Dr. Cai Anshun reply Gastroenterology and Hepatology Question - Page 11

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Understanding Umbilical Pain: Is It a Sign of Irritable Bowel Syndrome?

Periumbilical abdominal pain? Hello doctor, I have been experiencing bloating and loss of appetite for a month, and after visiting the hospital for examination, it was found that there is excess air in my gastrointestinal tract. It was speculated that the exam stress caused mild ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It could be irritable bowel syndrome, but it's also important to pay attention to whether your diet includes overly stimulating foods (high in fat, high in salt, spicy, or acidic) or foods that stimulate gastric acid secretion. Changhua Hospital cares about your healt...

[Read More] Understanding Umbilical Pain: Is It a Sign of Irritable Bowel Syndrome?


Understanding Black Stool: When to Seek Medical Attention

Regarding the issue of melena? Hello, doctor. Last Wednesday, I had two bowel movements. One was at 10 AM, and it was a normal brown color. The other was between 2 and 3 PM, and it was black. I don't recall eating anything that would cause my stool to turn black. Since then,...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If there is bleeding, it is likely to occur continuously and not just once. If you notice this, please save a sample and seek medical attention as soon as possible. If you are still concerned, you can visit a gastroenterologist to check for occult blood in the stool. Chang...

[Read More] Understanding Black Stool: When to Seek Medical Attention


Managing Weight Loss and Discomfort with Stomach Ulcer Medications

Medication Issues for Peptic Ulcers Hello, doctor. I would like to ask about my recent gastroscopy which confirmed that I have a gastric ulcer. Currently, my cardiovascular medication has been switched from aspirin to Baoshuantong. The doctor prescribed Pantoprazole for me to tak...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. The weight loss should not be related to the medication. 2. The weight loss may be due to poor appetite, and there is no need to change the dosage of the medication. 3. It is recommended to return for a follow-up visit; self-medicating is not advised. Changhua Hospital ...

[Read More] Managing Weight Loss and Discomfort with Stomach Ulcer Medications


Medication Concerns for Gastrointestinal Health: What You Need to Know

Medication issues? Hello, doctor. I previously underwent gastroscopy and colonoscopy, during which the doctor mentioned that there were polyps found in both the stomach and colon, and they were removed. The doctor later prescribed Taisuo Digestive Lipase 15mg (indication: digesti...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If symptoms improve, you can gradually reduce the dosage (for example, if you were taking it twice a day, switch to once a day). Do not stop completely at first; consider discontinuation only after the reduced dosage has not caused any symptoms. If you experience discomfor...

[Read More] Medication Concerns for Gastrointestinal Health: What You Need to Know


Can People with Stomach Ulcers Eat Watermelon?

Can people with gastric ulcers eat watermelon? Can people with gastric ulcers eat watermelon?


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Can People with Stomach Ulcers Eat Watermelon?


Understanding Black Stool: Causes, Concerns, and When to Seek Help

It's unclear whether it is melena? Hello, Doctor. This afternoon, I had a bowel movement and noticed that the stool was black, with some yellow pieces mixed in. I would like to ask you the following questions: 1. Could the presence of yellow stool mixed with black stool ind...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. It is recommended to collect a stool sample for occult blood testing next time you notice anything unusual. 2. If there is significant upper gastrointestinal bleeding, black tarry stools may appear within an hour. 3. Most of what is observed is food residue. 4. It could...

[Read More] Understanding Black Stool: Causes, Concerns, and When to Seek Help


Understanding Pain Below the Rib Cage: Causes and Next Steps

Pain in the depression beneath the middle ribs? Hello Doctor, I previously experienced abdominal pain and consulted a physician. Yesterday, I underwent a colonoscopy and gastroscopy, and they said everything looked fine, except for mild inflammation in the intestines. My blood te...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. Gastric spasms, esophageal reflux that does not cause esophagitis, excessive gastric acid, or abdominal wall muscle pain could all be possibilities. You may continue to consult a gastroenterologist, discuss your symptoms with the physician, who should arrange appropriat...

[Read More] Understanding Pain Below the Rib Cage: Causes and Next Steps


Discovering Blood in Stool: When to Seek Medical Advice

Blood in the stool? A few days ago, I noticed that my stool had red, chili-like pieces in it. When I used toilet paper to poke at it, I found that it was blood clots and streaks of blood. Although the stool was formed, it was extremely loose and flat (about the size of my thumb o...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If it occurs again, you can consult a gastroenterologist or a colorectal specialist. There's no need to worry too much; the likelihood is mostly due to hemorrhoidal bleeding, with a smaller portion being anal fissures, polyps, or tumors. Changhua Hospital cares about ...

[Read More] Discovering Blood in Stool: When to Seek Medical Advice


Understanding Your Abdominal X-Ray Results: What You Need to Know

Abdominal X-ray issues? Hello Doctor: Last week, I went to the emergency room due to acute gastroenteritis, and I have now recovered. However, I noticed that there seems to be some issues with the abdominal X-ray results on the health insurance app. There are some medical terms i...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: There is a phenomenon of absent intestinal peristalsis with gas accumulation in a specific area, and there is a suspicion of micro-calcification of venous vessels in the pelvic cavity, which should not be a major issue. If you experience abdominal pain, you may consult a g...

[Read More] Understanding Your Abdominal X-Ray Results: What You Need to Know


Understanding Stool Consistency After Softener Use in Seniors

The stool consistency after taking a laxative? Dear Doctor, my elder family member has cardiovascular disease and often suffers from constipation. The doctor prescribed a stool softener, but sometimes it is not effective, and they also use enemas on their own. Is it true that pat...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The inability to form stools may be due to the use of laxatives that soften the stool. If you are concerned about chronic constipation, you may want to check for occult blood in the stool and arrange for a colonoscopy if necessary for a detailed examination. Changhua Hospi...

[Read More] Understanding Stool Consistency After Softener Use in Seniors


Understanding Thin Stools: Should You Worry About Colon Cancer?

Stool becomes thin? I have recently noticed that my stools are very thin. I read online that this could be a sign of colon cancer. Sometimes there is mucus, but there is no blood in my stool, and my abdomen feels a bit uncomfortable. Should I consider getting a colonoscopy?


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Given your age, the risk of colorectal cancer is low. It is recommended to maintain a balanced diet and include fruits and vegetables. If you have further questions, you may consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Understanding Thin Stools: Should You Worry About Colon Cancer?


Understanding Gastrointestinal Issues: When to Seek Medical Advice

Gastrointestinal issues Hello Doctor: For the past three days, I have frequently felt the urge to have a bowel movement but have only been able to pass clear mucus or gas. Sometimes I do have a bowel movement, but it feels incomplete. I have a history of chronic constipation, and...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It seems to be a case of constipation. I recommend developing a habit of daily bowel movements and ensuring adequate intake of fluids and fruits and vegetables. If you continue to notice blood in your stool, it is advisable to consult a gastroenterologist for appropriate e...

[Read More] Understanding Gastrointestinal Issues: When to Seek Medical Advice


Dietary Concerns for Managing Mild Gastric Ulcers: What You Need to Know

Dietary Issues Related to Gastric Ulcers Hello, doctor. I previously went to the hospital for a gastroscopy due to loss of appetite and was found to have a mild gastric ulcer. I am currently undergoing medication treatment. I would like to ask: 1. Is it okay to drink probiotics...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. You can try drinking it; if you feel comfortable, then it's fine to continue. 2. High-fat and high-protein foods are harder to digest; if you experience discomfort after eating, it's best to avoid them. 3. After sterilization, it is not necessary to follow up ...

[Read More] Dietary Concerns for Managing Mild Gastric Ulcers: What You Need to Know


Understanding Red Stains on Toilet Paper: Possible Causes and When to Seek Help

Inquiry Consultation Hello Dr. Tsai, Today, after finishing my bowel movement, I noticed a small red mark on the toilet paper when I wiped. I had eaten a small amount of cherry tomatoes a couple of days ago. I have stage II hemorrhoids (the internal hemorrhoids occasionally prot...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. There is a high possibility of undigested tomato (skin) residue. 2. Next time you see it, you can pick it out, touch it with gloves, and add water to see if it disperses; if it is blood, it will disperse. Generally, if it is blood, it will also automatically disperse in...

[Read More] Understanding Red Stains on Toilet Paper: Possible Causes and When to Seek Help


Can I Crush Welizen TAB 20MG for Easier Swallowing?

Medication issues I would like to ask the doctor if Welizen TAB 20MG (Weglin film-coated tablets) can be crushed into powder for easier consumption, as I am still not very skilled at swallowing pills.


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Can I Crush Welizen TAB 20MG for Easier Swallowing?


Understanding the Connection Between Anxiety and Gastrointestinal Symptoms

What could be the possible causes of my condition? Hello doctor, I have been a patient with anxiety disorder and obsessive-compulsive disorder for over 10 years. I have been intermittently taking medication from a psychiatrist, and my diet is not particularly health-focused. I do...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you still feel unwell, discomfort in the upper left abdomen is mostly related to gastric issues. You may want to consult a gastroenterologist to determine if an endoscopy or medication is necessary. It is advisable to maintain a light diet, avoid eating too quickly or o...

[Read More] Understanding the Connection Between Anxiety and Gastrointestinal Symptoms


Understanding Blood in Stool: Causes and When to Seek Help

Rectal bleeding Hello, doctor. I've noticed blood in my stool for the past two days, and the stool is formed. What could this issue be?


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The likelihood of bleeding from a mole is relatively high; however, if there is persistent bleeding, it is still recommended to consult a gastroenterologist or a colorectal specialist to rule out issues such as polyps, tumors, or colitis, among others. Changhua Hospital ca...

[Read More] Understanding Blood in Stool: Causes and When to Seek Help


Understanding Stomach Ulcers: Bitter Taste and Nausea Symptoms

Gastric ulcer, bitter taste in the mouth? Hello Doctor, for the past week I have been experiencing persistent nausea and loss of appetite due to a gastric ulcer. I have been taking antacids, but now I feel a bitter taste in my mouth when I eat, which started yesterday. Drinking w...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to consult a gastroenterologist. Self-medication is not advised. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Stomach Ulcers: Bitter Taste and Nausea Symptoms


Understanding Abdominal Pain: When to See a Gastroenterologist

Regarding pain during extraction? Hello, doctor. I previously consulted a physician, but later I noticed a sunken area under my left rib cage, near the center. When I exert pressure on my abdomen, there is a specific point that hurts when pressed, and sometimes I experience a sha...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: General pain points can often be clearly located, and most of them are related to issues on the abdominal wall, such as muscle problems, subcutaneous lipomas, or skin issues. If the problem is within the abdomen, it may be difficult to pinpoint the exact pain location. The...

[Read More] Understanding Abdominal Pain: When to See a Gastroenterologist


Understanding Bloating: Causes and Treatment Beyond Mental Health Medications

Abdominal bloating issues? Hello doctor, if there are polyps in the colon causing chronic recurrent bloating and abdominal pain, or if there is gastritis, peptic ulcers, Helicobacter pylori infection, or duodenal ulcers leading to chronic recurrent bloating and abdominal pain, an...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If the underlying issues are not addressed, simply taking medications for anxiety, depression, or psychosis will likely not resolve the symptoms. If you are experiencing discomfort, it is advisable to consult a gastroenterologist for recommendations on treatment or further...

[Read More] Understanding Bloating: Causes and Treatment Beyond Mental Health Medications


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