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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 should women with fatty liver pay attention to?
For fatty liver, it is important to note the following points: First, abstain from alcohol, as alcohol can cause alcoholic fatty liver. Second, be mindful of your diet; avoid fatty, greasy, and fried foods. Stick to a low-fat diet, eat more fruits and vegetables, and consume more whole grains. Third, exercise more, as physical activity can promote the metabolism of fats, which is very beneficial for patients with fatty liver. Fourth, maintain regular sleeping patterns. Do not stay up late or overwork yourself, as this might worsen the fatty liver. Additionally, keep a good mood and avoid excessive anxiety or depression, as anxiety can also harm the liver.
The location of chest pain for reflux esophagitis is where?
The main symptoms of gastroesophageal reflux disease (GERD) include upper abdominal bloating, chest pain, belching, acid reflux, nausea, and vomiting. The chest pain usually occurs in the middle of the line connecting the two nipples, just below the sternum. A gastroscopy can reveal lesions on the mucous membrane of the esophagus, which can be used to diagnose gastroesophageal reflux disease. Depending on the size of the lesions, GERD can be classified into four grades: A, B, C, and D, with Grade A being the mildest and Grade D the most severe. Treatment mainly focuses on promoting gastric motility, repairing the mucous membrane, and acid suppression to protect the stomach. GERD is mainly related to poor gastric motility, so it is also helpful to increase physical activity to enhance gastrointestinal motility and improve gastric function, which can positively affect the recovery from the disease.
The difference between superficial gastritis and atrophic gastritis.
Chronic superficial gastritis and atrophic gastritis are both types of chronic gastritis. Chronic superficial gastritis refers to the condition where there is no atrophy of the gastric glands in the gastric mucosa, while atrophic gastritis involves atrophy of the gastric glands in the gastric mucosa. Gastroscope examination can confirm the diagnosis; if gastric gland atrophy is observed under the gastroscope, a biopsy and histopathological examination can definitively diagnose atrophic gastritis. In contrast, superficial gastritis primarily shows symptoms of mucosal hyperemia, edema, or erosion under gastroscope examination. The symptoms of both conditions are similar, including upper abdominal distension, belching, acid reflux, nausea, and vomiting. As for treatment, superficial gastritis primarily involves acid suppression, gastric protection, and promoting gastric motility, while the treatment for atrophic gastritis includes targeting Helicobacter pylori, along with acid suppression and gastric protection. The prognosis for superficial gastritis is relatively good, whereas treating atrophic gastritis is more challenging and it carries a higher risk of malignancy transformation.
Why is the liver enlarged in the early stages of cirrhosis?
In the early stages of cirrhosis, it is generally characterized by an enlarged liver and spleen. If it progresses to the middle and late stages, reaching the decompensated phase, the liver will significantly decrease in size, while the spleen will continue to enlarge. In the early stages of cirrhosis, timely treatment is essential. Identifying the cause of cirrhosis and then actively treating it is crucial to prevent the condition from worsening or causing complications. If early-stage cirrhosis is not treated promptly and progresses, the decompensated stage of cirrhosis may lead to complications such as ascites, lower limb edema, severe upper gastrointestinal bleeding, jaundice, and may even progress to liver cancer. Therefore, early diagnosis and treatment are very important.
Causes and Treatment of Fatty Liver
Fatty liver and other causes include rapid weight gain, obesity, hypertension, hyperlipidemia, diabetes, as well as a high-calorie diet, cholesterol, trans fats, consuming sugary beverages in excess, overeating, sitting too long, lack of physical activity, smoking, drinking, and hypothyroidism, all of which can lead to fatty liver. The treatment of fatty liver begins with general measures, including weight loss for obese patients, maintaining healthy dietary habits, quitting smoking and alcohol, controlling caloric intake, and exercising appropriately, such as persisting in 20 minutes of aerobic exercise each day, five days a week. Additionally, there is pharmacological treatment, which involves medications that control blood lipids and other related treatments.
Does frequent constipation easily lead to rectal cancer?
Constipation and colorectal cancer are two different diseases, but they are related. Frequent constipation can increase the risk of colorectal cancer because long-term constipation can lead to restricted toxin elimination from the body. Some of the foods we eat daily, including proteins, fats, and sugars, decompose in the intestine into substances like ammonia, benzene, and phenol, which have carcinogenic effects. Therefore, people who are frequently constipated may face an increased risk of colorectal cancer. Thus, to address frequent constipation, it is important to solve constipation issues. One's diet should be light, incorporating more fruits and vegetables, drinking more water, and exercising more, to resolve the issues of constipation.
What is Crohn's disease?
Crohn's disease is a chronic nonspecific inflammatory disease, characterized by segmental and skip lesions, longitudinal ulcers that are relatively deep, and can affect various parts of the digestive tract from the mouth to the anus, primarily occurring near the end of the ileum and adjacent colon. This disease tends to recur repeatedly, and currently, there are no particularly effective treatment methods. At present, the highest incidence rates are in North America and Northern Europe, and the incidence in China is also showing an increasing trend year by year. The main symptoms include abdominal pain, diarrhea, and weight loss. Generally, this disease is difficult to cure and tends to recur throughout a person's life.
Can colitis cause anal pain?
The main symptoms of chronic colitis include abdominal pain, diarrhea, or the presence of snot-like mucus in the stool. If there is anal pain, it may indicate the coexistence of hemorrhoids, as chronic colitis alone does not cause anal pain; anal pain is mainly due to hemorrhoids. Chronic colitis can be diagnosed through colonoscopy, which may reveal hyperemia, erosion, or edema of the intestinal mucosa, as well as white mucus adhering to the intestines. In terms of treatment, Western medicine primarily uses probiotics to regulate the intestinal flora, while Chinese medicine may involve oral administration of herbal medicines based on syndrome differentiation, as well as external treatments like moxibustion and enemas, which can also be effective.
Can the liver regrow after partial removal due to cirrhosis?
First, let us understand the causes of cirrhosis. The most common cause is chronic hepatitis B, which can develop into hepatitis B-related cirrhosis over time. The second is chronic hepatitis C, which can also lead to hepatitis C and cirrhosis in the long term. Another type is alcoholic cirrhosis, which occurs due to long-term excessive alcohol consumption. Cirrhosis involves the hardening of the entire liver, not just parts of it; the whole organ becomes hardened, not just certain sections. Once the entire liver is hardened due to cirrhosis, it is not possible to just remove a part and expect a normal liver to grow back. Thus, unlike what might be suggested in some discussions, it is not feasible to remove a part of a cirrhotic liver with the expectation of regeneration. Liver cirrhosis cannot be partially removed; it is not operable in this way.
What should I do if I have mild fatty liver?
Mild fatty liver primarily requires dietary adjustments. It is necessary to quit smoking and drinking, and avoid high-calorie, high-fat foods such as greasy, rich dishes, fried foods, and animal organs. It is beneficial to consume light, easily digestible foods, such as fruits and vegetables. Secondly, increasing physical activity is important because exercise can metabolize fats, which positively impacts patients with mild fatty liver. Thirdly, control of blood lipids is crucial. If hyperlipidemia occurs, it should be treated with medication to lower blood lipids. Fourthly, maintain a regular routine and avoid excessive fatigue or staying up late.