Understanding Bloating and Gas: Causes and Solutions for Digestive Discomfort
I feel bloated? Hello~ I previously had issues with habitual constipation, which has now improved. Recently, I've noticed that my appetite is not very large when eating, and after meals, my stomach feels uncomfortable, though it's not very painful. I also find myself pa...
Dr. Hong Hongchang reply Internal Medicine
If you frequently experience bloating and constipation, you should consume high-fiber foods as well as fruits and vegetables, and avoid foods that are prone to causing bloating, such as milk, bread, and legumes. If you have any questions, please visit a gastroenterology clinic.[Read More] Understanding Bloating and Gas: Causes and Solutions for Digestive Discomfort
Understanding Lower Abdominal Pain: Possible Causes and Next Steps
Lower abdominal pain? Dr. Hong, I went to the Chang Gung emergency room on November 4th due to lower abdominal pain. My menstrual cycle was normal, with the last period on December 24th, and there has been no abnormal bleeding. On that day, I did not experience diarrhea or stomac...
Dr. Hong Hongchang reply Internal Medicine
In women with lower abdominal pain, gynecological disorders should be prioritized as a consideration. Other potential causes include gastrointestinal adhesions due to previous surgeries, constipation, or other intestinal pathologies such as polyps, diverticula, or tumors. It is a...[Read More] Understanding Lower Abdominal Pain: Possible Causes and Next Steps
Essential Guide to Hepatitis B Management and Liver Health in Taichung
liver Hello Dr. Hong, I am a carrier of hepatitis B. I would like to ask: 1. Which hospitals in Taichung offer regular liver function tests and ultrasound examinations? 2. I have been taking medication recently due to urticaria, which is likely an antihistamine. Will long-term us...
Dr. Hong Hongchang reply Internal Medicine
1. Any hospital with a gastroenterologist certified by the Department of Health can perform the examination. 2. Almost all medications are metabolized by the liver, so unnecessary medications (including antihistamines) should be avoided.[Read More] Essential Guide to Hepatitis B Management and Liver Health in Taichung
Why Do I Experience Hiccups While Sleeping on My Desk?
Frequent hiccups during sleep? If I often feel a sensation in my throat that resembles the need to burp while sleeping with my head on the table, and after releasing the gas it happens again within a few minutes, I would like to ask the doctor if this is related to my stomach?
Dr. Hong Hongchang reply Internal Medicine
Hiccups are usually caused by irritation of the phrenic nerve of the diaphragm. Common situations include overeating easily fermentable foods such as milk, legumes, and bread, or gastrointestinal dysfunction. It is recommended to engage in moderate exercise, such as walking, afte...[Read More] Why Do I Experience Hiccups While Sleeping on My Desk?
Understanding Anorexia: Symptoms, Causes, and Treatment Options
Anorexia Nervosa 1. Sudden loss of appetite (significant decrease in food intake) 2. Weight loss 3. Increased feelings of fullness
Dr. Hong Hongchang reply Internal Medicine
Symptoms such as loss of appetite, weight loss, and abdominal bloating in young individuals should raise concern for the following potential causes: 1. Mental health disorders, such as anorexia nervosa. 2. Thyroid dysfunction, among others. If there are any doubts, it is advisabl...[Read More] Understanding Anorexia: Symptoms, Causes, and Treatment Options
Understanding Abdominal Distension and Early Satiety: Key Insights
Abdominal distension and early satiety? Hello, Dr. Hong; since July, my waist circumference has increased (in the lower abdomen), and I am concerned about conditions like chocolate cysts... After a gynecological examination, it was determined that there are no gynecological disea...
Dr. Hong Hongchang reply Internal Medicine
In addition to abdominal cavity pathologies, the reasons for an increase in waist circumference should also consider gastrointestinal dysfunction. If there are recurrent abdominal pains and a fear of undergoing gastroscopy, it is recommended to perform an upper gastrointestinal s...[Read More] Understanding Abdominal Distension and Early Satiety: Key Insights
Understanding Electrolyte Imbalance After Gastric Perforation Surgery
Electrolyte imbalance Post-operative loss of appetite and shortness of breath following gastric perforation surgery can be attributed to several factors, including electrolyte imbalances. The causes of electrolyte imbalance may include: 1. **Fluid Loss**: Surgical procedures can...
Dr. Hong Hongchang reply Internal Medicine
Hello PON: Electrolyte imbalances (commonly sodium and potassium) should be addressed based on the individual causes. If there are any issues, please visit the gastroenterology outpatient clinic. Thank you.[Read More] Understanding Electrolyte Imbalance After Gastric Perforation Surgery
Understanding Hepatitis A: Transmission, Antibodies, and Treatment Options
Type A gastritis What is hepatitis A? (1) Can it be transmitted if antibodies are present? (2) Will a negative reaction occur after receiving the vaccine? (3) What do positive and negative results mean? (4) Are there any treatment methods available?
Dr. Hong Hongchang reply Internal Medicine
Assuming that the presence of antibodies indicates recovery, receiving the hepatitis A vaccine (3 doses) should result in antibody production. Individuals without antibodies are advised to receive the hepatitis A vaccine at our hospital and can schedule an appointment with the ga...[Read More] Understanding Hepatitis A: Transmission, Antibodies, and Treatment Options
Understanding Stomach Ulcers: Long-Term Treatment and Management
Gastric ulcer Gastric ulcers have not healed for 3.4 years. The average treatment duration is 4 to 5 months, followed by a gastroscopy once. I do not have Helicobacter pylori. 0920-820-503.
Dr. Hong Hongchang reply Internal Medicine
It is recommended to continue taking medication as scheduled. In cases of refractory ulcers, there is a 3% to 5% risk of malignant transformation. Therefore, it is advised to perform an endoscopic biopsy.[Read More] Understanding Stomach Ulcers: Long-Term Treatment and Management
Understanding Chronic Gastrointestinal Issues: A Guide to Diagnosis and Treatment
Difficulties and complications? I have had gastrointestinal issues for 7 to 8 years, and an endoscopy revealed severe gastroesophageal reflux disease (GERD). In the past six months, I have experienced a sensation of a foreign body in my esophagus and throat, and occasionally my l...
Dr. Hong Hongchang reply Internal Medicine
Hello, the condition known as gastroesophageal reflux disease (GERD) can lead to esophageal or esophageal mucosal injury and dry cough. It is recommended to undergo an upper endoscopy or upper gastrointestinal imaging for further evaluation.[Read More] Understanding Chronic Gastrointestinal Issues: A Guide to Diagnosis and Treatment
Managing Bloating and Constipation: Dietary Tips for Relief
Abdominal distension Hello Doctor: I have a history of chronic constipation, indigestion, and long-term stomach pain. Recently, my symptoms have become more unusual; I experience bloating whether I eat or not, and my abdomen is distended. I rely on medication to achieve bowel mov...
Dr. Hong Hongchang reply Internal Medicine
Hello Ms. Nan: Eat more fiber-rich foods such as fruits like bananas and papayas, as well as vegetables like cruciferous vegetables such as cabbage and broccoli. High-fiber foods include whole grain bread, among others.[Read More] Managing Bloating and Constipation: Dietary Tips for Relief
Medication Issues in Duodenal Ulcers and Functional Disorders
Medication issues related to duodenal ulcers and functional disorders? I have been receiving treatment from Dr. Min-Chien Lai at National Taiwan University for a long time due to duodenal ulcers and persistent loose stools. After a prolonged period of consultation, I noticed that...
Dr. Hong Hongchang reply Internal Medicine
Refractory ulcers may be related to Helicobacter pylori and should be addressed accordingly. If there are any issues, please visit the gastroenterology clinic.[Read More] Medication Issues in Duodenal Ulcers and Functional Disorders
Understanding Bloating and Constipation: Causes and Solutions
Vaccination Hello, doctor. Since early yesterday morning, I have been experiencing severe bloating and persistent gas, along with difficulty in bowel movements. I feel the urge to defecate but cannot do so. Please advise.
Dr. Hong Hongchang reply Internal Medicine
To avoid gastrointestinal bloating and belching, it is advisable to limit the intake of milk, legumes, and easily fermentable foods such as bread and steamed buns. Additionally, increasing the consumption of high-fiber foods and engaging in moderate exercise is recommended. If ab...[Read More] Understanding Bloating and Constipation: Causes and Solutions
Understanding Esophageal and Throat Discomfort: Causes and Solutions
Discomfort in the esophagus or throat? 1. In the esophagus or throat area, there is a frequent sensation of something being stuck when swallowing saliva. 2. A history of duodenal ulcers and a constant feeling of excessive stomach acid. 3. Occasionally drinks alcohol once a mo...
Dr. Hong Hongchang reply Internal Medicine
Esophageal and gastric acid reflux or a sensation of a foreign body in the esophagus require further examination to rule out warning signs of malignancy or esophagitis. Additionally, it is advisable to avoid smoking, alcohol, and irritating foods. If there are still concerns, ple...[Read More] Understanding Esophageal and Throat Discomfort: Causes and Solutions
Understanding Bloating: Symptoms and Solutions for Stomach Discomfort
Feeling bloated? Dear Dr. Hong, I have been feeling bloated in my stomach for the past few days, and my abdomen also feels distended. Occasionally, I experience a dull pain in my abdomen and stomach, but my appetite is good. I often pass gas, and I feel somewhat better afterward...
Dr. Hong Hongchang reply Internal Medicine
Symptoms of bloating include upper abdominal pain, flatulence, gastroesophageal reflux, and belching. It is advisable to avoid dairy products, legumes, and fermented foods such as bread and steamed buns. Increasing physical activity and consuming high-fiber foods are recommended....[Read More] Understanding Bloating: Symptoms and Solutions for Stomach Discomfort
Understanding Diarrhea: Causes and Concerns After Four Days of Symptoms
Diarrhea Hello Dr. Hong: I have been experiencing diarrhea for four days, with about five bowel movements each day. I feel gas moving in my abdomen (two years ago, I had an endoscopy that showed some erosion, and I often experience bloating in my stomach). Recently, I have been u...
Dr. Hong Hongchang reply Internal Medicine
Based on your description, diarrhea may be triggered by emotions or certain foods (such as dairy products), which are typical clinical manifestations of irritable bowel syndrome (IBS). It is recommended to maintain a calm mood and avoid foods that cause gastrointestinal discomfor...[Read More] Understanding Diarrhea: Causes and Concerns After Four Days of Symptoms
Understanding Liver Health: Signs of Cirrhosis and Hepatitis Risks
Liver When the area below the white part of the eye appears yellow and cloudy, it may indicate liver cirrhosis or acute hepatitis. Are these serious conditions? Can they lead to liver cancer? Is it possible to determine if there are any liver diseases through a blood test? Thank ...
Dr. Hong Hongchang reply Internal Medicine
When the sclera (the white part of the eye) appears yellow, it may indicate liver dysfunction, jaundice, or liver cancer, among other conditions. A preliminary diagnosis can be obtained through blood tests and ultrasound. Please visit a hepatobiliary and gastroenterology clinic f...[Read More] Understanding Liver Health: Signs of Cirrhosis and Hepatitis Risks
Understanding Stomach Pain After Eating: Causes and Solutions
Abdominal pain during eating? I had a cold and took medication for two days. When I woke up in the morning, I felt a burning sensation and some pain in my stomach. After drinking a glass of plain water, the pain intensified. I had no appetite, so I didn't eat anything. After...
Dr. Hong Hongchang reply Internal Medicine
Patients with no prior history of gastric disease may develop acute gastritis due to the use of certain medications, including antibiotics and non-steroidal anti-inflammatory drugs (NSAIDs). It is advisable to avoid the aforementioned medications. If persistent gastric pain occur...[Read More] Understanding Stomach Pain After Eating: Causes and Solutions
Understanding Yellowish Discoloration Below the Eye: Liver Health Insights
The area below the sclera appears yellow and cloudy? Recently, I noticed a yellowish discoloration below the white part of my eye. Could this indicate a serious liver issue? Could you please tell me some common symptoms of liver disease? What foods can help maintain healthier liv...
Dr. Hong Hongchang reply Internal Medicine
The yellowing of the sclera (the white part of the eye) may indicate impaired liver function leading to elevated bilirubin levels, commonly seen in acute hepatitis and cirrhosis. Clinically, liver disease often presents with symptoms such as fatigue, loss of appetite, discomfort ...[Read More] Understanding Yellowish Discoloration Below the Eye: Liver Health Insights
Post-Endoscopy Care: Can You Rinse Your Mouth After a Gastroscopy?
Gastroscopy After undergoing an upper gastrointestinal endoscopy, rinsing your mouth immediately may not have significant effects, but it is generally advised to wait for a short period to allow any sedatives or anesthetics used during the procedure to wear off. It's importa...
Dr. Hong Hongchang reply Internal Medicine
During an upper gastrointestinal endoscopy, local anesthesia is applied to the oral cavity, with effects lasting for about one hour. After the procedure, the patient should rinse their mouth immediately, as the oral cavity remains anesthetized, which increases the risk of choking...[Read More] Post-Endoscopy Care: Can You Rinse Your Mouth After a Gastroscopy?