Understanding the Causes of Bad Breath: A Comprehensive Inquiry
The main cause of bad breath is..? Hello Dr. Hu: I am the questioner of #206772. Following your response, I have additional questions today. 1. I have consulted multiple otolaryngologists, but none have addressed my concern regarding the "sour and foul taste of saliva in t...
Dr. Hu Guozheng Reply:
Online consultations cannot replace in-person diagnoses. Your concerns should be addressed through an outpatient evaluation. Please actively consult your physician during your visit regarding any questions you may have. It is recommended to seek care at a regional hospital or hig...[Read More] Understanding the Causes of Bad Breath: A Comprehensive Inquiry
Understanding Irregular Bowel Movements: IBS or Something More Serious?
Sometimes bowel movements are normal, while other times there is diarrhea? Hello doctor, I am 20 years old, 186 cm tall, and weigh about 80 kg. My weight has not decreased; in fact, it has increased. I would like to ask about my recent bowel movements, which are sometimes ribbon-...
Dr. Chen Shidian Reply:
It is not colorectal cancer; it is just a variation in digestive motility. A normal diet of fruits and vegetables is recommended, and further observation is advised.[Read More] Understanding Irregular Bowel Movements: IBS or Something More Serious?
Does Epclusa Cause Elevated Liver Enzymes and Trigger Hyperthyroidism?
The hepatitis C medication Epclusa? Hello Doctor, my mother is 76 years old and has a history of hypertension. Last year, she was diagnosed with Hepatitis C and was prescribed Epclusa for treatment. After completing the 8-week course, she stopped the medication at the end of Dece...
Dr. Chen Shidian Reply:
There are very few reports of this; it can be managed under the supervision of a physician.[Read More] Does Epclusa Cause Elevated Liver Enzymes and Trigger Hyperthyroidism?
Can Stomach Issues from Food Poisoning Affect Liver and Kidney Health?
Liver and kidney issues? Hello, doctor. Can eating spoiled food or having gastroenteritis lead to liver or kidney damage, or cause the function of originally healthy liver and kidneys (with normal blood test results) to deteriorate? I accidentally ate an entire expired sweet past...
Dr. Chen Shidian Reply:
Generally, gastroenteritis should not extend to the liver or kidneys, so there is no need for concern.[Read More] Can Stomach Issues from Food Poisoning Affect Liver and Kidney Health?
Understanding Abdominal Tightness: Causes and Treatment Options
Abdominal tightness Since June of last year, I've been experiencing tightness and pain in the muscles on both sides of my abdomen near the navel and along the sides of my ribs. The pain feels like it's coming from the muscles rather than being an internal pain. When sit...
Dr. Chen Shidian Reply:
There is a higher likelihood of neuromuscular issues. It is important to move around regularly, maintain proper posture while sitting, use correct lifting techniques, and avoid prolonged periods of sitting.[Read More] Understanding Abdominal Tightness: Causes and Treatment Options
Managing Hepatic Encephalopathy in Cirrhosis Patients: Key Insights
Cerebral changes caused by liver cirrhosis (hepatic encephalopathy) Hello Doctor, my father has been suffering from cirrhosis for many years. Last year, he experienced hepatic encephalopathy, and later it was discovered that he has hepatocellular carcinoma (which has been ablated...
Dr. Chen Shidian Reply:
If necessary, an earlier follow-up appointment can be scheduled. The dosage of the laxative can be increased to achieve three bowel movements per week, and protein intake should be monitored. If needed, discuss other strategies with the attending physician.[Read More] Managing Hepatic Encephalopathy in Cirrhosis Patients: Key Insights
Understanding Gastrointestinal Issues: Could Dry Ice Ingestion Cause Long-Term Effects?
Gastrointestinal issues Hello Doctor: I accidentally swallowed a small piece of dry ice in the past, but I didn't feel any immediate effects, so I didn't seek medical attention. It's been over ten years now, but I occasionally experience bloating in my stomach. Cou...
Dr. Chen Shidian Reply:
No, if dry ice causes frostbite, it is an acute short-term injury.[Read More] Understanding Gastrointestinal Issues: Could Dry Ice Ingestion Cause Long-Term Effects?
Understanding Chest Pain: Is It Related to GERD?
Gastroesophageal reflux disease (GERD), chest pain? I have been experiencing chest pain for over two years. I have consulted cardiology, rehabilitation, and pulmonology specialists, and all tests have come back normal. However, I have noticed that I experience intermittent burpin...
Dr. Hu Guozheng Reply:
It is recommended to visit the gastroenterology and hepatology outpatient clinic for evaluation. Thank you.[Read More] Understanding Chest Pain: Is It Related to GERD?
Understanding Bad Breath: Causes and Connections to GERD
The main causes of bad breath..? Hello Dr. Hu: I have mild gastroesophageal reflux disease (GERD).... (I wake up in the morning with a bitter taste in my mouth), but the saliva in my throat and the middle of my tongue has a sour and foul odor. I would like to ask: 1. If the saliv...
Dr. Hu Guozheng Reply:
If an oral assessment has been conducted and non-dental diseases have been ruled out, it is recommended to visit the gastroenterology or otolaryngology outpatient clinic for further evaluation. Thank you.[Read More] Understanding Bad Breath: Causes and Connections to GERD
Gallbladder Removal: When Is Surgery Necessary for Gallstones?
Cholecystectomy Hello, doctor. I have gastroesophageal reflux disease, and recently I've experienced right upper abdominal pain twice within a week. The emergency department diagnosed me with gallstones leading to cholecystitis, but my blood tests are normal. I would like to...
Dr. Hu Guozheng Reply:
The primary treatment for symptomatic gallstones is cholecystectomy. If a physician assesses that a patient is not suitable for surgery, extracorporeal shock wave lithotripsy combined with medication can be considered. Additionally, lifestyle and dietary modifications are necessa...[Read More] Gallbladder Removal: When Is Surgery Necessary for Gallstones?
Accidentally Consumed Moldy Water: What You Need to Know
Ingestion of moldy food? Hello, doctor. This morning, I drank water without noticing that there was mold at the bottom of my water bottle. I consumed almost a whole cup of water and even used this water to take my medication. I would like to know what could happen as a result. If...
Dr. Chen Shidian Reply:
There may be enteritis; observation is recommended. Aside from feces, it is not transmissible to others in daily life.[Read More] Accidentally Consumed Moldy Water: What You Need to Know
Understanding Hepatitis B: Infectious Risks and Recovery Insights
Hepatitis B transmission issues? Hello Dr. Chen, I was recently hospitalized due to illness and underwent a hepatitis B test. It was found that my HBs Ag is 0 (Nonreactive) but my HBc IgG is 5.46 (Reactive). Currently, my GOT/GPT levels are both 28. The doctor informed me that I ...
Dr. Chen Shidian Reply:
In Taiwan, a significant proportion of the middle-aged and elderly population has been exposed to the hepatitis B virus, with most having developed antibodies and exhibiting no infectiousness. However, about 10-20% are chronic carriers of hepatitis B, often remaining carriers for...[Read More] Understanding Hepatitis B: Infectious Risks and Recovery Insights
Understanding Rectal Ulcers: Causes, Risks, and Treatment Options
Colorectal issues Hello Doctor, my mother (63) underwent a colonoscopy at the end of January and a 3 to 4 cm ulcer was found in the rectal area. The doctor mentioned that another examination would be done in March to see if there was any improvement. After the March examination, ...
Dr. Chen Shidian Reply:
Benign anal ulcers are common in the elderly and can be managed with treatment and follow-up.[Read More] Understanding Rectal Ulcers: Causes, Risks, and Treatment Options
Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Gastrointestinal biopsy and colonoscopy? GASTROSCOPY REPORT PATHOLOGICAL DIAGNOSIS: Stomach, antrum; biopsy: Chronic gastritis without Helicobacter infection. GROSS FINDING: The specimen is a piece of tissue, measuring 0.2 x 0.2 x 0.1 cm in size. It is tan. All are embedded i...
Dr. Chen Shidian Reply:
Gastric biopsy: within normal limits. Colon biopsy: Carcinoid tumor (a slightly malignant benign tumor) → follow-up appointment to discuss with the attending physician.[Read More] Understanding Your Gastrointestinal Biopsy Results: Chronic Gastritis and Carcinoid Tumor Explained
Understanding Abdominal Pain: Causes and When to Seek Medical Help
Abdominal pain issues? Hello Doctor, I would like to ask you some questions: 1. For the past few days, I have been experiencing pain to the right of my navel (approximately one centimeter away). The pain is localized to that small area (about the size of a fingertip), and it hu...
Dr. Chen Shidian Reply:
It is difficult to make a straightforward assessment; it is recommended to seek medical evaluation and treatment if you are experiencing discomfort.[Read More] Understanding Abdominal Pain: Causes and When to Seek Medical Help
Understanding Abdominal Masses: Insights for Liver and Gastrointestinal Health
Abdominal mass Hello Doctor, I have a lump in my abdomen that is not very noticeable most of the time, but upon closer inspection, there is a visible protrusion in the skin. When I tighten my abdomen, the bulge becomes more pronounced. It has been present for about two years, loc...
Dr. Hu Guozheng Reply:
It is recommended to have the physician evaluate during the next follow-up appointment. Thank you.[Read More] Understanding Abdominal Masses: Insights for Liver and Gastrointestinal Health
Understanding Bloating and Discomfort: When to See a Gastroenterologist
Bloating, gas, and stomach discomfort? Recently, I have been experiencing frequent bloating and belching, and sometimes I feel discomfort in my stomach along with mild gastroesophageal reflux, usually occurring in the evening or before bedtime. I previously consulted a gastroente...
Dr. Chen Shidian Reply:
You can discuss medication preparation at the gastroenterology outpatient clinic.[Read More] Understanding Bloating and Discomfort: When to See a Gastroenterologist
Understanding Abnormal Stool: Causes and Concerns in Gastroenterology
Bowel issues Hello Doctor: Recently, I have been experiencing cramping pain in my abdomen before bowel movements. The stool passes easily, but after using the restroom, I notice that the stool is segmented and short, with a yellow-brown color. I would like to ask the doctor what ...
Dr. Cai Anshun Reply:
Hello: It is recommended to consume high-fiber foods and reduce the intake of irritating foods. If symptoms persist, it is advisable to test for fecal occult blood and consider endoscopy if necessary. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Abnormal Stool: Causes and Concerns in Gastroenterology
Throat Sensation and Bloating: What Tests Should You Consider?
Sensation of a foreign body in the throat and bloating? Hello, doctor! I have a sensation of a foreign body in my throat (but there is no actual obstruction) and I'm unable to burp, which is causing difficulty in breathing and chest tightness. I visited a pulmonologist, and ...
Dr. Cai Anshun Reply:
Hello: The sensation of a foreign body in the throat (without an actual obstruction) may be a symptom of gastroesophageal reflux disease (GERD). It is recommended to limit the intake of tea (black/green/milk tea), coffee, tobacco, alcohol, fried foods, spicy foods, sweets, and ch...[Read More] Throat Sensation and Bloating: What Tests Should You Consider?
Understanding Tubular Adenoma: Is It Benign or Cancerous?
Pathology Report of Colorectal Polyps Hello Doctor: On March 15, a polypectomy was performed, and the pathology report is as follows: Polypectomy ----- Tubular adenoma. GROSS DESCRIPTION: The specimen submitted consists of 3 tissue fragments, measuring up to 0.5 x 0.4 x 0.3 cm. A...
Dr. Cai Anshun Reply:
Hello: Tubular adenoma is classified as a benign polyp, so there is no need to worry excessively. Please follow your physician's instructions and return for regular follow-up colonoscopy examinations. Changhua Hospital cares about your health. Dr. Cai Anshun.[Read More] Understanding Tubular Adenoma: Is It Benign or Cancerous?