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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 should I do about indigestion?
Indigestion is considered a gastrointestinal dysfunction, and Traditional Chinese Medicine (TCM) views it as spleen and stomach weakness. TCM recommends using herbal medicines to adjust the spleen and stomach, as well as consuming foods that aid digestion, such as tomatoes, hawthorn, pumpkin, and Chinese yam. These foods help to generate fluids to quench thirst, moisten the intestines for bowel movement, and assist digestion. It is advisable to have a lighter diet, avoid spicy and greasy foods, engage in appropriate outdoor exercise to improve physical health, and eat meals at regular times and quantities to avoid overeating. It is important to protect the gastrointestinal system and enhance the stomach's digestive function in daily life. If symptoms do not improve after dietary adjustments, it is recommended to visit the gastroenterology department for a detailed examination.
Is acute gastroenteritis serious?
Acute gastroenteritis is quite severe, as it can cause significant vomiting and diarrhea. Severe diarrhea can lead to symptoms of dehydration. Additionally, acute gastroenteritis can lead to decreased appetite, weight loss, and lethargy, affecting normal life and work. For acute gastroenteritis, treatment primarily involves medication, mainly antibiotics and antidiarrheal drugs. During treatment, it is recommended to eat smaller, more frequent meals. For severe diarrhea, it is advisable to refrain from eating and rely mainly on intravenous fluids for nutrition. Moreover, meals should be regular and controlled in quantity, avoiding overly spicy or greasy foods. (Medication should be used under the guidance of a doctor.)
What IV fluids should be administered for acute gastritis?
The choice of medication for intravenous therapy in acute gastritis focuses on suppressing gastric acid secretion, protecting the gastric mucosa, and the rational use of antibiotics. It is also important to replenish fluids and electrolytes to maintain sodium-water balance. During treatment, attention should be paid to regular eating habits, consuming more vegetables and fruits to add dietary fiber. Additionally, the main diet should consist of soft, easy-to-digest foods, such as millet porridge, rice soup, or vegetable soup; it is advisable to avoid raw, cold, spicy foods and to stay away from strong tea, coffee, and hard liquor to prevent damage to the gastric mucosa. Regular, timely meals should be adhered to, along with developing a regular routine of living habits. After recovery, appropriate outdoor exercises should be conducted to strengthen the physique and maintaining a positive mindset plays an active role in preventing gastrointestinal diseases.
Which is more serious, acute appendicitis or chronic appendicitis?
The symptoms of acute appendicitis are relatively more severe because acute suppurative appendicititis can cause perforation of the appendiceal lumen. After the perforation, pus can flow into the abdominal cavity causing diffuse peritonitis, leading to abdominal muscle tension, tenderness, and rebound pain. If not treated promptly, it can lead to multiple organ failure. Chronic appendicitis is mostly due to incomplete treatment of acute appendicitis, or chronic latent appendicitis. The symptoms of chronic appendicitis are sometimes mild and the physical signs are not definite. Surgical removal of the appendix should be the first choice for treating acute appendicitis.
What is acute appendicitis?
Acute appendicitis refers to the acute inflammation occurring in the lumen of the appendix, which is caused by the narrowing or blockage and subsequent infection of the lumen. The primary symptom is abdominal tenderness and rebound pain, accompanied by nausea, vomiting, and fever. During the acute phase, blood tests often show an elevated white blood cell count. The main treatment is surgical removal of the appendix, with laparoscopic appendectomy being the commonly used method. This is also a minimally invasive approach to appendicitis treatment. Postoperative care is important, and it is advised to fast on the day of the surgery. Once gas passes through the rectum, a liquid diet may be resumed.
The difference between peptic ulcer and gastric ulcer.
Peptic ulcers refer to ulcers occurring in the digestive tract, including duodenal ulcers and gastric ulcers, whereas gastric ulcers specifically refer to ulcerative lesions occurring in the gastric mucosa. Clinically, there is often a distinction made between duodenal ulcers and gastric ulcers. Clinically, gastric ulcers cause postprandial pain, while duodenal ulcers are characterized by midnight pain and hunger pain. Additionally, the locations of occurrence differ; gastric ulcers commonly occur on the lesser curvature of the stomach, whereas duodenal ulcers commonly occur in the bulb. The treatment methods are fundamentally similar, primarily involving the use of medications that inhibit gastric acid secretion and protect the mucous membrane. Moreover, it involves enhancing health education, maintaining a regular diet, reasonable rest, and avoiding excessive fatigue. (Please use medication under the guidance of a physician.)
How to treat functional dyspepsia?
Functional dyspepsia, which is considered temporarily non-organic, should first be managed by dietary adjustments. Meals should be regular and portion-controlled to avoid overeating; softer, easily digestible foods should be favored while gas-producing foods like leeks and soy products should be limited. Medications that enhance gastrointestinal motility and accelerate food emptying can be used, as well as those that adjust microbial imbalances. Engaging in moderate outdoor activity after meals can also effectively enhance gastrointestinal motility and promote gastric emptying. (Please take medications under the guidance of a doctor)
What does Crohn's disease abdominal pain feel like?
Crohn's disease is an inflammation that occurs in the intestines, most commonly found in the terminal ileum and the right half of the colon. Due to the irritation from the inflammation, there is noticeable abdominal pain, which often presents as cramping, and sometimes as dull pain. The severity of the abdominal pain varies with the intensity of the inflammation. In addition to abdominal pain, symptoms may include diarrhea or manifestations of intestinal obstruction. Due to damage to the intestinal wall, complications such as intestinal perforation or rectal bleeding can occur, as well as fever and extraintestinal manifestations like malabsorption disorders. Crohn's disease tends to recur frequently and has a protracted course. It is not easily cured, and thus, strengthening daily care is essential.
Acute appendicitis nursing care
The nursing care for acute appendicitis includes preoperative care and postoperative care. Before surgery and on the day of surgery, fasting is required; the patient should not eat anything. At the same time, it is important to soothe the patient's emotions. If the pain is very severe, sedative analgesics can be used. After the surgery, dietary care should be intensified. On the first day after the surgery, a liquid diet should be administered. After bowel gas is passed, a normal diet can be resumed on the third to fourth day. It is important to monitor vital signs and the condition of the surgical incision to prevent infection. The patient can engage in activities out of bed 24 hours after surgery. Elderly patients should be assisted in expectoration to prevent dependent pneumonia.
Colitis is what disease.
Colitis is caused by various reasons, leading to inflammatory lesions in the colon. Depending on the cause, it can be divided into nonspecific inflammatory changes and specific inflammatory lesions. It can be caused by bacteria, fungi, or parasites, with typical symptoms such as diarrhea and abdominal pain. Severe anemia and intestinal dysfunction may occur. Due to repeated diarrhea, an imbalance of acid-base equilibrium can happen. Patients generally see a gastroenterologist and require long-term treatment, as well as dietary adjustments.