Dr. Chen Zhiping reply Gastroenterology and Hepatology Question - Page 7

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Understanding Your Stomach Pain: Is It Ulcers or Stress?

Concerns about gastric ulcers? Hello Dr. Chen, I have a few questions I would like to ask you. Last October, I experienced gastritis, which improved after taking medication. However, due to irregular eating habits and often eating past normal meal times, I started experiencing s...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, your symptoms resemble those of an ulcer. Of course, sometimes stress can lead to symptoms of indigestion, which may present similarly. To confirm whether you have a peptic ulcer, it is necessary to conduct some tests, such as an endoscopy or an upper gastrointestinal seri...

[Read More] Understanding Your Stomach Pain: Is It Ulcers or Stress?


Understanding Ascites: Causes, Risks, and Connections to Cancer

What is major water pollution, and what is its severity? Doctor, I'm not clear about medical issues, so when I heard about significant ascites in the abdomen, I was filled with a lot of questions. Why is there a lot of fluid in the belly, and could this indicate advanced can...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, in healthy individuals, there is typically very little ascitic fluid present in the abdominal cavity, and it is not detectable on ultrasound. Therefore, the presence of abdominal fluid indicates an underlying issue, which could be related to the liver, kidneys, heart, or p...

[Read More] Understanding Ascites: Causes, Risks, and Connections to Cancer


Understanding Helicobacter Pylori: Symptoms, Test Results, and Treatment Options

Helicobacter pylori Hello Doctor, I recently had a health check-up and received my report a few days ago. The report indicates that the normal range for Helicobacter pylori in the gastric examination is 0-6, and my value is 6.5. What does this mean? I've been experiencing fr...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, Helicobacter pylori, now referred to as H. pylori, is a type of bacteria that resides in the stomach. It can cause gastritis, duodenitis, and gastrointestinal ulcers, and is even associated with certain low-grade lymphomas of the stomach as well as gastric cancer. However,...

[Read More] Understanding Helicobacter Pylori: Symptoms, Test Results, and Treatment Options


Understanding Dark Green Stool: Causes and Concerns for Your Health

Regarding bowel movements..? Hello Doctor, I would like to ask about my recent bowel movements. The color has been a dark greenish-black. Is there something wrong? A few days ago, I experienced stomach pain and abdominal pain, and I took some medication. Could this be related to ...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, black stools may indicate suspected upper gastrointestinal bleeding (from the esophagus, stomach, or duodenum) or could be caused by consuming foods such as pig's blood or duck's blood. Dark green stools are more difficult to interpret and may still be related to...

[Read More] Understanding Dark Green Stool: Causes and Concerns for Your Health


Understanding Chronic Digestive Issues: Symptoms and Solutions

What disease is it? I have been feeling a bit depressed, and I have experienced abdominal bloating for over three months. I have abdominal sounds, occasional pain in the upper left abdomen, and my stools are very loose, often just small pieces. This situation tends to recur frequ...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, based on your description of symptoms, it seems more like a gastrointestinal dysfunction, with occasional constipation, abdominal pain, and sometimes diarrhea, resembling the manifestations of irritable bowel syndrome (IBS). There are many potential causes, including diet,...

[Read More] Understanding Chronic Digestive Issues: Symptoms and Solutions


Understanding Sudden Hypoglycemia: Causes, Treatment, and Risks

What causes sudden hypoglycemia? What causes sudden hypoglycemia? How is it treated? What should be noted? Will there be any subsequent complications? Thank you!


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, hypoglycemia refers to the presence of symptoms such as trembling, palpitations, sweating, dizziness, blurred vision, or even coma, along with a blood glucose level that is too low (<65 mg/dL), which improves upon glucose supplementation. If the individual is not underg...

[Read More] Understanding Sudden Hypoglycemia: Causes, Treatment, and Risks


Understanding Greenish Oily Stool: Causes and Concerns

Excretion of a greenish-blue oily substance..? Hello Doctor, I have been eating normally for the past two days and have not consumed any greenish foods. However, I have been experiencing gurgling sounds in my lower abdomen and a persistent urge to pass gas. When I tried to have a...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello: The colors of normal stool that may raise concerns include blood in the stool (red), black stool (resembling tar), and grayish-white stool (similar to the color of white walls). The first two indicate gastrointestinal bleeding, while grayish-white stool suggests bile duct ...

[Read More] Understanding Greenish Oily Stool: Causes and Concerns


What to Bring for a Friend with Gastroenteritis: Food Suggestions

Gastroenteritis I would like to ask a question. My friend had vomiting and diarrhea yesterday and was diagnosed with gastroenteritis by a doctor. I want to bring something to visit him. What can he eat? Thank you, Dr. Chen.


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Reply: Hello, in the case of gastroenteritis, it is advisable to initially refrain from eating, while focusing on rehydration and replenishing electrolytes to allow the intestines to rest. At this time, it is not recommended to purchase any additional supplements for the patient....

[Read More] What to Bring for a Friend with Gastroenteritis: Food Suggestions


Do I Need Surgery for My Non-Painful Rectal Polyp?

Hemorrhoid issues Hello, last year I sought medical treatment for internal hemorrhoids and after medication, the hemorrhoids protruded and turned into polyps that cannot retract. They are usually not painful, there is no bleeding, and bowel movements are smooth, with no impact on...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, if there are no symptoms, there is no need for urgent intervention, and there will be no other pathological changes. It is recommended to increase fiber intake. However, if symptoms such as pain or bleeding occur, it is advisable to consult a colorectal surgeon to evaluate...

[Read More] Do I Need Surgery for My Non-Painful Rectal Polyp?


Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges

Please provide information about fulminant hepatitis? My father is currently 60 years old and has autoimmune disease and is a carrier of hepatitis B. Two years ago, he experienced polymyositis due to autoimmune issues and has been on long-term steroid treatment (three pills). He ...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, currently your father's condition seems to be characterized by ongoing liver function failure, with persistent jaundice and abnormal coagulation function, showing no significant improvement. The current treatments (such as diuretics, plasma transfusions, and ammonia r...

[Read More] Understanding Acute Hepatitis: A Guide for Families Facing Liver Challenges


Understanding Upper Left Abdominal Pain: Possible Causes and Concerns

Regarding pain in the upper left abdomen? Hello Doctor: About three days ago, I seemed to have caught a cold, feeling extremely cold and shivering even with a slight breeze, but I did not have any other cold symptoms. After about two days, the chills almost disappeared, but my st...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, your symptoms resemble those of acute gastroenteritis, which may be related to your previous alcohol consumption or could be gastrointestinal symptoms associated with a cold. If your condition gradually improves, you may monitor it for now. However, if it does not improve,...

[Read More] Understanding Upper Left Abdominal Pain: Possible Causes and Concerns


Why Do I Feel Nauseous While Brushing My Teeth? Possible Causes Explained

I feel like vomiting when I brush my teeth! Hello, doctor. I feel like vomiting when I brush my teeth, but I don't actually vomit. However, I do expel some liquid that seems like stomach acid. I'm not entirely sure if it's stomach acid, but it resembles the liquid ...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, if you only feel nauseous when brushing your teeth, it may simply be due to heightened sensitivity of the throat nerves, resulting in a stronger reaction. However, if you frequently experience nausea, vomiting, or acid reflux, it could indicate indigestion or gastroesophag...

[Read More] Why Do I Feel Nauseous While Brushing My Teeth? Possible Causes Explained


Is Your Liver in Trouble? Signs and Symptoms You Shouldn't Ignore

Is it true that liver damage is being circulated on the internet? I have been experiencing a slight pressure sensation in the cartilage located in the middle of my ribs, slightly to the right, for the past two months. It feels as if something is swollen inside. I am unsure if thi...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, the content of the letter you received seems to reflect some misconceptions. It appears to incorporate certain concepts from traditional Chinese medicine, but there are also some inaccuracies. However, if you are experiencing these symptoms, it is advisable to seek medical...

[Read More] Is Your Liver in Trouble? Signs and Symptoms You Shouldn't Ignore


Understanding Frequent Vomiting After Dinner: Possible Causes and Solutions

Occasional vomiting? My girlfriend has been experiencing frequent episodes of vomiting, almost every day after dinner. She insists that she is fine, so I would like to consult a physician to see if there might be some underlying condition causing her recurrent vomiting. She is no...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, frequent vomiting can have many causes, such as lesions in the stomach, duodenum, or esophagus, or liver disease leading to nausea and vomiting. Additionally, issues in the brain that cause increased intracranial pressure can also result in severe vomiting, often seen in p...

[Read More] Understanding Frequent Vomiting After Dinner: Possible Causes and Solutions


Understanding Hepatitis B Carrier Status and Its Implications for Health

Could you please provide more context or complete your question regarding hepatitis B carriers? I previously had two hepatitis B tests six months apart, both showing positive for surface antigen. However, my GOT, GPT, AFP, and abdominal ultrasound results were normal. The doctor ...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Reply: Hello, 1. You are confirmed to be a carrier of hepatitis B (chronic hepatitis B), as both surface antigen tests have been positive for more than six months. However, being e-antigen negative indicates that you are a less infectious carrier. 2. If fatty liver is severe,...

[Read More] Understanding Hepatitis B Carrier Status and Its Implications for Health


Understanding Gastrointestinal Discomfort: When to Seek Medical Help

Gastrointestinal tract Hello, I have been experiencing discomfort in my abdomen frequently, regardless of whether I have eaten. I even feel pain while walking. After eating, the discomfort intensifies, and I have a strong urge to have a bowel movement, but this has been ongoing f...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, may I ask if the pain improves after bowel movements? Do you experience constipation regularly? I recommend consulting a gastroenterologist for an examination and possibly an X-ray. If there is excessive stool accumulation, taking some laxatives may help improve the situat...

[Read More] Understanding Gastrointestinal Discomfort: When to Seek Medical Help


Foods to Avoid with Gastritis: A Guide for Better Digestive Health

Gastritis... What dietary measures should be taken? Hello, Doctor: I would like to ask you... If I have gastritis, what types of foods and fruits should I avoid? Or is it better to limit all food intake? Thank you, Doctor...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, when experiencing gastritis, it is important to avoid irritating foods (such as acidic, spicy foods, coffee, and tea). Be cautious with medications as well, avoiding those that may irritate the stomach. In terms of diet, opt for mild, bland foods and consume small amounts ...

[Read More] Foods to Avoid with Gastritis: A Guide for Better Digestive Health


Is It Normal for Pregnant Women to Experience Severe Nausea and Diarrhea?

Could you please provide more context or details regarding your question? I am a pregnant woman and I am over three months along. Although I experienced mild nausea during the early stages of pregnancy, it was not severe. However, since yesterday, I have been vomiting immediately...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, the vomiting and diarrhea this time seem to be caused by gastroenteritis. The dark yellow urine indicates that fluids are being lost from the gastrointestinal tract, resulting in more concentrated urine. It is recommended to adequately replenish fluids and electrolytes (su...

[Read More] Is It Normal for Pregnant Women to Experience Severe Nausea and Diarrhea?


Understanding Right Lower Abdominal Pain: Causes and Next Steps

Right lower abdominal pain? Hello Doctor: In March of this year, I noticed pain in my lower right abdomen, but it was not significant, so I didn't pay much attention to it. Recently, over the past month or two, the pain has become more pronounced, with a specific point that ...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Reply: Hello, 1. It may be advisable to perform an abdominal ultrasound to check for any abnormal lesions outside the intestines or to assess if there is abnormal thickening of the intestinal wall. If necessary, a colonoscopy can also be performed to check for mucosal inflammat...

[Read More] Understanding Right Lower Abdominal Pain: Causes and Next Steps


Understanding Left Lower Abdominal Pressure: Possible Causes and Concerns

There is a feeling of pressure in the lower left abdomen? In September, my routine health check showed no abnormalities in my stool. Recently, I tested my stool again, which showed no occult blood, but there were red blood cells present. Could this indicate a tumor? I have not ex...


Dr. Chen Zhiping reply Gastroenterology and Hepatology
Hello, the stool test shows no occult blood reaction, but there are red blood cells present. This could indicate minor bleeding near the anal area, such as from hemorrhoids. Overall, it seems less likely to be a sign of colorectal cancer. However, if you continue to experience pa...

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


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