Blog Right Sidebar

胆囊息肉是否常见?应如何处置胆囊息肉?

胆囊息肉实际上很常见。很多病人是在家庭医生那里做B超检查,发现胆囊上长了息肉,家庭医生会把病人推荐到肠胃科医生这里做进一步的检查和治疗。

我们知道胆囊像一个小袋子一样,胆囊的口我们叫做胆囊的颈部,它是接总胆管的地方,这里比较狭窄。如果息肉长在“袋子”里,因为里面比较宽,一般不会造成什么大问题。如果息肉长在胆囊的颈部,长得稍大一点就会造成阻塞的症状。胆囊息肉一般都是腺瘤,肿瘤的大小决定了它的危险程度。我们一般以1厘米为界,直径小于1厘米的息肉我们认为癌变的可能性比较低。如果息肉小于3~4毫米,我们就完全不用担心它。如果息肉大于7~8毫米,我们会建议患者每半年做一次超声波检查。看息肉有没有在长大。如果息肉已经超过1厘米,而且是长在胆囊的颈部,我们会建议病人做胆囊摘除。因为息肉一旦超过1厘米大,我们就会担心这个息肉会有癌变的可能。

胆囊癌发病率不高,但却是一个死亡率极高的疾病。一旦发现胆囊癌,将很难治疗。我还没有看到能治好的。因此,一旦发现超过1厘米大的胆囊息肉并且还没有癌变的,我们就会建议病人赶快把胆囊切掉。虽然病人失去了胆囊,但总比不去处置胆囊息肉,任其发展为胆囊癌要好。一旦出现胆囊癌,再想切除胆囊就晚了。

12月 28, 20221 Comment
3 Ways to Manage Your Gut Health to Boost Immune System

3 Ways to Manage Your Gut Health to Boost Immune System

Did you know that nearly 70 percent of your immune system is housed in your gut? A study published on Nutrients journal in year 2021(https://pubmed.ncbi.nlm.nih.gov/33803407/) stated that the immune system plays a crucial role in the susceptibility, persistence, and clearance of infections. With 70-80% of immune cells being present in the gut, there is an intricate interplay between the intestinal microbiota, the intestinal epithelial layer, and the local mucosal immune system. In addition to the local mucosal immune responses in the gut, it is increasingly recognized that the gut microbiome also affects systemic immunity. The now well-recognized impact of nutrition on the composition of the gut microbiota and the immune system elucidates the role nutrition can play in improving health.

Taking steps to ensure your digestive system is functioning properly is an essential part of maintaining your overall health. When food is broken down during digestion, your gut works to absorb nutrients that are used to support a variety of bodily functions and eliminate waste from your body.

Healthy bacteria found in your gut is also used to stimulate the development of T‑cells, which are responsible for distinguishing your body’s cells and tis­sue from potentially harmful things in your body. When there is an imbalance in your gut, such as an over­growth of “bad” bacteria, it can confuse your immune system causing it to start attacking your own cells. If your immune system is busy reacting to healthy cells, not only is it easier for you to get sick, it’s also harder for your body to recover. This is why maintaining the balance and health of your digestive system is important to protect your immune system.


Eat Real Health food

The foods and beverages you consume affect how your digestive system operates. Try adding fiber-rich foods to your diet such as fruits, grains, nuts and vegetables. Fiber helps to regulate your digestive tract, promote regular bowel movements and support the good bacteria in your gut.

Avoid processed foods. They contain additives such as artificial sweeteners, salt and saturated fats that can lead to digestive issues. Foods that contain probiotics can also give your digestive health a boost. Probiotics are healthy bacteria that work to break down fiber in your body, reducing indigestion symp­toms including gas and bloating. Probiotics are found in fermented food.



Gastroenterologist, Dr. Jing recommends the following foods to boost your immunity:

 Plant foods such as grains, vegetables, beans, and fruits;
 Fermented foods such as Natto, yogurt, and kimchi;
 Foods rich in dietary fiber, oligosaccharides, and sugar alcohols.

Stay Hydrated

Inadequate fluid intake can cause constipation, so it’s impor­tant to drink plenty of fluids. Aside from water, noncaffeinated beverages like herbal teas or sparkling water, or fruits and vegetables that contain high amounts of water such as melons, peaches, tomatoes, cucumbers or zucchini can help keep you hydrated. Try to avoid sodas and sweetened/flavored waters as these can lead to dehydration.
Dr. Jing mentioned, in addition to being responsible for absorbing the nutrients in food, the intestinal tract is also an important contributor to the excretion of substances that are not needed by the human body into feces in order to prevent infection by bacteria or viruses. So regular bowel movements every day are especially important.

Find ways to relax and stay active

Stress can impact your whole body, including your digestive and immune systems. When you experience stress, the blood and energy normally used by your digestive system are instead redirected to other areas of your body. This can cause a variety of digestive conditions and symptoms such as irritable bowel syndrome, ulcers or changes in your bowel habits. Stress management techniques like deep breathing exercises and meditation can help reduce stress and pre­vent digestive issues.

Physical activity helps to move food through your digestive system. Taking a walk after meals or engaging in 30 minutes of physical activity a few days a week, can promote regular bowel movements and reduce inflammation in your body.

For more information on digestive issues and your health, please schedule an appointment with a gastroenterologist.

Jing Gastroenterology & Hepatology

Address:136-68 Roosevelt Ave 3FL flushing, NY, 11354
Tel:(718) 321-0183
websitehttps://tjgastro.com/

12月 20, 2022No comments
How to Manage Gut Health in Winter as You Age

How to Manage Gut Health in Winter as You Age

Winter has arrived! It brings in cooler weather and also a host of health problems. Not only respiratory problems, achy joints, and skin infections, but even stomach problems are rampant during winters. It is essential to take ultimate care of the gut, especially for the elderly, during those chilly days when the digestive system takes a hit.

It is a known fact that one’s gut health can go for a toss during those chilly months. Improper digestion can invite many health issues. One may encounter belching, flatulence, abdominal pain, and bloating.

The tummy aches you may have had as a child can evolve into a long list of digestive problems as you age. Medicine, inactivity and even gravity all can take their toll and contribute to digestive troubles as you get older. They’re annoying, but the good news is that things like acid reflux and constipation are irritations that you can prevent.

When you’re continuously exposed to low temperatures, your body takes it as a signal to conserve energy and heat, thus slowing down your metabolism. With this delayed metabolism your digestion is also not at its best. It will be essential for the elderly to take care of the diet during the winter season to ease digestion. Eating the right kind of foods is very important to keep digestion smooth. Your tendency to shift towards foods like nuts, seeds, grains, soups, stews are signals from your body.

Eat right: Sticking to a well-balanced diet during winter is key. Sweet potatoes, pumpkin, carrots, beets are rich in vitamin C, and boost the immune system during the colder days. It will also be a good idea to eat green leafy vegetables. Try to include kale, mustard greens, brussels sprouts, fenugreek, and spinach in your diet. These items can also be part of your soups. Greens are jam-packed with fiber and can regulate bowl movements and ease digestion. Thus, you will feel fuller and avoid eating junk food. Stick to these foods, and enhance your overall well-being.

Herbs and spices: Herbs and spices in the food not only help keep the body warm but also boost digestion. Your kitchen pantry is full of them – cinnamon, turmeric, ginger, cardamom, cayenne, nutmeg, and cloves are all known to trigger the digestive fire, and let’s not forget their contribution in strengthening our immune system. You can infuse them in tea or a warm beverage, have them in soups and broth or add them to your desserts.

Avoid foods that trigger heartburn or reflux. For some, dairy causes the worst stomach problems. For others, it could be gluten. Since it’s different for everyone, try an elimination diet if you are uncertain about which foods cause issues for you. Talk to your doctor about getting tested for food allergies and food sensitivities to help find the culprit.

Add probiotics to the diet: Probiotic supplements, which contain helpful “good” bacteria, sometimes can aid people with chronic constipation. However, don’t take them for diarrhea unless it is after specific types of infections. Probiotics also come in the forms of certain yogurts (check the nutrition label), fresh sauerkraut, kombucha and tempeh.

Stay well-hydrated: Fluid intake tends to decrease when there is a sudden drop in the temperature. Drinking enough water will help you to eliminate the toxins from the body that negatively impact the immune system. Get a good night’s sleep: Not sleeping enough can make you feel sluggish, and drained.

Reduce stress: Stress can take a toll on the digestive system. So, try to de-stress by doing yoga, meditation, or other exercises like walking. You can also do what you like to reduce stress. Try activities like listening to music, cooking, photography, or even dancing. Stay active. Exercise and physical activity offer lots of health benefits, including preventing constipation. Getting at least 150 minutes per week of physical activity can put you on the right path to a healthy lifestyle.

The Centers for Disease Control and Prevention recommends getting two days of muscle-strengthening exercises a week, too. Get out and get moving, your stomach will thank you.

Jing Gastroenterology & Hepatology

Address:136-68 Roosevelt Ave 3FL Flushing, NY, 11354
Tel:(718) 321-0183
websitehttps://tjgastro.com/

12月 20, 2022No comments
胆管癌是否常见?有哪些症状?如何预防?

大家不必过分担心,胆管癌实际上并不常见。但是这种病死亡率很高,难以治疗,一般情况下发生在老年人身上,我见过的年龄最大的是96岁得这个病,也有七八十岁得的。胆管癌的症状和胰腺癌、胆囊癌的症状不太容易分辨。主要症状是黄疸,病人眼睛上的巩膜会变黄,皮肤也会变黄,尿液颜色变深。这种病人的另一个特点是没感觉到疼痛。只感觉到肚子可能有点胀气,没有腹痛的感觉。食欲可能会有所下降,体重下降,另外会感觉到皮肤瘙痒。很多病人是因为皮肤瘙痒来看医生的。这是一种很顽固的瘙痒,吃抗过敏药、抹药膏都不管用。而且这种瘙痒是在夜里更加严重,大多数病人会反映痒的睡不了觉。会看到病人的前胸后背和胳膊腿上全是抓痕。另外病人可能有腹泻的症状,大便中会出现油滴。因为胆管上出现肿瘤后,胆汁就流得不顺畅,胆汁流不出来。胆汁是用来帮助笑话食物中的油脂的,如果油脂没有得到消化,在排便时就会看到,马桶里面浮着油滴。也有些病人会出现像陶土一样颜色的大便,就是没有烧过没有上釉的陶器的颜色,我们称之为“陶土便”。

我们知道胆管就像一颗树的形状,最下面的主干的胆管我们叫做总胆管。上面的那些小树枝,越分越细,实际上它们是分布在肝里面。如果胆管癌是发生在总胆管,而且发现得比较早,还没有扩散,那么切除肿瘤后,还有存活的机会。如果肿瘤发生在枝末小胆管上,早期没有黄疸等症状,也没有疼痛,往往不容易被发现。一旦被发现往往在肝上已经长得很大了,这种不太容易治疗。

有乙肝的人,长期抽烟喝酒的人,喜欢吃高蛋白、高脂肪饮食的人,肥胖的人都是胆管癌的高风险人群。如果突然感觉身体不适,食欲不振,应该及时去家庭医生那里去做检查。定期体检能有效预防胆管癌的发生。

12月 20, 2022No comments
腹泻和便秘交替出现,是怎么回事?该如何治疗?纽约肠胃科专家荆彤医生为您答疑

有的人便秘一阵子,突然有一天又开始拉肚子,水便,连续拉好几天,一天拉好几次,过一段时间又开始便秘。这种腹泻和便秘交替出现的症状,可能是因为以下四种疾病:

一、老年人的“假性腹泻”

一般情况下,年纪大了的人因为运动量小容易便秘。便秘一段时间后,突然哪一天开始拉肚子,拉肚子之前会感觉肚子涨,拉完之后会感觉舒服一些。这种腹泻我们称之为“假性腹泻”,形成的原因是便秘。
便秘会形成大肠的阻塞,就像在河上面拦了一道水坝。因为水坝的存在,水暂时流不过去。但是因为上游不断的有水流进来(人每天在进食的过程中会不断产生废弃物质),如果一直不开闸放水,最后水一定会漫过堤坝。首先溢出来的是液体,这就是为什么便秘一段时间后会有腹泻,我们把这叫“溢出性腹泻”。在液体的冲刷下,固体的粪便块也会随之排出,便秘的问题会因此得到缓解。这种老年病人如果比较消瘦的话,在做身体检查时能摸到在左下腹(靠近肛门)有一个硬块,实际上就是大便积累在那。这种病人在腹泻后,左下腹的硬块就消失不见了,肚子也不涨了。
在治疗时,千万不要给这种病人止泻药,应该给他们通便药,让他们把大便排干净,这样就不会造成粪块堵塞肠道的情况。

二、肠道肿瘤
如果肠道内出现肿瘤,也会出现便秘的情况。肠道肿瘤的发病人群也是以老年人为主。以前没做过肠镜的一定要做一下肠镜检查。肠道肿瘤往往伴有其他问题,比如贫血,大便里有脓血、体重下降。很多病人还伴有腹痛,而且这种腹痛是持续性腹痛,不会在排便后减轻。这种情况医生一定要很警惕,快点查找出病因。

三、过敏性肠炎
所谓“过敏性肠炎”,不是对什么食物真的过敏,是这些人的肠胃比较敏感,这是一种功能性的问题,比较多见于中年妇女。腹泻时是水样便,有时大便像铅笔一样细。偶尔大便会像羊粪蛋一样,一球一球的,经常变化。这种一般都是因为肠痉挛引起的。工作压力大、生活习惯的改变、季节改变,长途旅行,都可能带来大便形状的改变。

四、溃疡性结肠炎
这是一种自身免疫性的疾病。自身的免疫系统把自身的肠道识别为外来入侵者,就会来攻击肠道,给肠道带来损伤。表现上也会有腹泻便秘交替出现。这种溃疡性结肠炎的患者有些发病年龄很小,便里经常会有血,大多数人多发于左半结肠。这些患者伴有“里急后重”的现象,病人有一种大便排不干净的感觉。总想去解大便,可是每次只排出一点点,便里常伴有脓血。

如果出现便秘腹泻交替出现的现象,一定尽快找到肠胃科医生,找到病因,抓紧治疗。

12月 9, 2022No comments
¿Cuál es la diferencia entre la gastritis aguda y la gastritis crónica? ¿Cómo se diagnostica la gastritis? ¿Cómo se trata?

¿Cuál es la diferencia entre la gastritis aguda y la gastritis crónica? ¿Cómo se diagnostica la gastritis? ¿Cómo se trata?

La gastritis aguda y la gastritis crónica se distinguen principalmente dependiendo del período de tiempo en el cual aparecen. La gastritis aguda, como su nombre  indica, es cuando la gastritis ocurre con mucha fuerza, y por lo general dura entre unos días o una a dos semanas. Normalmente se puede tener un juicio aproximado después de preguntar el historial médico del paciente. Suelen existir los siguientes factores: qué nuevos medicamentos ha tomado el paciente recientemente, o quizas comió algo que antes no solía comer, comió demasiado, o bebió demasiado alcohol recientemente, u otros factores que dañan el estómago. Generalmente, estos factores agudos son la causa de gastritis.

La gastritis crónica generalmente tiene dura bastante tiempo, normalmente por mas de tres semanas, y los pacientes se sienten mal por largo tiempo. Los factores responsables no son muy obvios y el paciente se acostumbra a esta condición. La condición del paciente se puede juzgar con mayor precisión durante la gastroscopia, debido a que se puede hacer una biopsia al mismo tiempo. Así, se logran ver los cambios en las células. Los cambios crónicos son diferentes de los cambios agudos. La gastritis crónica tiene menos células inflamatorias, sin embargo, para ese entonces, el paciente ya ha desarrollado algunos problemas durante mucho tiempo. Muchos de estos pacientes tambien tienen algo llamado “metaplasia intestinal”, es decir que las células del estómago crecen como las células de los intestinos. Generalmente este cambio no se forma en un corto plazo.

Estos pacientes con gastritis crónica necesitan tomar medicamentos por largo tiempo para su tratamiento. Idealmente también se eliminan los factores que la causan. Este tipo de gastritis no causa gran impacto en el paciente y se le pueden dar algunos medicamentos para evitar el desarrollo de la enfermedad. Los síntomas de gastritis aguda son más evidentes. Porque el curso de la enfermedad es relativamente corto. La molestia puede venir repentinamente y esto puede tener un gran impacto en un paciente. En este caso, necesitamos darle al paciente algún tratamiento activo para curar la gastritis, y así, normalmente el paciente se recuperará de forma más rápida.

11月 30, 2022No comments
吃甜食是养胃还是伤胃?哪些蔬菜水果更养胃?

很多人认为吃甜食比较养胃,其实不是这样的。吃了甜食后刺激胃酸分泌,这就是为什么有些人会觉得吃了甜食后反酸烧心会很厉害。另外甜食影响贲门括约肌的舒张,造成食物反流回食道。因此吃甜食并不养胃。

比较养胃的蔬菜水果是木瓜、南瓜这一类蔬菜水果。我做过研究,人们喜欢吃的水果通常是糖份含量高的水果,因为糖份高,所以口感更好,比如西瓜和其他一些比较甜的水果。衡量一个水果果糖含量高不高有一个方法,就是把这个水果放进冰箱,如果拿出来后水果口感更好,就说明这个水果果糖含量一定很高。在冰箱中,果糖得到进一步分解,分解出更甜的糖。

有一些水果,口感并不好,但是却更养胃。比如木瓜、南瓜这些蔬菜水果,切开后表面会出现一层粘粘的东西,这些是果胶,摄入人体后,对胃起到一种保护作用。如果想要养胃,要多吃这些东西。

8月 26, 2022No comments
饭后要避免的5个不良习惯

人们都希望有个健康的身体,但却在无意中做了有损健康的事。饭后有5个不良习惯要避免,荆彤医生为您总结如下:

1、饭后立即刷牙

有些人有蛀牙,牙缝比较大,容易塞牙。有些人吃完饭后想要马上刷牙,以为这样对牙齿健康比较好。其实恰恰相反,饭后马上刷牙对牙齿并不好。尤其是吃了酸性的食物,喝了葡萄酒、汽水,吃了一些酸性的水果如蓝莓等,或者喝了果汁。饭后这些酸性物质还残留在嘴里。如果饭后马上刷牙,牙釉质容易脱落,对牙齿的伤害是比较大的。如果发现塞牙,正确的做法是用清水先漱口。如果必须要刷牙,建议饭后30分钟再刷牙。

2、饭后马上喝茶、喝咖啡

我们吃的食物中,绿叶菜、豆类和坚果类铁质含量比较高。如果饭后立即喝茶、咖啡,茶叶和咖啡中的单宁酸(也叫鞣酸)会和铁质相结合,造成铁质不容易被身体吸收,有时大约一半的铁质会浪费掉。如果平时就有贫血的问题,更要注意避免铁质的流失。

建议饭后15分钟或更长时间再喝茶、喝咖啡,避免铁质流失的问题。

3、饭后立即躺下休息

人体在摄入食物后,尤其在吃得很饱的情况下,血液供应容易往胃和肠子那里跑,因为食物要在肠胃里面消化吸收。这样脑部的血液供应就不像空腹时那样丰富,人就产生不太想动、想睡觉的感觉。有人就会选择躺下,或半靠着看电视。这样做会影响肠胃的蠕动,影响食物的消化吸收。人在站或坐的时候,食物在重力作用下自然会往下走,人在躺着的时候,胃处于水平的状态,食物不容易往小肠的方向流动。有些情况,比如贲门比较松弛的人,食物还会逆流回食道,造成反酸等不适症状,加重胃食道逆流的情况。建议大家在进食后,不要立即躺下,要保持站或坐的姿势,或轻度的散步,对食物消化吸收有好处。

4、饭后马上进食甜点

甜点里面含有大量的糖分。吃了甜点容易让人血糖升高,没有糖尿病的正常人就会大量分泌胰岛素,通过胰岛素来调节血糖。胰岛素是在胰腺中分泌的,这样就加重了胰腺的负担。另外,在血糖降下来后,通过大脑神经的反射,有人会产生更加饥饿的感觉。因此甜点不要吃得过多过快。

5、饭后立刻做剧烈运动

吃饭的过程中,血液已经到肠胃部分来帮助消化吸收食物。当人在做运动时,血液马上从胃肠退到四肢,供应肌肉的运动。一旦血液移动过快的话,会造成肠胃的痉挛。肠胃的痉挛有点像腿抽筋一样,肠胃壁的肌肉也会抽筋。这就是为什么饭后立即做剧烈运动肚子会绞痛其中的一个原因。

 

7月 21, 2022No comments