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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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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.
Does appendicitis surgery leave scars?
Appendectomy surgery leaves scars due to cutting the skin on the body surface, and then the scars heal. Currently, there is a minimally invasive treatment available; it involves using laparoscopic technology to remove the appendix. This requires making three small incisions on the body surface, resulting in smaller scars, and postoperative recovery is relatively quick. Those who have cosmetic concerns may choose this method. Additionally, postoperative care should be enhanced, including regular dressing changes for the incision. Generally, stitches can be removed a week after the surgery. Attention should be paid to dietary adjustments, such as consuming more vegetables to prevent constipation. Once gastrointestinal function has returned, nutritional intake should be increased by eating more meats and eggs to strengthen the body and promote recovery.
Can people with gastritis drink tea?
During the acute phase of gastritis, it is advisable to avoid drinking tea, as tea can stimulate the secretion of gastric acid, cause gastric spasms, and lead to symptoms such as pain below the xiphoid process and acid reflux. Therefore, during the acute phase of gastritis, it is important to pay attention to a light diet, avoid strong tea, coffee, strong alcohol, and other stimulating foods. Opt for soft, easily digestible foods during meals, actively choose medications that regulate the spleen and stomach, manage emotions carefully, and engage in some activity after meals to help promote gastrointestinal motility. Consuming soft fruits, like bananas, can be very beneficial in promoting the healing of the gastrointestinal mucosa.
Does appendicitis cause diarrhea?
Patients with appendicitis may experience diarrhea and abdominal pain, tenderness, and rebound pain due to spasms in the gastrointestinal tract, accompanied by vomiting and nausea. Those with severe systemic infections may also have a fever. Currently, appendicitis is primarily treated surgically, with options including the traditional McBurney's incision or laparoscopic appendectomy. In cases of appendiceal suppuration, postoperative antibiotic treatment against infection should be selected, using anti-anaerobic agents, and attention must be paid to postoperative diet, focusing on soft, easily digestible foods.
Is an upper gastrointestinal perforation serious?
Upper gastrointestinal perforation is most commonly due to gastric perforation caused by gastric ulcers and is considered an emergency in clinical settings. Following the perforation, the contents of the stomach leak into the abdominal cavity, causing diffuse peritonitis and potentially leading to shock; urgent perforation repair surgery is required. If the perforation is caused by a large ulcer, a major part of the stomach may be removed to prevent recurrence of the ulcer. After surgery, it is important to enhance fluid support. If there is a significant peritonitis, timely use of antibiotics is necessary. Post-surgery, it is crucial to rest, focus on dietary adjustments, eat more vegetables and fruits, and consume fewer spicy and greasy foods. (Medication should be taken under the guidance of a doctor.)
What can you eat with acute appendicitis?
During an acute appendicitis attack, you must not eat or drink anything, and it's important to choose surgical treatment actively. Currently, laparoscopic appendectomy is commonly used. This method leads to less bleeding during surgery and quicker recovery afterward. In the postoperative recovery period, you can gradually eat some liquid foods such as rice soup, vegetable soup, and egg custard. Normal diet can be resumed after three days post-surgery, and eating nutritionally rich foods can help speed up recovery and improve physical condition. Regular care is required for the surgical incision, and stitches can generally be removed about a week later.
How many days of hospitalization are required for appendicitis surgery?
After appendectomy surgery, patients generally need to stay in the hospital for observation for three to five days. If there is no suppuration or infection at the wound, patients can choose to be discharged according to their own wishes. However, if the initial symptoms of appendicitis are severe, or if there is suppuration or perforation, it is advisable to stay in the hospital for additional observation until the abdominal pain subsides before considering discharge. Additionally, elderly individuals or children who are physically weaker should also stay in the hospital for longer observation, as this can aid in recovery.
Does chronic gastritis cause bad breath?
Chronic gastritis can cause dysfunction of the gastrointestinal tract, leading to bad breath. Additionally, it can manifest symptoms of indigestion such as pain and acid reflux in the upper abdomen, and decreased appetite. Atrophic gastritis may present with anemia and diarrhea. The primary treatment principles for chronic gastritis should focus on eliminating the cause, reducing recurrence of inflammation, and improving the patient's quality of life. Medications that inhibit gastric acid secretion, protect the gastric mucosa, and promote gastrointestinal motility are used for treatment.
Acute appendicitis pain level
The pain of acute appendicitis is mainly abdominal pain. Currently, there are no available data for reference to understand the level of pain in appendicitis, and the pain associated with acute appendicitis is related to the individual's constitution and the extent of inflammation in the appendix. If the inflammation is mild, limited only to the serosal layer, then the pain is relatively mild and tolerable. If the inflammation is more extensive or involves pus formation, perforation, and affects the peritoneum, it leads to noticeable peritonitis and causes severe, knife-like pain, making the patient scared to move and covered in profuse sweat; the pain is quite severe. For acute appendicitis, surgery is currently advocated as the treatment method.