Dealing with Severe Constipation and Stomach Pain: A Guide
What should I do? Hello, doctor: I have been experiencing severe constipation and stomach pain, along with abdominal bloating. I have always had stomach issues and often suffer from stomach pain. During high school, I underwent an endoscopy at Mackay Memorial Hospital, where the ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, you are experiencing issues with constipation, bloating, and stomach pain. There are many causes of constipation, including dietary factors, structural or pathological changes in the intestines, or functional bowel issues. It can also be related to systemic diseases, such ...[Read More] Dealing with Severe Constipation and Stomach Pain: A Guide
Can Diabetic Patients with Constipation Safely Use Lactic Oligosaccharides?
Can diabetic patients take lactulose oligosaccharides for constipation? Can a diabetic patient take lactulose oligosaccharides for constipation? My grandfather is in his eighties and has type 2 diabetes. He usually takes medication to control his blood sugar, with fasting blood g...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, what you mentioned is likely a health supplement aimed at enhancing intestinal probiotics to assist the body's digestion, absorption, and intestinal function. It is considered safe for the body. Diabetic patients do not have any specific reasons to avoid it, but it sh...[Read More] Can Diabetic Patients with Constipation Safely Use Lactic Oligosaccharides?
Understanding White Mucus in Stool: When to See a Specialist
Could you please provide me with more context or specific topics for which you would like advice? If you are passing a white, gelatinous substance during bowel movements, it could be related to either vaginal discharge or gastrointestinal issues. Additionally, experiencing freque...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Response: (Due to Dr. Lin's vacation, Dr. Chen Zhi-Ping is responding on his behalf) Hello, if you are experiencing abnormal stools such as mucus, black stools, or bloody stools, it may indicate an issue with the stomach or intestines. It is recommended to consult a gastroen...[Read More] Understanding White Mucus in Stool: When to See a Specialist
Understanding Elevated SGPT Levels: Causes, Effects, and Solutions
My SGPT (Serum Gl I would like to ask the doctor about my health check-up last year. My SGPT was 40, and the report indicated that the normal range is (5-35 U/L), so I am slightly elevated. What are the implications of having elevated SGPT? My SGOT was 21. I often stay up late an...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: (Due to Dr. Lin's vacation, Dr. Chen Zhi-Ping is responding) Hello, elevated SGPT levels indicate mild liver dysfunction, which may be related to chronic hepatitis (such as hepatitis B or C, or alcohol-related issues). It could also be associated with excessive fatigu...[Read More] Understanding Elevated SGPT Levels: Causes, Effects, and Solutions
Understanding Unusual Stool Colors: What Does Dark Green or Black Mean?
The color of stool? Doctor, today when I had a bowel movement, I noticed that most of my stool was yellow, but there was one piece that was particularly dark, almost black, resembling dark green. I considered whether it might be related to food, but aside from vegetables, I haven...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: (Due to Dr. Lin's vacation, Dr. Chen Zhi-Ping is responding) Hello, if there is only one stool or a localized color change, it is more likely related to food, such as dark-colored vegetables. However, if all stools appear dark black or tarry, we should suspect upper g...[Read More] Understanding Unusual Stool Colors: What Does Dark Green or Black Mean?
Understanding Malignant Fibrous Tumors: Key Insights and Information
What is a malignant fibrous tumor? Malignant fibrous tumor, also known as malignant fibrous histiocytoma (MFH), is a type of soft tissue sarcoma that typically arises in the extremities or retroperitoneum. It is characterized by the presence of pleomorphic spindle-shaped cells an...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, a fibroma is a tumor composed of fibrous tissue and is classified as a spindle cell tumor. It can occur in any organ, but it is most commonly found in the soft tissues of the retroperitoneum. Histologically, if there is cellular diversity, increased mitotic activity, and p...[Read More] Understanding Malignant Fibrous Tumors: Key Insights and Information
Understanding Swallowing Difficulties: When to Seek Gastroenterology Help
Dysphagia After drinking scalding hot soup, I suddenly experienced difficulty swallowing and a feeling of nausea. I am unsure of the cause. Which department should I consult for diagnosis?
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, if the symptoms persist, it is advisable to consider the possibility of esophageal issues. I recommend consulting a gastroenterologist. Wishing you good health.[Read More] Understanding Swallowing Difficulties: When to Seek Gastroenterology Help
Understanding Bright Red Blood in Stool: Causes and Concerns
Hemorrhoidal bleeding Hello, I have blood in my stool, but there is no pain in my anus. The blood is bright red, and it only happened once; there has been no noticeable bleeding since then. I am unsure of the cause and would like a doctor's explanation.
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the presence of bright red blood during bowel movements raises concerns about potential lesions in the anus or rectum. Common causes include hemorrhoids, inflammation, polyps, and tumors, which may not necessarily be accompanied by pain. If the symptoms persist or recur, i...[Read More] Understanding Bright Red Blood in Stool: Causes and Concerns
Understanding Blood in Stool: Causes and When to Seek Help
Blood in the stool? Hello: Recently, after having a bowel movement, I noticed bright red blood when wiping. At other times, I feel a slight stinging sensation, and occasionally it feels like I haven't wiped thoroughly after a bowel movement. When I do wipe, I actually experi...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the presence of blood in the stool and abnormal sensations around the anus may indicate conditions affecting the anus and rectum, including perianal dermatitis, hemorrhoids, anal fissures, inflammation, or tumors. If symptoms persist, it is advisable to consult a colorecta...[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Understanding Black Stool: When to Seek Medical Attention for Gastrointestinal Issues
Melena I would like to ask about my recent experience with black stools. Although it hasn't been continuous every day, I've had black, tarry stools at intervals of less than a week. Should I see a doctor for this? Does the presence of black stools indicate upper gastroi...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Response: Hello, 1. The presence of black, tarry stools suggests a possibility of upper gastrointestinal bleeding. It is recommended to seek medical attention at a general internal medicine or gastroenterology clinic. 2. Upper gastrointestinal bleeding can lead to shock and d...[Read More] Understanding Black Stool: When to Seek Medical Attention for Gastrointestinal Issues
Managing Co-Infection of Hepatitis B and C: Treatment and Home Care Tips
Treatment and Home Adjustment for Concurrent Hepatitis B and C Infection Hello Doctor: 1. If a patient is confirmed to have both Hepatitis B and Hepatitis C, it is said that the treatment approach for Hepatitis C (using interferon and antiviral medications) may be more effectiv...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: Hello, 1. Co-infection with hepatitis B and C is more complex to treat because there is an interaction between the two viruses; one may suppress the other. Treating one virus may lead to the suppression or activation of the other. The specific circumstances under which t...[Read More] Managing Co-Infection of Hepatitis B and C: Treatment and Home Care Tips
Understanding Kidney Size Differences: Causes and Health Implications
Am I a kidney disease patient? Why is one of my kidneys larger than the other? Is it congenital or caused by my poor diet over the years? When there are issues with the kidneys, do they hurt? Can I consume water like a normal person?
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: Hello, 1. Having one kidney larger than the other can be due to congenital or acquired conditions. Since we do not know the actual size difference between the two kidneys, it is advisable to consult a nephrologist if there are any concerns. 2. Pain may occur when there...[Read More] Understanding Kidney Size Differences: Causes and Health Implications
Managing Digestive Issues During Pregnancy: Tips for Expecting Mothers
How should pregnant women take care of their gastrointestinal health? Hello Doctor, I would like to ask a question. I have a history of frequent diarrhea even before pregnancy, and I experienced diarrhea during the first three months of my pregnancy as well, but it stopped afterw...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, currently, medication treatment is not suitable during pregnancy. Irritable bowel syndrome is related to psychological and dietary factors. It is recommended to stay relaxed and not to worry too much. Avoid binge eating and adopt a moderate, low-fat diet. Refrain from cons...[Read More] Managing Digestive Issues During Pregnancy: Tips for Expecting Mothers
Understanding Unexplained Pain: Seeking Answers for Abdominal Discomfort
I am troubled by unexplained pain? I am a carrier of hepatitis B and have been experiencing a dull pain in the lower right back for three months. The pain also occurs when I contract my abdomen and when I lean backward. I visited the nephrology department at Mackay Memorial Hospi...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: Hello, 1. Pain in the lower right flank may involve various organs, including muscles, nerves, kidneys, retroperitoneal space, urinary tract, intestines, uterus, and ovaries. 2. It is advisable for hepatitis B carriers to undergo regular abdominal ultrasound examination...[Read More] Understanding Unexplained Pain: Seeking Answers for Abdominal Discomfort
Is Esophageal Reflux Related to Chest Inflammation and Pain?
Gastroesophageal reflux disease (GERD) I had an upper gastrointestinal endoscopy two years ago, and the doctor diagnosed me with gastroesophageal reflux disease (GERD). This year, due to chest pain and lower back pain, I underwent a bone scan (the type with isotopes) and was foun...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: Hello, 1. An increased uptake on a bone scan indicates that there is an issue with that particular bone. Differential diagnoses include osteomyelitis, tumors, and it should not be related to gastroesophageal reflux disease (GERD). 2. The phenomenon of acid reflux can a...[Read More] Is Esophageal Reflux Related to Chest Inflammation and Pain?
Understanding Hepatitis B: Vaccine Efficacy and Antibody Status Explained
Regarding Hepatitis B? Hello, doctor. A few days ago, I saw in the news that the hepatitis B vaccine might lose its effectiveness after 15 years. I would like to ask... The health check I had at the beginning of the school year showed that the hepatitis B surface antigen was nega...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: Hello, 1. Your test results indicate that you are not a carrier of Hepatitis B. You have Hepatitis B antibodies, and you are currently not at risk of being infected by the Hepatitis B virus. 2. The antibodies produced by vaccination are less persistent than those genera...[Read More] Understanding Hepatitis B: Vaccine Efficacy and Antibody Status Explained
Understanding Bloating, Chest Pain, and Back Pain: Gastrointestinal Concerns
Bloating, chest pain, back pain? I originally had episodes of diarrhea, and sometimes my stomach would make gurgling noises. However, the most troubling symptom is that my abdomen occasionally becomes very distended and uncomfortable, feeling as if it might burst. This is often a...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, your symptoms are commonly caused by gastrointestinal dysfunction. It is advisable to pay attention to your dietary habits, avoid greasy and irritating foods and beverages, chew your food thoroughly, and avoid overeating, especially before bedtime. If the pain persists, it...[Read More] Understanding Bloating, Chest Pain, and Back Pain: Gastrointestinal Concerns
Managing Drug Resistance in Hepatitis Treatment: What You Need to Know
What should be done if liver disease develops drug resistance? Hello... Six months ago, my ALT and AST levels were over 500. The e-antigen was positive with a viral load of 1380. After taking HepaGam for three months, my ALT and AST levels returned to normal, and the viral load d...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, generally, taking Hepatitis B medication (such as Entecavir) for one year can lead to the disappearance of the e-antigen, with a 20% chance of developing e-antibodies. If e-antibodies are produced, you will need to continue taking the medication for another six months. The...[Read More] Managing Drug Resistance in Hepatitis Treatment: What You Need to Know
Understanding Digestive Issues: What Your Symptoms Might Mean
I'm about to break down!!! I'm so sad? Hello Doctor, I have recently been experiencing near-diarrhea symptoms (soft stools, but not quite liquid) that occur about every 4 to 5 days. The last episode happened after I ate mung beans the night before and then had watermelo...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: Hello, 1. Symptoms such as diarrhea, loss of appetite, and weight loss may be caused by conditions including irritable bowel syndrome, hyperthyroidism, colitis, pancreatic or colorectal tumors, and ulcerative colitis. 2. Irritable bowel syndrome is characterized by inc...[Read More] Understanding Digestive Issues: What Your Symptoms Might Mean
Do Hemorrhoids Affect Bowel Movements and Urgency?
Does hemorrhoids affect the difficulty of bowel movements? If the stool is only a finger's distance from the anus but there is no urge to defecate, or if sitting on the toilet does not result in any movement, it may be related to chronic constipation. Hemorrhoids can indeed ...
Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, 1. Hemorrhoids do not affect the presence or difficulty of bowel movements; however, straining due to constipation or severe diarrhea can sometimes lead to external hemorrhoid pain, thrombosis, or bleeding. 2. In cases of severe hemorrhoids (Grade III or IV) or when th...[Read More] Do Hemorrhoids Affect Bowel Movements and Urgency?