Effective Relief Strategies for Irritable Bowel Syndrome Symptoms
Methods for Relieving Irritable Bowel Syndrome (IBS) Hello Dr. Chen, I apologize for the lengthy message. I have been suffering from irritable bowel syndrome (IBS) for about 10 years, with symptoms including a combination of diarrhea, constipation, bloating, and pain. I only star...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Irritable bowel syndrome (IBS) can be managed through dietary and lifestyle modifications, including a low-fat, low-dairy, and gentle diet while avoiding stress. It is recommended to use enzymes as medication and to avoid prokinetic agents.[Read More] Effective Relief Strategies for Irritable Bowel Syndrome Symptoms
Understanding Bile Vomiting in Patients with Stomach Ulcers
Bile vomiting due to gastric ulcer? Hello, Doctor. I have been experiencing bloating since around February 2017 and have seen multiple doctors, but my condition remains inconsistent. In late April 2017, I underwent an endoscopy and was diagnosed with Helicobacter pylori and a gas...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Medications for eradicating Helicobacter pylori may cause side effects such as nausea, vomiting, or diarrhea. Typically, the treatment lasts for two weeks, after which symptoms should be reassessed to determine if they persist.[Read More] Understanding Bile Vomiting in Patients with Stomach Ulcers
Can Turmeric Supplements Be Safe After Gallbladder Removal?
Can curcumin be supplemented after gallbladder removal? Hello, my husband had his gallbladder removed over three years ago. Recently, he has been working night shifts, which has disrupted his day-night cycle. I would like to buy turmeric supplements for him to help improve his he...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is understood that curcumin can promote gallbladder contraction, so it is not advisable for patients with gallstones to take it. However, if the gallbladder has been removed and there are no stones in the bile ducts, it should not pose a problem. The question remains whether i...[Read More] Can Turmeric Supplements Be Safe After Gallbladder Removal?
Can Liver Issues Cause Back Pain? Understanding the Connection
Can liver problems cause back pain? Hello, doctor. I would like to ask if soreness in the back near the shoulder blade and lower back pain could possibly indicate a liver issue? Also, if someone is infected with hepatitis, could it affect the breasts or stomach? Recently, I somet...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the currently described symptoms, there seems to be no direct relation to the liver.[Read More] Can Liver Issues Cause Back Pain? Understanding the Connection
Understanding Sudden Lower Abdominal Pain: Causes and Solutions
Lower abdominal pain? I started experiencing sudden sharp pain in my lower abdomen, and now it hurts a lot when I press on it. Sometimes, I also feel sharp pain about 4.5 finger widths away from my navel. I went to see a doctor, and they prescribed medication to improve gastroint...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Perform X-rays for further evaluation if necessary.[Read More] Understanding Sudden Lower Abdominal Pain: Causes and Solutions
Understanding Changes in Bowel Habits: Is It Irritable Bowel Syndrome?
Changes in bowel habits I used to have constipation, only having a bowel movement once a week, and my stools were small and pellet-like, similar to rabbit droppings. Recently, however, my bowel movements have become more regular, and I have been experiencing diarrhea. There is al...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it seems that the likelihood of gastroenteritis is higher. You may consider visiting a gastroenterologist for further evaluation.[Read More] Understanding Changes in Bowel Habits: Is It Irritable Bowel Syndrome?
Understanding Mild Anemia: Causes and Gastrointestinal Concerns
Acute mild anemia Hello Doctor: In 2013, my hemoglobin was 16.4 during a health check, and in 2015, it was 15.7. However, in 2016, my hemoglobin dropped to 12.7, and during a blood donation in March 2017, it was found to be 12.6. In April 2017, a hospital check showed my hemoglob...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please first visit a colorectal surgeon.[Read More] Understanding Mild Anemia: Causes and Gastrointestinal Concerns
Persistent Discomfort from Belly Button to Lower Abdomen: Causes and Solutions
Persistent dull pain from the navel to the lower abdomen? Hello, doctor. For the past two weeks, I've been experiencing a persistent dull pain from my belly button to my lower abdomen. It's not very intense, more like a nagging discomfort. The area affected is mainly ar...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
You can go to the gastroenterology department for an abdominal X-ray for further evaluation.[Read More] Persistent Discomfort from Belly Button to Lower Abdomen: Causes and Solutions
Understanding Duodenal Ulcers and Gastrointestinal Issues
Duodenal ulcers and gastrointestinal issues? Doctor, I had a bowel movement today. I went to the bathroom around 7 PM and had hard stools that were pellet-like. Later, I experienced abdominal pain and went to the bathroom again around 9 PM, where I first passed a soft stool follo...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, the likelihood of gastroenteritis is higher. Adjust to a low-fat, low-dairy, bland diet; if there is no improvement within a few days, a medical consultation is necessary.[Read More] Understanding Duodenal Ulcers and Gastrointestinal Issues
Managing Gallbladder Polyps: When to Consider Surgery?
Gallbladder polyp issues? Hello Doctor: During my health check in December 2015 at my company, I was informed that I had a gallbladder polyp measuring 0.78 cm. A subsequent ultrasound at a general clinic showed it to be 0.9 cm. In December 2016, my health check indicated that the...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Gallbladder polyps should be monitored every six months. If they exceed 1 centimeter in size or if the number of polyps increases, surgical intervention should be considered.[Read More] Managing Gallbladder Polyps: When to Consider Surgery?
Understanding Gastrointestinal Discomfort: Causes and Solutions
Gastrointestinal discomfort? Hello Doctor: I have been experiencing a persistent issue. I usually wake up in the morning and have a normal bowel movement. However, after I eat breakfast or drink water, I experience abdominal pain and the urge to use the bathroom again, sometimes ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, this appears to be a gastrointestinal functional disorder. The current follow-up examinations seem sufficient. It is advisable to adjust the diet by reducing oil, dairy, and irritants, and to adopt a mild diet. If there is no improvement, consideration can ...[Read More] Understanding Gastrointestinal Discomfort: Causes and Solutions
Do I Need a Colonoscopy After Years of IBS Symptoms?
Hello, I have been diagnosed with irritable bowel syndrome for many years. Do I need to undergo a colonoscopy? Hello Doctor: When I was 23-24 years old, I traveled abroad and ate too much, which led to gastric bleeding and black stools. I was quite anxious at that time, which was...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Anonymous / 33 years old / Male 1. It is urgent and difficult to discuss certain cancers. Tumor markers are not elevated; some people develop polyps, which are benign. After removal, they will not turn into cancer, which is a good outcome. 2. There is a painless colonoscopy avai...[Read More] Do I Need a Colonoscopy After Years of IBS Symptoms?
Understanding Duodenal Ulcers: Symptoms, Treatment, and Concerns
Duodenal ulcer Doctor, after experiencing duodenal bleeding on March 17, I had bleeding control and have been taking one Pantoloc daily. However, I still feel a sensation of contraction and expansion in my abdomen, and I have difficulty with bowel movements, often straining to pa...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Some individuals taking ulcer medications may experience a tendency toward constipation; therefore, adjustments to the medication and the addition of other medications can be considered.[Read More] Understanding Duodenal Ulcers: Symptoms, Treatment, and Concerns
Understanding Bloating: Causes and Solutions for Gastrointestinal Discomfort
Abdominal bloating? Doctor, I apologize for bothering you. I am a woman weighing over 50 kilograms, and recently I have noticed that my stomach feels bloated. I have a bowel movement every day, but my stomach still feels distended. When I press on it, there is no pain, but it fee...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to consult a gastroenterologist and undergo an endoscopy if necessary.[Read More] Understanding Bloating: Causes and Solutions for Gastrointestinal Discomfort
Morning Diarrhea and Bloating: Understanding Your Digestive Issues
I have diarrhea every morning and my stomach feels bloated all the time? I have been experiencing diarrhea every morning recently, going to the bathroom 2-3 times with explosive stools. My abdomen feels bloated, and I occasionally have sharp pains in my stomach. I have tried trad...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
If the symptoms are short-term, it is likely gastroenteritis; if the symptoms are long-term, it may be irritable bowel syndrome (IBS).[Read More] Morning Diarrhea and Bloating: Understanding Your Digestive Issues
Understanding Rectal Bleeding: Insights on Colonoscopy and Internal Hemorrhoids
Blood in stool and bowel movement issues? Doctor: I occasionally experience rectal bleeding, which is usually diagnosed as internal hemorrhoids through a digital rectal exam at the clinic. Over the past few years, the shape of my stool has changed to either soft or watery, or som...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Modern dietary and lifestyle habits make it difficult to avoid the occurrence of hemorrhoids. If a colonoscopy refers to a full colonoscopy, the diagnostic accuracy is very high, and it is rare for any cases to go undetected.[Read More] Understanding Rectal Bleeding: Insights on Colonoscopy and Internal Hemorrhoids
Excessive Gas and Digestive Concerns: What You Need to Know
Recently, I have been experiencing increased flatulence? It has been about four months since the end of last year! I pass gas frequently, sometimes over 30 times a day. I have regular bowel movements, but most of my stools are flat, long, and yellowish, and sometimes they are loo...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it appears to be gastrointestinal dysfunction and dyspepsia. It is recommended to adjust the diet by reducing oil, dairy, and irritants, and to follow a light diet. Limit tea, coffee, dairy products, and eggs, and opt for a mild diet. If there is no improve...[Read More] Excessive Gas and Digestive Concerns: What You Need to Know
Changes in Stool and White Mucus: What Do They Indicate?
Changes in stool, white mucus? In the past month or two, the shape of my stool has changed from being formed into a log shape to being more clumpy and unformed, although I do have bowel movements every day and do not experience much constipation. Additionally, after using the toi...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it appears to be gastrointestinal dysfunction and dyspepsia. It is recommended to adjust the diet by reducing oil, dairy, and irritants, and to follow a light diet. Limit tea, coffee, dairy products, and eggs, and opt for a gentle diet. If there is no impro...[Read More] Changes in Stool and White Mucus: What Do They Indicate?
Understanding Persistent Lower Abdominal Pain: When to Consider a Colonoscopy
Persistent mild lower abdominal pain? I have been experiencing a dull pain in my lower abdomen for the past few days, specifically in the area just below my navel. The pain is not unbearable. My bowel habits have remained relatively unchanged over the years, typically having a bo...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1) Abdominal pain can be merely a functional disorder, and the most likely cause of blood in the stool is hemorrhoids. 2) Lower abdominal pain is not necessarily related to blood in the stool. 3) You may consult a colorectal surgeon.[Read More] Understanding Persistent Lower Abdominal Pain: When to Consider a Colonoscopy
Understanding Elevated Amylase Levels: Implications for Gastrointestinal Health
The health check revealed elevated amylase levels? Hello Doctor: My mother is 66 years old. During her health check-up this year, her amylase level was found to be elevated (1.5 times higher than the normal range), and her rheumatoid factor was also elevated. Upon reviewing her p...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Rheumatoid factor should not be related to amylase levels. If a physical examination reveals elevated amylase, it is essential to assess for any symptoms. If abdominal pain is present, the relationship between the two should be evaluated by a gastroenterologist.[Read More] Understanding Elevated Amylase Levels: Implications for Gastrointestinal Health