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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
Can peptic ulcers be cured completely?
Peptic ulcers, including gastric ulcers and duodenal bulb ulcers, can generally be completely cured in most cases. Treatment plans are usually determined based on the presence of Helicobacter pylori infection. If there is an infection with Helicobacter pylori, quadruple therapy is typically used to eradicate the bacteria. If there is no Helicobacter pylori infection, symptomatic treatment is sufficient. Some patients may experience recurrent peptic ulcers, which are usually caused by several factors. Firstly, the failure to completely eradicate Helicobacter pylori can lead to recurrent ulcers. Additionally, the recurrence of ulcers might also be facilitated by poor dietary and lifestyle habits after the ulcers have healed, such as long-term alcohol abuse, smoking, or consumption of spicy and irritating foods.
Do you get a fever with a stomach flu?
Many patients with gastrointestinal flu will experience fever because the cause of gastroenteritis is also viral infection. Gastrointestinal flu often has symptoms of upper respiratory tract infection and acute gastroenteritis, so it is common to experience fever. The symptoms often include fever, cold stomach, dizziness, headache, fatigue, soreness, as well as vomiting, abdominal pain, and diarrhea. It is not surprising that these symptoms include fever. It is recommended to drink more boiled water, take cold medicine as appropriate, and if vomiting or diarrhea is severe, anti-diarrheal medicine can be taken to relieve it. At the same time, pay attention to a light and easily digestible diet.
How to deal with the recurrence of gastric polyps?
The use of gastroscopy is becoming increasingly common, especially the implementation of painless gastroscopy, leading to a growing number of people undergoing this examination. Consequently, the detection rate of gastric polyps has also risen year by year. Generally, gastric polyps mainly include adenomatous polyps and hyperplastic polyps, among other types. Recurrence of gastric polyps is also a common occurrence. Typically, it is advocated to remove gastric polyps via endoscopic procedures such as ligation or electrocautery, etc. Furthermore, after the removal of polyps, it is routinely advised to regularly re-examine with gastroscopy. If polyps recur, they can be removed again under gastroscopy, usually not posing any major issue.
What can you eat with gastritis?
Gastritis is generally divided into two main categories: chronic non-atrophic gastritis and chronic atrophic gastritis. It is usually diagnosed by gastroscopy, and the treatment plan is determined based on the presence or absence of Helicobacter pylori infection. Also, it is necessary to develop good eating habits. It is important to eat on a regular schedule with controlled portions or small, frequent meals, and chew slowly and thoroughly. Try to avoid binge eating or extreme hunger or fullness. For staple foods, soft rice or noodles are generally recommended, accompanied by fresh vegetables, etc. As for meat, it should be prepared in a light and easy-to-digest manner during cooking, and it is best to avoid too raw, greasy, spicy, or stimulating foods. Additionally, maintaining a good mood can also be helpful.
What causes acute gastroenteritis?
Acute gastroenteritis is a common and frequently occurring disease during the summer and autumn seasons, because the temperature is very high during this period, making food easily spoil. Additionally, consuming cold drinks and using air conditioning can easily lead to catching a cold. Therefore, the most common causes of acute gastroenteritis are likely due to catching cold or improper diet. Abdominal pain and diarrhea are the main symptoms, and they vary slightly. If the acute gastroenteritis is caused by bacterial infection, the abdominal pain and diarrhea can be quite severe. The diarrhea can be watery, or it can be mucous-like or even dysenteric. For gastroenteric flu, the abdominal pain is generally not so severe, and the stools are mostly loose watery stools.
Treatment of gastric ulcer with bleeding
For the treatment of gastric ulcers with bleeding, it is primarily necessary to determine the treatment plan based on the amount of bleeding. If the bleeding is minor, it can be treated with oral medication, and whether there is an infection with Helicobacter pylori must be considered. If there is an infection of Helicobacter pylori, the typical treatment is a quadruple therapy, which includes a proton pump inhibitor, two antibiotics, and a bismuth agent. If there is no Helicobacter pylori infection, symptomatic treatment is sufficient, commonly using proton pump inhibitors. If the bleeding is severe, timely hospitalization is needed. The treatment usually involves the intravenous use of proton pump inhibitors primarily, and if the medication is ineffective, endoscopic treatment might be necessary. This could include the application of hemostatic medications, electrocoagulation, or the use of titanium clips, etc. (Please use medication under the guidance of a doctor.)
Why does a peptic ulcer bleed?
Peptic ulcers include gastric ulcers, duodenal bulb ulcers, and so on. Gastrointestinal bleeding is one of the common complications of peptic ulcers, usually caused by the ulcer being relatively large or deep, invading the blood vessels, leading to vessel rupture and resulting in bleeding. For minor bleeding, the patient may not have any discomfort symptoms, primarily indicated by black stools or a positive fecal occult blood test. If there is substantial bleeding, it can lead to symptoms such as vomiting blood. Such cases need attention and usually require hospitalization for observation and treatment. Sometimes, recurrent gastrointestinal bleeding may require surgical treatment.
Symptoms of acute gastritis attack
Acute gastritis is also a common and frequently occurring disease in gastroenterology, with a relatively sudden onset and more severe symptoms compared to other types of gastritis. The majority of causes are due to inappropriate diet, such as excessive consumption of cold, spicy food, or alcoholic beverages. Certain medications can also lead to this condition, such as non-steroidal anti-inflammatory drugs and corticosteroids. Symptoms often manifest as episodic upper abdominal bloating or colic, accompanied by acid reflux, heartburn, abdominal distension, etc. If acute gastric mucosal lesions occur, there are often signs of bleeding, such as black stools or even vomiting blood.
Is bleeding from a gastric ulcer serious?
Upper gastrointestinal bleeding is one of the common complications of peptic ulcers. If gastric ulcers cause vomiting blood, it often indicates that the bleeding is not minor and the condition is generally severe. It is usually considered that when about 250-300mL of blood accumulates in the stomach, vomiting blood may occur. Clinically, if vomiting blood occurs, it is firstly necessary to promptly hospitalize for treatment, including establishing venous access, nutritional support, and hemostatic treatment. Proton pump inhibitors or somatostatin analogs are commonly used. Additionally, if the bleeding does not stop, endoscopic treatment can be performed, such as spraying hemostatic drugs, electrocoagulation, or mechanical hemostasis. It is also necessary to monitor the patient's vital signs. If repeated bleeding occurs, a comprehensive treatment plan may be needed.
How long does acute gastritis require hospitalization?
Acute gastritis usually has a sudden onset and relatively severe symptoms. It can include upper abdominal pain, acid reflux, heartburn, nausea, vomiting, and even an inability to eat. This condition is most often caused by poor diet, such as excessive drinking, spicy and irritating foods, etc., and can also be induced by medication, such as non-steroidal drugs or hormonal drugs. The duration of hospital treatment depends on the specific situation. If the patient's general condition is acceptable and they can eat, recovery typically takes about three to five days. Therefore, the duration is not usually very long. However, in some cases, such as drug-induced acute gastric mucosal lesions, which are relatively severe and can involve bleeding, treatment with medications usually requires at least a week or more.