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Ren Zheng Xin
Gastroenterology
About me
General practitioner, currently working at Zhangye People's Hospital affiliated with Hexi University, with 21 years of clinical experience in general medicine.
Proficient in diseases
Specializes in the diagnosis and treatment of common and prevalent diseases in clinical practice such as diabetes, cardiovascular diseases, gastrointestinal diseases, pediatrics, as well as the combination of examination items, comprehensive analysis, and handling of routine physical examinations. The scope of diagnosis and treatment mainly includes: diabetes, coronary heart disease, common gynecological diseases, common pediatric diseases.
Voices
Can I drink soy milk with acute gastroenteritis?
Patients with acute gastroenteritis should drink less soy milk during the onset of the disease. Although soy milk is rich in protein, it is not easy to digest and can aggravate the symptoms of gastroenteritis. The patient's diet should consist of eating smaller meals more frequently, focusing on foods that are easy to digest and low in fat. They can appropriately consume rice soup, noodles, and porridge. It is especially important to pay attention to food hygiene, washing hands before meals and after using the bathroom, and thoroughly heating up overnight food before eating. Avoid consuming raw, cold, spicy, or stimulating foods. Regular physical exercise should be maintained, and appropriate changes in clothing should be made on time with the change of seasons.
Laparoscopic appendectomy
Laparoscopic appendectomy is a type of minimally invasive surgery performed under general anesthesia using laparoscopic techniques to remove the appendix. During the operation, there is minimal bleeding, and recovery tends to be quicker, with less damage to the body. The scars left are small, consisting of three barely noticeable incisions. Typically, patients need to stay in the hospital for three to five days before they can be discharged. On the day of the surgery, patients are required to fast, and one to two days post-surgery, they may choose a semi-liquid diet and can start moving around. However, laparoscopic surgery is not suitable for individuals who cannot tolerate general anesthesia; instead, they must opt for an appendectomy through an incision at McBurney's point.
Is acute appendicitis serious?
Acute appendicitis is quite serious; it can cause severe abdominal pain, similar to knife cuts, vomiting, and a fever throughout the body. If not treated promptly, it can lead to appendiceal suppuration or even perforation. The pus leaking into the abdominal cavity can cause acute peritonitis, and further absorption of the inflammation into the bloodstream can result in multi-organ failure and potentially shock. Therefore, acute appendicitis should be treated actively. Currently, appendectomy is the primary treatment, mainly performed under laparoscopy. For patients who cannot tolerate general anesthesia, an appendectomy can be performed under spinal anesthesia through McBurney's point.
Acute appendicitis surgery is where?
Acute appendicitis primarily involves the removal of the appendix, which is also the main purpose of surgical treatment. The traditional appendectomy through McBurney's point incision involves anesthesia at the waist area, making an incision at McBurney's point, ligating the appendiceal artery, removing the appendix from its base, and then suturing the end with a purse-string stitch. In laparoscopic appendectomy, performed under general anesthesia, the appendiceal artery is also ligated and the appendix removed, followed by suturing the end. Postoperative care should be enhanced to avoid excessive exertion.
Does chronic gastritis cause nausea?
Chronic gastritis generally does not manifest with nausea; the main symptoms are indigestion, such as decreased appetite, acid reflux, and pain in the upper abdomen. Chronic atrophic gastritis may also present with anemia and diarrhea. More severe cases can lead to vomiting blood and black stools. The primary causes are directly related to Helicobacter pylori infection and chronic damage to the gastric mucosa. Treatment mainly involves protecting the gastric mucosa, suppressing gastric acid secretion, and eradicating Helicobacter pylori infection.
The difference between acute appendicitis and chronic appendicitis
Acute appendicitis and chronic appendicitis are quite different. Acute appendicitis develops suddenly with clear symptoms of fever and vomiting, and the pain in the lower right abdomen is relatively severe. Chronic appendicitis, on the other hand, often develops as a result of prolonged acute appendicitis. The abdominal pain is not typically characteristic, generally with few instances of fever or vomiting, but it can include persistent abdominal pain. Chronic appendicitis can lead to the formation of an abscess around the appendix, and a lump can be felt in the lower right abdomen. Acute appendicitis generally requires prompt surgical treatment to prevent its transition into chronic appendicitis.
Does appendicitis surgery leave scars?
Appendectomy surgery leaves scars due to cutting the skin on the body surface, and then the scars heal. Currently, there is a minimally invasive treatment available; it involves using laparoscopic technology to remove the appendix. This requires making three small incisions on the body surface, resulting in smaller scars, and postoperative recovery is relatively quick. Those who have cosmetic concerns may choose this method. Additionally, postoperative care should be enhanced, including regular dressing changes for the incision. Generally, stitches can be removed a week after the surgery. Attention should be paid to dietary adjustments, such as consuming more vegetables to prevent constipation. Once gastrointestinal function has returned, nutritional intake should be increased by eating more meats and eggs to strengthen the body and promote recovery.
Can people with gastritis drink tea?
During the acute phase of gastritis, it is advisable to avoid drinking tea, as tea can stimulate the secretion of gastric acid, cause gastric spasms, and lead to symptoms such as pain below the xiphoid process and acid reflux. Therefore, during the acute phase of gastritis, it is important to pay attention to a light diet, avoid strong tea, coffee, strong alcohol, and other stimulating foods. Opt for soft, easily digestible foods during meals, actively choose medications that regulate the spleen and stomach, manage emotions carefully, and engage in some activity after meals to help promote gastrointestinal motility. Consuming soft fruits, like bananas, can be very beneficial in promoting the healing of the gastrointestinal mucosa.
Does appendicitis cause diarrhea?
Patients with appendicitis may experience diarrhea and abdominal pain, tenderness, and rebound pain due to spasms in the gastrointestinal tract, accompanied by vomiting and nausea. Those with severe systemic infections may also have a fever. Currently, appendicitis is primarily treated surgically, with options including the traditional McBurney's incision or laparoscopic appendectomy. In cases of appendiceal suppuration, postoperative antibiotic treatment against infection should be selected, using anti-anaerobic agents, and attention must be paid to postoperative diet, focusing on soft, easily digestible foods.
Is an upper gastrointestinal perforation serious?
Upper gastrointestinal perforation is most commonly due to gastric perforation caused by gastric ulcers and is considered an emergency in clinical settings. Following the perforation, the contents of the stomach leak into the abdominal cavity, causing diffuse peritonitis and potentially leading to shock; urgent perforation repair surgery is required. If the perforation is caused by a large ulcer, a major part of the stomach may be removed to prevent recurrence of the ulcer. After surgery, it is important to enhance fluid support. If there is a significant peritonitis, timely use of antibiotics is necessary. Post-surgery, it is crucial to rest, focus on dietary adjustments, eat more vegetables and fruits, and consume fewer spicy and greasy foods. (Medication should be taken under the guidance of a doctor.)