along with fresh vegetables, while avoiding greasy, spicy, and irritating foods. Although soy products are a good source of protein, they should be consumed in moderation as excessive amounts can lead to excessive gas formation in the intestines, leading to increased anal gas. (Note: Use of medications should be under the guidance of a professional doctor.)
What are the symptoms of esophagitis?
The causes of reflux esophagitis are varied, including dysfunction of the lower esophageal sphincter, esophageal hiatal hernia, gastric emptying disorders, psychological factors, and external stimuli such as medications or alcohol. Often, patients also exhibit insufficient gastric motility and excessive stomach acid. Common symptoms include upper abdominal bloating, belching, heartburn, acid regurgitation, a burning sensation or pain behind the sternum, and sometimes chest pain during eating. Some patients may experience irritative dry cough, which is often more pronounced at night or when lying down, but it tends to ease when standing up due to the irritation caused by acid reflux.
Do normal people have Helicobacter pylori?
In my understanding, a “normal person” refers to individuals who do not experience any stomach discomfort. In our country, the infection rate of Helicobacter pylori is extremely high, with reports indicating that over 50% of adults are infected, albeit asymptomatically. Thus, it is certain that many so-called "normal people" are infected with Helicobacter pylori, also known as asymptomatic Helicobacter pylori carriers. This condition also requires antibacterial treatment because there is a close relationship between Helicobacter pylori and gastritis, ulcers, and gastric cancer. Even for patients with chronic superficial gastritis, if Helicobacter pylori is present, eradication therapy is advocated. If not completely eradicated, it often leads to the development of chronic atrophic gastritis, which is a more serious condition.
Peptic ulcer clinical symptoms
Helicobacter pylori infection is considered the primary cause of peptic ulcers, often leading to excess stomach acid, abnormal gastric motility, and other symptoms. Excess stomach acid can cause acid reflux, heartburn, and a burning sensation, while abnormal gastric motility may lead to nausea, belching, and even vomiting and bloating, with stomach acid irritation likely causing upper abdominal pain. Gastric ulcer pain is generally located in the upper left abdomen or below the sternum, typically presenting as postprandial pain. Duodenal bulb ulcers generally cause pain to the upper right of the navel, typically fasting pain that eases upon eating, sometimes accompanied by menstrual-like pain, with pain from ulcers behind the bulb potentially radiating to the back.
Is lower right abdominal pain colon cancer?
Pain in the lower right abdomen does not necessarily indicate colon cancer, as there are many possible causes of this pain. Common conditions include acute or chronic appendicitis, gynecological diseases such as pelvic inflammatory disease, torsion of a right ovarian cyst, ectopic pregnancy, and others. Additionally, urological issues like a stone in the lower part of the right ureter can cause severe pain in the lower right abdomen, which are again not indicative of colon cancer. Gastrointestinal diseases like Crohn's disease often lead to pain in the lower right abdomen. Of course, tumors in the ileocecal area or ascending colon can also cause such pain. Hence, while lower right abdominal pain is not necessarily due to colon cancer, in rare cases, it could be.
Causes of gastric ulcer
It is currently believed that Helicobacter pylori infection is closely related to gastritis activity, ulcer formation, and tumors. Therefore, the main cause of gastric ulcers is the infection of Helicobacter pylori. Other factors, such as drugs, long-term use of non-steroidal anti-inflammatory drugs or steroid medications, often lead to gastric mucosal damage and result in peptic ulcers. Psychological factors, such as long-term excessive tension or high stress, often lead to peptic ulcers as well. Poor dietary and living habits, such as excessive drinking, consuming raw, irritating, greasy food, or binge eating, also promote the occurrence of peptic ulcers.
What is suitable to eat for gastritis?
Due to the fast pace of modern life, people often experience high levels of stress, which can lead to poor dietary and living habits. As a result, stomach diseases have become one of the most common ailments among modern people. In addition to following medical advice for treatment, daily dietary and living habits are particularly important. First of all, we need to develop the habit of eating regularly and quantitatively, or eating small meals frequently, avoiding being too hungry or too full, and certainly not binge eating. The principle of diet should focus on light and easy-to-digest foods, such as soft, mushy rice or noodles. It is appropriate to consume fresh fruits and vegetables, and avoid consuming too much spicy, greasy, or raw and cold foods, while maintaining a good mood.