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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
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.
What to do about vomiting with irritable bowel syndrome?
Irritable bowel syndrome is a common functional gastrointestinal disease, primarily characterized by symptoms such as abdominal pain, and changes in bowel habits and stool characteristics, with alternating constipation and diarrhea. Generally, abdominal pain eases after defecation. This disease usually does not involve vomiting. If vomiting occurs, it may indicate a possible gastrointestinal dysfunction, which is similar to irritable bowel syndrome as both are functional gastrointestinal disorders without organic lesions, but they manifest as symptoms of the gastrointestinal tract and digestive system. In the presence of such symptoms, it is recommended to use medication that enhances gastric motility to stop vomiting, and symptomatic treatment can be very effective.
Can hepatitis B turn into liver cancer?
Hepatitis B can gradually develop into cirrhosis or liver cancer. Therefore, if a hepatitis B virus infection is detected, it needs attention. If the hepatitis B surface antigen is positive in the HBV "two-and-a-half" test, it indicates a hepatitis B virus infection. Once infected with the hepatitis B virus, it is necessary to regularly check liver function and hepatitis B virus DNA, as well as have abdominal ultrasounds. If an increase in transaminases is found, it indicates the transformation into chronic hepatitis B, necessitating liver-protecting and enzyme-lowering treatments. If the hepatitis B virus DNA exceeds a certain value, antiviral treatment is also needed. After being infected with the hepatitis B virus, it is crucial to rest and avoid excessive fatigue and staying up late.
Does a positive Helicobacter pylori require treatment?
Currently, the infection rate of Helicobacter pylori in our country has exceeded 50%. If there is an infection of Helicobacter pylori and it is accompanied by symptoms or diseases of the digestive system, or if the patient has a family history of gastric cancer, eradication treatment for Helicobacter pylori is needed. This is because Helicobacter pylori has been proven to be the main cause of chronic gastritis, peptic ulcers, and even gastric cancer. The method of eradication involves a proton pump inhibitor, two types of antibiotics, and a bismuth agent, with treatment lasting for 14 days. After the 14-day treatment period, medications are stopped for a month. One month later, a carbon-14 breath test is performed to confirm whether Helicobacter pylori has been converted to negative. If it has converted to negative, it means that the eradication treatment was successful.
What are the early symptoms of esophageal cancer?
The esophagus is a tubular passage for food, extending from the patient's pharynx to the stomach, thus named the esophagus. Its function is to allow food to travel from the mouth through the esophagus to the stomach. If a tumor develops in the esophagus, early symptoms can include difficulty swallowing, a choking sensation, and inability to swallow food, which sometimes may lead to vomiting. These are early symptoms of esophageal cancer. If the condition progresses to a late stage, it can lead to a situation where not even liquids can pass, making swallowing impossible, resulting in extreme weight loss. In severe cases, the cancer may metastasize, including to lymph nodes and other organs, and may also compress surrounding organs, causing symptoms like chest tightness.
What foods should be avoided with chronic gastritis?
Chronic gastritis commonly presents symptoms such as bloating, stomach pain, belching, acid reflux, nausea, vomiting, etc. These symptoms may recur periodically. A definitive diagnosis of chronic gastritis can be made through gastroscopy. Treatments include acid suppression, gastric protection, enhancement of gastric motility, and protection of the gastric mucosa. Special attention should be paid to diet in cases of chronic gastritis. What should be avoided in the diet? Firstly, smoking and drinking alcohol are prohibited, as well as drinking strong tea and coffee. Foods that are fatty, rich, or greasy should not be consumed, and neither should fried, grilled, spicy, or cold dishes. Foods such as milk, soy milk, sticky rice, and sweet potatoes can lead to excessive secretion of stomach acid and some can cause gas, resulting in symptoms of bloating. Therefore, these types of foods should also be consumed less, or even avoided. So, what should we eat? It is best to consume foods that are easy to digest, such as porridge and soups, as well as noodles that are cooked until very soft. Meat is also acceptable but should be cooked or stewed until very tender, as this will not overburden the stomach and will not adversely affect chronic gastritis.
Methods to alleviate gallbladder inflammation pain
The primary symptoms of cholecystitis include sudden, severe pain in the upper right abdomen, which typically radiates to the right shoulder, scapula, and back. The pain often occurs more frequently at night and can be exacerbated by consuming a large amount of fatty foods, which may lead to acute cholecystitis. In terms of treatment, if severe abdominal pain occurs, timely pain relief is necessary. Spasmolytic painkillers and analgesics, such as opioids, can be used for pain relief. Additionally, treatment should address the underlying cause, including the use of antibiotics. Aminoglycoside antibiotics or cephalosporin antibiotics can be effective in treating the infection, and controlling the infection will also help alleviate the pain.
How to rule out the possibility of rectal cancer
Common symptoms of rectal cancer include abdominal pain, changes in stool characteristics, and rectal bleeding. These symptoms could suggest the possibility of rectal cancer. An initial examination can be conducted via a digital rectal exam to preliminarily exclude rectal cancer. If a mass is felt during the digital rectal exam, a high suspicion of rectal cancer should be maintained. Additionally, a colonoscopy can be performed for a definitive diagnosis. If a mass on the rectal mucosa is observed during the colonoscopy, a biopsy can be conducted for histopathological examination to determine the nature of the mass. Generally, if the surface of the mass is uneven, brittle, and bleeds easily, the likelihood of malignancy is high while a smooth surface suggests a greater possibility of benignity.
Is it normal to have a fever with gastroenteritis?
If it is acute gastroenteritis, its onset is sudden and the course of the disease is short. The main symptoms are abdominal pain, diarrhea, nausea, vomiting, and fever. The primary cause is due to unhygienic food consumption leading to bacterial infection in the gastrointestinal tract causing inflammation. It is a disease caused by bacterial infection. Fever is one of its most common symptoms. Thus, acute gastroenteritis does cause fever. The treatment primarily involves anti-inflammatory measures, rehydration, and symptomatic treatment. Generally, after two to three days of treatment, the disease will heal. After recovery, it is essential to pay attention to food hygiene, avoid eating overnight leftovers and spoiled food as they can easily trigger acute gastroenteritis.