Understanding Hepatitis B Surface Antigen and Antibody Test Results
Hepatitis B surface antigen, surface antibody, core antibody? Hello, doctor. I would like to ask about my health examination results. On December 6, 2021, my test report showed a negative Hepatitis B surface antigen (value 0.37), a positive Hepatitis B surface antibody (value 100...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. A positive Hepatitis B surface antigen (HBsAg) indicates the presence of the Hepatitis B virus. 2. A positive Hepatitis B surface antibody (anti-HBs) indicates immunity against the Hepatitis B virus. 3. A negative Hepatitis B core antibody (anti-HBc) indicates that ther...[Read More] Understanding Hepatitis B Surface Antigen and Antibody Test Results
Understanding Gastrointestinal Issues: Ulcers, Spasms, and Pain Explained
Gastrointestinal issues During the recovery period of a gastric ulcer, can spasms occur at the site of the wound? Do duodenitis or duodenal ulcers cause spasms? If medication was taken the night before, can duodenitis or a duodenal ulcer cause fasting pain the next morning? Is th...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Any lesions in the gastrointestinal tract, including inflammation, ulcers, or tension, can lead to gastrointestinal spasms. The location of the spasms will depend on which part is affected. The area directly above the belly button can involve the stomach, duodenum, large i...[Read More] Understanding Gastrointestinal Issues: Ulcers, Spasms, and Pain Explained
Understanding Gastrointestinal Discomfort: When to Seek Medical Advice
Gastrointestinal discomfort? A few days ago, I stayed up late (went to bed at 3 AM). After waking up, I felt nauseous and had no appetite. There was no vomiting or diarrhea. The nausea isn't constant, but it occurs around mealtime, before and after eating. Sometimes it comes...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It may be due to excessive stress and lack of sleep. Try to avoid fried foods, as they may worsen your discomfort. A light diet is recommended, and please refrain from consuming caffeinated beverages. If there is no improvement, it is advisable to consult a gastroenterolog...[Read More] Understanding Gastrointestinal Discomfort: When to Seek Medical Advice
Addressing Hepatitis B Transmission Concerns in Shared Spaces
Hepatitis B Transmission Issues (Continued) Hello, I am the anonymous person (ID <a href="https://adoctor.tw/article/182779">#182779</a>) who consulted you on June 10, 2022, at the e-hospital in Taiwan. Thank you for your response. Based on your reply, it se...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It should not be that easy to get infected, as the risk of transmission decreases significantly once the blood dries. Additionally, it would require that the person touching it has an open wound. Typically, a person with an unbandaged wound on their hand would not use that...[Read More] Addressing Hepatitis B Transmission Concerns in Shared Spaces
Understanding H. Pylori Treatment: Testing, Diet, and Risks
Helicobacter pylori I previously had an endoscopy that revealed the presence of Helicobacter pylori. Due to gastric bleeding, I took some time to care for my stomach. On Tuesday, I completed a seven-day course of antibiotics. How long should I wait before getting tested again? Ar...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. After sterilization, some doctors will schedule a follow-up examination in one or two months, especially for fecal antigen tests, to avoid detecting bacterial remnants. 2. There are no specific dietary restrictions; however, if there is bleeding, nausea, or mild diarrhe...[Read More] Understanding H. Pylori Treatment: Testing, Diet, and Risks
Understanding Abdominal Discomfort: Possible Causes and Solutions
There is something unusual in the left abdomen? Hello doctor, three days before my period, I drank 保久乳 (a type of long-lasting milk) about two bottles a day, each bottle being 240ml. During that time, I felt a dull pain on both sides of my lower abdomen, specifically at the junct...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The left upper abdomen corresponds to the location of the stomach or the colon, and it is possible to have gastritis or enteritis, both of which can cause discomfort. If lactose intolerance is suspected, it is recommended to avoid drinking milk. The timing and severity of ...[Read More] Understanding Abdominal Discomfort: Possible Causes and Solutions
Understanding Abdominal Sounds and Sensations: What Could They Mean?
Uncertain situation? Hello Doctor: I have a sensation of gas and sounds, along with peristalsis, located 11 centimeters below the navel (between the two protruding bones of the pelvis). Shouldn't this typically occur near the navel? 1. Why is it happening so low? 2. Could yo...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The area you described mostly involves the large intestine (sigmoid colon), and there may also be some involvement of the small intestine (ileum). It is normal to hear sounds and experience peristalsis; as long as you do not have bloating or pain, it is fine. Changhua Hosp...[Read More] Understanding Abdominal Sounds and Sensations: What Could They Mean?
Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Helicobacter pylori consultation Dear Dr. Tsai, I have been experiencing gastrointestinal issues in recent years, primarily bloating, acid reflux, belching, stomach pain, and indigestion. Therefore, I would like to proactively check for Helicobacter pylori infection. I have the ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Q1. Not necessarily. Q2. "Blood tests" check for antibodies against Helicobacter pylori; if negative, it indicates no previous infection. Q3. It is possible. Q4. If the bacterial load is low, it may be cleared by the immune system. Q5. If there are ulcers, a fami...[Read More] Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Can Hepatitis B Be Transmitted Through Insect Bite Wounds?
Hepatitis B transmission issues? Hello, I am a carrier of hepatitis B. Sometimes when I am outside, I have some insect bite wounds on my hands. I would like to know if these bite wounds (which may or may not be bleeding or oozing bodily fluids) could potentially transmit hepatiti...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Most hepatitis B virus infections are transmitted through blood or sexual contact. Blood transfusions, injections, ear piercings, tattoos, eyebrow tattoos, and sharing everyday items such as toothbrushes, towels, nail clippers, and razors can all pose a risk of infection. ...[Read More] Can Hepatitis B Be Transmitted Through Insect Bite Wounds?
Understanding Blood and Mucus in Stool: When to Worry?
Blood-streaked mucus in stool? Doctor, I apologize for asking, but about a month ago, I noticed some blood on my stool. I then purchased hemorrhoid suppositories and have been using them for over a month. While there is no longer blood on the stool itself, I have now developed a ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If self-medication does not improve your condition, it is recommended to consult a colorectal specialist or a gastroenterologist to determine the cause. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Blood and Mucus in Stool: When to Worry?
Managing Nausea and Dizziness: When to Seek Medical Attention
Nausea, dizziness? Two days ago, I suddenly felt nauseous before going to bed, but propping up my upper body alleviated the symptoms enough for me to fall asleep. Yesterday, I woke up with persistent nausea and couldn't eat anything; I only drank plain water and had a sip of...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Avoid stimulating foods and beverages, as well as fried items, and do not eat too quickly or too much. If you suspect heat exhaustion, increase your fluid intake and avoid excessive sun exposure. Additionally, gastroesophageal reflux disease (GERD) and gastritis may presen...[Read More] Managing Nausea and Dizziness: When to Seek Medical Attention
Why Greasy Foods Cause Diarrhea: Insights for IBS Patients
Eating greasy foods can cause diarrhea? Hello doctor, I tend to have diarrhea whenever I consume greasy foods. I have previously undergone gastroscopy and colonoscopy, both of which were normal. I would like to know what might be causing this issue or if there are any other tests...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is advisable to avoid high-fat foods, as sometimes food can be the influencing factor, and there may not necessarily be other issues. Additionally, pay attention to gallbladder and pancreatic problems, and avoid alcohol (as it can affect pancreatic function and irritate...[Read More] Why Greasy Foods Cause Diarrhea: Insights for IBS Patients
Understanding Your Digestive Discomfort: When to Seek Medical Advice
I've been feeling something strange in my abdomen, almost like a sensation in my belly? I have seen a gastroenterologist a few times before and took medication for about two weeks, which seemed to alleviate the symptoms. However, in the past couple of days, I have been feeli...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is indeed advisable to consider undergoing an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease (GERD) or peptic ulcers. Avoid drinking tea (black tea/green tea/milk tea), coffee, and other caffeinated beverages. Additionally, pay attention t...[Read More] Understanding Your Digestive Discomfort: When to Seek Medical Advice
Can People with Acid Reflux Drink Yogurt? Expert Insights and Alternatives
Gastroesophageal reflux disease (GERD) Hello, Doctor. I have chronic pharyngitis caused by gastroesophageal reflux disease (GERD), and I have been experiencing recurrent discomfort from acid reflux lately. In an effort to improve my gastrointestinal environment, I have been drink...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: In addition to avoiding some irritating foods and caffeinated beverages that can stimulate gastric acid secretion, other foods vary from person to person. If a certain food causes discomfort, it is best to consume it less frequently; there are no strict rules about what is...[Read More] Can People with Acid Reflux Drink Yogurt? Expert Insights and Alternatives
Can People with Acid Reflux Drink Yogurt? Expert Insights and Alternatives
Gastroesophageal reflux disease (GERD) Hello, Doctor. I have chronic pharyngitis caused by gastroesophageal reflux disease (GERD), and I have been experiencing recurrent discomfort from acid reflux lately. I previously drank yogurt daily to improve my gastrointestinal environment...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: In addition to avoiding some irritating foods and caffeinated beverages that can stimulate gastric acid secretion, other foods vary from person to person. If a particular food causes discomfort, it's best to limit its intake; there are no strict rules about what is al...[Read More] Can People with Acid Reflux Drink Yogurt? Expert Insights and Alternatives
Understanding Abdominal Pain and Diarrhea: Causes and Solutions
Abdominal pain and diarrhea issues? Hello, Dr. Tsai. Recently, for the past two to three months, I have often gone two to three days without a bowel movement, and when I do go, it’s usually three to four times in one day. The first time is typically normal (though occasionally th...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please pay attention to your diet, such as avoiding spicy foods and fruits with high water content. It is advisable to consume them in moderation. If there is no improvement, you may consider visiting a gastroenterologist for a stool occult blood test, and if necessary, th...[Read More] Understanding Abdominal Pain and Diarrhea: Causes and Solutions
Post-Appendectomy Weakness: Understanding Recovery Challenges in Seniors
Post-appendectomy weakness? Hello Doctor, my grandfather recently underwent surgery for appendicitis and stayed in the hospital for over a week due to bloating for observation. He was discharged only after he was able to pass stool and gas successfully. However, after being disch...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is important to encourage your grandfather to get out of bed and be active, even if he lacks the strength to walk. He should at least be able to sit up, as elderly individuals who remain bedridden for more than a week may experience muscle atrophy and weakness. Addition...[Read More] Post-Appendectomy Weakness: Understanding Recovery Challenges in Seniors
Understanding Gastric Biopsy Results: Chronic Inflammation and Its Implications
Gastric biopsy report? Hello, Dr. Tsai. My mother previously underwent gastroscopy and colonoscopy, and it was noted that she had a small ulcer in her stomach. The gastric biopsy results were delayed, and I forgot to follow up. Recently, I checked the report using the National He...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Chronic inflammation is generally described as the absence of Helicobacter pylori and cancer cells. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Gastric Biopsy Results: Chronic Inflammation and Its Implications
Understanding Acid Reflux: Symptoms, Treatments, and When to Seek Help
Gastroesophageal reflux disease (GERD) Hello, doctor. I have been experiencing acid reflux for about three to four years. I have seen both an ENT specialist and a gastroenterologist. Two years ago, I underwent an endoscopy, which only revealed Helicobacter pylori, and there were ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If the symptoms persist, it is certainly recommended to undergo an upper gastrointestinal endoscopy. Additionally, it is advised to avoid tea (black tea/green tea/milk tea), coffee, chocolate, sweets, spicy foods, fried foods, high-fat, and high-protein foods. It is recomm...[Read More] Understanding Acid Reflux: Symptoms, Treatments, and When to Seek Help
Understanding Medication for Irritable Bowel Syndrome and Constipation
Medication Consultation Hello Dr. Tsai, I recently consulted with two physicians regarding my symptoms, which are consistent with Irritable Bowel Syndrome (IBS). Physician A prescribed Duspatalin (for IBS), digestive enzymes, and an anti-gas medication. Physician B prescribed ma...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. Irritable bowel syndrome (IBS) can cause both constipation and diarrhea; medication can be adjusted based on symptom changes and duration. 2. You can take medication as symptoms arise. 3. Dicyclomine can relieve gastrointestinal spasms and motility; excessive use may le...[Read More] Understanding Medication for Irritable Bowel Syndrome and Constipation