Common Internal Medicine Questions: Symptoms and Concerns Explained - Internal Medicine

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Certainly! Let's address your questions one by one, providing a comprehensive understanding of the symptoms and concerns you've raised.

1. Is "解細便" the same as "烙賽" in Taiwanese?
Yes, "解細便" (jie xiao bian) is indeed a colloquial term in Taiwanese that refers to diarrhea, which is commonly known as "烙賽" (lao sai). Both terms describe the condition where a person experiences frequent, loose, or watery bowel movements. Diarrhea can be caused by various factors, including infections (viral, bacterial, or parasitic), food intolerances, medications, or underlying gastrointestinal disorders. It's essential to stay hydrated during episodes of diarrhea, as it can lead to dehydration.

2. What are the symptoms of a gastric ulcer?
Gastric ulcers, also known as peptic ulcers, occur when there is a sore on the lining of the stomach. Common symptoms include:
- Abdominal Pain: This is often described as a burning sensation in the stomach area, typically occurring between meals or at night.

- Bloating: A feeling of fullness or swelling in the abdomen.

- Nausea and Vomiting: Some individuals may experience nausea, and in severe cases, vomiting may occur.

- Loss of Appetite: Due to discomfort or pain associated with eating.

- Weight Loss: This can occur if the individual avoids eating due to pain.

- Dark or Tarry Stools: This indicates bleeding in the stomach, which requires immediate medical attention.

- Indigestion: A general feeling of discomfort in the upper abdomen.

If you suspect you have a gastric ulcer, it is crucial to consult a healthcare provider for proper diagnosis and treatment, which may include medications to reduce stomach acid and promote healing.

3. What organ is located near the left side of the navel, and what could be causing the pain?
The area to the left of the navel (belly button) is primarily associated with the intestines, particularly the descending colon. Pain in this region can arise from various conditions, including:
- Irritable Bowel Syndrome (IBS): A common gastrointestinal disorder that can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

- Diverticulitis: Inflammation or infection of small pouches (diverticula) that can form in the walls of the colon, leading to pain, fever, and changes in bowel habits.

- Constipation: Can cause discomfort and pain in the lower abdomen.

- Hernia: An abnormal bulge in the abdominal wall can cause localized pain.

- Gastroenteritis: An infection of the stomach and intestines can lead to cramping and pain, often accompanied by diarrhea and vomiting.

Given that you mentioned experiencing this pain due to work-related stress, it could also be related to muscle tension or stress-induced gastrointestinal symptoms. However, if the pain persists, worsens, or is accompanied by other concerning symptoms (such as fever, vomiting, or changes in bowel habits), it is advisable to seek medical attention for a thorough evaluation.

In summary, understanding your symptoms and their potential causes is essential for managing your health. If you experience persistent or severe symptoms, consulting a healthcare professional is crucial for accurate diagnosis and appropriate treatment. Remember, self-diagnosis can lead to unnecessary anxiety, so it's always best to seek professional advice.