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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
Causes of gastric ulcers
Gastric ulcers refer to inflammatory defects in the gastric mucosa, with several common causes as follows: First, infection with Helicobacter pylori is directly related to the development of peptic ulcers. Second, various drugs that damage the gastric mucosa, such as non-steroidal anti-inflammatory drugs, corticosteroid hormones, etc. Third, dietary factors. Long-term alcohol consumption, spicy foods, strong tea, and coffee can all cause gastric ulcers. Fourth, the digestive actions of gastric acid and pepsin damage the gastric mucosa, leading to a decline in the protective barrier function of the mucosa and causing ulcers. Fifth, abnormalities in gastric motility and decreased emptying ability, leading to food retention in the stomach, continuously irritating the gastric mucosa, causing increased gastric acid secretion and resulting in ulcers.
Acute appendicitis nursing issues
Patients with acute appendicitis should pay attention to diet control during the shivering phase and should refrain from eating or drinking during the attack phase and preoperative preparations. For those with noticeable abdominal pain, a semi-recumbent position should be adopted to reduce muscle tension and alleviate pain. After surgery, it is crucial to closely monitor vital signs, measuring respiration, blood pressure, pulse, etc. On the first day post-surgery, a semi-liquid diet may be chosen, and a normal diet can be resumed on days 3 to 4 post-surgery. It is important to ensure rest, and heavy physical labor should be avoided within two weeks after the surgery.
Does acute appendicitis hurt?
Acute appendicitis is associated with abdominal pain, the severity of which is directly related to the extent of the inflammation. If the inflammation is mild, the abdominal pain can be tolerable. However, if there is significant pus in the appendix or perforation, it can cause severe abdominal pain, similar to being cut by a knife. Acute appendicitis generally requires surgical treatment. Currently, a common procedure is laparoscopic appendectomy, which causes less bleeding during surgery and allows for a quicker recovery with minimal damage to the body. For patients who cannot tolerate general anesthesia, spinal anesthesia can be used, and the appendix can be removed through an incision at McBurney's point.
What fruits to eat for a stomach cold?
For a cold affecting the gastrointestinal system, it's advisable to consume fruits rich in vitamins, such as pears, watermelons, kale, and kumquats. These fruits can replenish fluids timely and have effects of clearing heat, detoxifying, and enhancing immunity. Additionally, during a gastrointestinal cold, it is important to timely choose medicine that soothes the liver and stomach, and clears heat and dampness for treatment. Other dietary considerations should focus on light foods, eating soft and easy-to-digest foods such as noodle soup, rice soup, porridge, vegetable soup, and drinking plenty of water, while paying attention to balancing work and rest. (Please use medication under the guidance of a doctor.)
Is appendicitis nauseating?
Appendicitis can cause nausea, primarily due to inflammation stimulating spasms in the gastrointestinal tract. In addition to nausea, symptoms include vomiting, abdominal pain, tenderness in the abdomen, and rebound pain. If vomiting and nausea are severe, timely appendectomy should be performed. Currently, laparoscopic appendectomy is common. This surgical method involves less bleeding during surgery and quicker postoperative recovery. After surgery, a semi-liquid diet can be chosen on days 1 to 2, and a normal diet can be resumed on days 3 to 5. It is also important to consume more vegetables and increase the intake of plant-based fiber thereafter.
Crohn's disease most commonly affects the area
Crohn's disease commonly occurs in the terminal ileum and the right half of the colon. It is a type of inflammatory bowel disease with unknown causes and can occur in any part of the gastrointestinal tract. Clinically, it mainly presents with symptoms such as diarrhea, abdominal pain, and intestinal obstruction. However, it may also lead to complications like intestinal perforation and bloody stools, and can affect organs like the liver, joints, and skin. The condition tends to relapse frequently and is difficult to cure completely. Current treatments combine medication and surgery. During active phases of the disease, it is important to enhance nutrition, rest in bed, consume high-nutrient, low-fat foods, and utilize supportive therapies. (Please use medication under the guidance of a professional physician.)
How is acute appendicitis treated?
Acute appendicitis treatment primarily involves surgical methods, where the inflamed, suppurative, or perforated appendix is excised during the procedure, and then the base of the appendix is sutured. Moreover, if there is suppuration, it is necessary to irrigate the peritoneal cavity to prevent intra-abdominal infections. After the surgery, fluid therapy should be administered based on the patient's condition. In cases of perforation or suppuration, antibiotics should be used post-operatively. For simple appendicitis, post-operative fluid replenishment is generally sufficient, and antibiotics are not required. (Please use medications under the guidance of a doctor.)
How to stop bleeding from a gastric ulcer?
Gastric ulcer bleeding is a relatively common complication. Treatment methods can be selected based on the endoscopic characteristics of the bleeding lesion. Active bleeding can be treated with acid-suppressing medications such as proton pump inhibitors, combined with endoscopic treatment, and if necessary, vascular interventional treatment or surgery. For those with blood clots, proton pump inhibitors can also be chosen, with endoscopic treatment if necessary. During endoscopy, fibrin glue can be sprayed on the surface of the ulcer, adrenaline can be injected at the bleeding site, and endoscopic hemostatic clip techniques can be used. During treatment, it’s important to adjust the diet. For those with significant bleeding, temporary parenteral nutrition should be chosen, and no food should be consumed to avoid further gastrointestinal irritation. (Please use medications under the guidance of a doctor.)
Acute appendicitis clinical classification
Acute appendicitis can be classified into four types based on the clinical course. The first type is acute simple appendicitis, where the lesions are mostly confined to the mucosa and submucosal layer, with small ulcers and bleeding spots on the mucosal surface. The symptoms and signs are relatively mild. The second type is acute suppurative appendicitis, where the lesion has spread through all the layers of the appendix wall, and pus may accumulate inside, also known as acute cellulitis appendicitis. The third type is gangrenous and perforated appendicitis, which occurs due to pus in the appendix cavity causing increased internal pressure and circulatory disturbances in the appendix wall, leading to mucosal ischemic necrosis and perforation, causing acute diffuse peritonitis. The fourth type is peri-appendiceal abscess, which forms an inflammatory mass encapsulated by the surrounding omentum during suppuration or perforation of acute appendicitis.
Acute appendicitis pain is on that side.
In the initial stages of acute appendicitis, pain can occur in the left side of the abdomen, then gradually move around the navel, and eventually becomes fixed in the lower right abdomen. The typical symptom of appendicitis is migratory pain in the lower right abdomen, which becomes severe upon pressing and intensifies when lifted, a phenomenon known as rebound tenderness. A small number of patients may experience pain in the lumbar and back areas, which could be due to inflammation caused by a retroperitoneal position. Based on the typical symptoms of appendicitis, a diagnosis cannot be confirmed. After confirmation, most cases require an appendectomy.