Seeking Help: Understanding Gastrointestinal and Chest Pain Symptoms
Please help me! Hello Doctor, 1. I have been experiencing chest pain and tightness, sometimes accompanied by tinnitus and dizziness. The chest pain and tightness persist throughout the day, and I have noticed a decline in my physical strength and increased fatigue. A few years a...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
It is likely a problem with the autonomic nervous system, and consulting a neurologist would also be appropriate.[Read More] Seeking Help: Understanding Gastrointestinal and Chest Pain Symptoms
Can Glycogen Storage Disease Type III Resolve on Its Own?
Is there a case of Glycogen Storage Disease Type III that resolves on its own? My daughter was diagnosed with Glycogen Storage Disease Type III at the age of one and a half. Her liver enzymes have always been very high, with GOT and GPT reaching over 1000 at their peak and at lea...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
You should consult a pediatrician specializing in metabolic disorders.[Read More] Can Glycogen Storage Disease Type III Resolve on Its Own?
Does Late-Night Sleep Impact Liver Health? Insights for Busy Students
Sleep inquiry? Hello Dr. Tsai, I am a graduate student and often stay up late due to my research commitments. My family has a history of hepatitis B, but I do not have hepatitis B myself. However, I am concerned that staying up late for extended periods may harm my liver. Therefo...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Irregular sleep patterns are detrimental; it is essential to maintain a normal daily routine for overall health.[Read More] Does Late-Night Sleep Impact Liver Health? Insights for Busy Students
Understanding Bloating and Discomfort: Causes and Solutions
Stomach feels bloated, stomach feels tight? Hello, my family member experienced sudden abdominal distension about six months ago. They visited a gastroenterologist and underwent examinations, which indicated that everything was normal. It was also suggested that it could be relat...
Dr. Cai Yaozhou reply Internal Medicine
Perform an upper gastrointestinal endoscopy to check for gastroesophageal reflux disease and gastric ulcers.[Read More] Understanding Bloating and Discomfort: Causes and Solutions
Chest Pain and Vomiting Blood After Eating: Seeking Gastrointestinal Solutions
Chest pain after eating, occasionally accompanied by vomiting blood? My father is 68 years old and has diabetes and hypertension. He usually follows his medication and dietary instructions. Recently, he has been experiencing occasional vomiting and hematemesis at night. Despite v...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Primarily thoracic.[Read More] Chest Pain and Vomiting Blood After Eating: Seeking Gastrointestinal Solutions
Understanding Abdominal Discomfort: Possible Causes and Solutions
Abdominal discomfort? I went to bed very late yesterday and ate a lot of food, so today I can't eat much for lunch. In the afternoon, I started to feel bloated and uncomfortable. I thought about taking a nap, but it didn't help, and my body feels a bit warm. I would lik...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
It is possible that it could be gastritis, and an upper gastrointestinal endoscopy should be considered.[Read More] Understanding Abdominal Discomfort: Possible Causes and Solutions
Understanding Thyroid Cancer and Its Connection to Melkersson-Rosenthal Syndrome
Thyroid and Melkersson-Rosenthal Syndrome Dear Dr. Tsai: Since April and May of last year, I have developed some follicular lesions in my genital area. After visiting a gynecologist, my condition improved after about 20 days, but later I experienced skin lesions on my lips and ey...
Dr. Cai Yaozhou reply Internal Medicine
Consult an internist for further examinations.[Read More] Understanding Thyroid Cancer and Its Connection to Melkersson-Rosenthal Syndrome
How to Address Elevated Bilirubin Levels for Clearer Eyes
Hyperbilirubinemia Hello doctor, over the past year, I have been preparing for graduate school and have experienced long-term insomnia, which has caused my eyes to appear slightly greenish-yellow. I underwent tests and found out that I have elevated bilirubin levels, which is cau...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Seek medical attention as soon as possible. The physician will determine the cause of jaundice through the patient's medical history, physical examination, blood tests, and various imaging studies. This will lead to further treatment. Jaundice is an abnormal condition in whi...[Read More] How to Address Elevated Bilirubin Levels for Clearer Eyes
Should I Visit a Regional Hospital or a Medical Center for Gastrointestinal Issues?
Should I seek treatment at a regional hospital or a medical center? About four to five years ago, I noticed that when my stools were too hard and difficult to pass, there would sometimes be a slight oily film on the surface of the toilet water. Now, if my stools are too hard and ...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
You can visit a regional hospital in the Zhongxiao area for medical treatment.[Read More] Should I Visit a Regional Hospital or a Medical Center for Gastrointestinal Issues?
Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes
Hepatitis. Liver Cirrhosis? Is this symptom serious? If it's just in the early stages, should it be treatable? Is this symptom related to diet, or is it due to something else?
Dr. Cai Yaozhou reply Internal Medicine
In the early stages, liver cirrhosis may not present any symptoms, and liver function tests may appear normal. Diagnosis of liver cirrhosis can be made through liver function tests and abdominal ultrasound. The causes of liver cirrhosis include: 1. Chronic hepatitis B. 2. Chr...[Read More] Understanding Hepatitis and Cirrhosis: Severity, Treatment, and Causes
Managing Gastritis: Seeking Relief from Bloating and Treatment Options
Gastritis Dear Deputy Director, I underwent an upper gastrointestinal endoscopy, and the results indicated gastritis. I was prescribed medication for two weeks, and I have been taking it for one week now, but I don't feel any improvement. I don't have stomach pain, jus...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
The ingredients of IGY are egg yolk powder, lactose, oligosaccharides, microcrystalline cellulose, magnesium stearate, and silicon dioxide. IGY is likely ineffective. The diagnostic methods for Helicobacter pylori can be found at: http://www.wedar.com/library/hpylori.htm. Please ...[Read More] Managing Gastritis: Seeking Relief from Bloating and Treatment Options
Understanding Gastroscopy: Addressing Concerns for Chronic Ulcer Patients
Gastroscopy Hello Doctor, I would like to ask you a question. My mother has a long-term chronic gastric ulcer and has experienced severe pain that required emergency care. Since it has been a long time since her last examination, the doctor wanted to schedule an endoscopy for her...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Peptic ulcers, which are not painful during endoscopy, most commonly include gastric ulcers and duodenal ulcers. It is estimated that about 10% of the general population will experience a peptic ulcer at some point in their lives. Causes: The etiology of peptic ulcers is quite ...[Read More] Understanding Gastroscopy: Addressing Concerns for Chronic Ulcer Patients
Understanding Bloating: Causes, Symptoms, and Treatment Options
Bloating Hello, Deputy Director... I have issues with gastrointestinal dysmotility. For the past month, I've been experiencing bloating in my stomach, but there is no acid reflux; I just feel the gas build up and release it. It's hard for me to describe! Every time I ea...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
It is likely a peptic ulcer, and it is recommended to undergo an upper gastrointestinal endoscopy. Symptoms of peptic ulcers: The most typical symptom is pain in the upper abdomen when hungry, which is temporarily relieved after eating. Some patients may even wake up at night due...[Read More] Understanding Bloating: Causes, Symptoms, and Treatment Options
Understanding Digestive Discomfort: Causes and Remedies
Stomach discomfort? Hello, doctor. A few days ago, I had dinner before starting work at 6 PM, but around 10 or 11 PM, I started feeling some pain in my stomach after digestion. Is this abnormal? For the past few days, if I eat a bit more for dinner, I feel somewhat indigested, an...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
The primary examination is endoscopy. Its purpose is to exclude other potential upper gastrointestinal diseases that the patient may have, as some symptoms of tumors and peptic ulcers often overlap with gastroesophageal reflux disease (GERD), making it difficult to accurately dif...[Read More] Understanding Digestive Discomfort: Causes and Remedies
Understanding Urgency: Gastrointestinal Issues and Their Causes
urgent bowel movement Hello Dr. Tsai, My wife wakes up every morning around 6 AM and takes our dog for a walk for about 30 to 40 minutes. Frequently, as she is about to return home, she feels an urgent need to use the restroom (this occurs about twice every three days) and exper...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Irritable Bowel Syndrome (IBS) is a functional gastrointestinal disorder characterized by unexplained abdominal pain or discomfort associated with changes in bowel habits. The term "functional" indicates that current examinations do not reveal any organic lesions. The d...[Read More] Understanding Urgency: Gastrointestinal Issues and Their Causes
Understanding Bowel Issues: Constipation, Diarrhea, and Abdominal Pain
Bowel issues Hello Doctor: I have difficulty with bowel movements and often experience constipation, but sometimes I also have diarrhea, and my stomach hurts a lot. Recently, when I try to have a bowel movement, I end up passing gas for a long time, and then my stomach starts to ...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
This condition is known as Irritable Bowel Syndrome (IBS). It is a functional gastrointestinal disorder characterized by unexplained abdominal pain or discomfort associated with changes in bowel habits. The term "functional" refers to the absence of any identifiable org...[Read More] Understanding Bowel Issues: Constipation, Diarrhea, and Abdominal Pain
Best Foods and Tips for Easing Constipation in Teens
Diet for Smooth Bowel Movements Hello, I would like to ask about the pressure of being in the third year of junior high school, which is causing me to stay up late and sometimes experience constipation. I have been eating half a bowl of vegetables with each meal and trying not to...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Improving constipation through the intake of foods rich in dietary fiber is already common knowledge. Dietary fiber helps to increase stool bulk, stimulates gastrointestinal motility, and contributes to the balance of gut microbiota, which is beneficial for bowel regularity and n...[Read More] Best Foods and Tips for Easing Constipation in Teens
Understanding Vascular Nodules: Causes, Symptoms, and When to See a Doctor
Vascular plaque I have hard lumps under the skin of the blood vessels in front of, below, and behind my ear. It hurts when I press on them. I pressed on it yesterday, and it hurt for a long time while I was sleeping last night! Is it a tumor? Which specialist should I see?
Dr. Cai Yaozhou reply Internal Medicine
General Surgery[Read More] Understanding Vascular Nodules: Causes, Symptoms, and When to See a Doctor
Understanding Oil Passage During Bowel Movements: Causes and Concerns
Passing oil during flatulence or bowel movements? Hello Doctor: I sometimes experience oily discharge during gas or bowel movements, approximately once every month or two. I have undergone tests for stool and blood at the hospital, and the results were normal. The doctor only adv...
Dr. Cai Yaozhou reply Internal Medicine
Passing oil during bowel movements can be related to several factors, including the use of weight loss medications and severe chronic pancreatitis, which is rare in Taiwan. Since your stool and blood test results are normal, it is likely related to your diet. If this condition pe...[Read More] Understanding Oil Passage During Bowel Movements: Causes and Concerns
Understanding Bowel Issues: Pain, Irregularities, and Treatment Options
Bowel issues Hello Doctor: Recently, I have been experiencing a sharp pain near my anus and perineum while walking. The shape of my stools is sometimes regular and sometimes irregular, and they have become thinner than before, though not as thin as a pencil—about the thickness of...
Dr. Cai Yaozhou reply Gastroenterology and Hepatology
Consulting a proctologist for the application of ointment can quickly alleviate symptoms. ## How are hemorrhoids formed? Hemorrhoids are clusters of veins located near the anus that become distorted and engorged due to the degeneration of the supportive tissues of the anal cana...[Read More] Understanding Bowel Issues: Pain, Irregularities, and Treatment Options