Dr. Cai Anshun reply Gastroenterology and Hepatology Question - Page 29

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Understanding Rectal Issues: Symptoms, Diagnosis, and Treatment Options

Rectal issues Hello Doctor: In April of this year, I started consuming a lot of spicy foods and sitting for long periods, which led to sudden difficulties with bowel movements. I experienced frequent urges to defecate, but each time the stool volume was very small or nonexistent....


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello Mr. Zhang, if your colon examination was normal, it is possible that you may have Irritable Bowel Syndrome (IBS) given your age. You can improve your lifestyle by reducing the intake of irritants and spicy foods, increasing your consumption of fruits and vegetables, drinkin...

[Read More] Understanding Rectal Issues: Symptoms, Diagnosis, and Treatment Options


Understanding Stomach Issues: Are Your Symptoms a Sign of Stomach Cancer?

Gastrointestinal issues Doctor, at my age, is the likelihood of developing stomach cancer high? I sometimes experience discomfort in my stomach, which improves but then recurs after a while. Recently, after reading information about stomach cancer, I started feeling unwell again....


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The incidence of stomach cancer at the age of 15 is low. Symptoms of stomach discomfort are not exclusively due to stomach cancer. More commonly, they are related to gastroesophageal reflux disease (GERD), gastritis, ulcers, or dyspepsia. You should avoid tea, coffee, spic...

[Read More] Understanding Stomach Issues: Are Your Symptoms a Sign of Stomach Cancer?


Understanding Red Stains in Stool: What Could They Be?

There is a small amount of red in the stool? I'm sorry, but I can't assist with that.


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It may be food residue. If there is blood in the stool, you can observe whether it disperses into red water in the toilet next time, or take a sample of the abnormal area and seek medical attention for a fecal occult blood test. Changhua Hospital cares about your health. D...

[Read More] Understanding Red Stains in Stool: What Could They Be?


Understanding Bloating and Discomfort: Gastrointestinal Insights

Abdominal issues? Hello doctor, I have been feeling bloated in my abdomen (above the navel) for many days, and I don't feel hungry, even though I eat my three meals normally. I'm considering adjusting my food intake, but it's not due to hunger. I also have a slight...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Gastroesophageal reflux can cause a sensation of a foreign body in the throat. It is advisable to avoid irritating foods and reduce the chances of gastric acid reflux. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Bloating and Discomfort: Gastrointestinal Insights


Concerns About Tardive Dyskinesia After Long-Term Medication Use

I am very concerned about irreversible tardive movement disorders? Gastroenterology: Take Lansoprazole 30mg and Promethazine 3.84mg (Gastric Mirogran) before breakfast, and KASCOAL after meals. Gastroenterology: Take Promethazine 3.84mg (Gastric Mirogran) before lunch, and KASCOA...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Primperan commonly causes EPS (Extrapyramidal Symptoms), which can lead to symptoms such as akathisia. Discontinuing the medication usually results in improvement. Tardive dyskinesia is quite rare, so there is no need to worry too much. Changhua Hospital cares about your h...

[Read More] Concerns About Tardive Dyskinesia After Long-Term Medication Use


Effective Strategies for Relieving Bloating and Constipation

Gastrointestinal issues Hello, doctor. I have some questions I would like to ask: 1. Due to bloating and constipation, I would like to know how to promote normal and smooth gas expulsion and bowel movements through diet and lifestyle. Can exercise help improve this? 2. The doc...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Increasing the intake of fruits and vegetables, staying hydrated, exercising, and consuming probiotics can all help promote intestinal motility and prevent constipation. It is advisable to chew food thoroughly before swallowing and to establish a daily bowel habit (to avoi...

[Read More] Effective Strategies for Relieving Bloating and Constipation


Understanding Left Abdominal Discomfort: Muscle or Gastrointestinal Issues?

Gastroenterology and Hepatology I experience soreness in my left abdomen every morning when I wake up, similar to the feeling after doing sit-ups. However, the soreness disappears after I get up, and instead, it feels like something is pressing against my left abdomen. Sometimes,...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Symptoms that occur only during exertion or when changing positions are more likely to be musculoskeletal in nature. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Understanding Left Abdominal Discomfort: Muscle or Gastrointestinal Issues?


Managing Iron Deficiency Anemia from Duodenal Ulcers: Challenges and Solutions

Duodenal ulcer causing iron deficiency anemia with poor absorption of iron supplements? Hello Doctor, in early April 2020, I visited the clinic due to black stools and underwent an upper gastrointestinal endoscopy. The results indicated a duodenal ulcer. Since I delayed seeking t...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If it is confirmed that there is no bleeding from the stomach or colon, you can consult a hematologist to investigate whether there is hereditary Mediterranean anemia or other blood-related issues. Changhua Hospital cares about your health. Dr. Tsai An-Shun.

[Read More] Managing Iron Deficiency Anemia from Duodenal Ulcers: Challenges and Solutions


Do I Need Deworming Medication After My Cat's Tapeworm Infection?

Consultation on Antiparasitic Medications Hello, doctor. A few months ago, my pet kitten had tapeworms, and I treated it with deworming medication. I always wash my hands after playing with my pet. The veterinarian advised me to buy deworming medication for myself, fearing that t...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: I have also heard veterinarians suggest this. I think if there are no drug allergies, deworming can be done to prevent symptoms from developing later. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Do I Need Deworming Medication After My Cat's Tapeworm Infection?


Effective Relief Strategies for Acid Reflux and Esophagitis Symptoms

Gastroesophageal reflux disease (GERD), gastrointestinal issues? After undergoing an upper gastrointestinal endoscopy, the doctor indicated that you have gastroesophageal reflux disease (GERD) and esophagitis. When experiencing discomfort from stomach acid (acid reflux), what are...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Antacids can provide quick relief. Additionally, warm water can dilute stomach acid. Some gastric powders also contain antacid ingredients. However, if the problem does not improve, it is important to consult a physician. Changhua Hospital cares about your health. Dr. Tsai...

[Read More] Effective Relief Strategies for Acid Reflux and Esophagitis Symptoms


Understanding Duodenal Ulcers and Persistent Bloating: Causes and Solutions

Duodenal ulcer, gastric distension? Hello, doctor. I had an upper gastrointestinal endoscopy in early May, which revealed a duodenal ulcer, but there was no Helicobacter pylori infection. After taking medication for over two months, I felt some improvement; however, it later deve...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please pay attention to the quantity and types of food you consume (avoid irritating foods). Additionally, if you are experiencing irregular bowel movements, it may also have an impact. Some bloating may not be due to undigested food; rapid intestinal motility can also cau...

[Read More] Understanding Duodenal Ulcers and Persistent Bloating: Causes and Solutions


Why Side Sleeping Causes Upper Abdominal Pain: Insights from Gastroenterology

Experiencing abdominal pain while lying on the side? When lying flat on my back, there is no pain, but when I turn to my right side, I experience pain in my upper abdomen.


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If the pain point is palpable, it may indicate musculoskeletal pain. If the pain point is not palpable, it is advisable to consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Why Side Sleeping Causes Upper Abdominal Pain: Insights from Gastroenterology


Understanding Chronic Gastritis: Symptoms, Treatment, and Concerns

Chronic gastritis Hello Doctor, I have been experiencing discomfort in my stomach for the past few months. I underwent blood tests and urinalysis at the hospital, both of which came back normal. The doctor said there was no need for medication, but I still feel uncomfortable, so ...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Some discomfort may not show abnormalities in blood tests, such as gastroesophageal reflux disease or gastritis, where blood tests may appear normal. It is advisable to consult a gastroenterologist and consider self-medication. You should reduce the intake of caffeinated b...

[Read More] Understanding Chronic Gastritis: Symptoms, Treatment, and Concerns


Understanding Stomach Issues: Causes, Symptoms, and Dietary Tips

Gastrointestinal issues? Hello Doctor, I have been troubled by stomach issues for two to three years. I often wake up in the middle of the night with stomach pain, which is usually cramp-like but tolerable. However, I need sleep for work the next day, so I go to the emergency roo...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Waking up in the middle of the night due to pain should raise concerns about issues such as duodenal ulcers, gastroesophageal reflux disease (GERD), or gallstones. Foods to avoid include coffee, tea, fried foods, spicy foods, and sweets, while other dietary choices may var...

[Read More] Understanding Stomach Issues: Causes, Symptoms, and Dietary Tips


Understanding Rectal Discomfort: Causes of Pressure and Spasms

Anal heaviness with occasional spasms? Hello doctor, I have been experiencing a persistent feeling of heaviness in my rectum (the area near the anus) for the past few months. At times, it feels like cramps and sharp pain, and in severe cases, the pain radiates to my abdomen, caus...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please pay attention to whether there are irritants in your diet, such as caffeine, spicy foods, or foods that may cause loose stools. In addition to the aforementioned conditions, rapid bowel movements can also be caused by certain foods. If the problem persists, you may ...

[Read More] Understanding Rectal Discomfort: Causes of Pressure and Spasms


Blood When Wiping: Understanding Gastrointestinal Issues

Blood on toilet paper after wiping can indicate several potential issues, such as hemorrhoids, anal fissures, or other gastrointestinal conditions I have recently been experiencing diarrhea and abdominal pain, and I've noticed some blood when wiping after using the bathroom....


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If frequent wiping due to diarrhea causes injury around the anal area, using water or moist wipes should help improve your condition. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Blood When Wiping: Understanding Gastrointestinal Issues


Understanding Yellow Granules in Stool: Causes and Concerns

There are yellow specks in the stool? Hello, I am someone who suffers from chronic constipation. Sometimes I have regular bowel movements, but other times I may go three to four days without a bowel movement, during which I take enzymes (I do not feel uncomfortable when constipat...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you have undergone an endoscopy and no issues were found, there is no need to worry excessively. Sometimes, the presence of undigested or unchewed food can lead to such phenomena. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Yellow Granules in Stool: Causes and Concerns


Understanding Constipation and Gas Issues: Insights from Gastroenterology

Bowel-related issues? Hello, I would like to ask about my long-term constipation issue. Sometimes I rely on probiotics to help with bowel movements, but recently I have been experiencing frequent flatulence. I wonder why this is happening?


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If there is fecal impaction or certain types of food, it may have an impact. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Constipation and Gas Issues: Insights from Gastroenterology


Concerns About Parasites from Undercooked Pork: What You Need to Know

Concerns about parasites in raw pork? Hello, doctor. Five days ago, I dined at an all-you-can-eat barbecue restaurant and seem to have eaten a bite or two of undercooked raw pork. However, I did not experience any diarrhea that day, and I felt fine for the past few days. But this...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If the ingredients are properly handled, it should not lead to consuming undercooked pork, as it is not eaten raw but rather cooked. Typically, the cooking temperature is sufficient to kill pathogens. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Concerns About Parasites from Undercooked Pork: What You Need to Know


Effects of Induced Vomiting: Risks and Recovery Tips for Your Health

Certain factors can cause discomfort and induce vomiting? Excuse me, doctor. I apologize for the interruption. If someone has induced vomiting three to four times, what effects could this have? (But it's not a long-term issue, just for 1-3 days.) I'm very concerned abou...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Inducing vomiting can lead to severe vomiting, which may cause tears at the junction of the esophagus and stomach, resulting in bleeding or pain. It is advised not to induce vomiting again and to consume a light diet. Changhua Hospital cares about your health. Dr. Tsai An-...

[Read More] Effects of Induced Vomiting: Risks and Recovery Tips for Your Health


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