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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 will happen if you drink alcohol with a duodenal bulb ulcer?
Common symptoms of duodenal bulb ulcers include stomach pain, bloating, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal defects in the duodenal mucosa, which can be diagnosed as duodenal ulcers. Drinking alcohol can irritate the gastric mucosa as well as the duodenal mucosa. If there is an ulcer in the duodenal bulb and alcohol is consumed, it can exacerbate the ulcer, causing the ulcerated area to enlarge and more severe symptoms to appear. Therefore, drinking alcohol can lead to the worsening of duodenal ulcers. Thus, individuals with gastric diseases or peptic ulcers must abstain from alcohol, as it can aggravate the existing condition. If a duodenal ulcer worsens, penetrating the serosal or basal layer, it may lead to perforation. In such cases, emergency surgery is required for treatment. Hence, it is crucial for those with duodenal ulcers to avoid alcohol.
Can Crohn's disease be transmitted between spouses?
Firstly, Crohn's disease is not contagious and cannot be transmitted between people. Crohn's disease is an inflammatory bowel disease related to autoimmunity. The cause is still unclear, and currently, the medical community does not know what causes it. The main symptoms are abdominal pain, diarrhea, and abdominal masses. A colonoscopy can definitively diagnose this disease. Under colonoscopy, longitudinal deep ulcers can be seen on the mucosa of the intestines, which can be diagnosed as Crohn's disease. Currently, there are no specific drugs for the treatment of Crohn's disease, and treatment is very challenging and prone to relapse. Therefore, there is no particularly good treatment method or effective cure for this disease in the medical community at present.
What should I do if I have indigestion and dry heaving?
Symptoms of chronic indigestion and retching are mainly considered indicative of chronic gastritis. Common symptoms of chronic gastritis include upper abdominal bloating, belching, acid reflux, nausea, vomiting, poor appetite, indigestion, and heartburn. Gastroscope examination revealing mucosal congestion, edema, or erosion confirms the diagnosis of chronic gastritis. It is also advisable to undergo a Carbon-14 breath test to determine the presence of Helicobacter pylori infection. Helicobacter pylori has been confirmed as a major cause of chronic gastritis, peptic ulcers, and even gastric cancer. If Helicobacter pylori infection tests positive, a 14-day anti-Helicobacter pylori treatment is required, involving a proton pump inhibitor, two antibiotics, and a bismuth agent. Additionally, for chronic gastritis, acid suppression, gastric protection, enhancement of gastric motility, and mucosal repair treatments are also necessary. With standardized treatment, symptoms can disappear, and the disease can be effectively cured.
Can people with reflux esophagitis eat sweet potatoes?
Sweet potatoes can increase the secretion of stomach acid, and it is not recommended for those with gastroesophageal reflux disease (GERD) to consume sweet potatoes. GERD is a type of gastroesophageal reflux disease that refers to the damage to the esophageal mucosa caused by the reflux of acid or alkali. During an endoscopy, defects in the esophageal mucosa, or ulcers, can be observed. GERD is graded based on the size of these ulcers and the extent of erosion, with four levels of severity. The larger the damage, the higher the grade, indicating a more severe case of GERD. Therefore, those with GERD must be cautious about their diet. It is essential to quit smoking and drinking alcohol, avoid strong tea and coffee, and try not to consume foods that are rich, greasy, fried, spicy, or grilled. Foods like milk, soy milk, glutinous rice, and sweet potatoes, which can increase the secretion of stomach acid, are also not recommended. Thus, it is advised that people with GERD avoid consuming sweet potatoes.
Why does colitis cause the discharge of mucus?
During a colonoscopy, we can see that the mucosa of the rectum is swollen and eroded, and there is also mucus attached to the intestines. The reason for the mucus production is due to exudation caused by inflammation. In terms of Western medical treatment, the main approach is to regulate the intestinal flora using probiotics. However, the treatment outcomes are not particularly ideal, and there are no specific effective drugs in Western medicine. In contrast, Chinese medicine has its strengths in treating this disease. It diagnoses and treats patients based on their constitution, achieving relatively good results. Additionally, Chinese medicine includes external treatments such as enemas and herbal hydrotherapy, which can apply medicinal effects directly to the surface of the intestinal mucosa. These methods are very effective in treating proctitis.
What are the symptoms of reflux esophagitis?
The main symptoms of gastroesophageal reflux disease include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. A gastroscopy can reveal lesions on the esophageal mucosa, and if such damage is observed, a diagnosis of gastroesophageal reflux disease can be made. The severity of the lesions on the esophageal mucosa can be classified into four grades: A, B, C, and D, with grade A being the mildest and grade D the most severe. Treatment primarily involves acid suppression, promoting gastric motility, and repairing the mucosa. The treatment course usually lasts about six to eight weeks. Moreover, gastroesophageal reflux disease is closely related to poor gastric motility, so regular exercise is recommended. Exercise can enhance gastric motility and promote intestinal peristalsis, which plays a positive role in the treatment of gastroesophageal reflux disease.
How to treat severe fatty liver?
The treatment of severe fatty liver is not significantly different from that of mild to moderate fatty liver in terms of medication. The main aspects of treating severe fatty liver include: Firstly, general treatment, which encompasses a healthy diet, appropriate exercise, weight control, and avoiding liver damage. Secondly, medication treatment: Due to large individual differences, there is no absolute, best, quickest, or most effective medication. Apart from using common over-the-counter drugs, it is important to select the appropriate medication based on individual circumstances. Additionally, surgical treatment options are available. For patients with severe obesity and type 2 diabetes, or for those with moderate cases but ineffective control of blood sugar through conservative treatment, weight loss surgery can be considered. Furthermore, combining treatment with traditional Chinese medicine and herbs can also yield excellent results for severe fatty liver.
What is the best treatment for liver cysts?
Liver cysts that are generally smaller than six centimeters do not require treatment, and surgical treatment of liver cysts is necessary for cysts larger than six centimeters. The most common surgical method for treating liver cysts is fenestration of the cyst, which involves removing part of the cyst wall. The cyst fluid can then be directly drained into the abdominal cavity through the opening, and as the surgery concludes, the remaining cyst wall adheres and causes the cyst to be completely absorbed. Another method is percutaneous drainage of the liver cyst, but this method may easily recur; thus, the best current treatment method is still fenestration surgery. Additionally, patients with liver cysts must abstain from alcohol and should not drink alcohol.
Is Helicobacter pylori three pluses serious?
Three pluses for Helicobacter pylori indicate that there is an infection with Helicobacter pylori, and the level of infection is not low. Helicobacter pylori is the main cause of chronic gastritis, peptic ulcers, and even stomach cancer. If a person tests positive for Helicobacter pylori infection, and has symptoms or diseases related to the digestive system, or has a family history of stomach cancer, eradication treatment for Helicobacter pylori is necessary. The treatment involves a proton pump inhibitor plus two types of antibiotics, along with a bismuth agent, for a total of 14 days. After stopping the medication for one month, a carbon-14 breath test should be re-conducted. If the result turns negative, it means that the eradication treatment for Helicobacter pylori was successful. If it does not turn negative, remedial treatment is required.
Which location does appendicitis hurt?
The typical symptom of appendicitis is pain in the lower right abdomen. Generally, during acute appendicitis, the pain can last for several hours or even longer, with about 70% to 80% of patients experiencing characteristic migratory pain in the lower right abdomen. Migratory pain in the lower right abdomen refers to initial pain in the upper abdomen that later manifests as persistent pain in the lower right abdomen. However, some patients initially present with pain in the lower right abdomen directly. In some cases of pregnant women with acute appendicitis, due to the appendix being pushed upward by the enlarged uterus, pain can also occur in the upper right abdomen. Additionally, acute appendicitis is often accompanied by nausea, vomiting, abdominal pain, and diarrhea.