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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
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.
What is the treatment for reflux esophagitis?
The main symptoms of reflux esophagitis include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. By conducting an endoscopy, the diagnosis of reflux esophagitis can be confirmed if the mucous membrane of the esophagus shows signs of hyperemia, edema, erosion, and ulcers. Treatment mainly involves acid suppression and gastric protection, promoting motility, and mucosal repair, which generally takes six to eight weeks. Dietary adjustments are also important, focusing on a bland and easily digestible diet. It is recommended to avoid spicy, stimulating, fried, grilled, and baked foods, as well as reducing sweet foods. Consumables such as porridge, soup, or noodles, which are easier to digest, are advised.
Can early-stage gastric ulcers be cured?
Gastric ulcers are a disease characterized by defects in the gastric mucosa. The main symptoms include stomach pain, bloating, nausea, vomiting, belching, and acid reflux. These defects in the gastric mucosa can be observed through gastroscopy, allowing for a diagnosis of gastric ulcers. The treatment primarily focuses on suppressing acid, protecting the stomach, and enhancing gastric motility. Additionally, it is important to test for Helicobacter pylori. If the test for Helicobacter pylori is positive, standardized treatment against Helicobacter pylori should be administered. This bacterium is a primary cause of gastric ulcers. With proper treatment, gastric ulcers generally heal within six to eight weeks. During the treatment period, dietary considerations are crucial; it is important to consume easily digestible foods and avoid fatty, rich, and hard-to-digest foods to aid in the recovery from gastric ulcers.
Is irritable bowel syndrome just stomach pain that gets better by farting?
Irritable Bowel Syndrome (IBS) is primarily a common functional gastrointestinal disorder characterized by symptoms such as abdominal pain, changes in bowel habits, and changes in the nature of stools, meaning there are alternations between diarrhea and constipation. A notable feature of the abdominal pain associated with IBS is that it often diminishes after defecation. Therefore, it is not necessarily true that pain relief or disappearance occurs after passing gas; typically, the relief comes after bowel movements, this is a characteristic of the condition. In cases of abdominal pain, symptomatic treatment can be applied, for instance, using pain relief medications. If diarrhea is present, anti-diarrheal medications, such as smectite powder, may be used. For constipation, medications that help facilitate bowel movements can be administered. Regular intake of probiotics to adjust the gut flora can also effectively treat this condition.
Are the symptoms of esophagitis the same as those of esophageal cancer?
The clinical manifestations of esophagitis and esophageal cancer are different. The main symptoms of esophagitis include upper abdominal pain, chest pain, belching, acid reflux, nausea, vomiting, and heartburn. In contrast, the primary symptom of esophageal cancer is choking and difficulty swallowing after eating. Therefore, these two diseases can be distinguished based on symptoms, and a definitive diagnosis can be made through gastroscopy. If gastroscopy reveals gastric mucosa with congestion, edema, erosion, or ulcers, it can be diagnosed as reflux esophagitis. If a tumor is found in the esophageal mucosa, and a biopsy is taken for pathological examination, it can confirm whether it is esophageal cancer. After a definitive diagnosis, treatment can be tailored according to the specific disease.
Bile reflux gastritis is what?
Common symptoms of bile reflux gastritis include stomach pain, bloating, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A gastroscopy can reveal bile stains on the gastric wall, which can be used to diagnose bile reflux gastritis. The main cause is closely related to poor gastric motility. It is also recommended to perform a Carbon-14 breath test to determine if there is a Helicobacter pylori infection. If the infection is positive, a 14-day treatment for Helicobacter pylori is required. Additionally, the treatment for bile reflux gastritis involves acid suppression, gastric protection, promoting gastric motility, and protecting the gastric mucosa, typically for a duration of about six weeks. Regular exercise is advised as it can promote gastrointestinal motility and enhance gastric motility, which is very important for the treatment of bile reflux gastritis.
Can Crohn's disease patients consume Ganoderma lucidum spore powder?
Crohn's disease is a chronic inflammatory granulomatous disease of the digestive tract of unknown cause, so any segment of the digestive tract from the mouth to the anus may be involved. It can present with intestinal ulcers, showing a segmental distribution longitudinally, as well as thickening of the intestinal walls, narrowing of the intestinal lumen, and intestinal perforation. This disease is difficult to cure, and currently, there are no effective medications for treatment, and it tends to recur throughout a person's life. Therefore, Ganoderma lucidum bun powder should be considered a health product. Health products often function as advertised by the merchants, so it is not recommended that patients with this disease consume them indiscriminately, as there may also be potential side effects. Patients with Crohn's disease should be sure to follow a high-nutrient, low-residue diet, abstain from smoking and alcohol, and avoid particularly fried, fatty, rich foods, and foods that are difficult to digest.
Chronic non-atrophic gastritis with bile reflux treatment
Chronic non-atrophic gastritis with bile reflux is mainly characterized by symptoms such as upper abdominal distension, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A diagnosis can be made if bile reflux into the stomach or bile patches on the stomach wall are observed during gastroscopy. A Carbon-14 breath test is also necessary to determine the presence of Helicobacter pylori infection. If the infection test is positive, a 14-day anti-Helicobacter pylori treatment is required. Additionally, treatment for chronic non-atrophic gastritis with bile reflux should include acid suppression, gastric protection, and promotion of gastric motility to protect the gastric mucosa, with a treatment duration of about four to six weeks. Bile reflux-associated chronic gastritis is primarily caused by poor gastric motility, thus increasing physical exercise is recommended as it can enhance gastric motility and improve the condition.
What should you eat more of if you have gastritis?
Patients with gastritis should primarily consume a light and easily digestible diet. Firstly, porridge can be eaten, including millet porridge, Chinese yam porridge, coix seed porridge, and eel porridge. Secondly, soups such as chicken soup, pork rib soup, duck soup, and fish soup can be consumed. During the preparation of these soups, ingredients like Codonopsis, Astragalus, Poria, and coix seeds can be added, which are effective in strengthening the spleen, facilitating dampness removal, and nourishing the stomach, making them beneficial dietary therapy methods. Thirdly, well-cooked noodles can be eaten, as they also have a certain stomach-nourishing effect. Fourth, if consuming meat, it must be thoroughly stewed until soft before eating. This makes it less likely to burden the digestive tract and easier to digest, making it more suitable for patients with chronic gastritis.
Can stomach polyps be ignored?
Gastric polyps should not be ignored. If gastric polyps are detected, it is recommended to promptly undergo an endoscopic polypectomy. Typically, when a gastroscopy is performed and gastric polyps are discovered, a biopsy is necessary to conduct a pathological examination to determine the nature of the gastric polyps. Common types of gastric polyps include inflammatory and adenomatous, the latter being more common. Adenomatous polyps have a certain potential for malignant transformation and can easily develop into adenocarcinoma. Therefore, upon discovering gastric polyps, regardless of the type, timely endoscopic polypectomy should be performed to prevent the potential for malignant transformation of the polyps. Additionally, in the presence of gastric polyps, the diet should be light and easily digestible. Foods that are greasy, rich, or difficult to digest should be avoided.