Understanding Hiccups: Connection to Acid Reflux and Digestive Issues
Hiccup issues? Hello, Doctor. I have some questions I would like to ask you. I have been feeling a burning sensation around my stomach area, similar to gastroesophageal reflux disease (GERD). A while ago, when I consulted a traditional Chinese medicine practitioner, the doctor me...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please pay attention to whether you are experiencing a feeling of fullness; it is recommended to eat smaller, more frequent meals. Additionally, retained stool may contribute to increased intestinal gas. Recently, try to avoid high-fat and high-protein foods, as well as ir...[Read More] Understanding Hiccups: Connection to Acid Reflux and Digestive Issues
Understanding Gastroesophageal Reflux: Symptoms, Treatment, and Alcohol Consumption
Gastroesophageal reflux disease (GERD) Hello Doctor, I am 20 years old and have had stomach issues since childhood. I often experience vomiting after meals and when I have a cold. In recent years, I have had occasional gastritis (I don't drink alcohol frequently), but I have...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: 1. If the issue is due to being underweight causing insufficient fat at the gastroesophageal junction, surgery may not be necessary; moderate weight gain could suffice. However, if there are other underlying causes, surgery may be required for improvement. 2. Moderate and ...[Read More] Understanding Gastroesophageal Reflux: Symptoms, Treatment, and Alcohol Consumption
Understanding Left Lower Abdominal Pain: IBS or Something More Serious?
There is a dull pain in the lower left abdomen, accompanied by a persistent urge to have a bowel movement, and at times there is a feeling of needing to pass gas but being unable to do so? Hello Doctor, since last year, I have occasionally experienced dull pain in my lower left a...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Symptoms that may indicate irritable bowel syndrome (IBS) include abdominal pain, diarrhea, urgency, and bloating. Whether to perform another colonoscopy or other examinations should be evaluated by a clinical physician. Adjusting medication may help improve the condition....[Read More] Understanding Left Lower Abdominal Pain: IBS or Something More Serious?
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort? Hello Dr. Tsai, for the past two weeks, I have frequently experienced gastrointestinal discomfort (bloating after meals, nausea, a heavy feeling in my head, decreased appetite, and my food intake has reduced by half). 1. I am wondering if this is rela...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you have not yet consulted a gastroenterologist, it is recommended that you do so. Possible reasons include ulcers, poor digestive function, or fecal impaction, and it may also be related to issues with other organs that affect gastrointestinal function. In addition to ...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Persistent Abdominal Pain: Understanding Your Symptoms and Next Steps
There has been a dull pain in the lower left abdomen and the upper right abdomen for more than three months? Hello Doctor, I have been experiencing intermittent pain in my left lower abdomen and right upper abdomen for over three months (the pain in the right upper abdomen is mor...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Some discomfort may not necessarily indicate an issue with the organs, but rather a functional problem. If you have already undergone gastroscopy, colonoscopy, and ultrasound without any significant abnormalities, it may be necessary to improve your condition through emoti...[Read More] Persistent Abdominal Pain: Understanding Your Symptoms and Next Steps
Understanding Changes in Stool Color and Odor: IBS Insights
Stool color and odor? Hello, I would like to ask about my condition. After being diagnosed with irritable bowel syndrome (IBS), my stool has always been dark brown, but in the past few days, it has turned light yellow and has a foul odor. I've also been experiencing frequent...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It may be related to your diet. Please pay attention to your eating habits, avoid high-fat and high-protein foods, and increase your intake of fruits and vegetables. If there is no improvement, you may consider visiting a gastroenterologist for a stool examination. Changhu...[Read More] Understanding Changes in Stool Color and Odor: IBS Insights
Understanding Gastric Discomfort: Causes and Concerns After Ulcer Treatment
Stomach discomfort? Hello, doctor! In early November 2019, I underwent an endoscopy due to stomach pain, which confirmed that I have a gastric ulcer. The pathology report indicated it is an atypical ulcer. The doctor advised me to take my medication seriously, or it could lead to...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If the medication has been taken as prescribed, you can return to your original physician to determine if further examination is necessary. Additionally, pay attention to your diet and emotional stress to see if any adjustments are needed. Changhua Hospital cares about you...[Read More] Understanding Gastric Discomfort: Causes and Concerns After Ulcer Treatment
Understanding Right Abdominal Swelling: Is It Colorectal Cancer?
Abdominal concerns? There is noticeable swelling in the abdomen to the right of the navel, more pronounced than on the left side. At night, when lying down, bowel sounds are particularly loud, to the point that people nearby can hear them, and this is not just a brief occurrence ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The liver is located on the right side of the body, so the left and right sides are naturally not symmetrical, especially when experiencing bloating. There is no need to worry excessively about colon cancer at this point; it is recommended to consult a gastroenterologist f...[Read More] Understanding Right Abdominal Swelling: Is It Colorectal Cancer?
Understanding Constipation in Seniors: Causes and Concerns
My mother has a bowel issue - constipation? Hello, doctor. My mother is 74 years old, and she has not had a normal bowel movement for almost 12 days. In the past 11 days, she has only had bowel movements on 2 days, both of which were constipated. The first bowel movement was some...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: If you are still able to have bowel movements, it cannot be classified as a bowel obstruction. However, if your bowel habits have significantly changed during this time, it is indeed important to consider the possibility of colorectal cancer. It would be advisable to consu...[Read More] Understanding Constipation in Seniors: Causes and Concerns
Understanding Changes in Bowel Habits: Frequency and Shape Concerns
Frequency and shape of bowel movements? Last year, I didn't pay much attention, but since the beginning of this year, after reading some online medical articles, I've been constantly worried about whether my bowel movements are normal. There is no family history of colo...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Hard and bulky stools may be related to not having a bowel movement for several days. There's no need to worry too much, but if you still have concerns, you can consult a gastroenterologist at Changhua Hospital for your health. Dr. Tsai An-shun.[Read More] Understanding Changes in Bowel Habits: Frequency and Shape Concerns
Understanding Bowel Issues: Could It Be Irritable Bowel Syndrome?
Bowel issues Hello Doctor: My bowel movements are usually normal, occurring once a day. However, for the past two weeks, I have frequently felt bloated with gas, especially in the evenings. In the morning, I tend to pass gas, which makes my abdomen feel more comfortable. Sometime...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The definition of irritable bowel syndrome (IBS) may require periodic occurrences to meet the criteria; a single episode is not sufficient for diagnosis. However, your description suggests that you may be experiencing rapid intestinal motility. It is advisable to avoid tea...[Read More] Understanding Bowel Issues: Could It Be Irritable Bowel Syndrome?
Managing Barrett's Esophagus: Long-term PPI Use and Kidney Health Concerns
Could you please clarify your question regarding medication issues related to Barrett's esophagus? Hello, doctor. I was diagnosed with mild Barrett's esophagus after undergoing an endoscopy. My attending physician advised me to take medication for control and to have an...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Research reports indicate that long-term use of proton pump inhibitors (PPIs) may lead to chronic kidney disease. Most of these studies are retrospective in nature, and currently, there are no double-blind studies, so the level of evidence is not strong. Furthermore, the p...[Read More] Managing Barrett's Esophagus: Long-term PPI Use and Kidney Health Concerns
Understanding Clostridium Difficile in Young Children: Symptoms and Concerns
Clostridium difficile ● Onset: One and a half months ago ● Symptoms: Blood and mucus in stool, formed stools (1-2 times daily, stools are somewhat hard), anal fissure ● Age: 1 year and 9 months ● Test results: EIA: Negative; C. difficile toxin A&B test: Positive ● Oth...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Q1. Clinical symptoms and the presence of colonies related to intestinal damage do not necessarily manifest as diarrhea. Q2. Lactulose helps soften stools; if it is ineffective, it is recommended to ensure adequate hydration to achieve the desired effect. Q3. No. Q4. Conta...[Read More] Understanding Clostridium Difficile in Young Children: Symptoms and Concerns
Recurring Abdominal Pain and Increased Gas: When to Consider a Colonoscopy?
Recurrent abdominal discomfort and increased frequency of flatulence? Hello Doctor: For the past 2 to 3 months, I have been experiencing dull abdominal pain at the end of the month. I have noticed an increase in flatulence, which is also more foul-smelling. My bowel movements occ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Based on your description, there is a high probability that it is a bleeding mole. Whether further examination is necessary can be assessed by a clinical physician to determine if a colonoscopy is needed. It is recommended to stay hydrated, consume fruits and vegetables, a...[Read More] Recurring Abdominal Pain and Increased Gas: When to Consider a Colonoscopy?
Understanding Chronic Abdominal Discomfort: Possible IBS Solutions
Abdominal discomfort? Dear Doctor: I have been experiencing a strange feeling in my abdomen for a long time. It’s not very painful, but it is uncomfortable, and I can't pinpoint the exact location of the discomfort. I have undergone several examinations at the hospital, incl...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The location of pain is very important, as the distribution of organs is closely related to the discomfort experienced. If the pain occurs in different locations each time, it is essential to consider whether it may be a functional issue, such as irritable bowel syndrome. ...[Read More] Understanding Chronic Abdominal Discomfort: Possible IBS Solutions
Understanding Mucus in Stool: Causes, Concerns, and When to Seek Help
Mucus in stool I have hemorrhoids near my anus, and recently I've been experiencing frequent flatulence, sometimes with a strong odor. My stools also have a foul smell. I often check the condition of my stool, and lately, I've noticed a small amount of transparent mucus...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The presence of mucus does not necessarily indicate a direct correlation with cancer; it must be assessed by a clinician to determine if further endoscopic examination is needed. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Understanding Mucus in Stool: Causes, Concerns, and When to Seek Help
Sharp Pain in Upper Left Abdomen: Causes and Solutions
There is a sharp pain in the upper left abdomen? I've recently started experiencing pain when bending over, and I also feel pain when I get up suddenly.
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please check your skin for any lesions. If there are none, observe whether you experience bloating or irregular bowel movements. If there is no improvement, it is recommended to consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-Shun.[Read More] Sharp Pain in Upper Left Abdomen: Causes and Solutions
Understanding Anal Itching and Abdominal Pain After H. Pylori Treatment
After taking medication for Helicobacter pylori, there is anal itching after bowel movements and tenderness in the left lower abdomen upon palpation? Hello, I would like to ask about a diagnosis of Helicobacter pylori infection. I've been experiencing multiple bowel movement...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Helicobacter pylori does not cause anal itching. Please complete the medication unless you experience an allergic reaction. One of the medications may increase bowel motility, which can lead to cramping or diarrhea in some individuals. Changhua Hospital cares about your he...[Read More] Understanding Anal Itching and Abdominal Pain After H. Pylori Treatment
Can You Exercise with a Stomach Ulcer? Expert Insights on Fitness Safety
Can individuals with gastric ulcers exercise? Hello, Doctor. During my health check last Monday, an endoscopy revealed the presence of an ulcer, and a biopsy was taken for pathological examination. However, I do not have any significant discomfort in my stomach. Two years ago, du...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please rest assured that these exercises will not affect the healing of your ulcer. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Can You Exercise with a Stomach Ulcer? Expert Insights on Fitness Safety
How Long Can a Nasogastric Tube Be Used Safely?
How long can a nasogastric tube be used? Hello! Due to a family member (my mother-in-law) suffering from a stroke and being paralyzed, she needs to use a nasogastric tube. However, some family members insist on replacing it every three months (similar to the use of a nasogastric ...
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please follow the brand material recommendations, as they may vary by manufacturer. The commonly used silicone material should be replaced once a month. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] How Long Can a Nasogastric Tube Be Used Safely?