Dr. Cai Anshun reply Gastroenterology and Hepatology Question - Page 19

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Understanding Selina Enteric-Coated Tablets for Gastrointestinal Issues

Selina Enteric-Coated Tablets Doctor, after receiving my first vaccine dose, I experienced gastrointestinal issues. I underwent an ultrasound and endoscopy, which only indicated reflux. Later, I sometimes felt bloating in my upper abdomen and sometimes in my lower abdomen, and oc...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Selina could not find this medication. Delibs (enteric-coated tablets) should be a medication used to adjust rapid intestinal motility or relieve intestinal spasms. Some gastrointestinal bloating is caused by excessive motility, and if taking the medication improves the co...

[Read More] Understanding Selina Enteric-Coated Tablets for Gastrointestinal Issues


Understanding Black Specks in Stool: When to Seek Medical Advice

Issues related to black stool with small impurities? Hello, Doctor: In the past, I never paid much attention to whether there were impurities in my stool after using the bathroom. A few days ago, before flushing, I noticed a significant amount of small black specks in my stool (w...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Generally, it is primarily caused by food. If the stool is black, it should resemble tar and not just have a small spot. If you still have concerns, you can test for occult blood in the stool. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Black Specks in Stool: When to Seek Medical Advice


Understanding Gastroesophageal Reflux: Symptoms and When to Seek Help

Gastroesophageal reflux disease (GERD) Hello Doctor: Three years ago, I experienced gastroesophageal reflux and throat discomfort due to binge eating in a short period. After undergoing an endoscopy, it was found that my esophagus had erosions, while my stomach was in good condit...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to consult a gastroenterologist, who can determine whether to arrange for an endoscopy. This will help clearly identify the issue. Additionally, please be aware of any potential weight issues that may contribute to sleep apnea. Furthermore, try to avoid e...

[Read More] Understanding Gastroesophageal Reflux: Symptoms and When to Seek Help


Understanding Rectal Foreign Body Sensation: When to Seek Medical Help

Anorectal foreign body sensation I would like to ask the doctor about a feeling of foreign body sensation and slight numbness in the anus today. What could be the issue? Should I see a doctor?


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello, the sensation of a foreign body in the anus may be due to hemorrhoids, or it could be a result of consuming irritating foods. You can monitor the situation. If you experience bleeding or severe pain, you should consult a colorectal specialist or a gastroenterologist. Chang...

[Read More] Understanding Rectal Foreign Body Sensation: When to Seek Medical Help


Understanding Rectal Discomfort: Is It Just Anxiety or Something More?

Is there something unusual about the anus? Could it be a feeling of tenesmus? Hello, doctor. I apologize for bothering you. Since the start of the school year, I have been experiencing gastrointestinal issues. Initially, I had diarrhea every few days, and both traditional and Wes...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Colorectal cancer does not have specific symptoms, but various symptoms can worsen. Your condition seems more like an anal fissure or hemorrhoids, or it could be caused by consuming irritating foods. It is recommended to increase your intake of fruits, vegetables, and flui...

[Read More] Understanding Rectal Discomfort: Is It Just Anxiety or Something More?


Can You Repeat an Endoscopy Within Two Weeks? Concerns and Considerations

Can a gastroscopy be repeated within two weeks? My father, who is 80 years old, underwent an endoscopy due to medication issues related to liver cirrhosis, and a suspected one-centimeter tumor was found (he had part of his stomach removed due to stomach cancer ten years ago). How...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Clinicians have their considerations; there is no specific interval required for performing gastroscopy, and there are no particular restrictions from health insurance. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Can You Repeat an Endoscopy Within Two Weeks? Concerns and Considerations


Understanding Dark Stool: Causes and Concerns After Medication Change

Bowel movement color issues? Hello Dr. Tsai, Last month, my cardiologist switched my medication from Rosuvastatin to Lipitor 500/20. About a week after starting the new medication, I noticed that the color of my first bowel movement in the morning was very dark, almost black. H...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you notice that your stool is nearly black, it is advisable to check for fecal occult blood. If the results are normal, there is no need to worry. If abnormal, you may consult a gastroenterologist for further evaluation. Changhua Hospital cares about your health. Dr. Ts...

[Read More] Understanding Dark Stool: Causes and Concerns After Medication Change


Understanding Irritable Bowel Syndrome: Symptoms and When to Seek Help

Irritable Bowel Syndrome (IBS) Issues I experienced gastrointestinal discomfort last month, with alternating diarrhea and constipation, along with frequent flatulence that had a foul odor. I consulted a doctor, who suggested that my symptoms were likely due to irritable bowel syn...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It may be caused by insufficient fiber intake. It is recommended to increase your consumption of fruits and vegetables and observe if there are any changes in your stool patterns. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Irritable Bowel Syndrome: Symptoms and When to Seek Help


Can Stomach Issues Lead to Irritable Bowel Syndrome?

Can poor stomach health lead to irritable bowel syndrome (IBS)? Hello Dr. Tsai: I understand that irritable bowel syndrome (IBS) is a problem with bowel function, but after my colonoscopy, the doctor said there were no issues with my colon. However, I still experience diarrhea af...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Possible causes of irritable bowel syndrome include changes in gut microbiota, psychological stress, or factors following severe infections, among others. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Can Stomach Issues Lead to Irritable Bowel Syndrome?


Can You Eat Bread, Cookies, and Milk Tea with Stomach and Duodenal Ulcers?

Gastric ulcers and duodenal ulcers? Can patients with gastric ulcers and duodenal ulcers eat bread, crackers, and milk tea?


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Bread and cookies are acceptable, but milk tea contains sugar and caffeine from tea, which can stimulate gastric acid secretion. It is recommended to avoid it during the acute phase. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Can You Eat Bread, Cookies, and Milk Tea with Stomach and Duodenal Ulcers?


Concerns About Hepatitis B Transmission After Needle Injury

Hepatitis B transmission issues? Hello doctor, recently my child and I were both injured by a thumbtack on the floor. I was injured first, and my daughter also bled... I'm worried that I might transmit hepatitis B to her. I had a hepatitis B test, and the results are as foll...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Don't worry, surface antigen 0.01 (-) indicates that you are not a carrier of hepatitis B; surface antibody 1000 (+) represents your immunity. There is no need for testing in children. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Concerns About Hepatitis B Transmission After Needle Injury


Morning Bloating and Urgency: Solutions for Digestive Discomfort

I often feel bloated and have the urge to have a bowel movement? Hello, I experience bloating almost every morning when I wake up, and I often feel the urge to pass gas, sometimes accompanied by burping. Due to the frequent need to pass gas, I sometimes feel the urge to have a bo...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Feeling the urge to have a bowel movement upon waking, along with gastrointestinal motility leading to belching and gas, may be a normal physiological response. It could also be a manifestation of irritable bowel syndrome triggered by psychological stress. However, if you ...

[Read More] Morning Bloating and Urgency: Solutions for Digestive Discomfort


Understanding Elevated Liver Enzymes in Young Children: What Parents Should Know

Liver enzyme issues? A 3-year-old child attended a growth clinic and had blood test results showing: 1. AST/SGOT: 49 (reference range: 10-42) 2. Lymphocytes: 60 (reference range: 19-48). All other report results were normal, with only these two values highlighted in red. The chil...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Whether it's liver function tests or lymphocyte counts, the primary purpose of blood tests every three months is to monitor the trends in these indices. If your physician recommends it, it is advisable to continue monitoring. Changhua Hospital cares about your health....

[Read More] Understanding Elevated Liver Enzymes in Young Children: What Parents Should Know


Understanding Right Side Abdominal Pain and Bloating: Causes and Solutions

Sharp pain below the right rib cage. Abdominal bloating and pain? Hello Doctor, I currently have two issues: 1. I experience sharp pain in the right side of my waist (below the rib cage) after bowel movements. It feels like a burning pain even when I haven't eaten anythi...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is still recommended that a clinical physician make the assessment and arrange appropriate examinations. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Right Side Abdominal Pain and Bloating: Causes and Solutions


Understanding Duodenal Ulcers: Recurrence Risks and Management Tips

Duodenal ulcer Hello, doctor. Recently, I went to the hospital for an endoscopy due to stomach discomfort. During the examination, the doctor found two duodenal ulcers and conducted a test for Helicobacter pylori. During my follow-up visit today, the doctor said that Helicobacter...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The treatment for ulcers typically involves a proton pump inhibitor for about four months, and long-term medication is not necessary. It is important to avoid irritating foods and reduce stress. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Duodenal Ulcers: Recurrence Risks and Management Tips


Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux

Gastrointestinal and gastroesophageal reflux issues? I have been experiencing loose and unformed stools for a long time. On several occasions, after using the restroom, I noticed fresh blood similar to that from a ruptured hemorrhoid (not from an anal fissure). I also frequently ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you continue to have symptoms, gastroesophageal reflux may require changes in your dietary and lifestyle habits. Avoid prolonged sitting or standing to prevent varicose veins, which may help improve your symptoms. Changhua Hospital cares about your health. Dr. Tsai An-s...

[Read More] Understanding Unexplained Gastrointestinal Symptoms: Loose Stools and Acid Reflux


Why Do I Sneeze After Eating? Understanding Sneezing and Hiccups

I always sneeze after every meal? Experiencing sneezing after meals, occasionally accompanied by burping, could be attributed to several factors. One possibility is a condition known as gustatory rhinitis, where certain foods trigger a sneezing reflex. Another reason might be rel...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Sneezing after every meal may indicate a long-term allergy, so it would be advisable to consult an otolaryngologist. As for burping, it might be necessary to pay attention to whether you are eating too quickly or if there are abnormalities in gastrointestinal motility (whi...

[Read More] Why Do I Sneeze After Eating? Understanding Sneezing and Hiccups


Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief

Frequent nighttime stomach pain accompanied by back pain? I often experience stomach pain accompanied by back pain at night, and the pain lasts for about 10 hours until the next day, making it impossible to sleep. After seeing a doctor and undergoing tests, no Helicobacter pylori...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: In addition to medication, it is important to review and improve dietary habits and lifestyle factors that may contribute to gastroesophageal reflux disease (GERD). If the issue is not related to the stomach, we should also rule out problems with the liver, gallbladder, pa...

[Read More] Chronic Nighttime Stomach Pain and Back Discomfort: Seeking Relief


Understanding Loose Stools: Causes and Solutions for Digestive Health

Frequent loose stools? Hello Doctor, I usually have a bowel movement in the morning after waking up. Last year, I had an external hemorrhoid and became concerned about potential gastrointestinal issues, so I underwent a colonoscopy at the hospital. The doctor indicated that the r...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Your stool consistency does not seem abnormal; it is just a bit softer. If you experience excessive frequency, diarrhea, or cramping, then medication may be necessary. Just avoid irritating foods and there is no need to worry too much. Changhua Hospital cares about your he...

[Read More] Understanding Loose Stools: Causes and Solutions for Digestive Health


Understanding Rectal Foreign Body Sensation: Causes and Solutions

Rectal foreign body I have been experiencing increased flatulence lately, along with a feeling of something being present in my anus. It feels like there is gas that I can't release, but it improves significantly after I pass gas. However, the sensation returns afterward. So...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to consume more fruits and vegetables and to stay hydrated, while avoiding irritant foods to reduce intestinal stimulation. Mucus is not necessarily a problem; however, pay attention to any presence of blood. If there is blood, you may want to consult a g...

[Read More] Understanding Rectal Foreign Body Sensation: Causes and Solutions


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