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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
Does early-stage cirrhosis exhibit spleen enlargement?
In the early stages of cirrhosis, spleen enlargement may occur, but generally, it is only a mild enlargement of the spleen. If the spleen shows significant enlargement, it generally indicates that the cirrhosis is no longer in the early stages. The main symptoms in the early stages of cirrhosis include an enlarged spleen, as well as denser liver parenchyma echoes and an uneven liver capsule surface. Once these early signs of cirrhosis appear, it is necessary to identify the cause as soon as possible and adopt cause-specific treatment. For example, if the cirrhosis is due to alcohol abuse, then it is necessary to abstain from alcohol. If it is due to chronic hepatitis B virus infection, antiviral treatments such as entecavir should be used. (Please use medication under the guidance of a doctor.)
How to relieve indigestion and nausea
If indigestion leads to vomiting, one can use the method of applying heat to the stomach to stop vomiting. If the effect is still not clear after the hot compress, consider muscle injection of "Weifu'an" to stop vomiting. Of course, this should be used under the guidance of an experienced doctor. Indigestion can also be accompanied by symptoms such as belching, acid reflux, and heartburn. Some patients may also experience diarrhea, constipation, or alternating occurrences of diarrhea and constipation. For the nausea caused by indigestion, sometimes traditional Chinese medicine treatments such as acupuncture at the Zusanli point can also be used, which has relatively definite efficacy.
Does upper gastrointestinal bleeding always result in black stools and vomiting blood?
Upper gastrointestinal bleeding does not necessarily result in black stools or vomiting of blood. If the bleeding is very minor, such as less than 5ml, there will be no black stools or vomiting blood, and the bleeding can only be detected through a fecal occult blood test which shows a positive result. If the bleeding amounts to about 50ml, vomiting blood may not occur, but black stools can be present. If the bleeding reaches about 200ml and occurs rapidly, both vomiting of blood and black stools may occur simultaneously. Upper gastrointestinal bleeding is a common and critical condition in gastroenterology that requires standardized treatment measures. The first step is to conduct a thorough gastroscopic examination, followed by measures to suppress gastric acid production and protect the gastric mucosa.
What stage is cirrhosis vomiting blood?
When patients with cirrhosis experience vomiting blood, it generally indicates that the cirrhosis has entered the decompensated phase, which is a late-stage symptom of cirrhosis. The main reason for vomiting blood may likely be that the cirrhosis has caused a peptic ulcer, or rupture and bleeding of esophageal and gastric varices due to cirrhosis, or bleeding caused by portal hypertensive gastropathy resulting from cirrhosis. If vomiting blood occurs with cirrhosis, the amount of bleeding is generally very large. At this time, it is necessary to go to the hospital as soon as possible for a complete gastroscopy. When necessary, endoscopic treatment may be needed to stop the bleeding.
Can abnormal liver function and nosebleeds indicate liver cirrhosis?
Abnormal liver function accompanied by nosebleeds does not necessarily indicate cirrhosis. Nosebleeds in patients with abnormal liver function can be due to acute hepatitis leading to liver failure and decreased coagulation function. Of course, in patients with cirrhosis, a significant decline in coagulation function may also result in nosebleeds. Therefore, patients experiencing nosebleeds due to abnormal liver function should actively seek medical attention. It is important to complete liver function tests and coagulation assays, as well as comprehensive abdominal imaging examinations, such as CT scans, ultrasonography, and MRI, to assess the condition of the patient. Based on these assessments, appropriate medical treatment should be administered.
Helicobacter pylori treatment for half a month, re-examination still positive, what could be the reason?
If a follow-up test for Helicobacter pylori is positive after half a month of treatment, it indicates that the treatment was not successful, and Helicobacter pylori is still present. At this point, it is necessary to adjust the medication plan and treat Helicobacter pylori again. The specific medication methods and treatment duration should be used under the guidance of a doctor. Treatment of Helicobacter pylori infection requires the use of a bismuth-containing quadruple therapy for two weeks to eradicate it. Additionally, the diet should include an increased intake of fresh vegetables and fruits rich in vitamins and avoid spicy and irritating foods. Smoking and alcohol should be avoided. (Please follow the doctor’s prescription for medication use.)
What is good to eat after vomiting in the early stages of cirrhosis?
In the early stages of cirrhosis, after vomiting, one should eat light and easily digestible food. It's necessary to avoid spicy and stimulating food or rough, hard-to-digest food. Meanwhile, patients with cirrhosis should quit smoking and drinking alcohol, and also avoid drinking strong tea, coffee, etc. Once cirrhosis is discovered in a patient, targeted treatment should be administered, and comprehensive tests like color ultrasound and gastroscopy are needed to ascertain whether there are complications caused by cirrhosis, such as ascites or ruptured esophagogastric varices causing bleeding, among others.
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.