Author Archives: Dr.wang

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About Dr.wang

I am a general practitioner from China, dedicated to providing comprehensive, continuous, and evidence-based medical care to patients of all ages and backgrounds.

What are the symptoms and manifestations of upper gastrointestinal bleeding?

Upper gastrointestinal bleeding refers to hemorrhage originating from any site between the mouth and the ligament of Treitz. It ranges from trivial ooze noticed only on laboratory testing to catastrophic, life-threatening exsanguination. Rapid recognition of its varied presentations allows timely resuscitation and definitive hemostasis. Key visual clues• Hematemesis: vomiting fresh red blood or clots indicates active, usually arterial, bleeding; when gastric acid mixes with blood for minutes the appearance becomes “coffee-ground.”• Melena: black, tarry, foul-smelling stool that sticks to the toilet bowl; at least 50 mL of blood in the upper tract is needed to produce this change.• Nasogastric aspiration:... Learn more

What are the symptoms and manifestations of irritable bowel syndrome?

Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by recurrent abdominal pain linked to altered bowel habits, without detectable structural or biochemical abnormalities. Symptoms fluctuate over years, often beginning in adolescence or early adulthood, and can significantly impair quality of life while sparing life expectancy. Cardinal features Abdominal pain or discomfort: crampy, aching, or sharp, usually located in the lower abdomen; episodes last minutes to hours and are relieved by defecation. Change in bowel frequency: patients may experience >3 loose stools daily or <3 stools weekly; the pattern can alternate within the same individual. Change in stool form:... Learn more

What are the symptoms and manifestations of Crohn’s disease?

Crohn’s disease is a chronic, relapsing inflammatory bowel disease that can involve any segment of the gastrointestinal tract from mouth to anus, but most commonly affects the terminal ileum and adjacent right colon. The clinical picture is highly variable, ranging from subtle, intermittent discomfort to severe, life-threatening complications. Recognizing the key symptoms early can shorten the delay to diagnosis and reduce long-term damage. Core intestinal symptoms Diarrhea: usually semiliquid, without visible blood in limited ileal disease; overt bloody diarrhea is more common when the colon is involved. Abdominal pain: typically crampy or colicky, localized to the right lower quadrant; pain... Learn more

Symptoms and Manifestations of Bile Reflux Gastritis

Bile reflux gastritis is a common form of chronic gastritis caused by the abnormal backflow of duodenal contents—especially bile—into the stomach, leading to mucosal inflammation and a range of upper-gastrointestinal complaints. The condition can markedly impair quality of life, and symptoms often overlap with those of acid-peptic disorders, making recognition important. Typical symptoms Epigastric burning or dull pain: usually steady, more intense when the stomach is empty or at night, and frequently exacerbated after fatty meals. Nausea and bilious vomiting: vomitus is yellow-green, bitter-tasting and may contain food residue; attacks are common in the evening or around midnight. Post-prandial fullness... Learn more

Symptoms and Manifestations of Fatty Liver

Fatty liver disease usually begins insidiously and progresses slowly. Most patients have no obvious discomfort in the early stage, and the condition is often discovered incidentally during physical examination or imaging for other reasons. When symptoms do appear, they are generally non-specific and easily overlooked. FatigueThe liver is an important organ for energy metabolism. When liver cells are filled with fat, their ability to synthesize glycogen and other energy substances decreases, resulting in insufficient energy supply and a persistent feeling of tiredness. Discomfort or dull pain in the right upper abdomenAs fat accumulates, the liver enlarges and the tension of... Learn more