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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
How long does it take for a stomach ulcer to heal?
Gastric ulcers are a very common disease in gastroenterology. For minor ulcers, adjustments in diet, quitting smoking and drinking, consuming more green vegetables, getting more rest, and reducing mental stress can gradually lead to recovery. More severe ulcers require active medication use. To achieve ulcer healing, the course of acid-reducing medication usually lasts four to six weeks. Commonly used medications include those that inhibit gastric acid secretion, such as HR receptor antagonists and proton pump inhibitors, as well as some bismuth agents and weakly alkaline antacids to protect the stomach lining. Meanwhile, dietary management should be strengthened. Through effective medical treatment, the healing rate of gastric ulcers can reach over 95%. (Specific medication use should be conducted under the guidance of a doctor.)
Changes in the anus with Crohn's disease
Crohn's disease is an inflammatory bowel disease, generally without special changes to the anus. Typical symptoms include abdominal pain, diarrhea, bowel obstruction, nutritional disorders, and fever, among others. Complications can include intra-abdominal abscesses, bowel perforation, rectal bleeding, and malabsorption syndrome. The disease course tends to be recurrent and is not easily cured. Current treatments mainly involve medication and surgery. During active phases, it is important to focus on nutrition, rest, and supplementation of fluids and electrolytes to prevent imbalance. Enteral or parenteral nutritional support can also be used, and ample rest is essential. (Medication should be administered under the guidance of a professional doctor.)
Nursing measures for gastric ulcer bleeding
Gastric ulcer bleeding is quite common clinically. If the bleeding is severe, it can cause vomiting of blood. At this time, it is important to promptly clear the respiratory tract secretions, maintain oral cleanliness and hygiene, and prevent aspiration. For elderly people who are bedridden long-term, in nursing work, it is important to prevent pressure ulcers and the formation of deep vein thrombosis, by frequently patting the patient's back, moving their lower limbs, and wiping their lower back skin. The bleeding caused by the ulcer may cause the patient to panic. At this time, psychological care should be strengthened, communicate more with the patient, conduct counseling, try to avoid excessive agitation of the patient, and then actively cooperate with the doctor's treatment.
Is there a scar from appendicitis surgery?
Appendectomy involves cutting into the skin, so scars remain on the body after healing. The traditional surgery method through McBurney's point leaves a larger scar, whereas the current laparoscopic treatment, which involves removing the appendix through laparoscopy, only leaves three small incisions on the body and results in smaller scars. Recovery is also faster, making this minimally invasive treatment a preferable option for those who are highly concerned about aesthetics. Additionally, postoperative care is crucial; eating is not allowed on the day of the surgery, a semi-liquid diet is recommended for the first 1-2 days post-operation, and a normal diet can be resumed after 3-4 days.
What are the symptoms of appendicitis?
Appendicitis is an acute inflammation occurring in the lumen of the appendix. The primary symptoms include fever, nausea, vomiting, abdominal tenderness, and rebound pain. Migratory right lower abdominal pain is a common indicator used for diagnosing appendicitis. Additionally, appendicitis located posterior to the peritoneum may also present with radiating pain in the lower back. Once appendicitis is diagnosed, surgical treatment is required, except for elderly or frail individuals who cannot tolerate surgery and may opt for conservative treatment. Laparoscopic appendectomy is a commonly used surgical method, as it involves less bleeding during surgery and faster recovery afterwards. Postoperative care should be emphasized, with adjustments in diet, and an increased intake of vegetables to prevent constipation.
Why is fasting recommended for acute gastroenteritis?
Acute gastroenteritis is an acute inflammation of the gastric and intestinal mucosa, which can manifest as nausea, vomiting, and diarrhea. On the first day of the illness, it is necessary to abstain from food and drink, as any stimulation from food or water can aggravate the inflammation of the gastrointestinal tract and increase the burden on the intestines. Therefore, at the onset of the illness, it is crucial to abstain from food and drink and to actively treat with medication, such as anti-diarrheal agents and antibiotics. As the condition progresses and treatment continues, it is appropriate to gradually reintroduce food, starting with easily digestible foods such as rice porridge, millet porridge, vegetable soup, and rice soup. It is still advisable to avoid hard, raw, cold, and spicy foods.
How is a gastric ulcer diagnosed?
Gastric ulcers are inflammatory defects that occur on the gastric mucosa, related to the gastric acid and digestive actions of gastric juices. Diagnosis mainly relies on clinical manifestations and auxiliary examinations, with typical symptoms including recurring or periodic upper abdominal pain that worsens after eating, as well as occurrences of belching. X-ray barium meal examinations can reveal filling defects, and gastroscopy can provide a full view of the ulcer. Treatment primarily involves the use of medications that suppress gastric acid secretion and protect the gastric mucosa. Additionally, it is important to enhance health education, eat less spicy and greasy food, have meals regularly and in measured amounts, and consume more green vegetables. (Specific medication use should be carried out under the guidance of a doctor.)
precursor of acute gastroenteritis
Acute gastroenteritis typically strikes suddenly, usually without specific early warning signs. By the time such premonitions occur, symptoms of acute gastroenteritis become quite evident, including abdominal pain, nausea, vomiting, and diarrhea. Generally, acute gastroenteritis is caused by consuming unclean food or food poisoning, leading to significant diarrhea. Frequent diarrhea can result in dehydration. Current treatment primarily focuses on symptomatic fluid and nutritional support, as well as antispasmodic pain relief. During the acute phase, it is advisable to abstain from food as much as possible. After symptoms subside, one can gradually consume some soft foods. Regular meals, adequate rest, and avoiding spicy, stimulating, greasy foods, as well as strong tea, coffee, and strong alcohol are recommended.
What are the symptoms of a stomach cold?
Gastrointestinal flu is quite common in clinical practice, primarily characterized by discomfort in the gastrointestinal tract and symptoms of a cold. Patients may experience abdominal pain, diarrhea, vomiting, fatigue, and may also exhibit fever and cough. Gastrointestinal flu is mostly caused by rotavirus infection and is more common in the summer and autumn seasons. Irregular eating habits and rest patterns can easily trigger it. The main treatment involves using anti-cold medication symptomatically as well as medication to regulate the gastrointestinal tract. During treatment, it is crucial to maintain regular eating habits, rest adequately, drink plenty of water, and ensure proper hydration. Gastrointestinal flu can also lead to dehydration, which must be carefully monitored.
Is appendicitis prone to recurrence?
Appendicitis, if treated by surgically removing the appendix, generally does not recur and can be cured. However, if one only uses medication to control the symptoms during an attack of appendicitis, it can easily recur. For appendicitis, laparoscopic appendectomy is currently the preferred surgical treatment. This method involves less bleeding during surgery and quicker recovery post-surgery. For elderly or frail patients who cannot tolerate general anesthesia, the traditional surgical method involving an incision at McBurney's point can be chosen. With this method, it is important to rest more. Patients can usually be discharged about a week after surgery. Postoperative care should be strengthened, dietary adjustments should be made, and more vegetables should be eaten to prevent constipation.