Managing Constipation and Anal Fissures: Tips for Relief and Care
How to prevent constipation? Hello Dr. Su: I have been suffering from chronic constipation, and recently I developed a 1 cm anal fissure due to hard stools, which causes pain and discomfort during bowel movements. The amount of bleeding from the wound has also noticeably increase...
Dr. Su Baojia reply Gastroenterology and Hepatology
In the early stages of anal fissures, there is a possibility of spontaneous healing, but it is essential to improve constipation. To alleviate constipation, dietary adjustments are necessary, and stool softeners may be required if needed. The wound should be treated with warm sit...[Read More] Managing Constipation and Anal Fissures: Tips for Relief and Care
Understanding Recurring Stomach Pain After Ulcer Treatment
Please ask your question? Hello, I would like to ask... I previously had a gastric ulcer and completed treatment six months ago. During this period, I have not experienced any stomach pain, only occasional bloating. Recently, I have started to experience stomach pain and bloating...
Dr. Su Baojia reply Gastroenterology and Hepatology
Gastric ulcers often recur. Given your current symptoms, the pain is located higher up, which may easily radiate to the esophagus, necessitating consideration of gastroesophageal reflux disease (GERD). A detailed evaluation can only be confirmed through an endoscopy, so it is adv...[Read More] Understanding Recurring Stomach Pain After Ulcer Treatment
Is Blood in Stool a Sign of Stomach Bleeding? Symptoms to Watch For
Blood in the stool can indicate gastrointestinal bleeding, but it does not necessarily mean it is from the stomach. Symptoms of gastrointestinal bleeding may include: 1. Bright red or dark red blood in the stool. 2. Black, tarry stools (melena), which may indicate bleeding from ...
Dr. Su Baojia reply Gastroenterology and Hepatology
Blood in the stool typically raises concerns about hemorrhoids or diseases of the colon. In cases of gastrointestinal bleeding, the stool is usually black, unless there is a significant amount of bleeding from the stomach, which may result in red stools.[Read More] Is Blood in Stool a Sign of Stomach Bleeding? Symptoms to Watch For
Understanding Fatty Liver: High Enzyme Levels and Long-Term Risks
Fatty liver disease Hello Dr. Su, I recently had blood tests and my GOT and GPT levels were very high, close to 100 and 400 respectively. An ultrasound revealed that I have fatty liver, and I do not have hepatitis B or C. The doctor has prescribed medication. Can fatty liver ca...
Dr. Su Baojia reply Gastroenterology and Hepatology
The index for fatty liver is not that high. Cirrhosis or liver cancer typically develops after a prolonged period of poor liver function. Therefore, it is advisable for you to regularly consult a gastroenterologist for check-ups and treatment.[Read More] Understanding Fatty Liver: High Enzyme Levels and Long-Term Risks
Understanding Your Unexplained Fatigue and Digestive Issues
What is happening to my body...? Hello Doctor: I have been feeling very fatigued for the past few weeks, often feeling dizzy. Additionally, I've been experiencing a strange phenomenon where I constantly crave food, feeling both hungry and nauseous at the sight of it. Shortly...
Dr. Su Baojia reply Gastroenterology and Hepatology
The symptoms you are experiencing are more indicative of irritable bowel syndrome (IBS). You should consult a gastroenterologist for further evaluation.[Read More] Understanding Your Unexplained Fatigue and Digestive Issues
Understanding Abdominal Pain: When to See a Gastroenterologist or Proctologist
Abdominal pain Hello, doctor. I would like to ask you about a recent issue. I often feel discomfort and pain in my left abdomen (under the left rib) after eating, and I need to rush to the bathroom to have a bowel movement. My bowel habits have changed; I used to have three bowel...
Dr. Su Baojia reply Gastroenterology and Hepatology
There is a problem with the system. Please respond again. Your symptoms should be evaluated for the possibility of hepatitis. You can consult a gastroenterologist for an examination and have blood tests done to check liver function for any abnormalities.[Read More] Understanding Abdominal Pain: When to See a Gastroenterologist or Proctologist
Understanding Esophageal Discomfort: Causes and Solutions
Sensation of a foreign body in the esophagus? In the past week, I have been experiencing a feeling of bloating after eating just a little bit. Additionally, some of the food seems to linger in my esophagus for a while before slowly moving down to my stomach. This sensation is qui...
Dr. Su Baojia reply Gastroenterology and Hepatology
Your symptoms are more indicative of gastroesophageal reflux disease (GERD), which is caused by stomach acid flowing back into the esophagus. It is advisable to consult a gastroenterologist for further examination and treatment.[Read More] Understanding Esophageal Discomfort: Causes and Solutions
Can You Get Hepatitis B Again After Recovering and Having Antibodies?
Hepatitis B Hello Doctor: I have a question to ask. I am not a carrier of hepatitis B; I had hepatitis B when I was in elementary school and have developed antibodies against it. However, I will soon have the opportunity to visit a friend's house, and my friend informed me t...
Dr. Su Baojia reply Gastroenterology and Hepatology
If you have antibodies for hepatitis B, you will not be reinfected with hepatitis B.[Read More] Can You Get Hepatitis B Again After Recovering and Having Antibodies?
Understanding Helicobacter Pylori and Its Impact on Digestive Health
Helicobacter pylori Hello doctor, I previously underwent gastroscopy and abdominal ultrasound examinations, which confirmed that I have a peptic ulcer and also tested positive for Helicobacter pylori. Before the examinations, I frequently coughed up blood, and I am still experien...
Dr. Su Baojia reply Gastroenterology and Hepatology
Hemoptysis refers to blood that is coughed up from the respiratory tract, indicating that the underlying issue is likely within the airways. Therefore, further examination such as a chest X-ray or bronchoscopy should be conducted. Hematemesis, on the other hand, pertains to blood...[Read More] Understanding Helicobacter Pylori and Its Impact on Digestive Health
Understanding Liver Abscess: Symptoms, Treatment, and Expert Advice
Liver abscess 1. What is liver abscess? 2. What are its symptoms? 3. How significant is its impact? 4. How is it treated? 5. What psychological preparation is needed before and after treatment? 6. What are the physician's recommendations?
Dr. Su Baojia reply Gastroenterology and Hepatology
1. There are two types of liver abscesses: pyogenic liver abscess, which is caused by bacterial infection of the liver, and amoebic liver abscess, which is caused by amoebic infection. 2. Symptoms include persistent high fever, night sweats, chills, right upper quadrant pain, a...[Read More] Understanding Liver Abscess: Symptoms, Treatment, and Expert Advice
Understanding Liver Function Issues: Hepatitis B and C Concerns Explained
Liver function issues Hello Dr. Su, I went to the laboratory for testing. The results show Hepatitis B surface antigen [0.66 negative] [antibody +], with GOT 49 and GPT 77. Does this mean I am infected with Hepatitis B, or do I have antibodies? Is there no need for further vaccin...
Dr. Su Baojia reply Gastroenterology and Hepatology
Your hepatitis B antibody test is positive, indicating that you have been infected with hepatitis B and have developed antibodies. There is no need for further hepatitis B vaccinations. However, your liver function is abnormal, and you need to consult a physician for diagnosis an...[Read More] Understanding Liver Function Issues: Hepatitis B and C Concerns Explained
Understanding Abdominal Pain After Eating Too Quickly: Causes and Solutions
I have a question I would like to ask..? This past Sunday during breakfast, I seemed to have eaten too quickly, swallowing a large piece of bread in one bite. After that, whenever I ate or drank, I felt discomfort (pain) in an area about a hand's length above my navel. This ...
Dr. Su Baojia reply Gastroenterology and Hepatology
Your symptoms may be due to swallowing bread without chewing it thoroughly, which can irritate the gastric mucosa and cause inflammation, leading to stomach pain.[Read More] Understanding Abdominal Pain After Eating Too Quickly: Causes and Solutions
Understanding Functional Gastrointestinal Disorders: Insights from Dr. Su
Functional gastrointestinal disorders Dr. Su: Thank you for your prompt response. Regarding your reply, I would like to ask further questions: (1) The ingredient Homatropine in Homagyl can affect gastrointestinal motility. Would discontinuing this medication help alleviate the se...
Dr. Su Baojia reply Gastroenterology and Hepatology
(1) Whether stopping Homagyl can resolve the feeling of food remaining in the stomach depends on the individual situation. There should be no withdrawal issues upon discontinuing this medication. (2) For issues related to taking traditional Chinese medicine, please discuss them f...[Read More] Understanding Functional Gastrointestinal Disorders: Insights from Dr. Su
Understanding Functional Gastrointestinal Disorders: Symptoms and Treatments
Functional gastrointestinal disorders (functional dyspepsia) Dr. Su: I previously consulted you regarding related issues (on August 29). Another physician diagnosed me with autonomic nervous system dysfunction (symptoms include lower abdominal bloating and loss of appetite, diagn...
Dr. Su Baojia reply Gastroenterology and Hepatology
Homagy contains Homatropine, which can affect gastrointestinal motility. After taking traditional Chinese medicine, you may notice an increase in flatulence after lunch, but there may still be a lingering sensation of food remaining in the stomach; this could be the reason why yo...[Read More] Understanding Functional Gastrointestinal Disorders: Symptoms and Treatments
Is It Normal for Urine Color Changes After Taking Vitamins?
excuse me? On October 9th, I took vitamins for the first time, and I noticed that my urine was a bright yellow color. Is this normal? (The color is normal when I don't take them.) Additionally, my stool was green (and I don't have any stomach pain). Are these both norma...
Dr. Su Baojia reply Gastroenterology and Hepatology
It is normal for urine to appear bright yellow after taking vitamins; this is due to the composition of the vitamins. A greenish color in urine is also considered normal.[Read More] Is It Normal for Urine Color Changes After Taking Vitamins?
Understanding Functional Gastrointestinal Disorders: A Patient's Guide
Functional gastrointestinal disorders Dr. Su: Thank you for your prompt response. Today, I have completed liver and kidney function tests. The results are as follows: (1) GPT: 12 (2) BUN: 8. Therefore, there should be no issues with liver function. I would like to ask Dr. Su: (1)...
Dr. Su Baojia reply Gastroenterology and Hepatology
1. The effects of Emetrol: It can promote gastric emptying and has a strong anti-nausea effect without causing any adverse mental or neurophysiological effects. 2. Medications prescribed by a gastroenterologist can be taken together with Foan, Homagyl, and Diazepam. 3. Based on y...[Read More] Understanding Functional Gastrointestinal Disorders: A Patient's Guide
Understanding Digestive Enzymes and Their Interaction with Medications
Comprehensive digestive enzymes Dear Dr. Su, I have been diagnosed with autonomic nervous system dysfunction (initially diagnosed by a gastroenterologist as functional gastrointestinal disorder, later identified by a traditional Chinese medicine practitioner as stemming from aut...
Dr. Su Baojia reply Gastroenterology and Hepatology
1. Sedatives such as Foan and diazepam can have some degree of impact on the liver. If liver function is abnormal, it may also lead to dyspepsia, so it is recommended that you undergo liver function tests to determine if the abnormalities are the cause. 2. The comprehensive dig...[Read More] Understanding Digestive Enzymes and Their Interaction with Medications
Improving Constipation: Tips for Better Bowel Habits and Health
Changes in bowel habits Hello Dr. Su, I have been experiencing chronic constipation for a long time, approximately 2-3 years. I do not have any other discomforts such as abdominal bloating or pain; I just frequently pass gas, and my bowel movements are irregular. The characteri...
Dr. Su Baojia reply Gastroenterology and Hepatology
To improve bowel habits, in addition to increasing the intake of vegetables, fruits, and fluids, it is also important to reduce the consumption of foods made from glutinous rice and fried foods. Additionally, engaging in regular physical activity is essential to maintain overall ...[Read More] Improving Constipation: Tips for Better Bowel Habits and Health
Understanding Glucosidase and Pepsin: Key Digestive Enzymes Explained
Glucosidase and pepsin? Glucosidase is found in the salivary glands and the pancreas. Its biochemical marker in the body is related to carbohydrate digestion and absorption. Pepsin, on the other hand, is produced in the stomach and its biochemical marker is associated with protei...
Dr. Su Baojia reply Gastroenterology and Hepatology
1. α-glucosidase is an enzyme located at the brush border of the small intestine, primarily responsible for hydrolyzing polysaccharides into absorbable monosaccharides. 2. Pepsin is formed from pepsinogen in an acidic environment (pH < 3.5), with pepsinogen being secreted by t...[Read More] Understanding Glucosidase and Pepsin: Key Digestive Enzymes Explained
Understanding Functional Gastrointestinal Disorders and Autonomic Nervous System Imbalance
Functional gastrointestinal disorders and autonomic nervous system dysregulation? Dear Dr. Su, Last November, I underwent an endoscopy and was diagnosed with a gastric ulcer. I took medication until March-April of this year. After that, I noticed that I would experience abdomina...
Dr. Su Baojia reply Gastroenterology and Hepatology
1. Autonomic nervous system dysfunction is the primary cause of functional gastrointestinal disorders. When the autonomic nervous system is balanced, functional gastrointestinal disorders may improve. 2. Diazepam should be used with caution due to the potential for drowsiness. ...[Read More] Understanding Functional Gastrointestinal Disorders and Autonomic Nervous System Imbalance