Subscribe
182
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
Chronic non-atrophic gastritis
Chronic non-atrophic gastritis is also known as chronic superficial gastritis. It is a classification of chronic gastritis, which also includes chronic atrophic gastritis and special types of gastritis as other classifications. Chronic non-atrophic gastritis refers to a condition where the glands in the gastric mucosa do not show atrophy, thus it is called chronic non-atrophic gastritis. Generally, the endoscopic appearance of the gastric mucosa being hyperemic, edematous, or eroded can lead to a diagnosis of chronic non-atrophic gastritis. Treatment mainly focuses on acid suppression, protecting the stomach, promoting gastric motility, and protecting the gastric mucosa. If there is a positive Helicobacter pylori infection, eradication treatment for Helicobacter pylori is required. Patients with chronic non-atrophic gastritis should primarily consume a light and easy-to-digest diet.
How to treat Helicobacter pylori infection?
Helicobacter pylori has been confirmed as a major cause of chronic gastritis, peptic ulcers, and even gastric cancer. The infection rate of Helicobacter pylori in China is very high, exceeding 50%. It is related to the dietary structure in China, often linked significantly to the practice of sharing dishes during meals, which correlates with China's dietary habits. If someone tests positive for Helicobacter pylori and has symptoms of gastrointestinal disorders, such as indigestion, stomach pain, or bloating, then it is necessary to undergo treatment for Helicobacter pylori. The current standard treatment for Helicobacter pylori involves quadruple therapy: a proton pump inhibitor, two types of antibiotics, and a bismuth agent. This combination of medications is administered over a period of 14 days, representing the standardized treatment for Helicobacter pylori.
What are the symptoms of enteritis?
Enteritis is divided into acute enteritis and chronic enteritis. Acute enteritis is mainly caused by bacterial invasion of the gastrointestinal tract due to unhygienic food, leading to acute inflammation. The main symptoms include abdominal pain, diarrhea, fever, etc. If it is chronic enteritis, the main symptoms are only abdominal pain and diarrhea, with white mucus visible in the stool. Acute enteritis has a short course and a sudden onset. Chronic enteritis has a long history, a gradual onset, and recurrent attacks. The treatment of acute enteritis mainly involves anti-inflammatory measures, rehydration, and symptomatic treatment. Generally, the disease can be cured after two to three days of treatment. Treatment for chronic colitis primarily involves oral probiotics to regulate the intestinal flora. The treatment period is relatively long and the condition is prone to recurrence.
What should be noted in the early stages of cirrhosis?
Cirrhosis is a disease characterized by diffuse fibrosis of the liver tissue, pseudolobules, and regenerative nodules. In China, it is mostly caused by chronic hepatitis B, with a small portion caused by chronic hepatitis C and alcoholic liver disease. What should be noted if someone has cirrhosis? Firstly, alcohol consumption should be restricted; regardless of whether the cirrhosis is alcohol-related, abstaining from alcohol is critical as it can further damage the liver cells; Secondly, a low-sodium diet is advised, meaning that salt intake should be reduced. Excessive salt can lead to fluid retention, resulting in ascites or edema; Thirdly, increase the consumption of vegetables and fruits and intake some high-quality proteins, such as beans or fish, but avoid raw seafood; Lastly, be cautious with the use of various medications. Drugs that cause liver damage should be avoided to prevent exacerbating cirrhosis.
What foods are good for gastroesophageal reflux disease?
For reflux esophagitis, it is recommended to have an easily digestible diet and avoid smoking and drinking. One should not consume strong tea, coffee, fatty, greasy, spicy, fried, grilled, cold, or sweet foods. It is also advised against consuming milk, soy milk, glutinous rice, sweet potatoes, etc., as these foods may promote gastric acid secretion, leading to further irritation of the esophageal mucosa and worsening reflux esophagitis. Some are also difficult to digest, so it is recommended to avoid them. You can consume porridge, such as lean meat porridge, chicken porridge, fish porridge, etc.; or soups, such as chicken soup, pork rib soup, etc.; you can also eat noodles. When eating meat, remember to cook it until it's very soft, and it is also advised to increase physical activity.
What are the symptoms of the early stage of Crohn's disease?
Crohn's disease is a chronic, non-specific inflammatory disease, primarily characterized by symptoms of abdominal pain and diarrhea. Initially, the symptoms are predominantly abdominal pain and diarrhea, but later stages may include weight loss and abdominal masses. It is challenging to treat and prone to relapse, with a tendency for lifelong recurrence. Colonoscopy can reveal longitudinal, deep ulcers in the intestines, and the disease can affect the entire digestive tract. It is crucial to pay attention to diet, emphasizing easy-to-digest foods. Fatty, greasy, raw, cold, fried, grilled, and sweet foods should be avoided. Consuming easily digested foods such as porridge and soup, or well-cooked noodles, or ensuring meat is thoroughly cooked can help reduce the burden on the digestive tract.
What are the symptoms of early cirrhosis?
Early-stage cirrhosis does not have specific symptoms, and its manifestations are not typical. Some patients may have no symptoms at all, while others may experience general weakness, aversion to greasy food, nausea, vomiting, poor appetite, abdominal distension, and abdominal pain. If these symptoms occur, it is recommended to visit a hospital promptly for an examination to determine the specific illness. If diagnosed with cirrhosis, it is necessary to identify the cause. Common diseases that lead to cirrhosis include viral hepatitis, such as chronic hepatitis B or chronic hepatitis C, as well as alcoholic liver disease and fatty liver. Once the cause is identified, treatment can be targeted based on the specific cause.
Can people with Crohn's disease eat wontons?
Crohn's disease is a chronic inflammatory granulomatous disease of the digestive tract of unknown cause. It, along with ulcerative colitis, is classified as an inflammatory bowel disease. It can affect any part of the gastrointestinal tract from the mouth to the anus, but is most commonly found at the end of the ileum and the adjacent colon. The lesions are generally ulcers, which are typically longitudinal, large, and deep, appearing in a segmental or skipping pattern. The disease can involve all layers of the digestive tract, causing thickening of the intestinal wall, narrowing of the intestinal lumen, and bowel perforation. Additionally, this disease has a certain rate of malignant transformation. The disease is difficult to cure and has signs of lifelong recurrence. Therefore, in terms of diet, it is crucial for individuals with Crohn's disease to focus on easily digestible foods and avoid spicy, stimulating, fatty, greasy, and difficult-to-digest foods, as well as smoking and drinking alcohol. Wontons are relatively easy to digest; they should be chewed slowly and thoroughly. It is okay to eat them occasionally, but do not consume too much at one time, about 80% full is appropriate.
Dietary care for acute pancreatitis
Symptoms of acute pancreatitis include severe upper abdominal pain. During the treatment, it is essential to fast and decompress the stomach and intestines initially during the abdominal pain period. Once the pain subsides, the patient can begin a liquid diet, followed by a gradual transition to a semi-liquid diet under the guidance of a doctor. Since the causes of acute pancreatitis include binge eating or excessive alcohol consumption, patients with acute pancreatitis should abstain from alcohol and maintain a balanced diet to prevent binge eating. A light diet is preferable, avoiding fatty, greasy, fried, and barbecued foods. Additionally, it is important to maintain regular rest patterns and avoid excessive fatigue or staying up late.
How to treat gastritis erosion and bile reflux?
Chronic gastritis typically presents with symptoms such as belching, acid reflux, stomach bloating, stomach pain, nausea, and vomiting. A definitive diagnosis can be made through a gastroscopy, which may reveal signs of edema and hyperemia in the gastric mucosa, and in some cases, erosion. Poor gastric motility may lead to bile reflux, which can be observed during a gastroscopy as bile presence in the stomach. This condition, known as bile reflux, is closely related to poor gastric motility. The treatment focuses on suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility. The treatment usually lasts for 6 to 8 weeks. Additionally, if erosion is found in the gastric mucosa, a biopsy, or pathological examination, is typically conducted to investigate the nature of the erosion under a microscope. If the erosion is inflammatory, it is considered mild. However, if atypical hyperplasia or intestinal metaplasia is present, there is a very small risk of cancer development. Therefore, if the biopsy results show atypical hyperplasia, it should be taken very seriously. In cases of severe atypical hyperplasia, it is recommended to perform a gastric mucosal stripping surgery under endoscopy.