Understanding Persistent Bloating and Belching: Causes and Solutions
Bloating + belching + extreme discomfort..? Hello Doctor: After reviewing the information from other inquirers, it seems that most people's burping issues are due to gastrointestinal motility problems or indigestion. I would like to ask if my condition is similar... My situa...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Based on your symptoms of frequent belching and abdominal bloating, along with mild inflammation observed during the gastroscopy, your condition appears to lean more towards functional dyspepsia rather than an organic disease. This situation is often related to emotions an...[Read More] Understanding Persistent Bloating and Belching: Causes and Solutions
Persistent Lower Abdominal Pain: Seeking Solutions After Three Months
Lower abdominal pain for three months? Initially, I experienced symptoms of dullness, acidity, and pain below the navel, with the pain shifting to the lower left and right abdomen. Now, I also have lower back pain. I previously underwent a colonoscopy, which revealed one benign p...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: In outpatient clinics, we often encounter patients with abdominal pain of unknown origin. After various examinations confirm the absence of organic diseases, these cases may be classified as functional disorders, with irritable bowel syndrome (IBS) being a common example. ...[Read More] Persistent Lower Abdominal Pain: Seeking Solutions After Three Months
Understanding Bloating and Abdominal Pain: When to Seek Medical Advice
excuse me? Hello Doctor, I would like to ask about a personal issue that I've been experiencing for a while. About two to three months ago, I started having frequent bloating in my abdomen, and it feels a bit painful when I touch it. I'm not sure if this is related to...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: If you frequently experience bloating, it's important to identify the specific area of discomfort. If the bloating is in the upper abdomen, it is often related to issues with the stomach or duodenum, with common causes including gastritis, peptic ulcers, and dyspepsia...[Read More] Understanding Bloating and Abdominal Pain: When to Seek Medical Advice
Sudden Rectal Bleeding: Causes and Concerns for Gastrointestinal Health
Massive rectal bleeding? Sudden large amounts of bright red blood in the stool, accompanied by left abdominal pain, can be concerning. Possible causes may include hemorrhoids, anal fissures, diverticular disease, or even more serious conditions such as colorectal polyps or cancer...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: There are many causes of bloody stools, including hemorrhoids, anal fissures, tumors, polyps, inflammation, diverticula, ischemia, infections, and more. To determine the underlying cause, it is best to undergo a colonoscopy and then provide targeted treatment. Sincerely, D...[Read More] Sudden Rectal Bleeding: Causes and Concerns for Gastrointestinal Health
Understanding Stomach Distension: Causes and Solutions for Relief
Stomach bloating issues? Hello Dr. Yang: My husband has been experiencing stomach bloating for a long time. He has previously undergone gastroscopy, colonoscopy, and even a full health check-up, but we have not found a solution. When my husband lies flat, his abdomen feels like a...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: This condition is referred to as "dyspeptic syndrome." Your husband has delayed gastric emptying, which means that food remains in the stomach for an extended period, leading to fermentation and gas production, resulting in bloating. The stomach will only feel co...[Read More] Understanding Stomach Distension: Causes and Solutions for Relief
Understanding Spleen Growth: Health Concerns and Next Steps
Two days ago, I was diagnosed with a growth on my spleen? I went for a health check-up the day before yesterday and found that there is an additional mass on my spleen. The doctor advised me to go to the outpatient clinic for a detailed examination, but due to work commitments, I...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: The additional mass on the spleen is likely referred to as an accessory spleen, which is considered a normal variation; some individuals simply have an extra small piece of splenic tissue. However, if there is a tumor within the spleen, that is a different matter and furth...[Read More] Understanding Spleen Growth: Health Concerns and Next Steps
Understanding External Hemorrhoids: Symptoms, Treatment, and Costs
External hemorrhoids I have had an external hemorrhoid since I was in the third grade, and it has been four years now. Sometimes when I have hard stools, there is some bleeding from my anus. Initially, it was not very large, but over time it has grown bigger; now it is about the ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Hemorrhoids are classified into three types: external hemorrhoids, internal hemorrhoids, and mixed hemorrhoids. External hemorrhoids can be painful, while internal hemorrhoids are prone to bleeding; frequent bleeding can lead to anemia. It is necessary to evaluate the seve...[Read More] Understanding External Hemorrhoids: Symptoms, Treatment, and Costs
Understanding Elevated Pancreatic Enzymes: Causes and Prevention Tips
Pancreas I only feel discomfort in my stomach when I drink too much alcohol, and I always need to get an IV to feel better. However, I rarely drink. Just a few days ago, after drinking, I had to get an IV, and they mentioned that my pancreatic enzyme levels were elevated, which m...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: The pancreatic index, also known as pancreatitis, has many causes, with the top three being alcohol, gallstones, and hyperlipidemia. Therefore, if it is purely caused by alcohol consumption, the maintenance and prevention method is very simple—just don’t drink alcohol! Sin...[Read More] Understanding Elevated Pancreatic Enzymes: Causes and Prevention Tips
Is Your Stomach Shrinking? Understanding Gastrointestinal Discomfort
It seems like my stomach has shrunk?! Hello Dr. Yang, I have been experiencing stomach discomfort for over three weeks. My situation is that "I feel full after eating just a little bit, and sometimes I accidentally eat too much and end up with stomach pain, but the amount I ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Your symptoms may indicate acute gastritis, which can lead to delayed gastric emptying, increased gastric acid, and gastric distension. This can cause discomfort when hungry, but eating a small amount can quickly lead to a feeling of fullness. Weight loss may occur over a ...[Read More] Is Your Stomach Shrinking? Understanding Gastrointestinal Discomfort
Is Fish Oil Safe for Those with Gallstones?
Gallstones and Fish Oil Good afternoon, doctor: I have heart disease and I've heard that fish oil is good for the heart. However, I also have gallstones and can't consume too much fat. Should people with gallstones avoid fish oil? Thank you.
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: There are two types of gallstones: cholesterol stones and pigment stones. The latter is more common among Taiwanese people, while the former is more likely to occur in individuals who are overweight. Generally, dietary guidelines recommend reducing the intake of high-chole...[Read More] Is Fish Oil Safe for Those with Gallstones?
Persistent Abdominal Pain and Bloating in a 7-Year-Old: What to Do?
The child has been experiencing abdominal pain and bloating for a continuous week? Hello, my 7-year-old child has been experiencing abdominal pain at night and was taken to the emergency room. An X-ray revealed a buildup of stool, so we performed an enema. However, the same situa...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: The pain in the lower left abdomen is likely related to the colon (specifically the sigmoid colon). Since both X-rays and ultrasounds show no issues, there should be no concerns regarding intussusception or bowel obstruction. Urinalysis results are normal, so urinary tract...[Read More] Persistent Abdominal Pain and Bloating in a 7-Year-Old: What to Do?
Managing Dilated Bile Ducts: Treatment Options for Normal Blood Tests
Bile duct The bile duct is dilated, with no stones found and normal blood test results. The bile duct is wider at the top and narrower at the bottom. A soft tube (size 3) has been placed at the narrow section to facilitate bile flow. Please advise on the treatment options.
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Based on your description, the diagnosis seems to be a choledochal cyst, which is classified into several types (Type I-VI). The treatment approach varies depending on the specific type, with surgical intervention being the primary consideration. Sincerely, Dr. Yang Pei-Ch...[Read More] Managing Dilated Bile Ducts: Treatment Options for Normal Blood Tests
Understanding Bile Duct Issues: A Case Study of Gallbladder Surgery
Bile duct The patient, a 28-year-old female, experienced stomach pain in mid-January 2004 and was diagnosed with a gastric ulcer after undergoing an endoscopy and a CT scan at the hospital. The CT scan revealed an enlarged bile duct, and she was referred to another hospital for a...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Based on your description, the diagnosis seems to be choledochal cyst, which is classified into several types (Type I to Type VI). The treatment approach varies depending on the specific type, with surgical intervention being the primary consideration. This is a response f...[Read More] Understanding Bile Duct Issues: A Case Study of Gallbladder Surgery
Understanding Digestive Issues: Common Concerns and Solutions
Dyspepsia follow-up? Doctor: Hello! I saw a physician who diagnosed me with indigestion, possibly due to changes in my lifestyle and stress (the lifestyle change is true, but I don't feel stressed ^^). I took medication to promote gastrointestinal motility and reduce gas, wh...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! (1) Many medications interact with each other, and without knowing the names of the medications you are taking, it is difficult to make a judgment. (2) Muscle relaxants are not harmful, but they can sometimes cause a feeling of weakness due to the relaxation of all body mu...[Read More] Understanding Digestive Issues: Common Concerns and Solutions
Understanding Rectal Carcinoid Tumors: Differences, Treatment, and Prognosis
Carcinoid tumor~~~ Hello Doctor, I recently underwent a comprehensive health check-up at Cheng Kung University Hospital, and during an endoscopic rectal examination, a tumor was discovered. After two outpatient surgeries for biopsy, I was diagnosed with a rectal carcinoid tumor, ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! I apologize for the delayed response to your question. As an internist, I need to consult some resources to address surgical issues. Rectal carcinoids differ histologically from the more commonly referred rectal adenocarcinomas, and they also have different degrees of mali...[Read More] Understanding Rectal Carcinoid Tumors: Differences, Treatment, and Prognosis
Managing Fatty Liver: Tips on Green Tea Consumption and Sodium Intake
Please ask your question? Hello, Doctor: 1. I would like to ask how to manage my fatty liver condition. 2. I enjoy drinking green tea, but I have heard that consuming too much tea can be bad for the stomach. Is this true? How should I moderate my intake? Additionally, since mo...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! (1) There are many causes of fatty liver, with obesity being the most common, followed by alcohol consumption. Sometimes, patients with diabetes may also experience this condition. Therefore, to improve fatty liver, it is essential to exercise more, reduce the intake of sw...[Read More] Managing Fatty Liver: Tips on Green Tea Consumption and Sodium Intake
Understanding Gastrointestinal Issues: Symptoms of Alcohol and Smoking Effects
excuse me? Based on the symptoms described, it is possible that the individual may be experiencing gastritis or peptic ulcer disease, especially given the history of alcohol consumption, irregular meals, and smoking habits. The burning sensation and vomiting after drinking, along...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello, abdominal pain accompanied by melena usually indicates upper gastrointestinal bleeding, which can have various causes. The most common cause is peptic ulcer disease, followed by gastric erosion. Other potential causes include hemorrhagic gastritis and gastric tumors, among...[Read More] Understanding Gastrointestinal Issues: Symptoms of Alcohol and Smoking Effects
Understanding Liver Biopsy Risks and Emotional Support for Families
Liver and stomach Dear Dr. Yang, My child recently attended a class reunion dinner and felt unwell the next day, prompting an immediate visit to the emergency room. Initially, we thought it was just food poisoning, but the doctor informed us that the examination revealed stomach...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! There are many causes of gastrointestinal discomfort, and hepatitis is one of them. Your son's blood test results show a liver inflammation index (GPT) of 323. If this data is accurate, it indicates a moderate level of liver inflammation. There are many causes of hepa...[Read More] Understanding Liver Biopsy Risks and Emotional Support for Families
Understanding Liver Health: Interpreting Your Blood Test Results
Hepatitis C Hello Dr. Yang, I would like to ask you about my previous symptoms of frequent fatigue and slightly yellowing of the sclera. I had a blood test done, but I don't quite understand the results, so I would like to consult you regarding the following issues: - WBC (...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! You have two issues. The first is chronic hepatitis C (HCV Ab positive) with significant liver inflammation (AST 101, ALT 221). You should seek medical attention at a large hospital's hepatology department as soon as possible, as you may require specific antiviral tre...[Read More] Understanding Liver Health: Interpreting Your Blood Test Results
Understanding Abdominal Distension: Causes and Solutions
Abdominal bloating? Hello, I would like to ask: Is a larger lower abdomen due to lack of exercise? However, my friend doesn't exercise but doesn't have a larger lower abdomen! Recently, it's been strange; my lower abdomen has become even larger (almost like being 2...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The organs located in the lower abdomen include the small intestine, large intestine, uterus, and ovaries. The most common reason for abdominal distension is still intestinal gas, followed by issues related to gynecological organs. Therefore, the simplest method is to take...[Read More] Understanding Abdominal Distension: Causes and Solutions