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Zhu Dan Hua
Gastroenterology
About me
Hunan Provincial People's Hospital attending physician.
Proficient in diseases
Specializes in the diagnosis and treatment of common liver, gallbladder, and pancreatic diseases.
Voices
How to treat gastroenteritis?
Gastroenteritis is relatively common in clinical settings, and its treatment is generally divided into dietary treatment and medication treatment. For dietary treatment, a clean and easily digestible diet is more appropriate. It is advisable to avoid intake of spicy and pickled foods such as coffee, alcohol, and even salted fish, etc. Of course, a standardized and regular diet is very important. For medication treatment, symptom-specific options can be chosen. For example, if a patient often experiences stomach pain, acid-reducing and stomach-protecting medications can be selected. If, besides stomach pain, the patient exhibits abnormal bowel movements such as increased frequency of stool, diarrhea, etc., medications that stop diarrhea, regulate intestinal flora, and relieve spasms can generally be chosen. Typically, we opt for a treatment course of one to two weeks to observe effects. If the effect is good, the dosage can gradually be reduced and combined with dietary adjustments to generally achieve a certain level of control. (Medication use should be under the guidance of a professional doctor.)
How to treat gastritis?
The treatment of gastritis, besides dietary adjustments, mainly involves drug therapy. In terms of diet, it is recommended that patients adopt a light, easily digestible diet, eat regularly, avoid overeating, and avoid consuming pickled or spicy foods and substances that harm the gastrointestinal mucosa, such as alcohol and coffee. For medication, one can choose drugs that protect the stomach or promote gastrointestinal motility. Of course, one can also choose traditional Chinese medicine formulations that protect the stomach. The treatment course is usually between two to four weeks, but regular dietary adjustments and rest are fundamental. Clinically, gastritis is quite common and generally refers to stomach disorders caused by various inflammations, with Helicobacter pylori infection being the most common cause. Therefore, for patients with gastritis, it is recommended to further screen for Helicobacter pylori. If Helicobacter pylori is found positive, in addition to protecting the stomach, treatment to eradicate Helicobacter pylori is necessary, generally involving four types of medications. The diagnosis of gastritis mainly relies on gastroscopy and pathology. Patients typically present with abdominal discomfort or weight loss, and gastroscopy shows inflammatory changes in the stomach. Therefore, it is generally recommended that patients undergo a gastroscopy. (Please take medication under the guidance of a professional physician.)
What can you eat with a gastric ulcer?
If a gastric ulcer is in the recovery phase, there are generally no special dietary restrictions. It is advisable to choose easily digestible, bland foods. Of course, it is recommended that patients avoid intake of spicy and stimulating foods such as coffee, strong tea, and alcohol, as well as avoiding pickled foods like salted fish and cured meat. Therefore, if a gastric ulcer is well-controlled, dietary restrictions can be relaxed somewhat. However, if the patient also has gastrointestinal bleeding, such as bleeding from the gastric ulcer, it is advised for the patient to fast initially. After temporarily fasting, if symptoms are controlled, a liquid diet can be adopted, such as drinking soups and eating porridge. If this regimen is effective over a regular period, a gradual return to a normal diet can be considered.
Can stomach ulcers bleed?
Gastric ulcers can cause gastrointestinal bleeding, as gastrointestinal bleeding is a common complication of gastric ulcers. Clinically, gastric ulcers may present as gastrointestinal bleeding or simply as rhythmic pain, typically manifested as upper abdominal pain related to eating. Bleeding caused by gastric ulcers may present as vomiting blood in some patients. Of course, if the bleeding is minor and there is no vomiting blood, there might only be blood in the stool. The diagnosis of gastric ulcers primarily relies on gastroscopy; therefore, for patients suspected of having gastric ulcers, we generally recommend an early gastroscopy to confirm the diagnosis and assess the condition. The treatment of gastric ulcers mainly depends on medication, with options including acid-reducing and stomach-protecting drugs. The treatment duration is about 6 weeks, and most patients can be well controlled. Of course, attention should be paid to diet, rest, and regular follow-up appointments in the future. (The use of drugs should be under the guidance of a doctor.)
Is chronic gastritis easy to treat?
Chronic gastritis is relatively common in clinical settings and generally responds well to standardized treatment, so there is no need for excessive worry. As the name implies, chronic gastritis is caused by various factors that lead to inflammatory changes in the stomach, which may manifest as congestion and edema of the gastric mucosa, erosion, and even the formation of multiple superficial ulcers. Common symptoms of chronic gastritis include abdominal pain, bloating, nausea, and belching, usually with a long history. The abdominal pain typically occurs in the upper abdomen and is related to food intake, which may improve after eating. Nausea and vomiting generally involve gastric contents, sometimes including blood. Patients undergo gastroscopy and biopsy to further confirm chronic gastritis, and tests for Helicobacter pylori are commonly performed. If the treatment involves Helicobacter pylori and results are positive, treatment to protect the stomach and eradicate Helicobacter pylori is recommended.
Peptic Ulcer Clinical Symptoms
Peptic ulcers are a common disease and often seen in clinical practice. They are typically manifested by discomfort in the upper abdomen, which may include abdominal pain, bloating, nausea, vomiting, and belching, and patients usually visit the gastroenterology department. The abdominal pain related to peptic ulcers, particularly the most typical and common symptoms, usually presents as pain above the navel, with chronic and recurrent attacks. It often relates to dietary habits, such as postprandial worsening in the case of gastric ulcers, whereas duodenal ulcers typically improve after eating and may involve hunger pain and night pain. Therefore, if patients exhibit these typical symptoms, it is recommended to perform a gastroscopy to ascertain the presence of duodenal or gastric ulcers. Complications can occur with peptic ulcers, with the most common being gastrointestinal bleeding, manifested by vomiting blood or bloody stools, with the latter appearing as tarry, watery stools. Thus, if patients present with typical symptoms of abdominal pain, bloating, and particularly bleeding or vomiting blood and bloody stools, peptic ulcers are the most likely cause. It is advised for patients to actively seek treatment at local hospitals and receive medication therapy.
How is gastritis with bleeding treated?
Gastritis that leads to bloody stools generally manifests as black stools. Treatment primarily involves dietary adjustments and oral medication. It is suggested that patients consume easy-to-digest, light foods. Medications can include acid-reducing and gastric-protective drugs, as well as hemostatics. The treatment duration is usually four to six weeks. Generally, through dietary modifications and medication, very positive effects can be achieved, so patients need not worry excessively. However, for patients experiencing bloody stools, it is necessary to confirm gastric disorders. Routine examinations should include complete blood count, stool analysis, and especially gastroscopy, which is the most crucial diagnostic tool. This can assess the condition of the gastric mucosa and determine if there are any accompanying inflammations, erosions, tumors, or ulcers. Gastroscopy is widely used in clinical practice and generally has a high safety profile, so patients should not be overly reluctant to undergo it. (Please take any medications under the guidance of a physician.)
How is esophagitis treated?
The treatment of esophagitis primarily consists of dietary adjustments and the selection of medications. Dietary recommendations suggest that patients consume clean, easily digestible foods, avoid binge eating, and refrain from the intake of pickled foods, cultivating good lifestyle and eating habits. Medication options include acid-suppressing, mucosal-protecting, and gastrointestinal motility-improving drugs, with an initial treatment duration of two to four weeks. Esophagitis is relatively common in clinical settings, typically seen in gastroenterology outpatient clinics, with symptoms such as nausea, heartburn, nausea, and belching being more common. Among these, heartburn is a typical symptom, characterized by a burning pain in the esophageal or pre-chest area, usually episodic and related to diet, with symptoms often occurring after meals. Diagnosis relies primarily on gastroscopy, thus it is recommended that patients considered to have esophagitis undergo timely gastroscopic examination to further clarify the condition. (The use of medications should be carried out under the guidance of a doctor.)
How is a gastric ulcer diagnosed?
Gastric ulcers can generally be diagnosed through gastroscopy. They are commonly found in middle-aged and elderly patients, particularly those between the ages of 30-40. Some patients present with abdominal pain, bloating, and general discomfort, while a small number of patients might not experience abdominal pain but present with gastrointestinal bleeding, indicated by black stools or blood in stool. Therefore, if abdominal pain is suspected, it is generally recommended that patients undergo routine blood tests and gastroscopy, among other examinations. The abdominal pain from gastric ulcers usually manifests as upper abdominal pain, occurring in episodic attacks, with chronic and recurrent episodes and a long history of illness. Symptoms typically worsen after eating but may gradually alleviate on their own. Of course, taking some stomach-protecting medication can help manage the condition. A small portion of patients may also experience nausea and belching, which are nonspecific gastrointestinal symptoms. If gastric ulcers are suspected, further screening for Helicobacter pylori is usually conducted. (The use of medication should be under the guidance of a professional doctor.)
Gastric ulcer clinical symptoms
Gastric ulcers are a common clinical manifestation, with diverse symptoms. Typical symptoms include abdominal pain, bloating, nausea, vomiting, or early satiety. Typically, the abdominal pain is more noticeable after eating and presents as postprandial abdominal pain, but it can naturally subside after several hours. Of course, when accompanied by complications such as decreased appetite, nausea, and vomiting, it can manifest as vomiting blood or bloody stools, with the stools often being loose and black in color. Therefore, clinically, if you encounter situations like bleeding stools or vomiting blood accompanied by abdominal pain, ulcers should be considered, and it is recommended to seek timely treatment at a local hospital. If these conditions are relatively stable, they can be managed with medication.