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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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How often does hemorrhoids cause bleeding?
Internal hemorrhoids can cause rectal bleeding, typically occurring during defecation, ranging from dripping to jet-like bleeding. Rectal bleeding is painless, and prolonged bleeding can lead to anemia characterized by loss of appetite, fatigue, and lack of concentration. It is important to timely apply hemostatic medications or opt for treatments like electrocoagulation, banding, or surgery. Dietary adjustments should be made by increasing the intake of vegetables and fruits and reducing spicy, greasy, and irritating foods. Regular routines should be maintained, avoiding prolonged sitting, and using warm water for sitz baths every evening can effectively relieve the symptoms of hemorrhoidal venous dilatation.
Can appendicitis cause back pain?
Appendicitis located posterior to the peritoneum generally causes back pain, along with gastrointestinal irritation symptoms such as nausea and vomiting. Appendicitis at the cecum location will cause pain in the lower right abdomen, with significant tenderness and rebound pain at McBurney's point. Once appendicitis is diagnosed, it is most often treated surgically. Currently, laparoscopic appendectomy is commonly used. This method involves less bleeding during surgery and a faster recovery thereafter. Postoperative care is important, including regular dressing changes of the surgical incision. The stitches can usually be removed about a week after surgery. Dietary adjustments are necessary after surgery, starting with a semi-liquid diet and gradually transitioning to a normal diet. At least two weeks of rest are recommended postoperatively.
Which is more serious, acute appendicitis or chronic appendicitis?
Acute appendicitis is relatively common in clinical practice with severe symptoms. Compared to chronic appendicitis, acute appendicitis can cause the appendix tube to become purulent and perforate, leading to a widespread peritonitis. Severe peritonitis can cause multi-organ failure and even shock. Chronic appendicitis, on the other hand, mainly manifests as chronic abdominal pain and seldom shows signs of appendix perforation. It primarily leads to an abscess around the appendix, encapsulating the appendix and causing repetitive chronic pain, which is difficult to heal. Both acute and chronic appendicitis should be treated surgically by removing the appendix to achieve a complete cure.
Will there be a scar from appendicitis surgery?
Appendectomy can leave scars, especially more noticeable in people prone to scarring. Currently, there is a minimally invasive treatment that involves the removal of the appendix under laparoscopy. This method only requires three small incisions on the abdomen, resulting in smaller scars and a faster postoperative recovery. The traditional method, which involves making an incision at McBurney's point, leaves a slightly larger scar and has a slower recovery process. After recovery, the application of aloe vera can help reduce scarring. It is important to take good care of the incision, eat plenty of vegetables to prevent constipation, and protect the incision. At least two weeks of rest is necessary after the surgery, during which vigorous exercise should be avoided.
Appendicitis surgery, how many days to discharge?
This is directly related to the surgical method. If it is a laparoscopic appendectomy, this is a minimally invasive treatment, and recovery is quick; patients generally can be discharged from the hospital three days post-surgery, and sutures can be removed at a scheduled follow-up visit. If it is the traditional surgery method through McBurney's point incision, this method also allows for quick recovery, and patients can be discharged after the sutures are removed. Additionally, this also relates to the patient's physique and the severity of their condition. For elderly patients, the hospital stay may be extended. If the appendix has a clear perforation or causes diffuse peritonitis, the use of antibiotics must be intensified post-surgery, hence extending the treatment period. (The use of medications should be conducted under the guidance of a doctor)
Can chronic gastritis be cured?
Chronic gastritis is generally difficult to cure completely. The current treatment principle is to eliminate the cause, alleviate symptoms, and prevent or reduce the recurrence of the disease. Treatment mainly focuses on protecting the gastric mucosa, suppressing gastric acid secretion, and eradicating Helicobacter pylori infections. Post-treatment care is also very important. It is advisable to eat a diet that is light, soft, and easy to digest, avoid spicy, stimulating, and greasy foods, and steer clear of strong tea, coffee, and alcoholic beverages. Engaging in appropriate outdoor exercises and managing emotions also play a positive role in the treatment of chronic gastritis.
How long does acute appendicitis hurt?
The pain associated with appendicitis is directly related to the severity of the inflammation. If the inflammation is mild, pain can be significantly relieved after using antispasmodic analgesics. However, if acute appendicitis leads to a suppurative appendix or perforation, the abdominal pain will last for a very long time, accompanied by signs of peritoneal irritation, such as tenderness and rebound pain in the abdomen. Therefore, the main principle of treating acute appendicitis is to perform surgery to remove the suppurative appendix. Currently, laparoscopic appendectomy is a viable option, as it involves less bleeding and allows for a faster postoperative recovery.
acute gastroenteritis dehydration symptoms
Minor dehydration from acute gastroenteritis can manifest as dry mouth, sunken eye sockets, headache, dizziness, general fatigue, decreased appetite, and loss of skin elasticity. If symptoms worsen, signs of shock may appear, including reduced total blood volume, renal dysfunction, rapid weak pulse, low blood pressure, cold and wet limbs, and reduced or absent urine output. It is important to seek medical attention promptly if dehydration symptoms occur and treat according to the type of dehydration, while actively treating the acute gastroenteritis.
Why does acute gastroenteritis cause dizziness?
Acute gastroenteritis is characterized by symptoms such as vomiting, nausea, or diarrhea. If the diarrhea is severe, there can be significant bodily dehydration, manifesting as fatigue or dizziness. It is important to promptly replenish body fluids and undergo infusion therapy. At the same time, proactive use of antibiotics and antidiarrheal medications is advised. The general treatment period lasts 3-5 days. After recovery, attention should be given to dietary adjustments, incorporating fresh green vegetables. It is advisable to eat some fruit and have meals regularly and in controlled quantities, while reducing consumption of spicy, greasy, and irritating foods. Appropriate outdoor exercises should be performed to help regulate gastrointestinal function. (Please follow the doctor's advice regarding medication use.)
Can people with Crohn's disease eat eggplants?
Crohn's disease may present with symptoms such as abdominal pain or diarrhea, and intestinal obstruction. Eggplant can be consumed, but in moderation, as it is not particularly easy to digest. Patients with Crohn's disease have reduced intestinal function, and consuming too much eggplant can increase the burden on the intestines. Generally, during active phases, high-nutrition, low-fat foods should be provided, along with adequate hydration and electrolyte balance. Treatment mainly includes medications and surgeries that provide symptomatic support. Crohn's disease tends to recur frequently and can have a prolonged course. Additionally, it is advisable to consume more vegetables such as carrots, potatoes, and yams, while avoiding raw, spicy, and irritating foods.