Dr. Cai Anshun reply Gastroenterology and Hepatology Question - Page 13

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Understanding Unusual Belly Sounds: Causes and Solutions

Abdominal sounds or noises? Hello doctor, I often experience stomach noises during exams, and the sounds resemble flatulence, which makes me feel very troubled and embarrassed. I don't know what to do about it.


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: This appears to be a case of borborygmi. If there is constipation or bloating, it may be necessary to reduce fecal impaction to improve the condition. Additionally, in terms of diet, it is advisable to limit the intake of foods that are prone to causing bloating. Changhua ...

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Understanding Gastrointestinal Issues: Insights for Teens with Stomach Pain

Gastrointestinal issues Hello, doctor. I am currently 16 years old. I previously inquired about issues related to gastritis and duodenitis. Recently, I have been eating less sweets, but sometimes my gastrointestinal tract still feels a bit uncomfortable, and I occasionally experi...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. If symptoms have improved, you can continue to monitor and take medication. If there is not much improvement, you should return for a follow-up appointment to discuss with your physician whether there are other issues. 2. It may be related to ulcers, so please pay atten...

[Read More] Understanding Gastrointestinal Issues: Insights for Teens with Stomach Pain


Understanding Right Lower Abdominal Pain: Causes and Insights

Right lower abdominal pain? Hello, Dr. Tsai. Since last year, I have visited the gastroenterology department several times, approximately every 3-4 months, with each episode lasting about a month before improvement. The symptoms are as follows: pain in the lower right abdomen (ne...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. It could possibly be intestinal spasms; additionally, inguinal hernia, intestinal adhesions, or diverticulitis could also be potential causes. 2. A groin strain, as the name suggests, refers to pain resulting from the stretching of the muscles. Generally, actions that i...

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Understanding Gastritis and Duodenitis: Recovery and Dietary Guidance

Gastritis and duodenitis? Hello Doctor: I am currently a high school freshman. In early April, I experienced a loss of appetite, feeling full after eating just a little, and nausea after meals, along with stomach pain, which led to weight loss. At the end of April, I underwent an...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. You should be negative for Helicobacter pylori. 2. In general, inflammation of the stomach and duodenum can heal quickly as long as the damaging factors are reduced. 3. Several of the foods you want to eat are considered problematic; my advice is to limit their intake. ...

[Read More] Understanding Gastritis and Duodenitis: Recovery and Dietary Guidance


Is It Normal to Experience a Heart Skip While Hiccuping?

Experiencing a skipped heartbeat during hiccups? Hello, doctor. I would like to ask if it is normal to occasionally experience a skipped heartbeat during bloating and burping? I usually have issues with bloating and burping, but recently I've noticed that sometimes my heart ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you experienced a missed heartbeat, was it detected by counting your pulse or by a wearable device? Both methods measure at the surface of the body, and the heart's electrical activity may not necessarily indicate a skipped beat. If you do not experience palpitatio...

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Understanding Upper Abdominal Discomfort and Indigestion Issues

Dyspepsia and upper abdominal discomfort? Hello Doctor, thank you for your response a few days ago. I would like to ask a few more questions. I am 27 years old. When standing, I notice that the area under my right rib cage (upper right abdomen) feels more prominent and hard when ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Ultrasound examination of the liver and gallbladder has a high degree of accuracy. If the ultrasound does not reveal any issues, there is generally no need for excessive concern. However, if there are still suspicions of a problem, it is advisable to consult a physician fo...

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Should You Continue Taking Probiotics for Digestive Health?

Should you take probiotics? Hello, doctor. I have been taking probiotics for four days. When I am not taking probiotics, I often feel the urge to have a bowel movement, but I can't always go. Occasionally, my stomach makes gurgling sounds (similar to flatulence). Additionall...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Probiotics can alter the gut microbiota by replacing harmful bacteria with beneficial ones, thereby improving the intestinal environment. If you find them helpful, continue taking them; if not, you can stop or switch to another brand. There is no definitive good or bad, an...

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Understanding Digestive Issues: Causes and Solutions for Bowel Problems

Bowel issues On April 19th, I suspect that I consumed contaminated food, as all four people who ate together experienced diarrhea, averaging about five times a day, accompanied by abdominal pain. However, the symptoms resolved within a day, but since then, I have not had normal b...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: After acute gastroenteritis and diarrhea, there will be a period of time during which the intestinal mucosa needs to repair itself, leading to changes in bowel habits. It is advisable to increase fluid intake and moderately supplement with fruits and vegetables, so there i...

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Understanding Persistent Indigestion and Abdominal Discomfort

Dyspepsia with upper abdominal discomfort? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an endoscopy last year that showed normal results, and the doctor mentioned that my gastrointestinal tract is qui...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medication prescribed by your physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest food...

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Understanding Persistent Indigestion and Abdominal Discomfort

Dyspepsia and discomfort in the upper abdomen? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an upper gastrointestinal endoscopy last year, and the results were normal; the doctor mentioned that my gast...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medications prescribed by a physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest foods....

[Read More] Understanding Persistent Indigestion and Abdominal Discomfort


Understanding Persistent Hiccups and Bloating: A Gastrointestinal Concern

Hiccups and bloating issues? Hello Doctor: Since last year, I have been reversing my day-night cycle for exam preparation, sleeping in the morning and studying at night. I have previously lost weight and then regained it. My past weight loss method involved exercising and skippin...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to consult a gastroenterologist, as you may need an endoscopy to check for ulcers or esophagitis. Additionally, pay attention to your diet; avoid eating too quickly or too much, and reduce the intake of irritating foods. There is no need to apply pressure...

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Understanding Yellowish-Black Stool: Causes and When to Seek Help

Stool that is yellow with black streaks? I previously experienced frequent abdominal pain, and recently I couldn't tolerate it any longer, so I underwent an upper gastrointestinal endoscopy. After the procedure, it was discovered that I had gastric bleeding and Helicobacter ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Let's wait for the results of the occult blood test before making any conclusions! Theoretically, if there is gastrointestinal bleeding, the blood may appear red, possibly dark red, brick red, or bright red. Changhua Hospital cares about your health. Dr. Tsai An-shun

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Optimal Dosage of Anthelmintics for Gastrointestinal Health

Dosing of antiparasitic medications Hello Dr. Tsai: I have been taking "Mebendazole" 100 mg twice a day for three consecutive days, but I still feel like there are worms crawling in my anus. Should I increase the dosage to 200 mg twice a day, or should I continue taking...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you are self-medicating, it is not recommended to add medications on your own. If it is a physician's prescription, it is advisable to consult with your doctor before making any adjustments. The sensation of itching in the anal area is not necessarily due to worms;...

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Understanding Left Lower Abdominal Pain in Women: Causes and Next Steps

A 33-year-old female presents with pain in the left lower and mid-abdomen? Hello, doctor. I am inquiring on behalf of my wife. For the past two to three weeks, she has been experiencing a cramping pain in her left abdomen (approximately in the middle, slightly lower). Last night,...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you are still experiencing pain in the left abdomen and discomfort after overeating, even though the ultrasound did not reveal any abnormalities, you may want to consult a gastroenterologist to see if an endoscopy is necessary. Avoid irritating foods and do not overeat....

[Read More] Understanding Left Lower Abdominal Pain in Women: Causes and Next Steps


Understanding Helicobacter Pylori: Treatment Timing and Concerns

Helicobacter pylori Last week, I had an endoscopy, and the results showed gastric bleeding. The doctor prescribed medication for me to take for a week. Although I experienced some diarrhea during this week, I think it might be due to eating too many sweet potatoes. Today, I went ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The medication for Helicobacter pylori consists of antibiotics plus gastric medications. There are potential side effects (which can vary from person to person), including symptoms of diarrhea. If you are still experiencing discomfort, starting treatment too early may exac...

[Read More] Understanding Helicobacter Pylori: Treatment Timing and Concerns


Understanding Stomach Ulcers: Diet, Stress, and Recovery Tips

Gastric ulcers and stress issues? Hello Doctor, I recently experienced a loss of appetite and had an upper gastrointestinal endoscopy last Saturday. The doctor diagnosed me with a gastric ulcer. I have been on medication for a week now, and my appetite has improved (I originally ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is better not to eat too much, as this can reduce the burden on the stomach. Eating scallion pancakes occasionally should not be a problem; if you feel uncomfortable after eating them, it may be due to their greasiness. Emotions can lead to stomach cramps or excessive g...

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Understanding Blood in Stool and Hemorrhoid Suppository Concerns

Blood in stool & questions about hemorrhoid suppositories? Hello Doctor, I recently noticed a small amount of blood on the surface of my stool while using the restroom. After using a hemorrhoid suppository for treatment, I found that the suppository mixed with some crystallin...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The crystals should be related to medication. If there is persistent bleeding, it is recommended to consult a colorectal specialist or a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

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Understanding Gastrointestinal Disorders: Symptoms and Solutions

Gastrointestinal dysfunction issues? Hello, doctor. I would like to inquire about gastrointestinal symptoms. Here is a description of the situation: 1. Bowel movement changes over the past 8 months: Previously, my stools were long, cylindrical, yellow-brown, floating and slowly ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. It is possible, but it is recommended to consult a gastroenterologist for a clinical diagnosis. 2. Hearing bowel sounds does not necessarily indicate abnormal peristalsis. 3. Not necessarily; pulmonary and cardiac diseases must be ruled out. 4. If dietary and emotional ...

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Understanding the Causes of Bicolor Stool: Black and Yellow Explained

The reasons for having stool that is half yellow and half black can vary. Yellow stool may indicate a high-fat diet, malabsorption issues, or the presence of bile, while black Hello, doctor. I would like to ask if it is normal to have stool that is half black and half yellow duri...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The likelihood is higher that it is caused by the food peel, because if it were bleeding, the blood would be in liquid form and would not only cause localized black discoloration; it should be entirely black instead. Changhua Hospital cares about your health. Dr. Tsai An-s...

[Read More] Understanding the Causes of Bicolor Stool: Black and Yellow Explained


Understanding Left Upper Abdominal Pain: When to Seek Medical Attention

Left upper abdominal tenderness on palpation? This afternoon, after lunch, I drank some oolong tea, and then I felt a slight pain and discomfort in my lower left abdomen. The pain came and went from about 2:30 PM to 6 PM, and then it stopped. Later, I attended a public safety cou...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Due to the distribution of symptoms from the upper left to the middle left and down to the lower left, along with the occurrence of watery stools, there is a higher possibility of a colon issue. It is advisable to eat a lighter diet or only drink diluted sports drinks and ...

[Read More] Understanding Left Upper Abdominal Pain: When to Seek Medical Attention


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