Understanding Post-Biliary Stent Symptoms: Dizziness, Nausea, and Vomiting
Biliary stent Why do I feel dizzy, vomit, and experience nausea after having a biliary stent placed when I return home?
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Are you going home immediately after the procedure? If so, it may be that the anesthesia has not fully worn off. If you are not going home right away, you should consider postoperative complications such as cholangitis, pancreatitis, or excessive gas in the intestines foll...[Read More] Understanding Post-Biliary Stent Symptoms: Dizziness, Nausea, and Vomiting
Understanding Gastrointestinal Issues: Are My Symptoms a Sign of Colon Cancer?
Bowel issues Hello doctor, I visited the doctor on May 13th, and the doctor diagnosed me with acute gastroenteritis. After taking the medication, I felt better, but sometimes my stool is a bit loose, and even when it is formed, it tends to be narrow, about the thickness of a 5 to...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The probability is very low. After acute gastroenteritis, the gastrointestinal tract requires some time to heal, during which there may be some changes in bowel habits. There is no need to worry too much. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Gastrointestinal Issues: Are My Symptoms a Sign of Colon Cancer?
Understanding Rectal Sensations: Causes and When to Seek Help
Anorectal foreign body sensation I have been experiencing frequent urges to use the restroom for the past few days, and I feel bloated and uncomfortable at night. I visited a doctor, but over the last three days, I haven't felt particularly unwell, just a slight bloating sen...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can take a warm bath while showering. If you have any ointment for warts, you can also use it. For any areas that do not improve, please consult your clinician during your next visit. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Rectal Sensations: Causes and When to Seek Help
Understanding Rectal Sensations: Causes and When to Seek Help
Anorectal foreign body sensation I have been experiencing a frequent urge to use the restroom for the past few days, and at night, I often feel bloated and uncomfortable. I visited a doctor, but over the last three days, I haven't felt particularly unwell; it's just tha...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can take a warm bath while sitting. If you have any ointment for skin lesions, you may use it as well. For any areas that do not improve, you can consult your clinician during your next visit. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Rectal Sensations: Causes and When to Seek Help
Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
How long does it take for gastroesophageal reflux disease (GERD) to improve when taking proton pump inhibitors (PPIs)? What should I do if I experience a bitter taste and acid reflux after stopping PPIs? Hello: In February of this year, I underwent an upper gastrointestinal endos...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Gastroesophageal reflux disease (GERD) is classified into four grades (A, B, C, D) based on the extent of esophageal mucosal injury due to gastric acid, according to the Los Angeles Classification. Under the National Health Insurance regulations, grades A and B allow for p...[Read More] Managing GERD and Esophagitis: Duration of PPI Use and Symptoms Explained
Understanding the Link Between GERD and Helicobacter Pylori Infection
Gastroesophageal reflux disease (GERD) and Helicobacter pylori? I have gastroesophageal reflux disease (GERD) and underwent an endoscopy. The doctor confirmed the presence of reflux and asked if I wanted to undergo eradication therapy for Helicobacter pylori. I would like to unde...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to eradicate Helicobacter pylori if there is a gastric ulcer. However, if there is no gastric ulcer, eradication is not necessarily required, except in cases of anemia or a family history of gastric cancer. In my opinion, when treating gastroesophageal re...[Read More] Understanding the Link Between GERD and Helicobacter Pylori Infection
Understanding Chronic Abdominal Pain: Causes and Next Steps
Abdominal pain Current status: I have not had my menstrual period for six months, and I have already ruled out conditions that should not be related to abdominal pain. I am currently seeing an immunologist for issues unrelated to the abdomen and have tested positive for a suspect...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. The retention of stool can lead to bloating, and excessive stool volume may cause abdominal pain. Additionally, if there is a history of abdominal surgery, the possibility of intestinal adhesions should also be considered. 2. To determine if the abdominal pain is caused...[Read More] Understanding Chronic Abdominal Pain: Causes and Next Steps
Understanding Bloating and Diarrhea: Possible Causes and Solutions
Flatulence issues? Hello doctor, I would like to ask about a situation where I experience diarrhea shortly after eating, and whether I eat or not, I tend to pass gas frequently. Sometimes, I feel a little liquid coming out with the gas—it's rare, and sometimes it is colorles...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can consult a gastroenterologist for a stool examination, which can help determine the issue. Additionally, pay attention to a light diet, increase your intake of fruits and vegetables, and ensure adequate hydration. Having smoother bowel movements can reduce the chanc...[Read More] Understanding Bloating and Diarrhea: Possible Causes and Solutions
Understanding Nighttime Stomach Bloating: Causes and Solutions
Gastrointestinal issues Hello Dr. Tsai, sometimes when I lie flat at night before sleeping, I feel a small, round, hard bulge in my stomach that quickly goes away, then comes back again after a while. There is no specific area where it bulges, and I also hear gurgling sounds from...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It may not necessarily be bloating; sometimes, individuals with a slimmer physique and a thinner layer of abdominal fat may observe the fluctuations of the stomach or intestines. Unless you are experiencing a sensation of bloating, please know that Changhua Hospital cares ...[Read More] Understanding Nighttime Stomach Bloating: Causes and Solutions
Weight Loss and Stomach Ulcers: Could Birth Control Pills Be the Cause?
Weight loss / Is it possible for taking pre-exposure prophylaxis (PrEP) to cause gastric ulcers? Last February, I was hospitalized due to a gastric ulcer and bleeding. At that time, it was determined that my emotional state contributed to the issue. Recently, I recalled that I ha...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. Emergency contraceptive pills, pharmacologically, do not cause gastric ulcers. 2. If gastrointestinal discomfort leads to decreased appetite, it may result in weight loss. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Weight Loss and Stomach Ulcers: Could Birth Control Pills Be the Cause?
Understanding Medication Side Effects: Dizziness and Nausea from Common Gastro Drugs
Drug side effects I would like to ask the doctor, a few weeks ago I experienced symptoms such as daily bloating, occasional stomach pain, and nausea before bedtime. I visited three clinics for medication, but I did not recover. Yesterday, I went to a clinic for an endoscopy, and ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You can try discontinuing mosapride and domperidone first. If there is no improvement, you may return to the gastroenterology department at Changhua Hospital for further evaluation of your health. Dr. Tsai An-Shun.[Read More] Understanding Medication Side Effects: Dizziness and Nausea from Common Gastro Drugs
Understanding Side Effects of Helicobacter Pylori Treatment
Side effects of Helicobacter pylori? Hello, doctor. I have been taking medication for Helicobacter pylori. The first day was fine, but starting from the second day, I experienced severe bloating. After taking the medication, my stomach feels like it's slowly inflating like a...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Helicobacter pylori is often treated with a quadruple or triple therapy, which includes two or three antibiotics. Some gastrointestinal discomfort may occur, but if it is not severe, you can continue the treatment as prescribed. If the discomfort is more severe and intoler...[Read More] Understanding Side Effects of Helicobacter Pylori Treatment
Understanding Loose Stools After Stomach Medication: Causes and Concerns
I have been taking stomach medication, and my stools are loose? I recently underwent an upper gastrointestinal endoscopy and was diagnosed with mild gastroesophageal reflux and some related gastrointestinal issues. The doctor prescribed me Mosapride, Pantoprazole, and Gaskin. Eve...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If your stool is too loose, you can reduce the dosage of Moshu Weiqing, as it will promote gastrointestinal motility. If there is still no improvement, you may want to schedule an earlier follow-up appointment with the gastroenterology department at Changhua Hospital to di...[Read More] Understanding Loose Stools After Stomach Medication: Causes and Concerns
Understanding Upper Abdominal Pain: Causes and Remedies
Upper abdominal pain Hello, doctor. Recently, I've been experiencing discomfort in my upper abdomen. It feels like my stomach is prone to bloating, and there's a heavy sensation along with some chest tightness. My abdomen often makes sounds that feel like it's chur...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to avoid tea (black tea/green tea/milk tea), coffee, spicy foods, fried foods, high-fat foods, and high-protein foods. If there is no improvement, you may consult a gastroenterologist to determine if it is gastroesophageal reflux disease, gastritis, or ev...[Read More] Understanding Upper Abdominal Pain: Causes and Remedies
Intermittent Left Lower Abdominal Pain: When to Seek Further Medical Evaluation
Intermittent pain in the left lower abdomen? Hello Doctor, my girlfriend has been experiencing intermittent pain in her lower left abdomen for the past couple of days. The pain occurs approximately every 10 to 20 seconds and feels like an electric shock in the same location. She ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Intermittent pain may be related to the presence of fecal impaction in the intestines, along with intestinal colic. Additionally, gynecological issues, such as ovarian problems, could also be a factor. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Intermittent Left Lower Abdominal Pain: When to Seek Further Medical Evaluation
Understanding Hepatitis B Transmission Risks: Common Concerns and FAQs
Hepatitis B transmission issues? Hello, doctor. I would like to ask about my father, who is a carrier of hepatitis B. I accidentally touched the bristles of his toothbrush with my finger and quickly washed my hands afterward. Is there still a risk of transmitting hepatitis B? Als...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. If there are no wounds on your fingers, touching the bristles of a toothbrush will not transmit hepatitis B. 2. Regular clothing does not carry the hepatitis B virus unless it has been contaminated with the patient's bodily fluids or blood, which can be washed away...[Read More] Understanding Hepatitis B Transmission Risks: Common Concerns and FAQs
Understanding Anal Pain: Possible Hemorrhoids and Home Remedies
Anal issues Yesterday afternoon, I had two bowel movements. The first one was somewhat soft, and I didn't feel anything unusual afterward. The second one came on suddenly and was a forceful diarrhea. At that moment, I felt some pain in the anal area, but it didn't persi...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is possible to take a warm water bath for acne, and if there is no improvement, you may consider consulting a gastroenterologist or a colorectal specialist. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Understanding Anal Pain: Possible Hemorrhoids and Home Remedies
Does Drinking Water While Eating Affect Digestion in Young Children?
Dietary Issues I would like to ask the doctor, my 3-year-old child has a habit of drinking water while eating. Will this affect digestion? Should I help them break this habit, or is it not a problem?
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: You may want to ensure that the food you provide for children is not too dry, and encourage them to take a few bites of rice before drinking a sip of water, gradually improving their eating habits. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Does Drinking Water While Eating Affect Digestion in Young Children?
Understanding Ampullary Polyps: Risks, Diagnosis, and Surgical Options
Ampullary polyp Hello, my father previously underwent ERCP due to recurrent pancreatitis of unknown origin. During the procedure, a polyp approximately 0.5 cm in size was found at the ampulla and was removed. A biopsy was performed, and the report indicated malignancy; however, t...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. Based on your description, if the next step is cancer (which is typically reported as adenocarcinoma in pathology reports), it should be high-grade dysplasia. 2. It is important to check whether there is any abnormal tissue growth in the ampulla, and whether the margins...[Read More] Understanding Ampullary Polyps: Risks, Diagnosis, and Surgical Options
Understanding PPI Treatment for Stomach Ulcers: Duration and Probiotics
Proton pump inhibitors (PPIs) for gastric ulcers? Hello, doctor! I had a gastroscopy today, and the physician mentioned that I have a bleeding gastric ulcer and some inflammation. They prescribed me a month’s supply of a proton pump inhibitor (PPI). My question is, will taking ju...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. For gastric ulcers, health insurance coverage is for 4 months; however, the duration of medication should be determined by the physician based on clinical symptoms. 2. Probiotics can be taken. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding PPI Treatment for Stomach Ulcers: Duration and Probiotics