Subscribe
106
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
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.
What are the symptoms of acute gastroenteritis?
Acute gastroenteritis is one of the common diseases in gastroenterology, especially prevalent in the summer and autumn seasons. It is usually caused by exposure to cold or contaminated food. The main symptoms include abdominal pain, vomiting, and diarrhea. Depending on the cause, symptoms can vary; for instance, a viral infection causing gastroenteric flu often accompanies symptoms such as dizziness, headache, fatigue, body aches, sore throat, or fever. Infections caused by contaminated food often lead to abdominal pain and diarrhea, with stools frequently appearing mucous or containing blood and pus. Lab tests often show an elevated white blood cell count.
What are the symptoms of Helicobacter pylori infection?
Helicobacter pylori is a pathogen produced in the stomach or oral cavity. It cannot be said that Helicobacter pylori causes any specific symptoms, rather, it is the infection of Helicobacter pylori that leads to a series of diseases presenting symptoms. Some people infected with Helicobacter pylori may not show any symptoms at all. If related diseases occur, such as gastritis or ulcers, symptoms such as acid reflux, heartburn, nausea, and vomiting may appear. Additionally, some patients, like those with refractory iron deficiency anemia or idiopathic thrombocytopenic purpura, may also have conditions associated with Helicobacter pylori infection.
Can duodenal ulcers be cured?
Duodenal bulb ulcers are definitely treatable. Treatment is mainly through medication, with the specific approach depending on the presence of Helicobacter pylori infection. If there is no Helicobacter pylori infection, treatment primarily focuses on symptomatic relief using traditional medicines such as proton pump inhibitors, like omeprazole and lansoprazole. If Helicobacter pylori infection is present, antibacterial treatment is generally needed, using either triple or quadruple antibiotic therapy; triple therapy consists of a proton pump inhibitor plus two antibiotics, and adding bismuth forms quadruple therapy. One treatment cycle lasts two weeks, and after completing medication, Helicobacter pylori can be rechecked in one month. Additionally, it's important to maintain good dietary and living habits. If recurrent duodenal bulb ulcers cause bleeding at night, surgical treatment can typically be considered.
Is non-atrophic gastritis serious?
Chronic non-atrophic gastritis, which is commonly referred to as chronic superficial gastritis, is considered one of the milder upper gastrointestinal diseases. Endoscopic examinations usually show localized mucosal congestion and edema, which are not severe. The main cause is likely due to Helicobacter pylori infection, which can be effectively treated with antibacterial therapy. Other factors, such as exposure to cold or inappropriate dietary habits, as well as smoking and alcohol consumption, can also lead to this condition. Therefore, it is essential to pay attention to one’s dietary and living habits and try to avoid spicy and greasy foods and alcoholic beverages to prevent major issues.