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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
How to rehydrate for gastroenteritis
Acute gastroenteritis is primarily characterized by symptoms such as abdominal pain, diarrhea or vomiting, abdominal distension, fever, chills, etc. For fluid administration in such cases, the treatment varies based on the specific cause. If it is gastroenteritis caused by a viral infection, antiviral medications and astringents are typically used to stop diarrhea, along with rehydration. If it is bacterial enteritis, the type of fluid administered should primarily be anti-inflammatory. Moreover, if the patient experiences severe vomiting and diarrhea, accompanied by significant weakness, dizziness, poor skin turgor, and scanty urine, these are signs of dehydration. In such cases, the doctor will determine the severity of dehydration—whether it is mild, moderate, or severe—based on the patient's weight loss and will adjust the volume of fluids and electrolytes replenished accordingly.
How to relieve gastritis pain
Gastric pain typically refers to pain in the upper abdomen, and the first step is to confirm whether the pain is indeed caused by gastritis. If an endoscopy confirms gastritis and liver or gallbladder issues are ruled out, there are primarily two causes of gastritis pain: One is the excessive secretion of stomach acid, which irritates the gastric mucosa leading to upper abdominal pain, and can be accompanied by acid reflux, heartburn, and a burning sensation. In such cases, proton pump inhibitors, such as omeprazole, are generally the first choice and can help relieve the pain. Another situation, such as chronic gastritis, combined with exposure to cold or improper diet, can lead to gastric spasms. This often manifests as episodic upper abdominal pain or even colicky pain. Antispasmodic analgesics, such as scopolamine butylbromide, can be appropriately used in these cases, while also ensuring to stay warm and consume a light, easily digestible diet. (Medication should be used under the guidance of a doctor.)
What to do about dehydration from acute gastroenteritis?
The main symptoms of acute gastroenteritis should include paroxysmal abdominal pain, diarrhea, vomiting, bloating, and sometimes may be accompanied by fever, chills, and sore limbs, which are indicative of viral infection symptoms. If acute gastroenteritis leads to severe vomiting and diarrhea, combined with the inability to eat normally, dehydration symptoms are likely to occur, such as increased fatigue, dizziness, dry skin, and reduced urine output. In such cases, it is necessary to go to the hospital for treatment. Through relevant examinations, it can be clarified whether the condition is viral gastroenteritis or bacterial enteritis, to administer targeted treatments, such as anti-inflammatory, antiviral, and electrolyte replenishment treatments, so as to avoid further aggravation.
How many days does acute gastritis need IV fluids?
Acute gastritis, compared to chronic gastritis, has a shorter course and more severe symptoms. If the condition is not very severe, it can also be treated by taking oral medication. For example, oral proton pump inhibitors, gastrointestinal motility drugs, and mucosal protective agents, etc. If the symptoms are more severe, such as severe vomiting, intravenous fluid therapy can be administered to achieve treatment goals. The effects of intravenous fluid therapy are basically similar to those of oral medications. If the inflammation is apparent, antibiotics can be appropriately used. As for the duration of medication, generally three to five days are sufficient. If these acute gastric mucosal lesions occur, the symptoms are relatively more severe, and there may be bleeding. In such cases, the duration of intravenous fluid therapy can be appropriately extended, generally not exceeding one week.
Is black stool a sign of stomach cancer?
Black stools might suggest stomach cancer, but most cases are not. Often, factors such as diet structure and medications can lead to transient black stools, which are physiological. For instance, consuming animal blood, foods containing pigments, and certain medications like blood tonics and bismuth drugs protecting the stomach lining can cause transient black stools. Once dietary adjustments are made or related medications are stopped, the stool color usually returns to normal. In pathological conditions, such as acute gastric mucosal lesions and bleeding from gastric or duodenal ulcers, black stools can also occur. Thus, the occurrence of black stools might suggest the possibility of stomach cancer, but in most cases, it likely is not.
How to alleviate enteritis.
Enteritis can be divided into acute gastroenteritis and chronic enteritis. Acute gastroenteritis is usually caused by exposure to cold or improper diet, characterized by sudden onset, abdominal pain, and diarrhea, and sometimes accompanied by vomiting and fever. In this case, treatment measures should be taken according to the specific cause, such as anti-inflammatory, antiviral, antiemetic, spasmolytic analgesics, and hydration, etc. If it is chronic enteritis, treatment plans should be determined based on the specific symptoms. Generally, measures such as anti-inflammatory, analgesics can be appropriately combined with drugs that regulate gastrointestinal function, and probiotics are also helpful. If it is inflammatory bowel disease, which belongs to an immune system disease, immunotherapy should be adopted. (The use of medications should be carried out under the guidance of a professional doctor.)
How to alleviate gastritis pain?
The pain of chronic gastritis may be a problem with the gastritis itself, like irritation caused by excessive stomach acid. It can manifest as upper abdominal pain, acid reflux, heartburn, etc. This condition can be treated with acid-suppressing and mucosal-protecting medications. Proton pump inhibitors are generally the first choice, such as omeprazole, rabeprazole, lansoprazole, etc., which usually achieve the therapeutic goal. Additionally, if the acute stomach pain is caused by exposure to cold or inappropriate diet, this is usually accompanied by gastric spasms, showing as intermittent abdominal pain, even colic. In such cases, antispasmodic pain relievers, such as scopolamine butylbromide, can be appropriately used. At the same time, it is important to avoid cold exposures, and maintain a light, easy-to-digest diet. (Please use medications under professional medical guidance.)
The main cause of peptic ulcers
Peptic ulcer is a common gastrointestinal disease, and the primary cause should primarily be Helicobacter pylori infection. Extensive research has proven that Helicobacter pylori infection is closely related to gastric inflammation activity, the formation of peptic ulcers, and gastric cancer. Secondly, drugs are a factor; many drugs can damage the gastric mucosa, such as non-steroidal anti-inflammatory drugs and corticosteroids, which often lead to the occurrence of peptic ulcers. Additionally, mental stress is often a catalyst for stomach diseases, with numerous studies showing that a person's emotions, personality, and mental stress are related to peptic ulcers. Furthermore, poor dietary and living habits can also damage the gastric mucosa, leading to the occurrence of peptic ulcers.
Characteristics of pain in peptic ulcers
Peptic ulcers include gastric ulcers, duodenal bulb ulcers, and gastro-duodenal composite ulcers. The common characteristic of peptic ulcers is upper abdominal pain, which tends to be recurrent, periodic, and regular. For duodenal bulb ulcers, the pain is primarily located above and to the right of the navel, mainly manifesting as hunger pain in the upper abdomen, which can be alleviated after eating, accompanied by nocturnal pain. Sometimes, bulb ulcers can cause back pain. Gastric ulcers are mainly located above and to the left of the navel, primarily characterized by postprandial pain.
What to do about chronic gastritis vomiting?
If vomiting occurs with chronic gastritis, it is first necessary to rule out whether it is related to other diseases. Common issues such as gallbladder problems, pancreatic issues, or intestinal diseases, etc., can be excluded through related examinations. If vomiting is confirmed to be caused by chronic gastritis, treatment usually starts from two aspects: one is drug therapy. Drugs commonly used include those that suppress stomach acid, increase gastric motility, or medications for symptomatic treatment of vomiting. Attention should also be paid to dietary structure, with a principle of light and easily digestible foods. For example, rice porridge, soft noodles, along with a small amount of fresh vegetables, and avoiding raw, spicy, and greasy foods.