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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 causes of acute gastritis
Acute gastritis is one of the common upper gastrointestinal diseases. The condition tends to be severe and more serious than typical gastritis, usually presenting with symptoms such as sudden onset, abdominal pain, bloating, nausea, acid reflux, and vomiting. The primary causes may include exposure to cold or food irritants, such as raw, spicy foods, or alcohol. Additionally, other factors can also lead to acute gastritis or acute gastric mucosal lesions, such as the use of non-steroidal anti-inflammatory drugs like aspirin, or corticosteroid medications such as dexamethasone or prednisone. (Specific medication use should be under the guidance of a doctor.)
How to treat gastroenteritis?
The treatment of gastroenteritis primarily depends on the cause and specific symptoms to determine the treatment plan. Exposure to cold or improper diet may cause acute gastroenteritis. In such cases, it is recommended to first check routine blood tests, C-reactive protein, stool routine, etc., to identify the cause. Gastroenteric flu can be treated with antiviral drugs and astringent antidiarrheal medications to achieve satisfactory results. Infectious diarrhea caused by bacterial infection generally uses antimicrobial drugs combined with antidiarrheal medications to also achieve satisfactory effects. Commonly used drugs include cephalosporins or quinolones anti-inflammatory. At the same time, it is important to pay attention to a light and easily digestible diet, and if diarrhea is severe, infusion treatment may be necessary to prevent dehydration.
What should I do about acute gastroenteritis?
Acute gastroenteritis typically presents with symptoms such as abdominal pain, diarrhea, and vomiting, and sometimes accompanied by fever and chills. In such cases, it is important to rest, keep warm, avoid cold, and follow a diet that is light and easy to digest, such as rice porridge, soft noodles, etc. It is advisable to avoid raw, greasy, spicy, and alcoholic foods. Treatment should be based on the specific cause. For viral infections causing gastroenteric flu, antiviral and antidiarrheal astringents are commonly used. For bacterial infections causing infectious diarrhea, antibacterial and antidiarrheal treatments are needed, typically involving cephalosporins or quinolones. Generally, symptoms will gradually ease.
Transverse colitis is located in the transverse colon.
If you are asking about the location of abdominal pain due to transverse colitis, let's first understand the anatomical position of the transverse colon. The ends of the transverse colon are located under the spleen and the liver. During a colonoscopy, when passing through the hepatic flexure or splenic flexure, cystic spots are often found, which are shadows of the liver and spleen. Generally, in patients who are short and stout, the internal abdominal fat tends to hold the free transverse colon relatively fixed, arranging it in a straight line like the Chinese character "一". For thin and frail patients, lacking support, the transverse colon can sag. In patients who have had abdominal surgery, the intestinal structure may be disordered. Therefore, the abdominal pain associated with transverse colitis generally centers around or below the umbilicus on either side.
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.