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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
Is long-term bad breath definitely caused by Helicobacter pylori?
Chronic bad breath may be caused by Helicobacter pylori infection, but this is not always the case. Other causes of bad breath include dental issues, such as cavities and tooth decay. Additionally, stomach diseases can also cause bad breath, many of which are associated with Helicobacter pylori infection. After ruling out dental diseases, it is recommended to undergo a Carbon-14 breath test to determine if there is an infection of Helicobacter pylori. If the test for Helicobacter pylori infection is positive and accompanied by some stomach symptoms, such as upper abdominal bloating, burping, acid reflux, nausea, and vomiting, it is advisable to undergo a 14-day treatment for Helicobacter pylori. Generally, after treatment, the Helicobacter pylori can change from positive to negative.
How to treat reflux esophagitis?
Reflux esophagitis can be diagnosed when an endoscopy reveals damage to the gastric mucosa. Its main symptoms include upper abdominal pain, chest pain, belching, acid reflux, nausea, and vomiting. Treatment primarily involves acid suppression, promoting gastric motility, and protecting the mucosa. Since reflux esophagitis is greatly related to poor gastric motility, in addition to pharmacological treatments, increasing physical activity is also necessary because exercise can enhance gastrointestinal motility and strengthen gastric dynamics, playing a crucial role in the treatment and symptom relief of reflux esophagitis. Furthermore, the diet should be light and easy to digest, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods.
Can colitis cause anal fistula?
If it is chronic colitis, it is possible to cause anal fistulas. Most patients with chronic colitis have symptoms of unformed stools and loose feces. Some feces, which are relatively thin, tend to accumulate in the anal crypts, leading to infection of the anal glands in these areas. The inflammation then spreads to the normal soft tissues around the anus, including subcutaneous tissues, forming perianal abscesses. If a perianal abscess ruptures or is surgically incised to release pus, the external opening and the pus cavity gradually heal and narrow, thus forming an anal fistula. If chronic colitis is diagnosed, it should be promptly diagnosed and treated to prevent the formation of anal fistula.
What should I do if Crohn's disease often causes low-grade fever?
Crohn's disease commonly presents with symptoms like fever. Besides fever, other symptoms include abdominal pain, diarrhea, and abdominal masses. Sometimes, stools may contain pus and blood. The treatment of this disease is quite challenging and tends to recur easily after treatment. Western medicine does not have particularly effective treatments for this disease, so it is recommended to use Traditional Chinese Medicine (TCM) and herbal treatments. According to TCM's syndrome differentiation and treatment, oral herbal medicines are used. Additionally, external TCM treatments are applied, such as selecting specific acupuncture points for moxibustion, as well as herbal enemas or herbal hydrotherapy, which can have a certain therapeutic effect on the disease.
Can lactose intolerance still lead to weight gain?
Lactose intolerance refers to a condition where the body lacks lactase enzyme, leading to symptoms such as abdominal pain, diarrhea, and bloating after consuming dairy products. It does not have a direct correlation with the ability to gain weight, because aside from dairy products, there are many other foods that a person can eat. If someone is lactose intolerant and cannot consume dairy, they can still eat many other things, which can also contribute to weight gain. Therefore, individuals with lactose intolerance can still gain weight, as there is no direct relationship between lactose intolerance and obesity.
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.