Digestive Issues: A Guide for Concerned Family Members - Gastroenterology and Hepatology

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Hello, doctor. I apologize for the interruption?


Hello Doctor, I apologize because my dad doesn't understand computers, but I'm worried about his condition, so I sought medical advice online myself.

1.
My dad has been drinking unsweetened oolong tea from a beverage shop for a long time.
Recently, he mentioned that he feels a slight, dull pain in a specific spot in his abdomen, which occurs occasionally whether he is full or not.
I'm not sure what it could be.
Could you please advise what the possible causes might be and what we should pay attention to? The location is approximately to the left of the navel, about a palm's distance from the abdomen.
2.
My dad uses a 750cc beverage cup for brushing his teeth, and I just discovered that the bottom and the inner wall of the cup have mold, at a water level of about 250cc.
I’m not sure how long it has been like this.
He also mentioned that he has been experiencing mouth sores recently and sometimes his stools are not well-formed.
Could this be serious? Are there any antibiotics or emergency measures he can take, and what symptoms would require immediate medical attention? If he can take antibiotics on his own, would CCP B32 or ST 007 be appropriate? I apologize and thank you very much, Doctor.

Awei, 30~39 year old female. Ask Date: 2021/04/27

Dr. Chen Shidian reply Gastroenterology and Hepatology


You can start by reducing cold drinks and monitoring for symptoms, as well as checking for occult blood in the stool.
If necessary, seek medical evaluation.
There is no need to rush into taking antibiotics.

Reply Date: 2021/04/27

More Info


It sounds like you are quite concerned about your father's digestive health and overall well-being, and it's great that you are seeking information to help him. Let's break down the issues you've mentioned and provide some guidance.

1. Abdominal Pain: Your father is experiencing a localized pain near the left side of his abdomen, which can be concerning. The pain being described as a "dull ache" that occurs after eating or when he is hungry could be indicative of several potential issues. Some possibilities include:
- Gastritis or Peptic Ulcer: This could be due to irritation of the stomach lining or an ulcer, which can cause pain after eating or when the stomach is empty.

- Diverticulitis: This is an inflammation of small pouches that can form in the walls of the intestines, often causing localized pain.

- Irritable Bowel Syndrome (IBS): This condition can cause abdominal pain and changes in bowel habits, although it is typically associated with other symptoms like bloating and gas.

- Other Gastrointestinal Issues: Conditions such as pancreatitis or even issues related to the spleen could also present with similar symptoms.

Given the location and nature of the pain, it is advisable for your father to see a healthcare provider for a thorough evaluation. They may recommend imaging studies, blood tests, or other diagnostic procedures to determine the cause of the pain.

2. Moldy Toothbrush Cup: The discovery of mold in your father's toothbrush cup is concerning, especially since he has been experiencing mouth sores (often referred to as canker sores) and changes in bowel habits. Mold can harbor bacteria and fungi that could potentially lead to infections, especially if ingested or if they come into contact with open sores in the mouth.

- Mouth Sores: These can be caused by various factors, including stress, certain foods, or even infections. If they persist or worsen, it would be wise to consult a dentist or doctor.

- Bowel Changes: The inability to form well-shaped stools can indicate dietary issues, dehydration, or gastrointestinal disturbances. It’s important to ensure he is drinking enough fluids and consuming a balanced diet rich in fiber.

3. Antibiotic Use: It is crucial to note that antibiotics should not be taken without a doctor's prescription. Self-medicating with antibiotics can lead to antibiotic resistance and may not address the underlying issue. If your father is experiencing significant symptoms, such as persistent pain, fever, or worsening mouth sores, he should seek medical attention promptly.

4. When to Seek Immediate Medical Attention: If your father experiences any of the following symptoms, he should seek immediate medical care:
- Severe or worsening abdominal pain
- Fever or chills
- Persistent vomiting
- Blood in stool or vomit
- Signs of dehydration (such as dry mouth, dizziness, or decreased urination)
In summary, while some of the symptoms your father is experiencing may not indicate a severe condition, they warrant a thorough evaluation by a healthcare professional. It’s essential to address the mold issue with the toothbrush cup immediately and ensure he maintains good oral hygiene. Encourage him to eat a balanced diet, stay hydrated, and consult a doctor for his abdominal pain and mouth sores. Taking these steps can help ensure his health and well-being.

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