Subscribe
260
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
Principles of Treatment for Acute Appendicitis
The principle of treatment for acute appendicitis primarily involves surgery. For mild cases or those who cannot tolerate surgery, conservative treatment with medication is also an option. Currently, the choice of surgical method mainly involves laparoscopic appendectomy, which requires general anesthesia. Alternatively, appendectomy can be performed under spinal anesthesia through an incision at McBurney's point. Postoperatively, a pathological examination should be conducted depending on the situation. If there is significant suppuration, anti-inflammatory treatment should be administered post-surgery, with a hospital stay of about three to five days.
How to completely cure chronic gastritis?
The treatment principles for chronic gastritis focus on eliminating the cause, alleviating symptoms, and reducing the recurrence of the disease. If there is an infection with Helicobacter pylori, it should be completely eradicated. Additionally, antispasmodic analgesics, gastric mucosal protectants, and acid secretion inhibitors should be used symptomatically. During treatment, attention should be paid to dietary adjustments, consuming soft, easily digestible foods, and avoiding overeating. Meals should be regular and portion-controlled. Stimulants such as strong tea, coffee, and hard liquor should be avoided. During the treatment period, it is important to manage emotional health and engage in appropriate outdoor exercises, as a good mood positively impacts the treatment of chronic gastritis.
Are stomach ulcers prone to recurrence?
After healing from a gastric ulcer, it is not easy to relapse if health education is strengthened. Usually, it is important to rest more, reduce stress, as excessive tension can lead to excitement of the vagus nerve, stimulate gastric acid secretion, and easily induce ulcers. Additionally, improving dietary habits, strictly quitting smoking and drinking, minimizing consumption of strong tea and coffee, and ceasing the use of medications that irritate the gastric mucosa when necessary, such as non-steroidal anti-inflammatory drugs and corticosteroid hormones, are essential. Meals should be on a regular schedule and in controlled portions, avoiding overeating and overdrinking. If gastrointestinal irritation symptoms occur, treatment should be proactive, and if infected with Helicobacter pylori, the bacteria should be actively eradicated. (Use of medications should be under the guidance of a doctor.)
Can acute gastritis cause a fever?
Patients with acute gastritis may experience fever due to acute inflammation in the gastrointestinal tract. The mucosa becomes congested and inflammatory cells infiltrate, releasing pyrogens that affect the body's temperature regulation center, causing fever. It is important to treat the fever promptly. If the body temperature does not exceed 38.5°C, physical cooling methods like wiping the forehead, palms, and soles with alcohol cotton balls can be used. If the temperature is higher, antipyretic and analgesic medications should be taken. It is also important to drink more hot water since fever can cause dehydration. Medications that inhibit stomach acid secretion and protect the gastric mucosa should be used timely. Note: Medications should be used under the guidance of a doctor.
Appendicitis complications
Appendicitis is the inflammation of the appendix lumen. If not treated promptly, it can lead to several complications, such as perforation of the appendix. After perforation, pus from the appendix lumen leaks into the abdominal cavity, causing peritonitis, which leads to abdominal pain, tenderness, and rebound pain. Furthermore, if acute appendicitis is not thoroughly treated, it can progress to chronic appendicitis and periappendiceal abscess. A swollen mass can often be felt on the surface of the abdomen in affected patients. Therefore, active treatment for appendicitis is essential. The principle treatment is surgical removal of the appendix. For mild cases of appendicitis, medical conservative observation and treatment can also be chosen.
What tests are done for appendicitis?
Appendicitis examination primarily involves a physical examination. The patient lies flat with their legs bent, and the doctor stands on the patient's right side. The patient exposes their abdomen, and the doctor places their right palm flat in the middle of the abdomen, then smoothly performs a clockwise palpation, pressing the abdomen to check for rebound tenderness, especially at McBurney's point. If there is significant tenderness and rebound pain at McBurney's point, along with symptoms of fever and nausea, appendicitis is generally considered. An ultrasound can also be used as an auxiliary examination, where swelling of the appendix can be observed. Based on the physical examination and auxiliary tests, a preliminary diagnosis of appendicitis can be made.
Where does pancreatitis hurt?
Pancreatitis refers to the disease caused by the digestion of its own tissues by pancreatic fluid, with the main symptoms being pain, vomiting, and nausea. The pain is generally located in the upper left abdomen and can radiate to the left shoulder or left back. If it is biliary pancreatitis, there is generally pain in the upper right abdomen that gradually moves to the left side, may involve the entire abdomen, and radiates to the back in a belt-like manner. It often occurs suddenly after a full meal or drinking alcohol. The abdominal pain is very severe and unbearable, and active medication treatment should be used. (Specific medications should be used under the guidance of a physician.)
Can people with Crohn's disease eat honey?
Crohn's disease is an inflammatory bowel disease, and patients can eat honey. Honey contains rich nutrients, which can enhance the body's immunity. The main dietary principle for patients is to eat small and frequent meals, consume more nutritional products, and focus on high-nutrition and low-fat foods, such as lean meats and fish, egg products, and avoid spicy, greasy, or irritating foods. Eat more vegetables, such as carrots and Chinese yam. During active phases, strict bed rest is required, and if complications like intestinal obstruction occur, surgery can be an option for treatment.
Appendicitis surgery how many days to remove stitches?
Appendectomy stitches are generally removed about a week after the surgery. However, there are special circumstances where the removal of stitches may be delayed. For example, if the patient is physically weak, nutritionally compromised, or if the wound heals slowly, it is necessary to wait until the wound has sufficiently healed before removing the stitches. If the appendectomy incision shows clear signs of pus formation, it is crucial to remove the stitches promptly, thoroughly clean the wound, and then dress it externally. Therefore, the timing for stitch removal after an appendectomy should be based on the patient's current medical condition.
Can you drink alcohol with appendicitis?
Having appendicitis absolutely prohibits drinking alcohol, as alcohol can stimulate the mucous membranes of the gastrointestinal tract, causing appendicitis to worsen. For appendicitis, active treatment is necessary. During the acute phase, one should not eat anything. In the postoperative recovery or convalescence phase, a semi-liquid or liquid diet can be appropriately chosen. Currently, surgery is the predominant method for treating appendicitis, with laparoscopic appendectomy being a common procedure. This surgical method involves minimal bleeding during the operation and faster postoperative recovery, characterizing it as a minimally invasive treatment. Postoperative care should be enhanced, with increased water intake and more vegetables to prevent constipation.