Understanding and Managing Abdominal Rumbling: Causes and Solutions
Gastrointestinal discomfort DEAR DOCTOR: I have a condition of abdominal rumbling, where my stomach frequently makes noises, sometimes quite loudly, which causes awkward situations when I'm around others. Could you please explain why this happens and what can be done to impr...
Dr. Sun Yizhen reply Internal Medicine
Hello: The presence of gas and chyme in the gastrointestinal tract can produce sounds during peristalsis, which is generally considered a normal physiological phenomenon. If it is bothersome, you may visit an outpatient clinic for evaluation.[Read More] Understanding and Managing Abdominal Rumbling: Causes and Solutions
Understanding Lower Abdominal Pain: Is It Related to Constipation?
Lower abdominal pain issues? Hello Doctor, about two years ago, I suddenly experienced severe pain in the lower abdomen, just below the navel. I sometimes have constipation. I went to the emergency room, where the doctor performed an X-ray and a urinalysis, but no abnormalities w...
Dr. Sun Yizhen reply Internal Medicine
Hello Tina, please come to the outpatient clinic for a clinical evaluation. Thank you! Wishing you well.[Read More] Understanding Lower Abdominal Pain: Is It Related to Constipation?
Understanding Acid Reflux: Causes and Solutions for Your Health
Gastrointestinal issues Hello, my mother has been experiencing a situation where she seems to be regurgitating sour liquid (like the contents of her esophagus coming back into her mouth, which tastes acidic). What could be the possible reasons for this?
Dr. Sun Yizhen reply Internal Medicine
The most likely causes are as follows: 1. Gastroesophageal reflux disease (GERD) 2. Gastric distension or dyspepsia 3. Recent gastrointestinal issues, such as viral gastroenteritis or constipation. If symptoms persist without improvement, please visit a gastroenterology clinic fo...[Read More] Understanding Acid Reflux: Causes and Solutions for Your Health
Recommended Nighttime Medication for Acid Reflux Relief
Medications for gastroesophageal reflux disease (GERD) before bedtime? Hello Dr. Sun, I visited your clinic recently and mentioned that my gastroesophageal reflux discomfort is more severe when I wake up in the morning. You recommended a medication for gastroesophageal reflux to ...
Dr. Sun Yizhen reply Internal Medicine
Hello: It is recommended that you return for a follow-up appointment to confirm. Thank you![Read More] Recommended Nighttime Medication for Acid Reflux Relief
Understanding Liver Fibrosis in Chronic Hepatitis B Carriers: Key Concerns
The liver is enlarged and coarse in patients with chronic hepatitis B? I am 36 years old and a carrier of hepatitis B. My liver function and fetal protein levels are normal. In June of this year, I had an ultrasound examination, and the doctor mentioned that the surface of my liv...
Dr. Sun Yizhen reply Internal Medicine
Regarding the above issue, being a carrier does not necessarily lead to fibrosis, and fibrosis does not always progress continuously, making it difficult to predict how long it will take to harden. Fibrosis may be a remnant of past inflammatory repair, but it can also be part of ...[Read More] Understanding Liver Fibrosis in Chronic Hepatitis B Carriers: Key Concerns
Managing Chronic Hepatitis B with Abnormal Liver Function: Key Considerations
Chronic hepatitis B carrier with abnormal liver function? Hello, doctor. I am a carrier of vertical transmission hepatitis B and have been monitoring my liver function annually since childhood, which has always been normal. This year, on May 20, my AST was 43, ALT was 918, and on...
Dr. Sun Yizhen reply Internal Medicine
Hello, you can visit the Gastroenterology and Hepatology outpatient clinic for an actual assessment by a physician, who will then provide recommendations. Thank you![Read More] Managing Chronic Hepatitis B with Abnormal Liver Function: Key Considerations
Understanding Right Side Abdominal Discomfort: When to See a Doctor
Abnormalities in the right abdominal region? Recently, I have been experiencing a tingling sensation in my right abdomen, sometimes accompanied by a burning sensation that makes me feel uncomfortable. If I need to see a doctor, which department should I visit?
Dr. Sun Yizhen reply Internal Medicine
It is recommended that you self-examine the painful area for any blisters or rashes. If present, you may consult a neurologist or dermatologist. If there are no skin lesions, you can visit an internal medicine clinic for an initial evaluation by a physician.[Read More] Understanding Right Side Abdominal Discomfort: When to See a Doctor
Understanding Hormonal Imbalance: Acne and Its Underlying Causes
Endocrine disorder? Hello, doctor. I've been struggling with acne since high school and have seen many dermatologists and traditional Chinese medicine practitioners, using countless topical treatments. Recently, since September of last year, my condition has worsened (staphy...
Dr. Sun Yizhen reply Internal Medicine
Hello, Xiao Shi: Please visit the dermatology outpatient clinic for evaluation and treatment. Hepatitis B is not necessarily related to acne, but you should still follow your gastroenterologist's advice for regular follow-up and examinations.[Read More] Understanding Hormonal Imbalance: Acne and Its Underlying Causes
Post-Surgery Bloating: Managing Gas and Digestive Issues
Abdominal bloating I am currently five months post-operative from a uterine surgery, and recently I have been experiencing significant abdominal bloating. I have been passing gas frequently and feel the urge to use the restroom, but I can only pass gas. For several days, when I d...
Dr. Sun Yizhen reply Internal Medicine
Hello: Regarding your question, it is recommended to follow up with your attending physician.[Read More] Post-Surgery Bloating: Managing Gas and Digestive Issues
Understanding Fatty Liver Disease in Chronic Hepatitis B Patients
excuse me? Hello, Doctor: I would like to ask you some professional questions. I am a carrier of hepatitis B and have regular follow-up examinations every six months. My liver function tests, including GOT, GPT, HBeAg, and bilirubin levels, are all normal. However, I have been di...
Dr. Sun Yizhen reply Internal Medicine
Based on your description, your current liver condition is as follows: 1. Chronic Hepatitis B carrier 2. Fatty liver. The severe aspect of Hepatitis B should be regularly monitored at a gastroenterology outpatient clinic, where a clinician will determine if treatment is necessary...[Read More] Understanding Fatty Liver Disease in Chronic Hepatitis B Patients
Understanding Post-Meal Vomiting: High Protein and Rich Broth Issues
Postprandial vomiting discomfort after high-protein and thick broth consumption? Hello, Dr. Sun! For the past two years, I have experienced severe gastrointestinal discomfort and vomiting 2-3 hours after consuming broth (such as the thick chicken soup from Ji Yuan in Taipei, whic...
Dr. Sun Yizhen reply Internal Medicine
It is recommended that you see a gastroenterologist for further evaluation.[Read More] Understanding Post-Meal Vomiting: High Protein and Rich Broth Issues
Understanding Gastrointestinal Issues: Symptoms, Treatments, and Remedies
Gastrointestinal tract I have been experiencing abdominal pain and diarrhea for three days, along with full-body heat at night, headaches, and dizziness. After visiting a general clinic yesterday, I was prescribed medication for diarrhea and bloating, as well as for fever, headac...
Dr. Sun Yizhen reply Internal Medicine
This is still acute enteritis; the digestive function of the intestines has not yet recovered, and intestinal motility remains rapid. If there is no fever or blood in the stool, it is recommended to consume only soft, liquid foods, such as congee. If you wish to alleviate discomf...[Read More] Understanding Gastrointestinal Issues: Symptoms, Treatments, and Remedies
Understanding Irritable Bowel Syndrome: Symptoms and Concerns
Irritable Bowel Syndrome (Continued) Thank you, Dr. Sun, for your prompt response. As mentioned in my previous email, the situation lasted only a few days and has improved. During those days, although it felt unusual, the frequency of bowel movements did not increase; it was just...
Dr. Sun Yizhen reply Internal Medicine
Based on your description of symptoms, it is possible, but remote consultations may not always provide detailed assessments. To truly understand your condition, it is advisable to visit a clinic for a thorough clinical evaluation by a physician.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Concerns
Understanding Left Rib Pain: Causes and When to Seek Help
Dull pain in the lower left rib area? Hello, Doctor. Day 1: I originally felt a bit of pressure in my left chest and had some difficulty taking a deep breath. Day 2: After eating today, I experienced a dull pain in the lower left rib area and still had trouble taking a deep b...
Dr. Sun Yizhen reply Internal Medicine
Hello: It is recommended to visit the outpatient clinic for a clinical evaluation.[Read More] Understanding Left Rib Pain: Causes and When to Seek Help
Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Irritable Bowel Syndrome (IBS) Hello Dr. Sun, on August 29 (Saturday), I had a scratchy throat and was diagnosed with a common cold. After taking medication, I briefly experienced a fever on Monday morning due to forgetting to take my medicine, but it quickly subsided after I res...
Dr. Sun Yizhen reply Internal Medicine
Hello: It is recommended to visit the outpatient clinic for a clinical evaluation.[Read More] Understanding Irritable Bowel Syndrome: Symptoms and Management Tips
Understanding Weight Loss: Gastrointestinal and Pituitary Issues Explained
skinny Hello, doctor. May I ask if a person who is very thin could have issues related to the pituitary gland in addition to needing to see a gastroenterologist? If so, what would be the reasoning behind this? Thank you.
Dr. Sun Yizhen reply Internal Medicine
Hello: If you suspect a pituitary gland disorder, you can visit the endocrinology clinic for an evaluation by a specialist. Wishing you well.[Read More] Understanding Weight Loss: Gastrointestinal and Pituitary Issues Explained
Understanding Blood in Stool: Causes and When to Seek Help
Hemorrhagic stool Hello, doctor. I am currently a college student living away from home, and I primarily eat out for my meals (mostly fried rice and noodles, with less frequent visits to buffets). My fruit intake is about once every 1 to 2 days (usually one apple or one sweet pea...
Dr. Sun Yizhen reply Internal Medicine
Hello: It is recommended to visit a colorectal surgery or gastroenterology clinic for medical consultation.[Read More] Understanding Blood in Stool: Causes and When to Seek Help
Sudden Right-Side Abdominal Pain: When to See a Doctor?
Stomach pain? This morning, I woke up with sudden abdominal pain, but it's not in the middle; it's on the right side, and it feels like a cramping pain that comes and goes. When I press on the affected area, it doesn't hurt, but the pain has been persistent for a l...
Dr. Sun Yizhen reply Internal Medicine
You can visit the internal medicine or gastroenterology outpatient clinic for medical care.[Read More] Sudden Right-Side Abdominal Pain: When to See a Doctor?
Concerns About Ingested Coins: Do You Need Medical Checkups?
Gastrointestinal issues Doctor, I have a question! When I was a child, I accidentally swallowed a five-dollar coin. At that time, I had an X-ray taken, and the coin was located in my stomach. After that, I didn't pay attention to whether it was passed out. Should I undergo s...
Dr. Sun Yizhen reply Internal Medicine
Hello Peiyun: You can go to the hospital for an examination.[Read More] Concerns About Ingested Coins: Do You Need Medical Checkups?
Dealing with Annoying Bloating: Causes and Solutions
Annoying bloating issues? Hello, doctor! I have an annoying bloating issue! I don't eat much, but I experience bloating frequently. I also don't pass gas often, and my stomach feels distended. When I have a bowel movement, I often feel like I haven't fully emptied ...
Dr. Sun Yizhen reply Internal Medicine
Hello Peiyun: Regarding the above issues, I suggest you: 1. Engage in regular exercise and maintain a consistent daily routine. 2. Have three meals at regular intervals and in appropriate portions, avoiding excessive intake of spicy or heavily flavored foods. 3. Manage stress lev...[Read More] Dealing with Annoying Bloating: Causes and Solutions