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Wu Hai Wu
Gastroenterology
About me
Wu Haiwu, chief physician of gastroenterology, professor, with 22 years of experience. After graduating from university, he has been engaged in clinical work at the People's Hospital of Ganzhou. He has furthered his studies in gastroenterology at Ruijin Hospital in Shanghai and Zhongshan Hospital in Xiamen in 2008 and 2012, respectively, and has abundant theoretical foundation and professional knowledge.
Proficient in diseases
With unique experience in the anti-viral treatment of digestive system diseases such as esophageal, gastric, intestinal, liver, gallbladder, and pancreatic diseases, especially elderly digestive diseases and viral hepatitis and cirrhosis, proficient in dealing with upper gastrointestinal bleeding, severe acute pancreatitis, refractory ascites in cirrhosis, and a series of complicated critical conditions, inflammatory bowel disease, etc., skilled in using gastroscopy and colonoscopy for diagnosis and treatment of diseases, actively participated in the medical emergency response to major public health incidents and government-directed healthcare conferences.
Voices
Will cirrhosis continue to progress if there are no symptoms?
Cirrhosis may not have symptoms, yet it can still progress. There are various causes of cirrhosis, such as viral hepatitis, alcoholic hepatitis, autoimmune hepatitis, drug-induced hepatitis, and fatty liver disease, among others. If the underlying causes are not removed, cirrhosis can continue to progress even without symptoms. For example, in chronic hepatitis B, if no effective antiviral treatment is administered, the patient may progress to decompensated cirrhosis in the absence of symptoms, which in severe cases, can lead to the development of liver cancer. Therefore, once cirrhosis is diagnosed, it is crucial to actively identify the cause and adopt different treatments according to the specific cause, such as abstaining from alcohol if the cirrhosis is alcohol-related.
Can I take vitamins B1 and B12 during treatment for Helicobacter pylori?
During the treatment of Helicobacter pylori, it is possible to consume Vitamin B1 and Vitamin B12. The treatment of Helicobacter pylori infection can consider using a bismuth-containing quadruple therapy for two weeks to eradicate the infection. During the treatment of Helicobacter pylori infection, one can also eat fresh vegetables and fruits rich in vitamins, such as kiwis, bananas, apples, etc. It is important to eat regularly and in moderation, consume light, easily digestible foods, and avoid overeating. Spicy and stimulative foods should be avoided, including strong alcohol, strong tea, coffee, etc. At the same time, patients with Helicobacter pylori infection should also ensure adequate rest.
Can early-stage liver cirrhosis be cured by surgical resection?
Early-stage liver cirrhosis cannot be cured through surgical resection. Patients with early-stage liver cirrhosis need to clearly identify the cause of the cirrhosis if they wish to be cured. For instance, if the cirrhosis is due to alcohol, it requires actively quitting drinking. If the cirrhosis is caused by viral hepatitis, then active antiviral treatment is necessary for these early-stage patients. To cure the disease, it is essential to actively protect the liver and treat the underlying cause. If a patient with early-stage liver cirrhosis shows signs of liver cancer, then surgical treatment should be undertaken to remove the lesions as soon as possible.
What should I do if chronic gastritis flares up?
If chronic gastritis flares up, patients need not be overly anxious. Standard treatment can quickly cure chronic gastritis. Following an acute flare-up of chronic gastritis, the first step involves using medications such as magnesium carbonate, aluminum sucrose sulfate, and aluminum-magnesium suspension to protect the gastric mucosa. Then, use H2 receptor antagonists or proton pump inhibitors to suppress stomach acid secretion and increase the pH level inside the stomach. Sometimes, traditional Chinese medicine is also quite effective in treating chronic gastritis, such as Qi Stagnation Stomach Pain Granules, Wen-Wei Shu, Yang Wei Shu Capsules, and Xiang Sha Yang Wei Pills. (Please use medication under the guidance of a doctor.)
Characteristics of colitis abdominal pain
The characteristics of abdominal pain caused by colitis generally include intermittent dull pain, and sometimes colicky pain might also occur, although colicky pain is less common. Patients with colitis may experience diarrhea or constipation, or alternating episodes of both. Diagnostically, colitis is primarily identified through colonoscopy, which can reveal congested, edematous, and eroded mucosa of the colon, potential inflammation, possible ulcers, and the formation of granulomas. For treatment, medications for ulcerative colitis, such as mesalazine, can be chosen. (Please use medications under the guidance of a doctor.)
Will melena from upper gastrointestinal bleeding heal by itself?
Generally speaking, after the occurrence of black stool due to upper gastrointestinal bleeding, it is quite difficult to cure and requires active treatment measures. For example, it is necessary to perform thorough gastroscopy and under gastroscopy, endoscopic treatment can be conducted. It is also advisable to consider oral medications that inhibit gastric acid secretion and protect the gastric mucosa. Medications that inhibit gastric acid secretion include proton pump inhibitors (PPIs) such as omeprazole, lansoprazole, and pantoprazole. Alternatively, H2 receptor antagonists such as ranitidine and famotidine can be selected. In terms of efficacy, proton pump inhibitors are generally more effective and better than H2 receptor antagonists, with fewer side effects.
Can you eat fish with colitis?
Generally speaking, people with colitis can eat fish, but it is necessary to avoid fried or deep-fried fish; instead, steamed or boiled fish should be consumed, as this is beneficial for the recovery from colitis. Patients with colitis should avoid other spicy and irritating foods such as strong tea, coffee, spirits, chili peppers, and mustard, etc., and try to avoid them as much as possible. It is important to eat more fresh vegetables and fruits, avoid overly coarse foods, and eat regularly and in moderation to prevent binge eating. Meals should be small and frequent, and one should chew slowly. At the same time, active follow-up with colonoscopy is necessary.
Can I eat chocolate while treating Helicobacter pylori?
During the treatment of Helicobacter pylori infection, it is permissible to eat chocolate, but it is also advisable not to consume too much chocolate. During the treatment period, one should avoid spicy and irritating foods, abstain from alcohol, and avoid drinking strong tea, coffee, etc. It is beneficial to eat easily digestible foods and fresh vegetables and fruits rich in vitamins, such as apples, bananas, and kiwis. Since chocolate is not considered a spicy and irritating food, it is permissible to eat chocolate during the treatment of Helicobacter pylori infection. However, during this period, it is also important to avoid overeating and to chew food slowly and thoroughly.
What should I do if bile reflux gastritis recurs?
If bile reflux gastritis recurs, proactive treatment measures need to be taken. For instance, if it is caused by Helicobacter pylori infection, active treatment with triple or quadruple therapy to eradicate Helicobacter pylori is necessary. If the recurrence of bile reflux gastritis is due to stomach diseases, it is crucial to actively treat the primary disease. For example, if caused by a malignant tumor in the stomach, aggressive surgical treatments should be employed, followed by adjunctive therapies such as radiotherapy, chemotherapy, and comprehensive treatment measures including traditional Chinese medicine. If caused by peptic ulcers, it is necessary to actively inhibit gastric acid secretion and protect the gastric mucosa, among other treatments.
The difference between reflux esophagitis and esophagitis
The main difference between reflux esophagitis and esophagitis is that esophagitis has a broader range, and reflux esophagitis is just one type of esophagitis. Esophagitis can be caused by many factors, as it involves inflammation changes occurring after multiple factors have damaged the esophageal mucosa. Based on different etiological factors, it can be divided into reflux esophagitis, radiation esophagitis, infectious esophagitis, eosinophilic esophagitis, drug-induced esophagitis, and radiation esophagitis. Reflux esophagitis is the most common type of esophagitis, primarily caused by the relaxation of the lower esophageal sphincter, which leads to the reflux of stomach and duodenal contents into the esophagus causing inflammatory changes. This may be related to factors such as obesity, smoking, alcohol consumption, and a high-fat diet.