Subscribe
134
Si Li Li
Gastroenterology
About me
Medical Master, engaged in clinical work in gastroenterology at a Grade A tertiary hospital for more than ten years, with rich clinical experience, superb medical skills, and noble medical ethics, receiving widespread praise from patients. Published several papers in multiple academic journals in China.
Proficient in diseases
It has unique effects in treating diseases such as peptic ulcers, chronic gastritis, reflux esophagitis, upper gastrointestinal bleeding, hepatitis, cirrhosis, acute pancreatitis, and inflammatory bowel disease, especially excelling in the use of traditional Chinese medicine to diagnose and treat various diseases of the spleen, stomach, liver, and gallbladder.
Voices
What can you eat with indigestion?
Indigestion can be observed in various gastric diseases such as gastrointestinal dysfunction, chronic gastritis, and peptic ulcers, all of which can exhibit symptoms of indigestion. When experiencing symptoms of indigestion, attention must also be paid to diet. Firstly, one must quit smoking and drinking alcohol, avoid strong tea, coffee, fatty and heavy foods, spicy foods, fried foods, grilled foods, raw and cold foods, as well as sweets. One should avoid consuming milk, soy milk, glutinous rice, sweet potatoes, and other such foods. This is because some of these foods can increase gastric acid secretion leading to a worsening of gastric diseases, and some are difficult to digest, exacerbating symptoms of indigestion; therefore, they are not recommended. It is advised to increase physical activity, as exercise can promote gastrointestinal motility, which is effective in improving symptoms of indigestion.
What are the symptoms of reflux esophagitis?
Common symptoms of gastroesophageal reflux disease (GERD) include upper abdominal distension, chest pain, belching, acid reflux, nausea, vomiting, and indigestion. Gastroscopy may reveal lesions in the esophageal mucosa, facilitating a GERD diagnosis. Lesion sizes and severity are graded from A to D (ABCD), with Grade A being the mildest and Grade D the most severe. The main treatments include promoting gastric motility, suppressing acid production, and protecting the gastric mucosa, typically over an eight-week course. GERD is closely related to poor gastric motility, so patients are advised to increase physical activity, which can help enhance gastrointestinal motility and strengthen gastric motility, alleviating GERD symptoms.
What should people with fatty liver not eat?
Patients with fatty liver should not drink alcohol or eat greasy, rich, and heavy foods such as fatty meats and fried foods, nor should they consume animal organs. They should eat more fruits and vegetables and more coarse grains. At the same time, they should increase physical activity, as exercise can promote the metabolism of fats and has a positive effect for patients with fatty liver. Additionally, patients with fatty liver should not overwork or stay up late, as fatigue and lack of sleep can damage liver cells, leading to an increase in transaminase levels. This is especially detrimental for patients with fatty liver, as they are more susceptible to liver cell damage. Moreover, excessive anxiety or being prone to anger can also harm the liver, and is harmful to patients with fatty liver; thus, it is important to maintain a relaxed mood.
What should I do if I have cholecystitis?
The main symptoms of cholecystitis include sudden onset of pain in the upper right abdomen, which can radiate to the back or right shoulder. It commonly occurs after consuming a large amount of fatty foods or during the night. Symptoms also include fever, chills, nausea, vomiting, poor appetite, and less desire to eat. A routine blood test will show increased white blood cells and neutrophils. An upper abdominal CT or abdominal ultrasound can detect cholecystitis. In terms of treatment, the first approach is symptomatic treatment, which can involve using antispasmodic and analgesic medications. The second approach is anti-inflammatory treatment. Furthermore, the diet should be light and easy to digest, and fatty, rich, and greasy foods should be avoided.
Is long-term bad breath definitely caused by Helicobacter pylori?
Chronic bad breath may be caused by Helicobacter pylori infection, but this is not always the case. Other causes of bad breath include dental issues, such as cavities and tooth decay. Additionally, stomach diseases can also cause bad breath, many of which are associated with Helicobacter pylori infection. After ruling out dental diseases, it is recommended to undergo a Carbon-14 breath test to determine if there is an infection of Helicobacter pylori. If the test for Helicobacter pylori infection is positive and accompanied by some stomach symptoms, such as upper abdominal bloating, burping, acid reflux, nausea, and vomiting, it is advisable to undergo a 14-day treatment for Helicobacter pylori. Generally, after treatment, the Helicobacter pylori can change from positive to negative.
How to treat reflux esophagitis?
Reflux esophagitis can be diagnosed when an endoscopy reveals damage to the gastric mucosa. Its main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. Treatment primarily involves acid suppression, promoting gastric motility, and protecting the mucosa. Since reflux esophagitis is greatly related to poor gastric motility, in addition to pharmacological treatments, increasing physical activity is also necessary because exercise can enhance gastrointestinal motility and strengthen gastric dynamics, playing a crucial role in the treatment and symptom relief of reflux esophagitis. Furthermore, the diet should be light and easy to digest, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods.
Can colitis cause anal fistula?
If it is chronic colitis, it is possible to cause anal fistulas. Most patients with chronic colitis have symptoms of unformed stools and loose feces. Some feces, which are relatively thin, tend to accumulate in the anal crypts, leading to infection of the anal glands in these areas. The inflammation then spreads to the normal soft tissues around the anus, including subcutaneous tissues, forming perianal abscesses. If a perianal abscess ruptures or is surgically incised to release pus, the external opening and the pus cavity gradually heal and narrow, thus forming an anal fistula. If chronic colitis is diagnosed, it should be promptly diagnosed and treated to prevent the formation of anal fistula.
What should I do if Crohn's disease often causes low-grade fever?
Crohn's disease commonly presents with symptoms like fever. Besides fever, other symptoms include abdominal pain, diarrhea, and abdominal masses. Sometimes, stools may contain pus and blood. The treatment of this disease is quite challenging and tends to recur easily after treatment. Western medicine does not have particularly effective treatments for this disease, so it is recommended to use Traditional Chinese Medicine (TCM) and herbal treatments. According to TCM's syndrome differentiation and treatment, oral herbal medicines are used. Additionally, external TCM treatments are applied, such as selecting specific acupuncture points for moxibustion, as well as herbal enemas or herbal hydrotherapy, which can have a certain therapeutic effect on the disease.
Can lactose intolerance still lead to weight gain?
Lactose intolerance refers to a condition where the body lacks lactase enzyme, leading to symptoms such as abdominal pain, diarrhea, and bloating after consuming dairy products. It does not have a direct correlation with the ability to gain weight, because aside from dairy products, there are many other foods that a person can eat. If someone is lactose intolerant and cannot consume dairy, they can still eat many other things, which can also contribute to weight gain. Therefore, individuals with lactose intolerance can still gain weight, as there is no direct relationship between lactose intolerance and obesity.
The difference between esophagitis and esophageal cancer.
Esophagitis and esophageal cancer can be differentiated in the following aspects. First, in terms of symptoms, esophagitis generally presents with symptoms such as acid reflux, heartburn, pain behind the sternum, belching, and upper abdominal pain. The main symptoms of esophageal cancer, on the other hand, are generally difficulty swallowing or pain when swallowing, and this symptom progressively worsens. Second, regarding age, esophagitis can occur in any age group, while esophageal cancer is more common in elderly male patients. Third, the best method of differentiation is through gastroscopy. Under gastroscopy, esophagitis can be diagnosed with findings such as mucosal erosion, congestion, and edema of the esophagus. Esophageal cancer, however, generally appears in the middle or upper or lower segments of the esophagus, and a diagnosis can be confirmed by performing a biopsy.