Dr. Chen Qifeng reply Gastroenterology and Hepatology Question - Page 22

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Understanding Left Lower Abdominal Mass: Possible Causes and Concerns

Left lower abdominal mass? Hello Doctor: I have felt a tubular mass in my left lower abdomen near the pelvis (about 6 centimeters long, approximately the width of my thumb; sometimes it is very noticeable, other times it is less so). I have already consulted a gynecologist, but t...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
If the physician cannot palpate the mass and it is not visible on ultrasound, it can almost be confirmed that the mass does not exist. If it is a hernia, it would be a more superficial protrusion that the physician should be able to feel. If it is an enlarged intestine, it may be...

[Read More] Understanding Left Lower Abdominal Mass: Possible Causes and Concerns


Understanding Gastrointestinal Issues: Symptoms, Causes, and Concerns

Gastrointestinal issues (1) I would like to ask the doctor, I have been experiencing irregular bowel movements for about six months. Sometimes my stools are pellet-like, and other times they are watery. Last week, I noticed this issue and visited a clinic for a stool test, which ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely a functional gastrointestinal disorder. It is recommended to have a diet low in oil, low in dairy, and low in irritating foods. If symptoms persist, at least consider a colon X-ray to rule out any organic lesions.

[Read More] Understanding Gastrointestinal Issues: Symptoms, Causes, and Concerns


Understanding Abdominal Pain: Gastrointestinal Issues Explained

Abdominal issues Gastrointestinal problems Hello Doctor: I currently have acute tonsillitis and am taking a seven-day course of antibiotics (Norfloxacin) twice a day. Additionally, the doctor has prescribed Famotidine and Gasex for me. Yesterday, I experienced some gastrointestin...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
You can consult a prescribing physician to determine if the medication may cause gastrointestinal irritation.

[Read More] Understanding Abdominal Pain: Gastrointestinal Issues Explained


Understanding Upper Abdominal Mass: When to See a Specialist

Abdominal mass above the umbilicus? Doctor, I have a hard area in my upper abdomen (slightly to the left) that I've been feeling for quite a long time. It seems like I can even feel my heartbeat in the abdominal mass. Occasionally, I experience pain, and sometimes I have sto...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a gastroenterologist.

[Read More] Understanding Upper Abdominal Mass: When to See a Specialist


Understanding Constipation: Symptoms, Causes, and When to Seek Help

Bowel issues Hello, doctor. I have some questions. I have a habit of constipation and usually rely on drinking milk to help me have bowel movements (I am lactose intolerant). Sometimes after drinking milk, I need to go to the bathroom (the stool is normal), but other times it...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it appears to be functional gastrointestinal disorder. It is recommended to increase the intake of fruits and vegetables, drink plenty of water, maintain adequate physical activity, and perform abdominal massage during bowel movements. Additionally, adjustm...

[Read More] Understanding Constipation: Symptoms, Causes, and When to Seek Help


Understanding Colon Polyps: Concerns, Treatment, and Care Tips

Colorectal polyp Hello, doctor. I previously experienced stomach rumbling and had loose stools, so I went to the hospital for a consultation. A colonoscopy revealed a polyp about one centimeter, which was removed on the spot. After three weeks, during my follow-up appointment, th...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Your doctor used some adjectives, including benign but with some signs, a bit of change, and early-stage, which can indeed be confusing. You might want to ask him to explain this part in more detail. From my understanding, there is a 1 cm benign polyp that needs to be followed up...

[Read More] Understanding Colon Polyps: Concerns, Treatment, and Care Tips


Managing Persistent Gastrointestinal Issues: Understanding Symptoms and Treatment

Gastrointestinal issues Hello Doctor, I previously asked you about my condition after undergoing an upper gastrointestinal endoscopy last July. At that time, the doctor diagnosed me with mild gastroesophageal reflux disease (GERD) and gastritis. After taking medication for severa...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
In addition to medication therapy, dietary management is very important. Once a diagnosis is confirmed, the next step is to adjust the medication.

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Persistent Gas and Bleeding: When to Seek Gastrointestinal Care

Frequent flatulence and bleeding? Hello doctor, two weeks ago I went to Chang Gung Memorial Hospital's colorectal surgery department for an examination due to hemorrhoids. The doctor only prescribed oral medication and ointment, but two weeks have passed and I haven't i...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to continue follow-up with a colorectal surgeon and consider surgical intervention if necessary.

[Read More] Persistent Gas and Bleeding: When to Seek Gastrointestinal Care


Understanding Abdominal Pain: From Gastric Issues to Pelvic Inflammation

From stomach pain to lower abdominal pain? Three months after giving birth, I was hospitalized for five days due to pelvic inflammatory disease. After treatment, I continued to experience lower abdominal pain and consulted specialists in colorectal surgery, urology, gastroenterol...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to consult a gastroenterologist. Based on the symptoms, gastrointestinal dysfunction and dyspepsia are the most likely conditions. A colonoscopy may be necessary if indicated.

[Read More] Understanding Abdominal Pain: From Gastric Issues to Pelvic Inflammation


Understanding Esophageal Fungal Infections and Their Impact on Appetite

Esophageal candidiasis? The endoscopy revealed fungal infection in the esophagus, and the physician prescribed a month-long course of antibiotics. Additionally, there is laryngitis and a perforated eardrum. The bitter taste in the mouth has led to a complete loss of appetite. Is ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
There is generally no direct correlation with a perforated eardrum unless there is also a fungal infection of the eardrum along with esophageal fungal infection. Typically, antifungal medications are prescribed; however, the most important factor is identifying any specific reaso...

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Understanding Gastrointestinal Issues: When to Seek Medical Attention

Gastrointestinal issues Hello, doctor. My condition is as follows: Yesterday I had stomach pain and went to the bathroom 3 to 4 times with watery stools. After having breakfast this morning, I felt the urge to go to the bathroom again, and what I passed was like muddy stool. Afte...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely acute gastroenteritis, which generally requires medication. You may start by fasting for one or two meals, then gradually introduce a low-fat, low-dairy, and bland diet, while also ensuring adequate hydration and electrolyte replenishment. If symptoms persist, please...

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Understanding Helicobacter Pylori Treatment and Side Effects

I'm sorry, but I need more context or content to provide a translation. Please provide The patient, CHERRY, a 31-year-old female, underwent an upper gastrointestinal endoscopy on December 9, 2016. The doctor diagnosed her with mild gastritis, esophagitis, gastroesophageal re...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
You can wait until the completion of the Helicobacter pylori eradication treatment before monitoring any subsequent symptoms.

[Read More] Understanding Helicobacter Pylori Treatment and Side Effects


Persistent Bloating: When to Seek Further Gastrointestinal Evaluation

Abdominal issues? I have been experiencing bloating for some time. When I visited the clinic, the doctor said it was a gastrointestinal flu, but I have no other symptoms. After a while, my stomach still feels bloated. I have been taking my medication on time and have a bowel move...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, the highest likelihood of indigestion can be addressed by first adjusting the diet. It is advisable to reduce the intake of oily foods, dairy products, and irritants, as well as to avoid foods that are prone to causing bloating. If there is no improvement, ...

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Understanding Mucus in Stool: When to Seek Medical Advice

Mucus in stool? Hello Doctor: I have been experiencing difficulty with bowel movements for a long time (they are usually pellet-like). Occasionally, about once or twice a month, I have diarrhea (during my menstrual period). As a working professional, I often hold off on having a ...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to consult a gastroenterologist and undergo gastrointestinal imaging, as it may only be a functional disorder.

[Read More] Understanding Mucus in Stool: When to Seek Medical Advice


Understanding Abnormal Bowel Movements: Causes and Diagnostic Approaches

Abnormal bowel movement examination Hello Dr. Chen, I would like to seek your clarification on a few points: 1. My current bowel habits have changed (loose, mucoid stools, alternating with thin stools, frequent lack of urge to defecate, occasional mucus) and I have lost 6 to 7 k...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
1. Small polyps cannot be ruled out, but if they are small, they may not necessarily cause the symptoms mentioned above. 2. Based on the current situation, including the preliminary examination results, it is likely not IBD (Inflammatory Bowel Disease). 3. Currently, there are no...

[Read More] Understanding Abnormal Bowel Movements: Causes and Diagnostic Approaches


Addressing Anxiety: Concerns About Abdominal Ultrasound and Recording

Hello doctor, I have two questions? Hello, doctor. My boyfriend is experiencing severe anxiety and obsessive-compulsive disorder. He is currently undergoing treatment in a psychosomatic clinic. Recently, he has had two concerns related to his liver, gallbladder, and gastrointesti...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Recording on a mobile phone will not affect the ultrasound results. Fasting for more than 6 hours, with only a small amount of water consumed, will not impact the interpretation of the ultrasound.

[Read More] Addressing Anxiety: Concerns About Abdominal Ultrasound and Recording


Understanding Helicobacter Pylori: Symptoms, Treatment, and Side Effects

Helicobacter pylori I had an upper gastrointestinal endoscopy on Monday because I experienced stomach pain when hungry. After eating something, the pain subsided. The doctor mentioned that I have mild gastritis, esophagitis, gastroesophageal reflux disease (GERD), and Helicobacte...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Generally, the eradication of Helicobacter pylori is often achieved through a triple therapy regimen (which includes one proton pump inhibitor and two antibiotics). While taking these medications, side effects such as diarrhea, nausea, and vomiting may occur. If the symptoms are ...

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Could My Symptoms Indicate a Possible Pancreatic Tumor?

Is there a possibility of pancreatic tumor? Hello Doctor, I am 29 years old and here is my situation. Recently, on a night in November, I felt a dull ache and bloating in my right abdomen. For several days, I have had a slight sensation in my right upper abdomen, but it is not as...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Your symptoms can be explained by gallstones. If the doctor has diagnosed you with no pancreatic tumor and multiple tests have shown the same results, there is no need to worry too much.

[Read More] Could My Symptoms Indicate a Possible Pancreatic Tumor?


Understanding Gastroesophageal Reflux: When to Seek Further Evaluation

Severe discomfort in the stomach? Hello Doctor, I would like to ask you about my condition. In July of this year, I experienced discomfort in my stomach and underwent an endoscopy, which diagnosed me with mild gastroesophageal reflux disease (GERD) and gastritis. After taking med...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it appears to be a worsening of gastroesophageal reflux disease (GERD). It is recommended to undergo another endoscopy.

[Read More] Understanding Gastroesophageal Reflux: When to Seek Further Evaluation


Understanding Pain Radiating from Below the Navel: Gallstones Explained

The pain radiates upward from below the navel? Hello Dr. Chen! For the past month, I have experienced two episodes of pain that radiates in a fan shape from two centimeters below the navel during the night. An abdominal ultrasound indicated that the bile duct is dilated but withi...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
In principle, if gallstones are symptomatic, the primary symptom is upper abdominal pain, especially after consuming a rich, fatty meal. Lower abdominal pain is often related to the intestines.

[Read More] Understanding Pain Radiating from Below the Navel: Gallstones Explained


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