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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 people with Crohn's disease eat wontons?
Crohn's disease is a chronic inflammatory granulomatous disease of the digestive tract of unknown cause. It, along with ulcerative colitis, is classified as an inflammatory bowel disease. It can affect any part of the gastrointestinal tract from the mouth to the anus, but is most commonly found at the end of the ileum and the adjacent colon. The lesions are generally ulcers, which are typically longitudinal, large, and deep, appearing in a segmental or skipping pattern. The disease can involve all layers of the digestive tract, causing thickening of the intestinal wall, narrowing of the intestinal lumen, and bowel perforation. Additionally, this disease has a certain rate of malignant transformation. The disease is difficult to cure and has signs of lifelong recurrence. Therefore, in terms of diet, it is crucial for individuals with Crohn's disease to focus on easily digestible foods and avoid spicy, stimulating, fatty, greasy, and difficult-to-digest foods, as well as smoking and drinking alcohol. Wontons are relatively easy to digest; they should be chewed slowly and thoroughly. It is okay to eat them occasionally, but do not consume too much at one time, about 80% full is appropriate.
Dietary care for acute pancreatitis
Symptoms of acute pancreatitis include severe upper abdominal pain. During the treatment, it is essential to fast and decompress the stomach and intestines initially during the abdominal pain period. Once the pain subsides, the patient can begin a liquid diet, followed by a gradual transition to a semi-liquid diet under the guidance of a doctor. Since the causes of acute pancreatitis include binge eating or excessive alcohol consumption, patients with acute pancreatitis should abstain from alcohol and maintain a balanced diet to prevent binge eating. A light diet is preferable, avoiding fatty, greasy, fried, and barbecued foods. Additionally, it is important to maintain regular rest patterns and avoid excessive fatigue or staying up late.
How to treat gastritis erosion and bile reflux?
Chronic gastritis typically presents with symptoms such as belching, acid reflux, stomach bloating, stomach pain, nausea, and vomiting. A definitive diagnosis can be made through a gastroscopy, which may reveal signs of edema and hyperemia in the gastric mucosa, and in some cases, erosion. Poor gastric motility may lead to bile reflux, which can be observed during a gastroscopy as bile presence in the stomach. This condition, known as bile reflux, is closely related to poor gastric motility. The treatment focuses on suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility. The treatment usually lasts for 6 to 8 weeks. Additionally, if erosion is found in the gastric mucosa, a biopsy, or pathological examination, is typically conducted to investigate the nature of the erosion under a microscope. If the erosion is inflammatory, it is considered mild. However, if atypical hyperplasia or intestinal metaplasia is present, there is a very small risk of cancer development. Therefore, if the biopsy results show atypical hyperplasia, it should be taken very seriously. In cases of severe atypical hyperplasia, it is recommended to perform a gastric mucosal stripping surgery under endoscopy.
Black stool is bleeding from the upper gastrointestinal tract.
Black stools are generally caused by upper gastrointestinal tract bleeding, which can stem from several reasons: The first one is peptic ulcer, including stomach ulcers and duodenal ulcers; The second is bleeding caused by varices rupturing in the esophagus or stomach due to liver cirrhosis; The third is acute gastric mucosal injury, for example, gastric bleeding caused by orally taken non-steroidal anti-inflammatory drugs; The fourth is gastric hemorrhage caused by gastric cancer. No matter what causes the upper gastrointestinal bleeding, one should promptly visit a hospital, undergo a gastroscopy to determine the cause, and receive timely rescue and treatment. Moreover, during the treatment period, one cannot eat while experiencing gastric bleeding, and must fast until the bleeding stops, after which a liquid diet can be introduced, followed by a transition to a semi-liquid diet.
Does early-stage cirrhosis hurt when pressed?
The anatomical location of the liver is covered by the ribs, so generally, the liver cannot be felt below the lower edge of the ribs, and since it is covered by the ribs, the liver cannot be pressed, hence there is no such thing as pain upon pressing. When we generally check for liver pain, we use percussion pain. By percussing the area of the liver, which is under the rib area, pain can be elicited in the liver, this is called percussion pain. The liver generally does not have tenderness because it simply cannot be pressed. Early stages of liver cirrhosis usually exhibit little to no pain sensation. However, some symptoms might appear during the decompensated phase, such as fatigue, weight loss, dull complexion, reduced urine output, edema, and spider angiomata, among other symptoms.
How to relieve gallblitis pain?
Gallbladder inflammation generally presents as sudden severe pain in the upper right abdomen, typically occurring after consuming a large amount of fatty foods or most frequently at night. The pain may radiate to the right shoulder or back, indicating gallbladder inflammation. For treatment, antispasmodic pain relief medications can be used. If these are ineffective, opiates like pethidine may be employed to alleviate symptoms. Additionally, it is necessary to perform routine blood tests and imaging, such as an abdominal CT scan or ultrasound, to confirm the diagnosis. Once the diagnosis is confirmed, aggressive anti-inflammatory treatment should be pursued. (Medication should be used under the guidance of a physician.)
Is erosive gastritis related to Helicobacter pylori?
Helicobacter pylori infection has been confirmed as the primary cause of chronic gastritis, peptic ulcers, and gastric cancer. Erosive chronic gastritis is a type of chronic gastritis, thus there is a certain relationship between erosive gastritis and Helicobacter pylori, but not all chronic gastritis is caused by Helicobacter pylori; some are, but others are not. Therefore, if erosive gastritis occurs, it is necessary to conduct a carbon-14 breath test to determine whether there is an infection of Helicobacter pylori. If the Helicobacter pylori infection is positive, a 14-day anti-Helicobacter pylori treatment should be administered. The treatment includes a proton pump inhibitor, two antibiotics, and a bismuth agent. After treatment, most of the Helicobacter pylori will convert from positive to negative.
Can atrophic gastritis turn into cancer?
Chronic atrophic gastritis has a certain chance of cancerous transformation, with an annual cancer transformation rate of between 0.5% and 1%. It is a type of chronic gastritis. During gastroscopy, the atrophy of the inherent glands of the gastric mucosa can be observed. A definitive diagnosis of chronic atrophic gastritis can be made through biopsy and pathological examination. In terms of treatment, the first step is the treatment against Helicobacter pylori, which includes a proton pump inhibitor, two antibiotics, and a bismuth agent, with a treatment course of 14 days. Additionally, treatments include acid suppression, stomach protection, promoting gastric motility, and protecting the gastric mucosa. Furthermore, oral traditional Chinese medicine plays a significant role in the treatment of atrophic gastritis. Therefore, it is suggested that patients with atrophic gastritis consider integrated traditional Chinese and Western medicine treatment, which can yield good results.
Does lactose intolerance cause mucus in the stool?
Lactose intolerance is caused by a deficiency of lactase, the enzyme that digests lactose, typically resulting in symptoms such as diarrhea, bloating, and abdominal pain after consuming dairy products. It is relatively common among Chinese people. Unlike lactose allergy, this condition only requires controlling the intake of lactose, rather than completely avoiding dairy products. This disease generally does not present symptoms like passing mucus. The presence of mucus in stool usually suggests the possibility of chronic colitis. In such cases, it is advised to undergo a colonoscopy to examine the intestinal mucosa for mucus attachment, or signs of hyperemia, erosion, or edema.
Can people with Crohn's disease eat peanuts?
Crohn's disease is a chronic nonspecific inflammatory bowel disease of unknown cause. Its lesions can occur in any part of the digestive tract. The main symptoms include abdominal pain, diarrhea, abdominal masses, fistula formation, and weight loss. Systemic symptoms such as fever and malnutrition can also occur, and intestinal obstruction might require surgical treatment. Currently, there are no specific treatments for this disease, and it has signs of lifelong recurrence, making the treatment very challenging. It is crucial to pay attention to nutrition in the diet, consuming high-nutrition, low-residue foods, and appropriately supplementing with folic acid, vitamins, and other nutrients. The diet should primarily consist of rice and noodles, and it is advisable to consume lean meats, fish, poultry, eggs, and soy products. Peanuts can be eaten in small amounts, but it is not recommended to consume them excessively because they have a high fat content, which is not beneficial for managing Crohn's disease.