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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 are the early symptoms of Helicobacter pylori infection?
Helicobacter pylori can cause chronic gastritis, peptic ulcers, and even stomach cancer. Infection with Helicobacter pylori may result in symptoms such as upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, poor appetite, bad breath, and indigestion. A carbon-14 breath test can confirm a Helicobacter pylori infection. Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%. If an infection is present and symptoms or diseases of the digestive system occur, eradication treatment for Helicobacter pylori is necessary. The treatment regimen consists of a proton pump inhibitor, two types of antibiotics, and a bismuth agent, adjusted to a 14-day course.
What should be done with chronic non-atrophic gastritis with erosion?
Chronic non-atrophic gastritis with erosion requires a biopsy of the eroded area during a gastroscopy for a pathological examination to determine the nature of the erosion, whether it is inflammatory, intestinal metaplasia, or atypical hyperplasia, etc. If the erosion is inflammatory, oral medication is needed for treatment, such as treatment against Helicobacter pylori, as well as acid suppression, stomach protection, promotion of gastric motility, and protection of the gastric mucosa. If intestinal metaplasia or moderate to severe atypical hyperplasia is present, endoscopic mucosal resection is recommended. This is because moderate to severe intestinal metaplasia or atypical hyperplasia has a certain rate of malignancy, and endoscopic mucosal resection is necessary for thorough treatment, as oral medication alone cannot completely cure this lesion.
Non-atrophic gastritis with focal erosion treatment
Non-atrophic gastritis with erosive lesions, primarily diagnosed through gastroscopic examination that revealed erosive and other changes in the gastric mucosa. If erosion is detected, doctors generally perform a biopsy under gastroscopy to ascertain the nature of the erosion. If the erosion is inflammatory, it can be treated with oral medications, including acid-suppressing and stomach-protective drugs, promoting gastric motility, and protecting the gastric mucosa. If the erosion involves intestinal metaplasia or atypical hyperplasia, it requires endoscopic APC treatment or endoscopic submucosal dissection (ESD) to eliminate the erosive areas, thereby addressing the erosion fundamentally. Additionally, attention should be paid to a light and easily digestible diet.
Does reflux esophagitis cause mucus in stool?
The symptoms of reflux esophagitis mainly manifest as chest pain, acid reflux, as well as upper abdominal bloating, belching, nausea and vomiting, etc. Generally, it does not involve the occurrence of mucus in stools. If mucus in stools occurs, we consider two diseases. The first one is chronic colitis, which can cause abdominal pain and diarrhea, and sometimes mucus in stools. The other is ulcerative colitis, whose main symptoms are abdominal pain, diarrhea, and stools with mucus and pus blood. A colonoscopy can be conducted to determine which specific disease is present, and then targeted treatment can be administered based on the results of the colonoscopy.
How to deal with acute gastroenteritis?
Acute gastroenteritis is primarily caused by unsanitary eating habits or exposure to cold, spicy, and other irritants, leading to acute inflammation. The main symptoms include abdominal pain, diarrhea, nausea, vomiting, or fever, and a routine blood test may show elevated white blood cells and neutrophils. If these symptoms appear, it is advisable to visit a hospital promptly for a routine blood test. Once a diagnosis is confirmed, doctors will treat with anti-inflammatory fluids, antiemetics, antidiarrheals, etc. Generally, mild acute gastroenteritis can be cured within two to three days of treatment. However, some patients may experience severe vomiting and diarrhea, leading to dehydration, electrolyte disorders, and even shock, which would extend the required treatment duration.
Symptoms and Treatment of Atrophic Gastritis
Common symptoms of chronic atrophic gastritis include upper abdominal distension, belching, acid reflux, nausea, vomiting, postprandial fullness, heartburn, and indigestion. Gastroscopy can reveal atrophy of the gastric glands in the mucosa, and a definitive diagnosis of chronic atrophic gastritis can be made through biopsy and histopathological examination. In terms of treatment, the first step involves eradicating Helicobacter pylori, using a regimen that includes a proton pump inhibitor, two antibiotics, and a bismuth agent, over a 14-day treatment period. Additionally, treatments aimed at acid suppression, gastric motility enhancement, and gastric mucosal protection are also necessary. Traditional Chinese medicine can also be effective in treating atrophic gastritis. A combined approach utilizing both Western and Chinese medicine can yield better outcomes for the treatment of atrophic gastritis.
Can you smoke with irritable bowel syndrome?
Irritable Bowel Syndrome (IBS) is the most common functional gastrointestinal disorder, characterized primarily by abdominal pain associated with changes in bowel habits and stool characteristics. The abdominal pain is related to defecation, typically easing after bowel movements. This condition tends to be recurrent and persistent. As for whether individuals with this syndrome can smoke, given that smoking can significantly harm many organs, including the gastrointestinal tract, it is advised against. Smoking can potentially exacerbate the symptoms of Irritable Bowel Syndrome. Therefore, smoking is not recommended for individuals with this condition.
How to treat mild pancreatitis
Pancreatitis occurs due to the abnormal activation of pancreatic enzymes, leading to the self-digestion of the pancreas. The primary causes include alcohol, where excessive drinking can induce acute pancreatitis. Another cause is hyperlipidemia, as individuals with high blood lipid levels are prone to acute pancreatitis. Additionally, cholelithiasis, including stones in both the bile ducts and the gallbladder, can also trigger acute pancreatitis. Symptoms of acute pancreatitis manifest as severe pain in the upper abdomen, accompanied by nausea, vomiting, abdominal bloating, and fever. Acute pancreatitis is classified into mild, moderate, and severe categories. Mild cases mainly exhibit edema of the pancreas without bleeding, necrosis, or involvement of other organs. Treatment primarily involves fasting and fluid replacement, typically lasting for more than 48 hours or until abdominal pain ceases. Another aspect of treatment is inhibiting pancreatic enzyme secretion. Some patients with acute pancreatitis might also need antibiotics. Typically, mild acute pancreatitis can heal within one to two weeks of treatment.
What are the symptoms of enteritis?
Enteritis is divided into acute enteritis and chronic enteritis. The main symptoms of acute enteritis include abdominal pain, diarrhea, fever, etc., and blood tests may show an increase in white blood cells and neutrophils. The treatment mainly focuses on anti-inflammatory drugs, hydration, and antidiarrheal therapies. Generally, recovery can be achieved within a week. The main symptoms of chronic enteritis include abdominal pain, diarrhea, or constipation. Colonoscopy can reveal changes in the intestinal mucosa such as hyperemia, edema, erosion, and mucus attachment, which can diagnose chronic enteritis. In terms of treatment, Western medicine primarily involves the oral administration of probiotics to adjust the gut microbiota. It can also be combined with traditional Chinese medicine based on syndrome differentiation. Integrating Chinese and Western medicine can enhance treatment effectiveness. Additionally, the diet should primarily consist of light and easily digestible foods.
What are the gastrointestinal symptoms of cirrhosis?
In the early stages of cirrhosis, many patients do not exhibit any symptoms, but some may experience fatigue, nausea, vomiting, poor appetite, and indigestion. Some patients might also suffer from portal hypertensive gastropathy due to cirrhosis, leading to symptoms such as pain and bloating in the upper abdomen, acid reflux, and belching. If the disease progresses to the decompensated stage of cirrhosis, portal hypertension can cause varices in the esophagus and stomach, which may lead to severe upper gastrointestinal bleeding if hard food is consumed. Symptoms can include vomiting dark red blood or fresh blood, dizziness, fatigue, and cold sweats. In such cases, it is advised to seek immediate medical attention for emergency treatment.