Understanding Digestive Issues: Insights on Bowel Problems and Treatment
Bowel issues Hello, Doctor! Over the past few months, I have been undergoing treatment for gastrointestinal issues. I had an endoscopy, which indicated gastritis and gastroesophageal reflux disease (GERD). I have also been taking the medication prescribed by my doctor, Dexilant 6...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the side effects of Dexilant may include diarrhea, abdominal pain, nausea, and vomiting, which could indicate a more sensitive gastrointestinal tract. Patients often feel better after a bowel movement. It is advisable to manage emotions and monitor food and medication inta...[Read More] Understanding Digestive Issues: Insights on Bowel Problems and Treatment
Understanding Left Upper Abdominal Discomfort: Causes and Solutions
Discomfort in the upper left abdomen? Dr. Lin: Hello, I would like to ask a few questions. I previously underwent an upper gastrointestinal endoscopy at Taoyuan Hospital, and the physician who performed the procedure diagnosed me with gastroesophageal reflux disease (GERD). After...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the endoscopic results for gastroesophageal reflux disease (GERD) are classified as follows: 1. Non-erosive esophagitis 2. Erosive esophagitis 3. Severe Barrett's esophagus. Currently, proton pump inhibitors (PPIs) are being used for treatment, which are effective for...[Read More] Understanding Left Upper Abdominal Discomfort: Causes and Solutions
Understanding Pain Near the Anus: Is It Hemorrhoids or Something Else?
Cannot sit upright or ride a bicycle? I have developed a hard lump about three fingerbreadths from my anus, which is painful when pressed. It hurts when sitting or riding a bike. Could this be hemorrhoids or another issue? Which specialist should I see?
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, you can consult the colorectal and proctology department, general surgery, and dermatology. Wishing you peace, health, and well-being. Sincerely, Dr. Lin Ming-Hui, attending physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Pain Near the Anus: Is It Hemorrhoids or Something Else?
Understanding Black Stool: Causes and Symptoms Explained
Rectal bleeding Hello doctor, today I noticed blood while using the restroom. The bleeding appears to be dark in color and sinks, followed by some lighter brownish blood. I observed small blood clots, and there is no pain when I have a bowel movement. The stool feels soft. What c...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Blood in the stool, especially if it appears black, indicates gastrointestinal bleeding. Typically, when there is upper gastrointestinal bleeding, the stool turns black; however, if the bleeding is significant and rapid, it may appear red. 2. When experiencing gastr...[Read More] Understanding Black Stool: Causes and Symptoms Explained
Understanding Abdominal Bloating: Causes and Solutions
Abdominal distension? Hello Doctor, I was recently diagnosed with endocrine dysfunction. My limbs and body are quite thin, but my abdomen sometimes becomes swollen and protrudes, resembling the early stages of pregnancy. However, after I wake up from sleep, my abdomen goes back t...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Abdominal distension or a protruding abdomen may require visual examination for clarity. 2. Possible causes of abdominal distension include gastrointestinal dysfunction or issues with intra-abdominal organs (such as the gastrointestinal tract, liver, gallbladder, pan...[Read More] Understanding Abdominal Bloating: Causes and Solutions
Understanding HBsAg Levels and Hepatitis B Virus Infection Risks
Hepatitis B surface antigen (HBsAg) Hello Doctor, my husband had a health check-up over a month ago and was found to have a Hepatitis B surface antigen (HBsAg) level of 0.12 IU/ml. The physician's overall assessment indicates that there is a Hepatitis B virus in his body and...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. A positive HBsAg indicates an infection with the hepatitis B virus. Testing for IgM anti-HBc can determine if it is an acute hepatitis B infection. If HBsAg remains positive after six months and HBsAb is negative, it indicates chronic hepatitis B. 2. Hepatitis B is ...[Read More] Understanding HBsAg Levels and Hepatitis B Virus Infection Risks
Understanding Nighttime Abdominal Discomfort: Causes and Solutions
Feeling bloated in the stomach while sleeping? Hello: I often experience a dull pain in my abdomen while sleeping, which resolves after I get up. I'm not sure what might be causing this issue. I have a history of gastroesophageal reflux disease (GERD), with a relaxed lower e...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, some patients with gastroesophageal reflux disease (GERD) experience symptoms at night while sleeping, such as abdominal pain and chest discomfort. It is recommended to avoid eating late-night snacks, refrain from eating at least one hour before bedtime, and limit the inta...[Read More] Understanding Nighttime Abdominal Discomfort: Causes and Solutions
Understanding Blood in Stool: When to Seek Medical Attention
Blood in the stool? Since starting college, I have been having bowel movements approximately once a week, and this has been the case for about half a semester. However, I haven't felt constipated during this time. Last week, I noticed some dark-colored blood when I had a bow...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the presence of blood in the stool, with the stool and blood being separate, indicates a potential issue in the rectal or anal area. Common causes include hemorrhoids, anal fissures, polyps, and tumors. It is recommended to consult a colorectal specialist for an examinatio...[Read More] Understanding Blood in Stool: When to Seek Medical Attention
Understanding Gastrointestinal Issues: Symptoms and Insights
Gastrointestinal issues I have been experiencing a slight tingling sensation above my navel for the past 2-3 days, which is most noticeable when I lie down to sleep. Prior to today, my stool was somewhat clay-like, but this morning it resembled intestines, with a color that is ea...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Abdominal discomfort and changes in stool color may be related to diet, intestinal sensitivity, or gastroenteritis. 2. During the summer, it is important to pay attention to food hygiene, wash hands frequently, consume clean food, and limit spicy foods to maintain in...[Read More] Understanding Gastrointestinal Issues: Symptoms and Insights
Understanding Your Digestive Issues: Is It Irritable Bowel Syndrome?
About diarrhea? Hello Doctor, I have a problem where I always need to use the restroom when I get nervous. At the end of 2013, I had an incident where I really needed to have a bowel movement but held it in while at work. When I finally went, I had to strain a lot, and I notice...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Experiencing frequent diarrhea after eating, with normal findings on a colonoscopy, may indicate irritable bowel syndrome (IBS). For IBS, it is important to pay attention to your diet by avoiding greasy foods and irritants such as caffeinated beverages and chocolate. ...[Read More] Understanding Your Digestive Issues: Is It Irritable Bowel Syndrome?
Can Eating Bananas Affect Your Bowel Movements? A Gastroenterology Perspective
Bowel issues Hello, doctor. I would like to ask about my bowel movements. Previously, they were quite dry and hard, so for the past month or two, I have been eating one or two bananas after dinner. However, in the past week or two, I have noticed that my stools have become soft a...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The food we consume can affect the shape of our stools. Eating bananas, which are high in dietary fiber, can make bowel movements easier. Wishing you peace and health. Sincerely, Dr. Lin Ming-Hui, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health an...[Read More] Can Eating Bananas Affect Your Bowel Movements? A Gastroenterology Perspective
Is Permanent Damage Possible from Drug Overdose in Adolescents?
Is the damage caused by drug overdose permanent? In my adolescence, I attempted to take around 60 acetaminophen tablets twice. The first time, I sought medical help too late, and by the time I arrived at the hospital, I could only receive an antidote. The second time, I vomited s...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Taking too much acetaminophen can lead to drug-induced liver injury and is one of the causes of acute liver failure. However, the liver has regenerative capabilities. It is recommended to develop good lifestyle habits, avoid alcohol, refrain from taking unnecessary medicat...[Read More] Is Permanent Damage Possible from Drug Overdose in Adolescents?
Abdominal Pain and White Sesame-Like Particles in Stool: What to Know
Abdominal discomfort with white sesame seed-like particles in the stool? I occasionally experience cramping pain in the lower middle abdomen, but it doesn't last long. I also feel nauseous and have the urge to vomit. I'm unsure if this is related to my menstrual cycle o...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Currently, parasitic infections are quite rare, and generally, a stool examination is sufficient to rule them out. Based on the symptoms, mild gastroenteritis or indigestion is the most likely cause. Wishing you safety and health. Sincerely, Dr. Chen Chih-Feng, Gastroenter...[Read More] Abdominal Pain and White Sesame-Like Particles in Stool: What to Know
Can You Get an Ultrasound for Fatigue Without Liver Inflammation?
Abdominal ultrasound? Hello doctor, I have a problem with easy fatigue, usually feeling tired 3 to 4 hours after getting up. Each time I check my GPT and GOT levels, they are normal. I have received the hepatitis B vaccine. I would like to have an abdominal ultrasound to check fo...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Generally speaking, abnormal liver function is related to your fatigue. If liver function is normal, your fatigue may be due to other factors, such as anemia, among others. If necessary, other reports should be reviewed. A small number of inactive liver cirrhosis cases may...[Read More] Can You Get an Ultrasound for Fatigue Without Liver Inflammation?
Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
Bleeding from the rectal mucosa? I previously heard that men can experience pleasure from anal intercourse, so I decided to try it. About half a month ago, during one occasion, I accidentally cut myself due to long fingernails (right after pouring hot water over myself). After wi...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: It is recommended to first visit a colorectal surgeon to check for any wounds. Wishing you safety and good health. Sincerely, Dr. Lin Ming-Hui, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.[Read More] Understanding Rectal Bleeding: Causes, Symptoms, and Treatment Options
Understanding Pancreatic Variations: Concerns and Next Steps After Diagnosis
Please provide more details regarding the pancreatic issues you are experiencing? Hello, Dr. Lin. A month ago, when I returned to Taiwan and underwent a comprehensive health check at Asia University Hospital, an abdominal ultrasound revealed a hyperechoic nodule approximately 1 c...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Congenital variations of the pancreas are not common and are difficult to examine. Some are discovered only after an unexplained episode of pancreatitis. The most sensitive examination for pancreatic tumors is endoscopic ultrasound (EUS), which can detect tumors smaller th...[Read More] Understanding Pancreatic Variations: Concerns and Next Steps After Diagnosis
Post-Hemorrhoid Surgery Pain: Is It Normal or Time to See a Doctor?
Postoperative pain after hemorrhoid surgery? I had hemorrhoid surgery almost two months ago, but I still experience significant pain at the surgical site after bowel movements. To prevent constipation, I make sure to have a bowel movement every day, and I also soak or rinse the a...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: If the wound continues to be painful, it is recommended to return to the colorectal surgery department for an examination. Wishing you safety and health. Dr. Lin Ming-Hui, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.[Read More] Post-Hemorrhoid Surgery Pain: Is It Normal or Time to See a Doctor?
Understanding Left Abdominal Bulge Near the Belly Button: Causes and Concerns
Slight protrusion to the left of the navel? Noticing that the area to the left of your navel is more protruded than the right side, but it does not hurt when pressed, could indicate a few possibilities. It might be a normal anatomical variation, a small hernia, or a benign mass. ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The structures near the navel include the skin, muscles, and the intestines within the abdomen. A protrusion may indicate an umbilical hernia, intestinal distension, or subcutaneous lipoma or lesions. If you have any questions, it is advisable to consult an outpatient phys...[Read More] Understanding Left Abdominal Bulge Near the Belly Button: Causes and Concerns
Understanding HCV Follow-Up: Key Guidelines for Patients After Exposure
HCV follow-up duration After being needlesticked by a patient who is Anti-HCV Ab positive, the follow-up at the occupational injury clinic initially stated that monitoring would continue for one year and six months, but then it was mentioned that this would be the last visit. So,...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The average incubation period for Hepatitis C is 7 to 8 weeks, with a range from 2 weeks to 26 weeks, varying from person to person. It is recommended to observe for at least six months for better assessment. Wishing you safety and health. Sincerely, Dr. Lin Ming-Hui, Gast...[Read More] Understanding HCV Follow-Up: Key Guidelines for Patients After Exposure
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding Hello Doctor, at the beginning of November this year, I noticed fresh blood when wiping after a bowel movement, about one or two drops. I didn't think much of it. Then, at the end of November, I experienced the same thing again with a similar amount of fresh ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: Blood attached to the stool, with normal bowel movements, may still indicate an anal or rectal issue. Possible causes include hemorrhoids, anal fissures, rectal inflammation, or tumors. It is advisable to consult a colorectal surgeon or a gastroenterologist for examination...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help