Understanding Bloating, Rapid Heartbeat, and Vomiting After Meals
Abdominal distension, followed by tachycardia and then vomiting? Hello Doctor, since last week I have been experiencing bloating and rapid heartbeat after meals, which leads to vomiting. After vomiting, I feel normal again. Two years ago, I had an endoscopy that showed mild infla...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Helicobacter pylori infection itself is asymptomatic; however, it can lead to conditions such as gastritis, gastric ulcers, or duodenal ulcers, which do present symptoms. Recently, it appears to be a recurrence of gastritis, so a mild and non-irritating diet is recommended.[Read More] Understanding Bloating, Rapid Heartbeat, and Vomiting After Meals
Should My 82-Year-Old Father with High CEA Levels Undergo a Colonoscopy?
The fecal test for CEA is 97.12; is a colonoscopy necessary? My father is 82 years old and has prostate cancer with bone metastasis. He is currently undergoing hormone therapy. Recently, he had a stool test, and the CEA level was 97.12. The gastroenterologist recommended a colono...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1. The stool test should primarily focus on the results of occult blood, not CEA. 2. In theory, a colonoscopy should be performed, but it may not be appropriate in all cases.[Read More] Should My 82-Year-Old Father with High CEA Levels Undergo a Colonoscopy?
Managing Acid Reflux: Long-Term Effects of Medication and Dietary Tips
Gastroesophageal reflux disease (GERD) Hello, Dr. Chen. Last year, I was diagnosed with gastroesophageal reflux disease (GERD) after undergoing an endoscopy. Sometimes when it flares up, I need to take medication. Will long-term use of these medications have any effects on my bod...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1. It seems more likely to be a drug allergy. 2. High salt intake may not necessarily affect gastroesophageal reflux, while excessive sweetness or acidity is more likely to have an impact.[Read More] Managing Acid Reflux: Long-Term Effects of Medication and Dietary Tips
Post-Polypectomy Diet and Medication Guidance After Gastroscopy and Colonoscopy
Diet and Medication After Polypectomy via Gastroscopy and Colonoscopy Hello Dr. Chen, I underwent a painless gastroscopy and colonoscopy on June 6. My doctor removed one gastric polyp (I'm not sure what the unit for polyps is) and two colonic polyps. I would like to ask you,...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
In general, the symptoms of polyps are not very pronounced, and there may even be no symptoms at all. Your situation seems to be related to constipation and gastrointestinal dysfunction. It is recommended to consume less oily, less dairy, and less irritating foods, while increasi...[Read More] Post-Polypectomy Diet and Medication Guidance After Gastroscopy and Colonoscopy
Post-Surgery Complications in Children with Biliary Cysts: Insights and Concerns
Postoperative issues in children with choledochal cysts? Hello Dr. Chen, The child underwent laparoscopic total cyst excision of the bile duct, biliary-enteric anastomosis, and liver biopsy due to a choledochal cyst. The underlying cause was identified through abnormal levels of...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
The risk of developing pancreatitis after the aforementioned surgery is inherently present, primarily depending on the severity assessment. The level of the index is not an indicator of severity. Treatment is mainly supportive.[Read More] Post-Surgery Complications in Children with Biliary Cysts: Insights and Concerns
Can I Get Pregnant After Pancreatitis and Diabetes Diagnosis?
Can I get pregnant if I have been diagnosed with diabetes due to pancreatitis? I am 43 years old and have been trying to conceive. I previously experienced amenorrhea for a year at the age of 23, which led to infertility treatment for a year and subsequent weight gain. My doctor ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Generally speaking, diabetes, pancreatitis, and gallstones are not considered contraindications for pregnancy. However, it is important to discuss the details with your physician. That said, being 43 years old is indeed considered advanced maternal age.[Read More] Can I Get Pregnant After Pancreatitis and Diabetes Diagnosis?
Do Gallstones Affect Kidney Health? Understanding Your Symptoms
Do gallstones affect the kidneys? Hello Doctor: I previously had hepatitis C, and my most recent examination revealed gallstones! I also have two cysts on my kidneys! Recently, I have been feeling constantly tired, and my colorectal cancer marker levels have increased from 12 to ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
1. Gallstones are not related to the kidneys; if gallstones dislodge, they move to the intestines, while if kidney stones dislodge, they move to the urinary tract. 2. An elevation in CEA levels should first rule out the influence of smoking. The organs to be investigated, in addi...[Read More] Do Gallstones Affect Kidney Health? Understanding Your Symptoms
Can Helicobacter Pylori Cause Stomach Discomfort Without Inflammation or Ulcers?
The gastroscopy showed no inflammation or ulcers in the stomach, but there is mild gastroesophageal reflux. However, Helicobacter pylori was detected? Hello, doctor. For the past two weeks, I have been experiencing discomfort in my stomach, including dull pain, bloating, and indi...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Helicobacter pylori can naturally exist in a normal, healthy stomach, so it is not necessarily associated with gastritis or ulcers. Based on the symptoms, it may simply be indigestion. Of course, if eradication therapy is administered, it may also help improve the symptoms.[Read More] Can Helicobacter Pylori Cause Stomach Discomfort Without Inflammation or Ulcers?
Understanding Painful Bumps Near the Anus: Possible Causes and Solutions
A lump at the anal opening? I recently noticed a bump near my anus that looks like a pimple, and it hurts a lot when I wipe. The bump is located on the left side of the anus. I'm not sure if it's hemorrhoids or something else. Could you please help me understand what it...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely hemorrhoids or anal fistula. Please consult a colorectal surgeon.[Read More] Understanding Painful Bumps Near the Anus: Possible Causes and Solutions
Understanding Diaphragmatic Asymmetry: Causes and Concerns
Diaphragmatic asymmetry Hello doctor, a while ago I experienced difficulty breathing, so I visited a pulmonologist. After an X-ray, the doctor mentioned that my diaphragm is asymmetric. Could this possibly be congenital, or could there be other reasons? Thank you, doctor.
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Congenital conditions should be evaluated. It is recommended to perform an abdominal ultrasound to rule out hepatic lesions.[Read More] Understanding Diaphragmatic Asymmetry: Causes and Concerns
Understanding Rectal Bleeding: Causes and When to Seek Help
Stool that turns an entire tank of water red? Hello Doctor: I am currently a student and I am hesitant to discuss this with my parents, so I am asking my question here. I have bowel movements every two to three days on average, but I am now experiencing bleeding quite easily. Eac...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is recommended to consult a colorectal surgeon.[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Managing Post-Surgery Bowel Issues After Stage 4 Colon Cancer
After colorectal cancer surgery, there has been frequent bowel movements resembling diarrhea for the past six months? In late August 2015, I was diagnosed with stage IV colon cancer due to difficulty in bowel movements and the presence of blood in the stool. Two tumors were found...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Consider administering intestinal medications, and probiotics may also be considered.[Read More] Managing Post-Surgery Bowel Issues After Stage 4 Colon Cancer
Understanding Esophageal Ulcers in Teens: Causes and Treatment Options
A 16-year-old child with esophageal ulcer, please advise? My child is 16 years old and started experiencing a warm sensation in the stomach two weeks ago. He usually does not have obvious symptoms of gastroesophageal reflux disease (GERD). A week ago, an endoscopy revealed an eso...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Generally, for grade A or B, a 4-month course of PPI is sufficient. However, for grade C or D, a longer treatment duration may be necessary. As for the reasons, they can sometimes be multifactorial.[Read More] Understanding Esophageal Ulcers in Teens: Causes and Treatment Options
Low Globulin Levels: Should You Be Concerned?
Should I be concerned about low globulin levels? I went for a health check-up, and my test results showed an albumin level of 5 and a globulin level of 2.1, which is low. My protein ratio is 2.38, which is high. Should I see a doctor, or is there something I should pay attention ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
No need to see a doctor.[Read More] Low Globulin Levels: Should You Be Concerned?
Understanding Bowel Issues: When to Seek Help for Digestive Health
Bowel issues Hello, Dr. Chen. I am a 23-year-old female studying abroad and I don't often return to Taiwan, so it's difficult for me to seek medical attention immediately. A few months ago, I experienced rectal bleeding after every bowel movement and had constipation. I...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it appears to be a hemorrhoid issue. It is recommended to refrain from using traditional Chinese medicine and hemorrhoidal ointments, and it is necessary to seek treatment from a colorectal surgeon.[Read More] Understanding Bowel Issues: When to Seek Help for Digestive Health
Understanding Left Abdominal Mass: Causes and Concerns
Left abdominal mass? Hello, about three years ago, I noticed a hard lump about 1 cm in size in my lower left abdomen. It doesn't hurt when pressed, and I haven't experienced any specific symptoms. However, recently I've felt a bit of discomfort in that area. I had ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is important to differentiate whether the mass is subcutaneous or intra-abdominal. If it is an intra-abdominal mass, regardless of its tissue or organ of origin, it is already quite large if it can be palpated. In contrast, a mass arising from the subcutaneous tissue is more l...[Read More] Understanding Left Abdominal Mass: Causes and Concerns
Understanding Mucus in Stool: What It Means for Your Digestive Health
Mucus in stool? I do not have symptoms of abdominal pain. My bowel movements occur about once to twice a day, but recently I have noticed that there is a white mucus at the end of my stool, which resembles nasal mucus. This has occurred before, but not every time. However, it has...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Please visit a gastroenterologist. Gastrointestinal dysfunction or intestinal inflammation are both possible.[Read More] Understanding Mucus in Stool: What It Means for Your Digestive Health
Understanding Enlarged Bile Duct and Pancreatic Head: Symptoms and Concerns
Common bile duct and enlargement of the pancreatic head? Dear Doctor, My father started experiencing some symptoms at the beginning of last year: 1) fever and weakness that would resolve the next day, returning intermittently; 2) vomiting, and around May of last year, he develop...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
There are many causes of obstructive jaundice, including benign conditions such as bile duct stones, and malignant conditions primarily involving tumors (such as cholangiocarcinoma, pancreatic head cancer, duodenal cancer, and duodenal papilla cancer). Therefore, it is essential ...[Read More] Understanding Enlarged Bile Duct and Pancreatic Head: Symptoms and Concerns
Thick Saliva and Foreign Sensation in the Esophagus: Causes and Solutions
Abnormal thick saliva and a sensation of foreign body in the cardia? Hello Doctor: My saliva has become very thick for the past six months, and I feel like there are always bubbles in my mouth, which is very uncomfortable and distressing. I can't help but tighten my mouth to...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it may be gastroesophageal reflux disease (GERD), and you should consider visiting a gastroenterologist for an endoscopy.[Read More] Thick Saliva and Foreign Sensation in the Esophagus: Causes and Solutions
Persistent Nausea and Dry Heaving: Understanding Gastrointestinal Issues
Frequent nausea and dry heaving? I am currently a college student and have no sexual experience, so I am certain that the nausea is not related to pregnancy. The nausea tends to occur around mealtime, and in the morning, I experience mild dry heaving. I sometimes feel discomfort ...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
You can visit a gastroenterologist and undergo an endoscopy if necessary.[Read More] Persistent Nausea and Dry Heaving: Understanding Gastrointestinal Issues