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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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What to do about acute gastroenteritis?
Acute gastroenteritis is considered to be caused by unclean food or bacterial and viral infections. It is important to actively provide symptomatic treatment. For nausea and vomiting, use antispasmodic and antiemetic medications; for repeated diarrhea and dehydration, use intestinal firming and antidiarrheal medications; for obvious bacterial infections, antibiotics should be used, preferably quinolones. Be sure to drink plenty of water and replenish fluids in a timely manner. During the acute phase, do not eat anything to avoid overburdening the gastrointestinal tract. After recovery, increase the consumption of vegetables to enhance nutrition and improve the body's resistance. (Please use medication under the guidance of a doctor.)
The difference between gastric ulcers and duodenal ulcers.
Gastric ulcers and duodenal ulcers are collectively known as peptic ulcers, formed under the self-digestion action of gastric acid and pepsin. Gastric ulcers are more common in middle-aged and elderly people, generally occurring at the lesser curvature of the stomach body. The pain of a gastric ulcer typically appears within an hour after eating, also known as postprandial pain, which gradually eases after one to two hours of digestion and absorption; gastric ulcers can easily lead to bleeding and perforation. Duodenal ulcers are more common in young and middle-aged adults, frequently occurring in the duodenal bulb. Typical symptoms include postprandial pain and midnight pain, which can be alleviated by using antacids. The treatment methods for gastric and duodenal ulcers are similar. Additionally, it is important to pay attention to diet in daily life, eat less spicy, greasy, and irritating food, and consume more soft, easily digestible food.
Does Crohn's disease have a genetic component?
Crohn's disease has a certain genetic predisposition, but not all cases of Crohn's disease are inherited from one generation to the next. Current research indicates that its occurrence is related to environmental factors, immune factors, and genetic factors, with a higher incidence in males than in females. The prevalence of Crohn's disease is not particularly high in China. Symptoms are primarily abdominal pain, diarrhea, intestinal obstruction, and nutritional disorders. Some cases may also involve complications such as iridocyclitis, clubbing arthritis, oral mucosal ulcers, and chronic hepatitis. It is important to rest adequately and adjust your diet, favoring frequent light meals, low in fat and high in calories.
Can you smoke with Crohn's disease?
Patients with Crohn's disease are advised not to smoke, as smoking can cause many harms, including disturbances in intestinal blood circulation, which can exacerbate the symptoms of Crohn's disease. Typical symptoms include abdominal pain, diarrhea, and intestinal obstruction, as well as possible fever and nutritional disorders. The diet should consist of frequent small meals, low in fat and high in calories, and may include vegetables such as carrots, potatoes, and yams, while avoiding raw, spicy foods and foods that cause gas. During active phases, strict rest is recommended along with calorie supplementation and high nutritional support to actively prevent complications. Crohn's disease tends to recur frequently and can have a protracted course.
What should I do about an umbilical hernia?
Umbilical hernia is a type of hernia, mainly caused by poor development of the navel area and a relatively weak abdominal wall at the navel. It occurs when the intestines protrude through the belly button towards the surface of the body due to increased intra-abdominal pressure. The main treatments are as follows: if the infant or toddler is under two years old and the hernia is relatively small, it can be observed conservatively or it might close on its own. If the child is older than two years and the hernia is larger, surgical repair may be necessary. For adults with an umbilical hernia, surgical repair is generally the best treatment method.
How to treat symptoms of acute gastritis?
Acute gastritis is generally caused by consumption of unclean food or bacterial infection. The main symptoms include nausea, vomiting, and fever. The conventional treatment involves using medications that suppress gastric acid secretion, protect the gastric mucosa, and relieve spasms and pain. If there is a bacterial infection, antimicrobial drugs should be used, and for Helicobacter pylori infection, triple therapy should be applied. Regular attention should be paid to dietary habits, avoiding spicy, greasy, and irritating foods. Ensure that food is within its expiration period, and foods taken out from the refrigerator should be heated before eating. Engage in outdoor exercises to strengthen the physique and enhance the body's disease resistance. (Medication should be used under the guidance of a doctor.)
The Difference Between Acute and Chronic Appendicitis
The differences between acute appendicitis and chronic appendicitis mainly lie in the onset of the condition, physical signs, and laboratory tests. First, regarding the onset of the condition, acute appendicitis occurs suddenly and can involve abrupt abdominal pain, whereas chronic appendicitis often manifests as fixed tenderness in the lower right abdomen and the symptoms are not particularly typical. In terms of physical signs, acute appendicitis presents with migratory pain in the lower right abdomen, while chronic appendicitis generally does not involve rebound pain. Thirdly, concerning auxiliary examinations, acute appendicitis shows a significant increase in the white blood cell count during an attack, whereas in chronic appendicitis, the white blood cell count may appear normal.
Causes of Acute Gastroenteritis
Acute gastroenteritis mostly occurs in summer and autumn, due to unhygienic eating habits and consumption of spoiled food. Additionally, a weak immune system or excessive fatigue can gradually lead to acute gastroenteritis. Therefore, it is important to prevent acute gastroenteritis by adopting a healthy lifestyle. This includes having meals regularly and in proper amounts, avoiding spoiled food, drinking plenty of water (preferably boiled water), ensuring the water is thoroughly boiled, maintaining a reasonable work-rest schedule, avoiding excessive fatigue, and eating less greasy and spicy food.
Bile reflux gastritis symptoms
Bile reflux gastritis, primarily, its symptoms are caused by the damage of bile to the gastric mucosa, manifesting as acid reflux, belching, abdominal pain, and bloating. This can lead to damage to the gastric mucosa, resulting in erosion and bleeding. In cases of bile reflux gastritis where symptoms are not particularly typical, symptoms may be alleviated by improving dietary habits. More severe cases require medication, including oral drugs that promote gastrointestinal motility, protect the gastric mucosa, and inhibit gastric acid secretion. It is important to maintain a light diet, avoid highly irritating foods, and prevent irritation from smoking and alcohol.
What are the symptoms of chronic gastritis?
The symptoms of chronic gastritis are mainly digestion-related, such as nausea, vomiting, acid reflux, abdominal bloating, and stomach pain. Belching is a more prominent symptom, with food easily refluxing back up to the throat. Many patients with chronic gastritis have atypical symptoms, and Helicobacter pylori infection is often discovered during examinations. Patients with this type of infection need treatment for Helicobacter pylori, which clinically often involves a triple therapy consisting of two antibiotics plus a proton pump inhibitor or a mucosal protective agent. It is also necessary to adjust the diet appropriately. (Medication should be used under the guidance of a doctor, based on the specific situation.)