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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
What IV bag is used for acute gastroenteritis?
Acute gastroenteritis is very common in daily life, mostly occurring in the summer and autumn seasons, caused by unhygienic dietary practices, or consumption of raw, cold, and spicy foods. Treatment is primarily symptomatic, involving medications to solidify the intestines and stop diarrhea, as well as antibiotics sensitive to intestinal flora. Additionally, since acute gastroenteritis presents significant diarrhea and dehydration, it is important to include energy and vitamins in intravenous fluids. The general treatment period lasts from three to seven days. After recovery, it is important to pay attention to dietary adjustments in daily life, increase water intake, avoid unhygienic food, and ensure that meat products are well-cooked before consumption. (Medication should be administered under the guidance of a professional doctor.)
How many days does appendicitis surgery hurt?
Appendicitis, if not accompanied by suppuration or perforation, will gradually alleviate pain after surgery, with significant pain relief within one to two days. If the appendix was suppurated or perforated before surgery, causing localized peritonitis, postoperative pain will last longer due to residual pus in the abdominal cavity. Antibiotics should be administered intravenously after surgery, and pain relief will gradually occur after three days of medication. Simultaneously, postoperative care of the surgical incision is important to prevent infection.
Where does acute appendicitis hurt?
Acute appendicitis primarily causes abdominal pain, initially in the upper middle abdomen or around the navel, gradually localizing to the lower right abdomen; if the inflammation is severe, the nature of the pain can be very intense, like a knife cut; the inflammation may also affect the peritoneum, causing tenderness, rebound pain, and muscle tension in the abdomen; in addition to abdominal pain, acute appendicitis may also lead to nausea and vomiting. For a confirmed diagnosis of acute appendicitis, surgery is generally required, with laparoscopic appendectomy as the main treatment nowadays. This surgical method involves less bleeding during the operation and a quicker recovery postoperatively.
The difference between acute appendicitis and chronic appendicitis.
The differences between acute appendicitis and chronic appendicitis are mainly manifested in: First, the onset of the condition. Acute appendicitis develops suddenly, characterized by sudden abdominal pain, nausea, and vomiting, while chronic appendicitis usually stems from prolonged acute appendicitis, with symptoms that are not as abrupt. Second, the clinical signs. Acute appendicitis can involve the peritoneum and is characterized by significant abdominal tenderness and rebound pain, whereas chronic appendicitis generally does not exhibit rebound pain. Third, during an acute appendicitis attack, there is a clear increase in blood markers, whereas chronic appendicitis typically shows normal blood markers.
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.