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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
Does esophagitis cause weight loss?
People with esophagitis tend to experience emaciation. Esophagitis, medically referred to as gastroesophageal reflux disease (GERD), is characterized by symptoms such as upper abdominal distension, chest pain, belching, acid reflux, nausea, vomiting, and indigestion. Due to the long-term presence of these symptoms, appetite can decrease, leading to emaciation in patients with GERD. During an endoscopy, if erosions in the gastric mucosa are observed, a diagnosis of gastroesophageal reflux disease can be made. Based on the extent of these erosions, the condition can be classified into four grades, from A to D, with grade A being the mildest and grade D the most severe. Treatment mainly involves promoting gastric motility, repairing the mucosa, and acid-suppressing and stomach-protecting therapies, generally requiring about an eight-week treatment period.
Location of pain in female cholecystitis
The main symptoms of cholecystitis include upper abdominal pain. Mild cases generally are limited to the upper abdomen, while severe cases may affect the entire body, and 70% of patients with cholecystitis do not show any symptoms. The early symptoms of cholecystitis can suddenly manifest as severe colicky pain in the upper right abdomen, which can also radiate to the right shoulder and back. These symptoms are generally triggered by consuming a large amount of fatty foods and are more likely to occur at night. If the condition progresses, the pain becomes persistent and progressively worsens, and may also be accompanied by mild to moderate fever. Some patients may experience chills and high fever, indicating that the condition is very severe.
Is irritable bowel syndrome prone to recurrence?
Irritable Bowel Syndrome (IBS) is one of the most common functional gastrointestinal disorders, characterized mainly by abdominal pain associated with bowel habits, as well as changes in the characteristics of the stool, such as alternating diarrhea or constipation. Generally, abdominal pain tends to decrease after defecation and is related to it. This condition is prone to recurring episodes, presenting a prolonged and difficult-to-cure phenomenon. In Western medicine, probiotics can be taken orally to adjust the gut flora and alleviate symptoms. Traditional Chinese Medicine (TCM) also provides options, including herbal medicine based on syndrome differentiation and oral administration. Additionally, external TCM therapies such as moxibustion, herbal enemas, and herbal hydrotherapy are also effective in treating this condition.
Can Helicobacter pylori infection recur after treatment?
Helicobacter pylori, once treated, does not recur, but it is possible to be infected again after the treatment is completed. Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%, so it is important to be cautious during communal meals. Due to the Chinese dietary habit of sharing dishes using the same chopsticks, it is easy to spread Helicobacter pylori. Therefore, it is advisable to use serving chopsticks, which can significantly reduce the infection rate of Helicobacter pylori. If reinfected with Helicobacter pylori, it is necessary to undergo eradication treatment again. The treatment involves a proton pump inhibitor, two types of antibiotics, and a bismuth agent, totaling a 14-day treatment. After infection with Helicobacter pylori, dietary precautions are also needed, focusing on a light, easily digestible diet, and avoiding difficult-to-digest foods.
Can atrophic gastritis eat rock candy?
Patients with atrophic gastritis should not eat rock sugar. The main symptoms of atrophic gastritis include upper abdominal distension and pain, belching, acid reflux, nausea, vomiting, poor appetite, and indigestion. A gastroscopy can reveal the atrophy of gastric mucosal glands, which can diagnose atrophic gastritis. The treatment primarily involves fighting Helicobacter pylori, suppressing acid and protecting the stomach, enhancing gastric motility, and repairing the gastric mucosa. Dietary considerations are crucial; one must quit smoking and drinking, avoid strong tea and coffee, and refrain from consuming spicy, fried, raw, cold, sweet foods, and barbecued items. Rock sugar, being a sweet food, must be strictly avoided as sweet foods can increase gastric acid secretion, leading to stomach mucosa irritation and worsening of the condition. Therefore, patients with atrophic gastritis should not consume rock sugar.
What foods are good for fatty liver?
Fatty liver is primarily caused by nutritional excess or abnormal lipid metabolism, leading to excessive storage of fat in liver cells, resulting in fatty liver. Therefore, it is very important to pay attention to the diet, which should be low in fat. Firstly, it is crucial to quit alcohol, as drinking with fatty liver can easily damage liver cells, leading to elevated transaminase levels. Additionally, it is important to reduce oil intake, especially fried foods which must be completely avoided, as well as high-fat foods such as fatty meats, which should be largely excluded from the diet. Foods rich in oils like seeds, peanuts, and walnuts, which are high in cholesterol and fats, should also be consumed less, as they can increase the severity of fatty liver. A light and easily digestible diet should be preferred, with an increased intake of vegetables and fruits. When consuming meat, lean meats should be chosen to help with the recovery of fatty liver.
Is gastritis serious?
Chronic gastritis includes three types: chronic non-atrophic gastritis, chronic atrophic gastritis, and special types of gastritis. The severity of chronic gastritis depends on the type of gastritis and the extent of the lesion. If the chronic gastritis is chronic non-atrophic gastritis, and the gastric mucosa only shows hyperemia or edema without erosion, then it is relatively mild. With treatment, it can be cured in a short time. If chronic gastritis presents with erosion, and the nature of the erosion includes moderate to severe intestinal metaplasia or atypical hyperplasia, or if there is atrophy of the intrinsic gastric glands, then the condition is relatively severe. Treatment is relatively complicated, and there is a certain risk of cancer transformation.
How to regulate irritable bowel syndrome
The main symptoms of Irritable Bowel Syndrome (IBS) manifest as abdominal pain, changes in stool consistency, including diarrhea or constipation, and sometimes the presence of white mucus in the stool. Colonoscopy shows no organic changes in the intestinal mucosa. The treatment of IBS mainly involves oral probiotics to adjust the gut flora. Additionally, treatment can be conducted through traditional Chinese medicine based on syndrome differentiation, including oral administration of herbal medicine. External traditional Chinese treatments such as acupuncture, moxibustion, acupoint application, hot therapy, and thunder-fire moxibustion can also be effective in treating IBS. In terms of diet, it is important to consume light, easily digestible foods primarily, avoiding spicy, stimulating, fried, grilled, cold, and sweet foods. Preference should be given to foods that are easy to digest, such as porridge, soup, and noodles.
How to alleviate nausea from duodenal ulcers?
Duodenal ulcer primarily manifests with symptoms such as abdominal pain, bloating, nausea, vomiting, poor appetite, acid reflux, and belching. The characteristic pain associated with this condition typically diminishes after eating and worsens when hungry. A gastroscopy revealing defects in the duodenal mucosa can confirm a diagnosis of duodenal ulcer. Treatment focuses on acid suppression and gastric protection, enhancing gastric motility, and protecting the gastric mucosa. Additionally, a carbon-14 breath test is conducted to check for Helicobacter pylori infection, a bacterium that can cause peptic ulcers. If the test is positive, a 14-day treatment against Helicobacter pylori is required. By adhering to this treatment protocol, symptoms can be effectively resolved.
Can irritable bowel syndrome cause mucus in stool?
Irritable bowel syndrome commonly presents with symptoms such as abdominal pain, diarrhea, or constipation. Typically, passing mucus in stool is not a symptom of this condition. If mucus in stool occurs, it may suggest chronic colitis. A colonoscopy can be performed to confirm the diagnosis. If the colonoscopy reveals white mucus in the intestines, or signs of mucosal hyperemia, edema, or erosion, chronic colitis can be diagnosed. In terms of treatment, Western medicine primarily uses probiotics to adjust the gut flora. Chinese medicine, on the other hand, treats patients based on syndrome differentiation, using oral herbal medicine as well as external Chinese medicinal methods, which include moxibustion or herbal enemas, among others, to alleviate symptoms and treat the disease.