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Jiang Guo Ming
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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.
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Voices
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How to treat bleeding from gastric ulcers?
If it is a mild gastric ulcer bleeding, it may only manifest as black stool without any obvious specific discomfort symptoms and stable vital signs. This condition can be managed by controlling the diet and appropriately taking or intravenously using proton pump inhibitors such as omeprazole, lansoprazole, etc., which often can be curative. If the bleeding is considerable, presenting symptoms like vomiting coffee-colored or dark red liquid, fainting, profuse sweating, blood pressure drop, etc., this condition requires timely hospital treatment. Medication primarily includes proton pump inhibitors combined with hemostatic drugs, nutritional support, prevention of complications, etc. If the medical treatment is ineffective, endoscopic hemostasis might be needed, and further more, surgical intervention may be considered.
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Can I eat apples with acute gastroenteritis?
Apples are one of the essential fruits in our daily life, containing a rich array of nutrients, such as minerals, fruit acids, vitamins, fiber, etc., which are greatly beneficial to our human body. Acute gastroenteritis is usually caused by exposure to cold or improper diet, primarily characterized by symptoms such as abdominal pain, diarrhea, vomiting, and sometimes fever and chills. In this case, targeted treatment should be firstly applied, and the diet should consist mainly of light and easily digestible food, such as porridge and soft noodles, while avoiding raw, greasy, spicy foods, and alcoholic beverages. Apples are relatively cold in nature; it is best to avoid eating them raw under these circumstances. If there is a real desire to eat apples, steaming them before eating should be feasible.
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Can acute gastroenteritis cause shock?
Acute gastroenteritis often manifests as symptoms such as vomiting, abdominal pain, and diarrhea, sometimes accompanied by fever, dizziness, fatigue, etc., often caused by factors such as exposure to cold or improper diet. These include what we refer to as viral enteritis and bacterial enteritis. In most cases, symptoms gradually alleviate after symptomatic treatment, and some may improve without treatment. However, a few patients, such as those with uncontrollable vomiting and diarrhea, coupled with an inability to eat, may experience worsening dizziness, significant fatigue, dry mouth, poor skin elasticity, and reduced urine output. These symptoms indicate the development of hypovolemic shock, which requires attention.
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Atrophic gastritis with intestinal metaplasia what medicine to take
Chronic atrophic gastritis with intestinal metaplasia often arises from untreated chronic superficial gastritis, primarily due to Helicobacter pylori infection. Therefore, it is essential to first check for Helicobacter pylori infection. If an infection is present, quadruple therapy is generally used to eradicate the bacteria, which may improve the atrophy. If there is no Helicobacter pylori infection, treatment mainly involves protecting the gastric mucosa. While there are no specific Western medicines for this, traditional Chinese medicine and a differential diagnosis approach often yield good results. Regular follow-ups are also important. (Specific medications should be used under the guidance of a doctor.)
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What can I eat with a stomach ulcer?
Gastric ulcers are a common upper gastrointestinal disease. The main causes are related to Helicobacter pylori infection, poor dietary habits, medication irritation, or chronic mental stress. Incomplete treatment of gastric ulcers can lead to recurrent episodes, and in severe cases, may evolve into gastric cancer. Thus, it is crucial to develop good dietary and living habits while undergoing proper treatment. Dietarily, it is advised to eat light, easily digestible foods such as soft, mushy rice, noodles, porridge, and fresh fruits and vegetables. Meat products should be cooked in a light manner, avoiding overly greasy or spicy foods. Additionally, quitting smoking and alcohol and maintaining a positive mood are also beneficial.
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What medicine to take for gastric ulcer?
The stomach ulcers referred to here are generally benign gastric ulcers. The treatment plan should be determined based on whether there is a Helicobacter pylori infection. If there is no Helicobacter pylori infection, it is first important to develop good dietary and living habits, and then treat the symptoms, such as suppressing stomach acid, protecting the gastric mucosa, and increasing gastric motility. If there is a Helicobacter pylori infection, antibacterial treatment is needed. Typically, a triple or quadruple antibiotic therapy is used; a proton pump inhibitor plus two antibiotics constitute the triple therapy, and adding a bismuth agent constitutes the quadruple therapy. A course of treatment lasts for two weeks, which generally can eradicate the bacteria for a definitive cure. (Medications should be used under the guidance of a clinical doctor, according to specific conditions.)
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Difference between atrophic gastritis and non-atrophic gastritis
Chronic gastritis includes two types: chronic non-atrophic gastritis and chronic atrophic gastritis. The symptoms of both can be similar, such as upper abdominal pain, bloating, nausea, vomiting, acid reflux, and heartburn. Chronic atrophic gastritis tends to be more severe than non-atrophic gastritis. Over the long term, atrophic gastritis may lead to symptoms like fatigue, weight loss, loss of appetite, and even anemia. The main differentiation still requires gastroscopy and pathological examination. Under gastroscopy, chronic superficial gastritis mainly shows mucosal congestion and edema. In atrophic gastritis, due to gland atrophy, the submucosal blood vessels may appear as a net-like or petal-like pattern, and sometimes the mucosa may become granular. Pathological examinations can further clarify the diagnosis.
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Where does a duodenal ulcer hurt?
Firstly, the common sites for duodenal ulcers are the anterior and posterior walls posterior to the bulb, as well as the area behind the duodenal bulb itself. The pain symptoms typically show a pattern. For example, the pain occurs in recurrent, cyclical episodes related to eating, manifesting as sporadic abdominal pain about 2cm above the right side of the belly button, more pronounced on an empty stomach, and alleviating after meals. Sometimes, there is also pain during the night. If the ulcer is located behind the duodenal bulb, it often causes back pain. The main cause is usually an infection with Helicobacter pylori, and eradication therapy can generally cure the condition.
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Acute gastroenteritis requires medication.
The drug treatment for acute gastroenteritis should be based on the specific cause. If it is a viral infection that causes gastroenteritis, it can generally be treated with oral antiviral drugs and astringent antidiarrheal drugs to achieve good therapeutic effects. If it is caused by improper food intake and bacterial infection, it usually requires the use of antibacterial drugs, such as cephalosporins or quinolones for anti-inflammatory purposes. If diarrhea is severe, appropriate antidiarrheal drugs can be taken for symptomatic treatment. At the same time, attention should be paid to a light and easily digestible diet, avoiding raw, greasy, spicy food and alcohol, which can generally relieve symptoms gradually.
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Gastric ulcer and duodenal ulcer
Gastric ulcers and duodenal bulb ulcers both belong to upper gastrointestinal ulcers. Their symptoms slightly differ; gastric ulcers typically manifest as postprandial pain in the upper abdomen, whereas duodenal bulb ulcers present as hunger pains in the upper abdomen, sometimes accompanied by nocturnal pain. Both types generally exhibit symptoms such as acid reflux and heartburn. The predominant cause for these is infection by Helicobacter pylori, detectable through tests such as the carbon-13 or carbon-14 breath test. If an infection is present, antimicrobial treatment can typically lead to a complete recovery of the ulcers. If there is no Helicobacter pylori infection, the initial approach should still focus on symptomatic treatment. Additionally, adopting good dietary and living habits can facilitate regular gastroscopic follow-ups.