Dr. Lin Minghui reply Gastroenterology and Hepatology Question - Page 47

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Understanding Bloating and Discomfort in Acute Cholecystitis

Acute cholecystitis Acute cholecystitis can cause bloating and discomfort even when not eating due to several factors. The inflammation of the gallbladder can lead to irritation of the surrounding tissues and organs, which may affect the gastrointestinal tract's motility and...


Dr. Lin Minghui reply Gastroenterology and Hepatology
1. The gallbladder contains bile, and the secretion of bile can stimulate the pancreas to release digestive enzymes, aiding in the digestion and absorption of fats. 2. In acute cholecystitis, bile becomes infected, and bile obstruction prevents it from draining into the common ...

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Dietary Guidelines for Patients with Stomach Ulcers: What to Avoid

Diet for Peptic Ulcer Hello Dr. Lin, my mother was recently diagnosed with a gastric ulcer. I understand that patients with gastric ulcers need to consume easily digestible foods, and that foods like glutinous rice should be avoided. I would like to ask if brown rice also falls i...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello Lohas King: It is recommended to consume light and easily digestible foods. Brown rice is richer in fiber, protein, and vitamins compared to white rice, but it may be harder than white rice and requires more chewing for proper digestion and absorption. Those with good chewi...

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Understanding Esophageal Achalasia Surgery: Risks, Recovery, and Hospital Options

Surgery for Esophageal Achalasia Currently, I have esophageal stricture. Will there be any complications after surgery for esophageal achalasia? Will there be esophageal reflux? Will it affect daily life? How many days do I need to stay in the hospital for the surgery? Which hosp...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello Stanley, esophageal achalasia surgery may lead to gastroesophageal reflux, and some endoscopic myotomy procedures are typically combined with anti-reflux surgery to prevent the occurrence of acid reflux symptoms. For information on potential postoperative complications, it ...

[Read More] Understanding Esophageal Achalasia Surgery: Risks, Recovery, and Hospital Options


Understanding Hiccups and Stomach Noises: Causes and Solutions

Embarrassing burps and stomach growling? Hello Doctor: I often experience hiccups, usually after being hungry for a long time, but sometimes I also get hiccups after eating a large meal. I would like to know why this happens and how I can avoid (or reduce the frequency of) hiccup...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Hiccups are caused by stimulation of the diaphragm nerve and can arise from various reasons, including gastrointestinal disorders such as gastroesophageal reflux disease, obstruction, and tumors of the esophagus and stomach. Non-gastrointestinal causes can also lead to h...

[Read More] Understanding Hiccups and Stomach Noises: Causes and Solutions


Understanding Chronic Left Lower Abdominal Pain: Causes and Solutions

Left lower abdominal pain? 1. The current symptoms include bloating and pain in the lower left abdomen, which have persisted for four years. There is still abdominal bloating and pain regardless of diet. 2. So far, I have consulted various specialists, including gastroenterolog...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello Mrs. Wu, You have been experiencing pain in your lower left abdomen, which must have been quite bothersome for a long time. You have undergone examinations for muscular, neurological, urinary, gastrointestinal, and gynecological issues, all of which showed no problems. Ho...

[Read More] Understanding Chronic Left Lower Abdominal Pain: Causes and Solutions


Understanding Bad Breath: Could H. Pylori Be the Culprit?

Helicobacter pylori Hello Doctor: I have been troubled by a frustrating issue for the past five years; I have a problem with halitosis. Regardless of whether I brush my teeth or not, the odor persists, and people are hesitant to talk to me, which is difficult to address. I am onl...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Xiao Bai. 1. Issues with the oral cavity, gastrointestinal tract, liver, kidneys, and metabolic disorders can all lead to halitosis. 2. Helicobacter pylori can cause gastritis and duodenal ulcers, and some individuals may experience bad breath as a result. 3. Testing f...

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Understanding Constipation: Solutions and Health Check Recommendations

Constipation Hello, I am a 20-year-old female. I have been experiencing constipation for a long time, and my lower abdomen is quite large, resembling a pregnant belly, and I have difficulty passing stool. What can I do to resolve this issue? (I am 150 cm tall and weigh 41 kg.) Sh...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Xiaoling. 1. Given your age, the constipation may be related to gastrointestinal functional issues. It is recommended to drink plenty of water, increase fiber intake, and develop a daily bowel habit. If there is no improvement, please consult a physician for appropriate ...

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How Long Should You Monitor After Treating a Stomach Ulcer?

How long should follow-up be conducted for a gastric ulcer? I was previously diagnosed with a gastric ulcer caused by Helicobacter pylori, which has now been eradicated. How long should I be monitored for this condition? I am a 50-year-old male and it has been over a month since ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Dear Mr. Wei, 1. After taking medication for a gastric ulcer, it is necessary to follow up with an endoscopy to check for healing of the ulcer after 8 to 12 weeks. 2. After eradicating Helicobacter pylori, it is generally recommended to wait 1 to 2 months and discontinue ulcer m...

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Understanding Abdominal Discomfort: Causes and Concerns in Gastroenterology

Abdominal discomfort? Recently, I've been feeling bloated and uncomfortable in my abdomen. When I press around my navel, I can hear a gurgling sound, like water sloshing around. What could be the issue?


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Xiao Xin. The rumbling in your stomach is caused by an excess of air and liquid in the intestines. When the intestines contract, they can produce sounds. This can occur due to intestinal gas, obstruction, or gastrointestinal dysfunction. It is advisable to pay attention to...

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Understanding Gastritis: Causes, Treatment, and Dietary Tips

Gastritis Hello, my friend has gastritis. The doctor advised him to avoid sour, sweet, cold, spicy, oily, and irritating foods, and he needs to take medication before and after meals. Is this condition incurable? Will it recur? Will this method of taking medication affect his bod...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, there are many types of gastritis. Gastritis can be classified into acute, chronic, and acute erosive gastritis, with subtypes such as superficial hemorrhagic and erosive gastritis. The causes are related to medications, alcohol, irritants, allergens, bacteria, emotional f...

[Read More] Understanding Gastritis: Causes, Treatment, and Dietary Tips


Managing Diarrhea: Dietary Tips for Gastrointestinal Health

Diarrhea On the evening of January 9th, I felt a slight discomfort in my stomach, but I didn't have the urge to use the restroom. However, after having lunch on January 10th, I started to experience diarrhea, which was watery. Later, I heard that it’s advisable not to eat an...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, recently there has been an outbreak of gastroenteritis. It is important to pay attention to hydration during this time. In terms of diet, avoid consuming irritating foods such as coffee, tea, overly sweet, overly acidic, spicy foods, and dairy products. A light diet is rec...

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Understanding Abdominal Pain: Is Constipation the Culprit?

Stomach discomfort? Doctor, may I ask: If I don't have a regular bowel movement for 2 to 3 days, I experience inexplicable abdominal pain, and during the pain, I feel very fatigued, break out in cold sweats, and have a sense of weakness as if I'm about to faint. However...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Xiao N. It is possible that your bowel movements are causing a dysregulation of the autonomic nervous system. However, it is advisable to visit a gastroenterology clinic for a thorough examination by a physician. In the meantime, make sure to drink plenty of water and cons...

[Read More] Understanding Abdominal Pain: Is Constipation the Culprit?


Managing Eosinophilic Colitis: Medications and Dietary Tips

excuse me? For a patient with eosinophilic (eosinophilic) chronic colitis, the treatment typically involves the use of corticosteroids to reduce inflammation. Other medications may include immunosuppressants or biologics, depending on the severity of the condition and the patient...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, an increase in eosinophils is associated with allergies, parasitic infections, and connective tissue diseases. Generally, it is related to allergies, and it may be necessary to identify the allergens. In terms of diet, it is advisable to limit the intake of irritating food...

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Understanding Right Abdominal Pain: Causes and Solutions

Right abdominal pain? Hello, doctor. This symptom started two days ago. Two days ago, when I woke up in the morning and bent over, I felt a painful sensation in my lower back that felt like pressure. However, as long as I didn't put pressure on it, I didn't feel much di...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: The causes of right lower abdominal pain include gastrointestinal inflammation, fecal obstruction, muscular or neurological issues, and urinary system problems. In females, it may also be related to gynecological issues. If the pain persists, it is advisable to seek medica...

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Understanding Hepatitis B Antibody Testing and Vaccination Requirements

Hepatitis B antibodies? Recently, the school arranged for liver function tests, and the results indicated that I have no immunity against hepatitis B. The report noted: "Further testing for hepatitis B core antibodies is required. If positive for hepatitis B core antibodies,...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. If the core antibody test is negative and there is no Hepatitis B surface antigen, it indicates that there has been no past infection with Hepatitis B, and without antibodies, vaccination can be administered to produce antibodies. If the core antibody is positive but ...

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Understanding Blood in Stool: Is It Hemorrhoids or Something More?

Hematochezia Recently, whenever I exert a little effort to have a bowel movement, I notice some bleeding. However, the blood only appears in the stool (I see red in the fissures of the stool), and there is no dripping of blood. If the stool is loose, there is no blood. I have pre...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. If you see red in the fissures of your stool, it may indicate actual bleeding, and a stool test can be performed. 2. Common causes of blood in the stool include hemorrhoids, anal fissures, polyps, colitis, and colorectal tumors. If necessary, a colon examination (ima...

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Does Reducing Food Intake Decrease Bowel Movement Volume?

The volume of feces? If a person reduces their food intake by half each day, will the amount of bowel movements also decrease? Assuming a consistent baseline, such as reducing a bowl of rice to half a bowl, and similarly reducing the amount of vegetables or meat, will the volume ...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello Bin, theoretically, the volume of feces is related to the amount of food we consume (though it does not necessarily follow a fixed ratio, as it depends on the composition of the ingested materials). Wishing you good health. Sincerely, Dr. Lin Ming-Hui, Taoyuan Hospital, Dep...

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Understanding Abnormal Liver Function: Causes, Risks, and Solutions

Liver dysfunction Hello Doctor, I recently had a health checkup at school and found that my liver function is somewhat problematic with GOT at 39 and GPT at 90. My family has a history of liver diseases, and I also tend to stay up late. 1. I would like to ask if there are medic...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Student Lin. 1. When liver function is abnormal, it is important to identify the cause and provide targeted treatment rather than simply controlling the values with medication. In cases of viral hepatitis, types B and C can easily become chronic and require monitoring. C...

[Read More] Understanding Abnormal Liver Function: Causes, Risks, and Solutions


Understanding Hepatitis B Carriers: Myths, Risks, and Family Implications

Questions from Hepatitis B carriers? Is it true that a person who is a carrier of hepatitis B will never be able to clear the virus and be cured for life? It seems that people tend to avoid individuals with this condition, believing that being a carrier will "definitely"...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, Dr. Dai: 1. A hepatitis B carrier is defined as HBsAg positive and HBsAb negative. The term "carrier recovery" refers to the conversion of HBsAg to negative and HBsAb to positive. The spontaneous seroconversion rate is generally low, so hepatitis B carriers requ...

[Read More] Understanding Hepatitis B Carriers: Myths, Risks, and Family Implications


Understanding the Effects of Hepatitis A Vaccine on Chronic Hepatitis B Carriers

Hepatitis A vaccine Doctor: Hello! I would like to ask if a chronic carrier of hepatitis B will experience any side effects from receiving the hepatitis A vaccine, such as worsening liver condition or an increased risk of contracting hepatitis A. For example, the oral polio vacci...


Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello Cynthia: The reported side effects of the hepatitis A vaccine are very mild, including headache, discomfort, vomiting, fever, nausea, and systemic reactions, with an incidence rate of approximately 0.8% to 12.8%. These side effects typically resolve on their own, and allerg...

[Read More] Understanding the Effects of Hepatitis A Vaccine on Chronic Hepatitis B Carriers


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