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Jiang Guo Ming
Gastroenterology
About me
In 1994, graduated from Nanjing University of Chinese Medicine and started working at Yanshan Branch of Liyang People's Hospital and Liyang Maternal and Child Health Hospital in the same year. From May 1999 to August 2000, underwent further training in the Gastroenterology Department of the First People's Hospital of Changzhou. Currently serving as the Director of the Emergency Department at the hospital, with the title of Associate Chief Physician.
Proficient in diseases
Mainly engaged in the treatment of gastroenterology with a combination of traditional Chinese and Western medicine, as well as the operation of digestive endoscopy.
Voices
What foods should be eaten for gastroenteritis?
Acute gastroenteritis is one of the common diseases of the digestive system, usually characterized by abdominal pain, diarrhea, vomiting, bloating, etc. Sometimes there are symptoms like fever and chills. In such cases, it is first necessary to undertake targeted treatment based on the specific cause, such as anti-inflammatory, antiviral treatments, astringents to stop diarrhea, and hydration. At the same time, attention should be paid to the dietary structure, initially avoiding exposure to cold. The diet should mainly consist of light, easily digestible foods, with a preference for porridge, wheat products like noodles, and fresh vegetables. It is advisable to avoid raw, greasy, spicy foods and alcoholic beverages.
What are the symptoms of gastritis?
Chronic gastritis, under gastroscopy, can usually be divided into two main categories: chronic non-atrophic gastritis, also known as superficial gastritis, and chronic atrophic gastritis. The primary cause is related to Helicobacter pylori infection, although there are other related factors, such as exposure to cold, poor dietary habits, medication factors, and more. As for the symptoms of gastritis, there is individual variation. It can manifest as either excessive gastric acid or poor gastric motility. Excessive gastric acid can present as upper abdominal pain, heartburn, and acid reflux burn, among others. Poor gastric motility may lead to symptoms such as nausea, vomiting, bloating in the upper abdomen, and poor appetite.
Symptoms and Treatment of Acute Gastroenteritis
Acute gastroenteritis is usually caused by exposure to cold or improper diet, also known as gastroenteric cold or bacterial enteritis, with common symptoms including abdominal pain and diarrhea. The abdominal pain caused by gastroenteric cold is usually not very severe, and diarrhea is mainly watery. It often accompanies symptoms of upper respiratory tract infections, such as fever, chills, sore throat, and general body aches. Treatment mainly focuses on antiviral medications, combined with astringent hemostatic drugs, and a light diet is recommended. Bacterial enteritis caused by improper diet often leads to severe abdominal pain, and stools can be watery or mucous, and may even include pus and blood. The treatment for this condition primarily involves antibacterial therapy, such as cephalosporins or quinolones, and it is also important to maintain a light diet. (The use of medications should be under the guidance of a doctor.)
Can people with peptic ulcers drink milk?
Milk is very common in our daily lives and contains a wide range of nutrients. For example, proteins, fats, minerals, vitamins, etc., have a high nutritional value, so currently there are many people who drink milk. As for whether people with peptic ulcers can drink milk, opinions vary. Some say it is possible, while others say it is not; it really depends on the specific situation. If it is the acute phase of a peptic ulcer, often accompanied by excessive stomach acid, it is generally best to avoid drinking milk. This is because drinking milk might stimulate the secretion of stomach acid. If it is the healing phase of a peptic ulcer, drinking small amounts of milk can be helpful. At the same time, try to avoid drinking milk that is too cold.
acute gastroenteritis symptoms
The symptoms of acute gastroenteritis can vary depending on the cause. Both gastroenteritis and infectious diarrhea exhibit symptoms such as abdominal pain, diarrhea, and vomiting. However, there are distinctions; the abdominal pain in gastroenteritis is often less severe than in infectious diarrhea, and the stools in gastroenteritis are typically watery. In infectious diarrhea, the stools can also be watery, but more often they are mucoid or even contain mucus and blood. Additionally, the stool volume in infectious diarrhea is usually not large and is accompanied by symptoms of tenesmus. Gastroenteritis often also involves symptoms of upper respiratory infection, including fever, chills, dizziness, headache, fatigue, general body ache, and sore throat. Differentiating between the two can be achieved through examinations and tests like stool routine, blood routine, and C-reactive protein levels.
What should I do if I have appendicitis pain?
Appendicitis should first be diagnosed and treated at the general surgery outpatient clinic. The doctor will perform relevant examinations based on symptoms and signs, such as complete blood count, C-reactive protein, and ultrasound of the lower right abdomen, among others. Based on the results of these tests, the doctor will make an appropriate judgment about the condition. Generally, surgery is advocated for acute appendicitis. If the inflammation is not severe, conservative treatment, primarily focusing on anti-inflammatory treatment, may also be an option. Severe acute appendicitis poses a risk of perforation, and timely hospitalization for surgical treatment is recommended. Chronic appendicitis should also be managed based on specific symptoms, signs, and related examinations, with early surgery performed if possible to prevent recurrent episodes.
How to completely cure acute gastroenteritis?
Acute gastroenteritis generally occurs more frequently in the summer and autumn seasons, possibly due to exposure to cold or improper diet, typically presenting with symptoms such as abdominal pain, diarrhea, vomiting, bloating, and even fever and chills. Relevant tests, such as a complete blood count, C-reactive protein, and stool examination, can usually confirm the diagnosis. As for treatment, it depends on the cause, such as anti-inflammatory, antiviral, antidiarrheal, and rehydration measures. Most cases of acute gastroenteritis can be completely cured. During treatment, it's necessary to control the diet by consuming light, easily digestible foods, such as porridge and soft noodles, and to avoid raw, greasy, or spicy foods that might provoke recurring episodes. (Specific medications should be used under the guidance of a doctor.)
Can people with peptic ulcers exercise?
Peptic ulcers are generally classified into duodenal bulb ulcers and gastric ulcers, along with mixed gastric-duodenal ulcers, etc. Clinically, they can generally be divided into acute active phase, healing phase, scar phase, etc. Generally speaking, patients with active peptic ulcers, in addition to standard medication, need absolute rest and must not overexert themselves. If it is in the remission or healing phase of peptic ulcer, in addition to developing good eating habits, one should also be cautious not to overexert; some light activities are still acceptable. Additionally, regular gastroscopy check-ups are necessary.
How many days does chronic gastritis need for IV therapy?
The treatment of chronic gastritis generally depends on whether there is a Helicobacter pylori infection. If there is an infection, the usual approach is a quadruple therapy to eradicate the bacteria, which includes a proton pump inhibitor, two types of antibiotics, and a bismuth compound, lasting for a 10 to 14-day treatment course. If there is no Helicobacter pylori infection, the treatment primarily focuses on symptomatic relief, such as suppressing stomach acid, protecting the gastric mucosa, and enhancing gastric motility, depending on the specific conditions of the patient. As for the duration of intravenous therapy for chronic gastritis, if the patient does not exhibit significant vomiting, intravenous therapy is generally not necessary, as oral medication is sufficient to achieve therapeutic goals. If the patient has severe vomiting and cannot eat, intravenous therapy might be needed. This would focus mainly on suppressing stomach acid and maintaining fluid and electrolyte balance, typically requiring two to three days, and prolonged intravenous therapy is not necessary. (Please follow the doctor's prescription for medication.)
How is peptic ulcer treated?
The treatment of peptic ulcers mainly depends on their cause. It is generally believed that infection with Helicobacter pylori is most closely related to peptic ulcers. In such cases, the first step is to check for Helicobacter pylori infection. If there is an infection, antibacterial treatment is generally used, with the common regimen being quadruple therapy: a proton pump inhibitor plus two antibiotics and a bismuth agent. If there is no Helicobacter pylori infection, symptomatic treatment is generally sufficient. The preferred method is to use acid-suppressing and stomach-lining-protecting medications, combined with symptomatic treatment. At the same time, it is helpful to develop good dietary and living habits, opt for a light and easy-to-digest diet, and eat regularly in fixed amounts. Avoid overeating and excessive fatigue; abstain from smoking and alcohol, and maintaining a good mood all help. (Medication should be used under the guidance of a professional doctor.)