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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.
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How is acute appendicitis diagnosed?
The definitive diagnosis of acute appendicitis is primarily through clinical physical examination and auxiliary tests. Based on typical symptoms of acute appendicitis, such as migratory right lower abdominal pain, vomiting, nausea, fever, and a few patients may have symptoms of constipation or diarrhea. There is obvious tenderness and rebound pain when pressing on the abdomen. Additionally, an abdominal ultrasound can indicate swelling of the appendix lumen and a significant increase in appendix size. These aspects can lead to a preliminary diagnosis, and once acute appendicitis is confirmed, surgical treatment should be carried out.
What to avoid eating with gastroenteritis
Patients with gastroenteritis need to pay special attention to their diet, especially avoiding spicy, greasy, and irritating foods. They should also avoid strong tea and coffee, as these are necessary to abstain from. It is advisable to consume more bland or easily digestible foods, such as noodles, egg custard, and rice soup. Under strict dietary control, if symptoms do not improve, medication may be necessary. Common medications include those that suppress gastric acid secretion and protect the gastric mucosa, as well as antibiotics. (Please use medication under the guidance of a doctor.)
How long does acute gastritis take to recover?
Acute gastritis generally recovers slowly over about a week with active treatment. During the treatment period, attention should be paid to the treatment of the cause and symptomatic treatment. Mainly, the patient should rest in bed and stop all food or medicine that irritates the stomach. Additionally, medications that relieve spasms and pain, protect the gastric mucosa, and suppress gastric acid secretion should be used. Acute gastritis often occurs with enteritis; if vomiting and diarrhea are frequent, oral rehydration should be administered promptly, and more severe cases may require intravenous fluids. During treatment, dietary adjustments should be considered, including eating soft, easily digestible foods. If vomiting is frequent, the patient should refrain from eating and drink more water, consuming more vegetables to supplement dietary fiber.
What color is the blood in hemorrhoids?
Hemorrhoids are mainly divided into internal and external hemorrhoids. Internal hemorrhoids can cause rectal bleeding, the color of which is bright red. If the hemorrhoids are severe, then the amount of bleeding can be significant. Internal hemorrhoids mainly present with painless rectal bleeding, usually occurring after defecation. It is necessary to go to the hospital's proctology department timely for an anoscopy. Mild cases can be treated with medications for hemorrhoids and topical ointments, while severe cases may require surgical treatment. It is important to rest frequently, drink plenty of water, avoid sitting for long periods, eat less spicy food, and also avoid smoking and alcohol.
Does Crohn's disease have no symptoms?
Crohn's disease typically presents with symptoms such as abdominal pain, diarrhea, intestinal obstruction, complications of nutritional disorders, iridocyclitis, oral ulcers, anemia, and liver diseases. A preliminary diagnosis can be made based on these specific clinical manifestations. X-ray enterography can reveal intestinal lesions. It is important to maintain a reasonable daily routine. During active phases, bed rest should be observed, and a diet high in energy and calories but low in fat should be provided. Treatment involves a combination of medication and surgery. Crohn's disease tends to recur and has a protracted course. (Please take medication under the guidance of a professional physician.)
Can gastritis be cured?
Gastritis can be cured, primarily through medication, such as protecting the gastric mucosa, inhibiting gastric acid secretion, and appropriately using antibiotics. If there is a Helicobacter pylori infection, specific treatment for Helicobacter pylori must be conducted. After the treatment of gastritis, it is crucial to pay attention to dietary adjustments. Irregular eating habits can lead to the recurrence of gastritis. Therefore, it is advisable to maintain a light diet, consume more vegetables and fruits, eat less spicy and irritating food, avoid strong tea, coffee, and hard liquor which can damage the gastric mucosa, and keep a relaxed mood, which also positively affects the treatment of stomach diseases.
The color of the blood from internal hemorrhoids.
Bleeding from internal hemorrhoids is bright red. If the amount of bleeding is substantial, it can appear as a jet-like hemorrhoidal bleeding. This condition is caused by hard and dry stools scratching the hemorrhoidal veins during defecation, leading to bleeding. Repeated bleeding from internal hemorrhoids can cause chronic blood loss and result in symptoms of anemia. It is advisable to actively engage in medication or minimally invasive treatments, using drugs to stop bleeding and constrict hemorrhoidal veins. Some may undergo vein ligation surgery minimally invasively. At the same time, it is important to have a light diet, drink more water, eat more vegetables, and ensure smooth bowel movements.
What to do if Crohn's disease causes a fever?
Extraintestinal manifestations of Crohn's disease include fever or nutritional disorders. When there is a fever, symptomatic fever-reducing treatment should be applied using antipyretic medications. If the body temperature does not exceed 38°C, physical cooling methods can also be used, such as wiping the palms of the hands, soles of the feet, forehead, armpits, and groin with alcohol or a warm towel to dissipate heat physically. It is important to drink plenty of water and consume more vegetables to maintain hydration. Attention should also be given to enhancing nutrition by providing a high-nutrient, low-fat diet, which could include lean meats, eggs, and fish. Strict rest is crucial during the disease flare-ups to avoid excessive fatigue. (Please use medications under the guidance of a doctor)
Can Crohn's disease be inherited by children?
Crohn's disease is an inflammatory bowel condition, and its specific causes are not yet very clear. It may be related to environmental factors, lifestyle factors, dietary factors, and genetic factors, and it occurs more often in males than in females. The prevalence of Crohn's disease is relatively low in China. Typical symptoms of Crohn's disease include abdominal pain, diarrhea, intestinal obstruction, and some patients may experience fever, oral mucosal lesions, and liver abnormalities. The current treatment is mainly medication combined with surgical intervention. During active periods, it is important to rest, consume a low-fat, high-nutrition diet, replenish water and electrolytes timely, and if anemia is present, appropriately supplement with B12 and folic acid. Patients with hypoproteinemia should be given albumin.
What to do about the pain from atrophic gastritis?
Atrophic gastritis is a condition where the mucous membrane of the stomach atrophies, associated with poor neural nutrition and excessive gastric acid secretion, leading to a reduction in the barrier function of the gastric mucosa. To first alleviate pain, proton pump inhibitors can be used to reduce the secretion of gastric acid, and at the same time, gastric mucosal protectants should be used. If there is an infection with Helicobacter pylori, active use of triple or quadruple therapy should be employed to eradicate Helicobacter pylori. It is important to adjust one's diet, eat regularly, and avoid overeating. Greasy and spicy foods should be consumed less, and more bland, soft, and easily digestible foods should be eaten. (Please use medication under the guidance of a doctor.)