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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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Can esophagitis cause chest tightness?
Esophagitis generally does not cause symptoms of chest tightness, as the inflammation in the esophagus typically leads to symptoms of the digestive system, and does not cause disorders of the respiratory or circulatory systems. Clinically, common symptoms of esophagitis include a burning sensation, along with difficulty swallowing and pain behind the breastbone. When the esophagitis is severe, it can lead to a narrowing of the esophageal lumen, causing a choking sensation when swallowing food, and possibly inducing vomiting. The inflammation can cause bleeding, which may manifest as vomiting blood or black stools.
What should I do about acute gastritis and stomach pain?
Stomach pain caused by acute gastritis is usually due to inflammation irritating the gastric mucosa. It can be managed with medications that suppress stomach acid secretion, protect the gastric mucosa, and relieve spasms and pain. Additionally, using a warm water bottle on the abdomen can help alleviate stomach pain. Regular care for the gastrointestinal tract is important, including eating soft, easily digestible foods and avoiding spicy, irritating, and greasy foods. Engaging in outdoor activities and maintaining overall physical and mental health can also benefit the stomach. It is advisable to avoid strong tea, coffee, and hard liquor, which can further irritate the stomach.
What causes bleeding from gastric ulcers?
Gastric ulcers can cause damage to the gastric mucosa, and if the ulcer further affects the blood vessels, it can lead to rupture of the vessels and cause bleeding. Therefore, gastric ulcers should be treated actively. If the amount of bleeding is substantial, it is advisable to opt for endoscopic hemostasis or use hemostatic medications, while also treating the ulcer fundamentally. If the ulcer is large, a major part of the stomach may be removed surgically. Post-operative care is crucial, including maintaining a balanced diet; the diet should consist mainly of soft, easily digestible foods, with an emphasis on consuming more vegetables and fruits, and avoiding spicy and cold foods.
Common Complications of Crohn's Disease
Crohn's disease is an inflammatory bowel disease that commonly leads to complications such as intestinal obstruction, acute perforation, rectal bleeding, and poor absorption syndrome due to intra-abdominal abscesses. Due to inflammation, there is an increase in intestinal mucosa and narrowing of the intestinal lumen, which makes intestinal obstruction more likely. The decrease in protective barrier function of the intestinal mucosa makes it susceptible to acute perforation, which can also lead to rectal bleeding when perforated. Examinations for Crohn’s disease include colonoscopy, barium enema, CT scans, complete blood count, and intestinal absorption tests. The treatment involves a combination of medication and surgery, as the exact cause of the disease is not very clear, and it tends to have a prolonged course with recurrent flare-ups, making it difficult to cure completely.
Does bile reflux gastritis cause bad breath?
Bile reflux gastritis can cause bad breath due to stomach contents flowing back to the throat through the esophagus, where the remnants of food create an odor in the mouth. First and foremost, maintaining oral hygiene, brushing teeth promptly, and consuming more vegetables and fruits can help improve bad breath. Additionally, active treatment may involve the use of proton pump inhibitors to suppress gastric acid secretion, as well as medications that protect the stomach lining. It is also important to manage diet by eating regular meals, increasing vegetable and fruit intake, and reducing consumption of spicy, stimulating, and greasy foods. Engaging in appropriate exercise after meals can help enhance gastrointestinal motility, speeding up the digestion and absorption of food. (Specific medications should be taken under the guidance of a physician.)
Acute appendicitis complications
The main complications of acute appendicitis include: First, purulent peritonitis, due to the appendix becoming purulent and leading to perforation, pus flows into the abdominal cavity, causing diffuse peritonitis; Second, abdominal abscess, purulent appendicitis that is not treated surgically forms a capsule around the appendix, encapsulating it, and a lump can be felt on the abdominal surface; Third, internal-external fistula, if the abscess around the appendix is not drained in time, it can break through to the intestinal abdominal wall, forming a fistula.
Does gastric ulcer require hospitalization?
Whether a stomach ulcer requires hospitalization depends on the condition. For minor ulcers, if the pain is mild and there are no significant symptoms of vomiting or nausea, treatment can be managed with medication, such as drugs that inhibit stomach acid secretion and protect the gastric mucosa. It is also important to regulate diet, eat soft foods, avoid cold, spicy foods, and alcohol, as symptoms can gradually ease. If the ulcer is larger and exhibits perforation or bleeding, hospital treatment is necessary, usually involving a significant portion of the stomach being surgically removed to completely cure the ulcer. (Medication should be taken under the guidance of a doctor.)
Anesthesia methods for acute appendicitis
The anesthesia method for acute appendicitis is related to the type of surgical treatment. If laparoscopic appendectomy is chosen, general anesthesia is usually required. If a traditional McBurney point incision is used for appendectomy, spinal anesthesia is primarily chosen. Additionally, after anesthesia, gastrointestinal function will be somewhat restricted. Until there is no gas or bowel movement from the rectum, patients should not eat after surgery. Only when the rectum starts to pass gas, indicating that gastrointestinal function is beginning to recover, can the patient begin to consume soft foods.
Acute gastroenteritis anti-inflammatory drugs
For acute gastroenteritis, if there is a bacterial infection, antibiotics can be used. Empirical use primarily involves quinolones or cephalosporins. If stool bacterial culture is possible, antibiotics sensitive to the results of the test should be chosen. However, it is important to note that if acute gastroenteritis is caused by a viral infection, the effectiveness of anti-inflammatory drugs is very limited. Therefore, it is advisable to diagnose which bacteria are more sensitive based on the stool sample, and then select the appropriate antibiotic. This approach is more targeted, and also less harmful to the body. The specific medication should still be primarily based on the diagnosis of the clinical doctor.
Is acute gastritis dangerous?
Acute gastritis comes in many forms, and acute erosive hemorrhagic gastritis is relatively dangerous as it can lead to gastric mucosal bleeding and perforation, resulting in the risk of hemorrhagic shock. Therefore, active treatment of acute gastritis is needed. It is recommended to visit the gastroenterology department of a hospital to undergo a gastroscopy to understand the basic pathological changes of the gastritis. Additionally, some medications can be used for treatment, such as those that inhibit gastric acid secretion, protect the gastric mucosa, and sensitive antibiotics. Pay attention to dietary adjustments, consume lighter foods more often, and reduce the intake of spicy foods. (Please use medication under the guidance of a doctor.)