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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
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.
How to deal with a stomach cold?
Gastrointestinal cold is caused by a viral infection and is common during the summer and autumn seasons. Symptoms often include fever, chills, dizziness, headache, fatigue, vomiting, diarrhea, abdominal bloating, and sometimes sore throat and cough. Treatment mainly focuses on antiviral medications and astringents to stop bleeding. Additionally, it is advisable to drink plenty of warm water, which helps eliminate the virus. The diet should be light and easy to digest. Avoid raw, greasy, and spicy foods. If symptoms are severe, it is necessary to go to the hospital for further diagnosis and treatment to prevent dehydration.
How to stop diarrhea caused by gastroenteritis
Acute gastroenteritis is one of the common diseases of the digestive system, usually prevalent in the summer and autumn seasons. It may be caused by exposure to cold or improper diet and typically presents with symptoms such as intermittent abdominal pain, diarrhea, vomiting, bloating, and sometimes fever and chills. The stool can be watery, mucous, or even bloody. As for how to stop diarrhea, it depends on the specific cause. If it is gastroenteritis caused by a virus, appropriate antiviral medications can be used in combination with antidiarrheal drugs, such as smectite powder. For bacterial enteritis, treatment primarily involves antibacterial therapy, such as cephalosporins or quinolone medications, combined with antidiarrheal drugs, which often can achieve satisfactory results. Also, a light diet should be maintained, avoiding raw, greasy, spicy, and irritating foods. (Specific medications should be used under the guidance of a doctor.)
Does gastritis cause nausea?
Common types of gastritis include chronic non-atrophic gastritis, also referred to as chronic superficial gastritis, and chronic atrophic gastritis, which are among the common diseases encountered in gastroenterology. The specific symptoms of gastritis vary from person to person, generally characterized by excessive gastric acid secretion and poor gastric motility. Symptoms of excessive gastric acid secretion can include upper abdominal pain, burning sensation, acid reflux, and heartburn. Poor gastric motility may manifest as upper abdominal bloating, belching, nausea, and even vomiting. Thus, gastritis can present symptoms of nausea.
Principles of treatment for peptic ulcers
The principles of treatment for peptic ulcers, if malignant ulcers are present, surgical treatment is preferred. For benign peptic ulcers, it is first necessary to cultivate good dietary and living habits, quit smoking and drinking, avoid excessive fatigue, and adhere to a light diet with regular and measured meals, strictly avoiding overeating and binge eating. Meanwhile, the medication treatment should be determined based on whether there is a Helicobacter pylori infection; if there is an infection, standard antibacterial treatment is required, commonly involving quadruple therapy. If there is no Helicobacter pylori infection, symptomatic treatment usually yields satisfactory results. Proton pump inhibitors are the preferred drugs, such as rabeprazole and lansoprazole, combined with gastric mucosal protectants, prokinetic agents, etc. (Medication use should be conducted under the guidance of a professional doctor.)
What is peptic ulcer disease?
Peptic ulcer is a common upper gastrointestinal disease, typically caused by the digestive action of stomach acid and pepsin, leading to damage in the mucosal layer of the stomach. Hence, it is called a peptic ulcer, encompassing gastric ulcers as well as duodenal bulb ulcers, complex ulcers, and so forth. The majority of causal factors are due to infection with Helicobacter pylori. Other factors include stimulants such as tobacco and alcohol, poor dietary habits, and medications like non-steroidal anti-inflammatory drugs (NSAIDs) and steroids. In addition, psychological factors can also lead to the development of peptic ulcers.
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.)