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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
Can a CT scan detect Crohn's disease?
Crohn's disease generally cannot be diagnosed through a CT scan. Diagnosis of Crohn's disease relies on colonoscopy. If you experience abdominal pain and diarrhea, especially if there is mucous or bloody stool, it is recommended to undergo a colonoscopy to determine whether it is Crohn's disease or ulcerative colitis. Once the disease is confirmed, it is crucial to diagnose and treat it early. The treatment of this disease can be challenging and is highly prone to recurrence. The medical community still finds this disease a difficult problem to address. In addition to Western medicine, it is also advisable to seek treatment from Traditional Chinese Medicine (TCM). Diagnosis and treatment strategies based on TCM principles can be formulated, and combining TCM with Western medicine may achieve better results than using Western medicine alone.
Can Crohn's disease patients take tonics?
Crohn's disease is a chronic nonspecific inflammatory disease that can occur throughout the digestive tract, presenting with mucosal ulcers in a longitudinal and phased distribution. Crohn's disease can flare up in any part of the digestive tract, and currently, there are no highly effective medications to treat it, and the disease can relapse throughout a person's life. There are many supplements available on the market today, and most of them are composed of traditional Chinese medicines, animal proteins, and other substances. Some specific foreign proteins can directly or indirectly activate immune cells, thus exacerbating the immune response. This can potentially worsen the symptoms of the disease, leading to more severe mucosal damage and an overall aggravation of the condition. Therefore, it is not advisable for individuals with Crohn's disease to consume these supplements indiscriminately. It is best to maintain a good diet and lifestyle habits instead.
Which part is good for moxibustion in bile reflux gastritis?
Bile reflux gastritis can be treated with moxibustion on acupuncture points such as Zhongwan and Shenque, as well as the back-shu points Wei-shu and Pi-shu. This treatment can strengthen the spleen, boost qi, nourish the stomach, and relieve pain. The main symptoms of bile reflux gastritis include upper abdominal pain, belching, acid reflux, nausea, and vomiting. A gastroscopy showing bile reflux into the stomach or bile patches on the stomach wall can diagnose bile reflux gastritis. The primary cause is largely related to poor gastric motility. In terms of treatment, the focus is on enhancing gastric motility, protecting the gastric mucosa, and acid suppression. Additionally, increasing physical activity can promote gastrointestinal motility and strengthen gastric dynamics, playing a positive role in alleviating the symptoms of bile reflux gastritis.
Is reflux esophagitis serious?
Reflux esophagitis can be observed during an endoscopy as changes in the esophageal mucosa, including hyperemia, edema, erosion, and ulcers. The severity is graded based on the size of the erosion and ulcers, with smaller areas indicating milder conditions and larger areas indicating more severe conditions. An endoscopy can definitively diagnose reflux esophagitis, whose main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. The treatment primarily involves acid suppression, protection of the stomach lining, and promoting gastric motility, with a treatment duration of about six to eight weeks. Dietary considerations include avoiding smoking and drinking alcohol, not consuming strong tea or coffee, and avoiding spicy, stimulating, fried, and barbecued foods that are difficult to digest.
Can irritable bowel syndrome cause back pain?
Irritable Bowel Syndrome (IBS) is one of the most common functional gastrointestinal disorders. Its primary symptoms are abdominal pain and changes in bowel habits and stool characteristics. The abdominal pain is related to bowel movements, meaning that the pain tends to decrease after defecation. These symptoms are a major manifestation of IBS. IBS rarely causes lower back pain. If lower back pain occurs, it is important to consider diseases that commonly cause this symptom, such as lumbar disc herniation, lumbar muscle strain, and kidney diseases like kidney stones and renal colic. Therefore, it is crucial to first identify the specific cause of the lower back pain before proceeding with targeted treatment. IBS is generally not associated with symptoms of lower back pain.
What are the symptoms of gastric ulcers?
The symptoms of gastric ulcers mainly include upper abdominal pain, belching, acid reflux, nausea, vomiting, heartburn, early satiety, poor appetite, and indigestion. The characteristic of the upper abdominal pain is that it worsens after eating and decreases or disappears when hungry or on an empty stomach, indicating a regular pattern of pain. For patients exhibiting these symptoms, it is advised to undergo a gastroscopy to confirm the diagnosis. If the gastroscopy reveals ulcers on the gastric mucosa, the diagnosis of gastric ulcers can be confirmed. It is also recommended to conduct a Carbon-14 breath test to determine if there is an infection with Helicobacter pylori. It has been confirmed that Helicobacter pylori can cause peptic ulcers and chronic gastritis among other diseases. If the infection test is positive, eradication treatment for Helicobacter pylori is needed.
Is hot compress effective for cholecystitis?
The main symptoms of cholecystitis include pain in the upper right abdomen and fever. If this occurs, applying heat to the painful area may temporarily relieve the pain, but it is merely a symptomatic treatment and not a cure, as cholecystitis is caused by an infection and requires antibiotic treatment. Therefore, the fundamental treatment is to reduce inflammation. Merely using heat for relief does not address the root of the disease. Thus, it is essential to receive treatment in a hospital, where a doctor can prescribe medication, which is the most effective and fundamental method.
Can you eat garlic with a duodenal ulcer?
Common symptoms of duodenal ulcer include stomach pain, bloating, burping, acid reflux, nausea, and vomiting. The pain typically becomes more noticeable when hungry and lessens after eating. This pattern of pain is a characteristic manifestation. By performing endoscopy, defects can be seen in the duodenal mucosa. Treatment involves acid suppression, stomach protection, and promotion of gastric motility, with a particular emphasis on dietary adjustments. It is important to avoid smoking and alcohol, as well as spicy, fried, barbecue, and other irritating foods. Garlic, being an irritant, should not be consumed by those with duodenal ulcers. A diet consisting of easily digestible and mild foods is recommended, such as porridge, soup, noodles, or very tenderly cooked meats, which can assist in the treatment of duodenal ulcers.
The manifestations of duodenal ulcer.
Duodenal ulcers can cause symptoms such as upper abdominal pain, belching, acid reflux, nausea, vomiting, heartburn, poor appetite, and indigestion. The characteristic of upper abdominal pain in duodenal ulcers typically lessens after eating and worsens when hungry. A gastroscope can reveal defects in the duodenal mucosa, confirming a diagnosis of duodenal ulcer. About 90%-100% of patients with duodenal ulcers are infected with Helicobacter pylori, therefore, a Carbon-14 breath test is recommended to determine the presence of Helicobacter pylori infection. If the infection is positive, a 14-day eradication treatment for Helicobacter pylori is required, involving a proton pump inhibitor, two types of antibiotics, and a bismuth agent. Additionally, treatment for duodenal ulcers includes acid suppression, gastric protection, enhancing gastric motility, and protecting the gastric mucosa. The treatment typically lasts about six weeks.
What should not be eaten with gastric ulcers?
Patients with gastric ulcers should be cautious about their diet, abstain from smoking and alcohol, and avoid drinking strong tea, coffee, eating fatty, greasy, spicy, fried, barbecued, raw, cold, and sweet foods, as well as drinking milk and soy milk, or eating glutinous rice and sweet potatoes. This is because some of these foods can stimulate the secretion of gastric acid, worsening the irritation of gastric mucosa and exacerbating gastric ulcers. Some are difficult to digest, thus, they are not recommended. It is advisable to eat porridge, drink soups, eat noodles, such as millet porridge, yam porridge, barley porridge, chicken soup, and pork rib soup. When eating meats, ensure they are well-stewed before consumption.