

Zhu Dan Hua

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

What medicine is used to stop bleeding in the upper gastrointestinal tract?
Pharmacological treatment for upper gastrointestinal bleeding may include aggressive fluid resuscitation to improve symptoms of hypovolemia, transfusion of red blood cells when necessary to correct anemia, and the use of acid-suppressive and gastroprotective medications to prevent further bleeding. Common causes of upper gastrointestinal bleeding include gastric ulcers, duodenal ulcers, and even vascular anomalies. Therefore, in the early stages, it is advisable to choose acid-suppressive and gastroprotective medications to treat common causes such as gastric ulcers and gastritis, which lead to bleeding. The main symptoms of upper gastrointestinal bleeding are vomiting blood or bleeding from the bowels. In severe cases, the patient may also experience dizziness and fatigue due to low blood volume. For such patients, once the condition stabilizes, it is important to conduct routine blood tests, electrocardiography, and gastroscopy to identify the specific cause of the bleeding. Different causes require different treatment approaches. If the bleeding is suspected to be caused by a tumor, pharmacological treatment may not be very effective, and surgical intervention might be more appropriate. (The use of medications should be under the guidance of a doctor.)

Can appendicitis cause a fever?
Appendicitis can cause fever, and generally, it is considered an inflammatory condition. Besides fever, patients may experience abdominal pain, nausea, vomiting, etc. Typically, the abdominal pain manifests as lower right quadrant pain, which is referred pain. If a patient has fever and typical lower right quadrant pain, further investigations like abdominal ultrasound, complete blood count, and CT scans should be carried out. Diagnosing appendicitis is usually not difficult. The treatment of choice for appendicitis is generally surgical intervention, especially for early-stage patients with symptoms lasting less than three days, where an appendectomy is recommended. However, in some elderly patients with conditions like hypertension, diabetes, etc., who are not suitable for surgery, especially if the duration of the illness is more than three days, conservative medical treatment can be chosen. Conservative treatment primarily involves active anti-infection and anti-inflammatory measures and usually takes longer. (Medication should be administered under the guidance of a doctor.)

How long does acute gastroenteritis take to heal?
The natural course of acute gastroenteritis is about one to two weeks, so it is recommended that patients undergo regular treatment. Acute gastroenteritis is commonly seen in clinical practice, with patients generally presenting with abdominal pain, nausea, vomiting, and abnormal stools. The main manifestation of stool abnormalities is an increase in the frequency of bowel movements, appearing as diarrhea, with the stools being watery. Additionally, patients may experience some fever and chills. Given the symptoms of acute gastroenteritis and its short duration, it is generally considered to be caused by viral or bacterial infections. Therefore, treatment can involve the use of anti-infective medications in small doses, especially when the patient has a fever. Other medications can include acid suppressants, mucosal protectants, antidiarrheals, and those affecting the intestinal flora, so the treatment generally has a good effect. Patients need not worry too much, and we adhere to a 1-2 week treatment period. (Medication should be taken under the guidance of a doctor.)

What should I do if I have a stomach ulcer?
Gastric ulcers are generally treated with internal medicine medications in clinical settings, primarily through oral medications. Patients may select from antacid and stomach-protecting drugs for a course of 6-8 weeks, after which most ulcers can be healed. It is advised that patients eat clean, easily digestible foods, and avoid intake of spicy, stimulative, and pickled foods, as well as foods like raw fish and strong coffee. If the patient has a habit of drinking alcohol, it is advised to abstain from alcohol for these two months. It is also important to focus on resting and maintaining adequate sleep. Gastric ulcers are relatively common in clinical settings and generally improve with active treatment. Patients typically seek treatment for abdominal pain or complications, with the pain usually manifesting as upper abdominal pain. The most common complication is gastrointestinal bleeding, presenting as vomiting blood or bloody stools. Therefore, it is recommended that patients experiencing such discomfort should actively seek a comprehensive gastroscopy examination.

Does bile reflux gastritis cause fever?
Bile reflux gastritis, considered a type of chronic gastritis, generally does not cause fever. Its typical symptoms include abdominal pain, bloating, nausea, vomiting, and a sense of fullness, among others. As the name implies, bile reflux gastritis is believed to be caused by bile inducing damage to the gastric mucosa, characterized by congested and swollen mucosa, erosion, and ulcers, typically without causing fever. If a patient with gastritis also presents with fever, other causes should be considered, such as gallstones, pancreatitis, or stones outside the gallbladder. In terms of treatment, medication is generally considered, potentially including the use of acid reducers and gastroprotective agents, as well as medicines that constrict bile, which are usually effective. If the patient has recurring fevers, other causes should be considered, as fever is generally not considered to be caused by bile reflux gastritis.

Treatment of proctitis
Proctitis is relatively common in clinical settings, especially in the department of gastroenterology. It generally presents as abdominal discomfort and abnormal bowel movements. Abdominal discomfort typically manifests as discomfort in the lower left abdomen, and abnormal bowel movements may include increased frequency and looser stool texture. The treatment of proctitis generally falls into two categories: general treatment and medication. General treatment includes maintaining smooth bowel movements, eating smaller meals more frequently, and ensuring that the stool remains soft. For medication, options include oral medications and topical treatments. Oral medications can soften stools, protect the intestinal mucosa, and control inflammation, among other effects. Topical medications may be chosen to protect the intestinal mucosa and prevent itching, and generally, they are quite effective, so patients need not worry too much.

Is the routine blood test normal for colitis?
Patients with colitis generally have normal routine blood tests, indicating that their white blood cells, hemoglobin, and platelets are generally normal. Patients with colitis commonly present clinically with abdominal discomfort and abnormal bowel movements. Abdominal discomfort typically manifests as discomfort in the lower abdomen and left side, with symptoms such as bloating, colicky pain, and dull pain, often occurring sporadically and generally related to diet and bowel movements. If abdominal pain improves after passing gas or stools, then the bowel movement abnormalities typically manifest as an increased frequency of bowel movements, generally more than 2 times. The stool texture is relatively loose, appearing mushy, and some patients may have watery stools. However, patients generally do not have bloody stools, and there are no clear changes in bowel abnormalities at night after a good sleep, so treatment is currently considered symptomatic.

How to diagnose gastritis
Gastritis is a common disease in clinical practice, generally divided into chronic gastritis and acute gastritis. Acute gastritis is most commonly characterized by abdominal pain, nausea, and vomiting. The symptoms of chronic gastritis vary and mainly include discomfort in the abdomen, nausea and vomiting, decreased appetite, and even early satiety. For the diagnosis of chronic and acute gastritis, the preferred examination is gastroscopy. Gastroscopy includes both conventional and painless procedures, both aimed at examining the condition of the gastric mucosa. However, for some elderly patients, particularly those with underlying conditions like coronary heart disease, the risk associated with gastroscopy is higher. Therefore, if conventional or painless gastroscopy is not suitable for the patient, abdominal CT and upper GI barium meal can be chosen instead. After completing the gastroscopy, if chronic gastritis or gastric ulcers are diagnosed, it is advisable to further conduct tests to screen for Helicobacter pylori.

Can colitis be cured completely?
Colitis is quite common in clinical settings, especially in the gastroenterology outpatient department. Patients generally present with abdominal discomfort or abnormal stool, where the discomfort typically manifests as intermittent pain or discomfort in the lower left abdomen. Abnormal stool is characterized by an increase in frequency, a loose texture, and even a watery appearance, occurring more than three times a day. Typically, patients have mucus in their stools but no blood, and generally do not exhibit alarming symptoms such as fever or bloody stools. Treatment usually consists of two types: dietary adjustments and therapeutic remedies. It is generally advised for patients to consume easily digestible foods to maintain regular bowel movements and avoid spicy foods. Medication for colitis is symptomatic, potentially including anti-diarrheal agents, adjustments to the intestinal flora, or antispasmodic pain relief. The treatment outcomes for colitis are generally good and can often be completely curative. (The use of medications should be under the guidance of a doctor.)

Can I drink yogurt with colitis?
Colitis is relatively common in clinical practice, especially in gastroenterology. The treatment generally involves two steps: first, medication treatment; second, dietary treatment. For patients with colitis, they can consume yogurt unless they have a clear allergy to yogurt or experience abdominal discomfort after consuming it. The main symptoms patients display are abdominal pain and abnormal stools, characterized by pain in the lower left abdomen or loose stools, and sometimes even fever. For these symptoms, we can choose to treat with certain medications. Antispasmodic analgesics can be added for abdominal pain, and medications to stop diarrhea or regulate the intestinal flora can be used for diarrhea. However, if there is a fever, oral anti-inflammatory drugs may be considered as needed. The diet should focus on light, liquid-based, and easy-to-digest foods, avoiding spicy foods. Of course, consuming yogurt is not a problem, so patients with colitis can eat yogurt, but not excessively, especially if they experience abdominal pain. It is suggested to reduce the amount of yogurt consumed. (The use of medications should be under the guidance of a doctor.)