Understanding Liver Nodules: Causes, Concerns, and Health Tips
Liver nodule Recently, during a health check-up, an ultrasound examination revealed a liver nodule. I am unfamiliar with this term. What is a liver nodule, what causes this condition, and how can I maintain liver health in my daily life? Thank you!
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Liver nodules are localized lesions found in the liver during abdominal ultrasound, varying in number from one to several. They are actually a type of liver tumor, but liver nodules are usually benign. The exact cause of their formation is unclear, and they typically do no...[Read More] Understanding Liver Nodules: Causes, Concerns, and Health Tips
Understanding Why Small, Frequent Meals Help Manage Acid Reflux
Gastroesophageal reflux disease (GERD) Why should patients with gastroesophageal reflux disease (GERD) eat smaller, more frequent meals? Doesn't this lead to continuous gastric acid secretion? However, I also experience abdominal pain three to four hours after meals. Is this...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: For patients with dyspepsia, if one eats too much in a single meal, the food will remain in the stomach for an extended period, leading to increased gastric acid secretion. After digestion, a significant amount of gas is produced in the stomach, resulting in bloating or be...[Read More] Understanding Why Small, Frequent Meals Help Manage Acid Reflux
Constipation for Days: When Medications Fail and Abdominal Pain Persists
Constipation for several days with no relief from medication? Hello, doctor. I have been experiencing constipation recently, and the last time was about four to five days ago. The medication you prescribed is called BIDYL S.C. Tablets, and I took two of them, but they didn't...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The medication you are taking is a laxative. If you have hard stool, it may sometimes cause abdominal cramps, but the stool may still be difficult to pass, often accumulating in the lower left and right abdomen. If there is a significant amount of stool or gas, pressing on...[Read More] Constipation for Days: When Medications Fail and Abdominal Pain Persists
Essential Foods for Hepatitis C Patients with Low Platelets
Diet for Hepatitis C? Dear Dr. Yang: For patients with hepatitis C who have low platelet counts, what foods should they consume to help with hematopoiesis? What dietary considerations should they pay attention to? Additionally, are there any foods that should be avoided? Thank yo...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: In patients with chronic hepatitis C, the presence of thrombocytopenia usually indicates splenomegaly, which leads to accelerated destruction of platelets, rather than a problem with hematopoietic function. The primary cause of splenomegaly is portal hypertension. At this ...[Read More] Essential Foods for Hepatitis C Patients with Low Platelets
Understanding Hepatitis B: Testing, Treatment, and Coverage Options
I would like to have a health check-up? Hello, I discovered that I have hepatitis B when I donated blood six years ago. I would like to undergo further testing; how should I proceed? I heard that in October, health insurance covers the costs for hepatitis B. What treatment option...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Hepatitis B is classified into three stages: healthy carriers (where liver inflammation markers, such as GPT, remain within normal limits), chronic hepatitis, and cirrhosis. Healthy carriers do not require treatment but should be monitored regularly, as they remain at high...[Read More] Understanding Hepatitis B: Testing, Treatment, and Coverage Options
Persistent Stomach Pain After Ulcer Treatment: What Should You Do?
Stomach pain Hello, doctor. Recently, I have been experiencing frequent stomach pain, and sometimes I have had black stools, so I arranged for an endoscopy. The results showed three gastric ulcers and one duodenal ulcer. The doctor mentioned that it would take about three months ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: For the treatment of gastric ulcers or duodenal ulcers, if a stronger antacid is administered, healing typically occurs within 6 to 8 weeks. If there is no improvement by that time, a repeat endoscopy may be necessary to confirm healing, as gastric ulcers can also be an ea...[Read More] Persistent Stomach Pain After Ulcer Treatment: What Should You Do?
Chronic Stomach Pain: Understanding Long-Term Gastrointestinal Issues
Chronic stomach pain? Hello Dr. Yang, my stomach pain started about two to three years ago and has not improved since. Two to three years ago, I was working part-time during the early morning hours, which led to: 1. Irregular sleep patterns 2. Eating only lunch and dinner (someti...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! You have undergone two gastroscopies, and the results indicate that you only have gastritis. Therefore, your symptoms are likely related to gastritis or dyspepsia. The solution lies in maintaining a proper diet, which includes avoiding irritating foods, and minimizing the ...[Read More] Chronic Stomach Pain: Understanding Long-Term Gastrointestinal Issues
Understanding Stomach Distension: Causes and When to Seek Help
Stomach discomfort and pain? In early March of this year, I experienced stomach pain, which resolved after taking medication, so I did not undergo a detailed examination. Recently, if I eat too much, my stomach feels very bloated, and sometimes it persists throughout the night, r...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: The most likely diagnosis is gastritis, but gastric ulcers and other gastric lesions cannot be ruled out. Therefore, if symptoms do not resolve after a few days of medication, it is advisable to undergo further examination, with the first choice being an upper gastrointest...[Read More] Understanding Stomach Distension: Causes and When to Seek Help
Understanding Stool Odor and Digestive Health: Tips for Improvement
The condition of excrement? Hello Dr. Yang: I would like to ask you about whether the odor of stool, whether strong or mild, indicates any differences in bodily functions, and what should be noted in this regard. Thank you! Additionally, if I choose "sweet foods" for br...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The odor of feces is related to the types of food consumed. Sometimes, food undergoes various processes in the intestines, producing different gases, with sulfur compounds being particularly associated with foul odors. Additionally, the longer feces remain in the intestine...[Read More] Understanding Stool Odor and Digestive Health: Tips for Improvement
Can You Combine Liver Function Tests and Ultrasound in One Visit?
Liver function test issues? Can liver function tests (AST, ALT) and alpha-fetoprotein (AFP) ultrasound be checked together at the same time? Is it covered by insurance or is it out-of-pocket?
Dr. Yang Peizhen reply Gastroenterology and Hepatology
For patients with chronic hepatitis B or C, we recommend checking GOT and GPT every 3 to 6 months, and performing fetal protein tests and abdominal ultrasounds every six months. These tests are covered by health insurance, and you only need to pay 20% of the examination fee, with...[Read More] Can You Combine Liver Function Tests and Ultrasound in One Visit?
Understanding Rectal Bleeding: Causes and When to Seek Help
Rectal bleeding? Recently, I experienced constipation and had to strain a lot while using the restroom. The situation has improved somewhat, but after bowel movements, I noticed slight bleeding around the anal area. However, there is no pain, so I'm unsure whether it's ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The causes of rectal bleeding include anal fissures, hemorrhoids, inflammation, polyps, and even tumors; however, the most likely causes are still the first two. As age varies, the underlying causes may also differ. Therefore, if symptoms persist without improvement, it is...[Read More] Understanding Rectal Bleeding: Causes and When to Seek Help
Understanding Digestive Issues: Blood in Vomit After Tea and Smoking
The reason is unknown? I have a peptic ulcer and received treatment with medication last year. However, now I sometimes experience occasional vomiting after drinking too much tea or smoking. Once, after vomiting, I noticed that the gastric fluid had a uniform mixture of blood. Co...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Peptic ulcers are prone to recurrence, so it's important to avoid irritating foods, smoking, alcohol, coffee, and tea in your daily care. If you experience vomiting after consuming too much tea or smoking, it may sometimes just be a sign of gastritis or indigestion. H...[Read More] Understanding Digestive Issues: Blood in Vomit After Tea and Smoking
Do You Need Surgery for Hemorrhoids? Exploring Medication Options
Is surgery always necessary for hemorrhoids? Do hemorrhoids always require surgery, or is there a possibility of healing with medication?
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Hemorrhoids are formed due to impaired blood flow in the blood vessels around the anal area, and their causes are related to diet, bowel habits, hygiene practices, and emotional stress. It is advisable to consume more high-fiber foods and drink plenty of water, as well as ...[Read More] Do You Need Surgery for Hemorrhoids? Exploring Medication Options
Understanding Stomach Noises: Causes and Solutions for Digestive Issues
Could you please provide me with the specific issue you would like assistance with? I often experience stomach growling, not just when I'm hungry, especially during class. My classmates can hear it when it happens. I heard someone mention that it might be due to indigestion,...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: The symptoms described are related to gastrointestinal dyspepsia, which is often associated with diet or emotional factors. Since each individual's constitution is different, the symptoms can vary; for instance, some people may experience discomfort after consuming th...[Read More] Understanding Stomach Noises: Causes and Solutions for Digestive Issues
Managing Bloating and Digestive Issues: Tips for Relief and Well-Being
Abdominal bloating Frequent gurgling sounds from the gastrointestinal tract, sometimes accompanied by significant borborygmi (both when fasting and after meals), especially after consuming sweets or cold drinks, with increased bloating, have been persistent. I have consulted trad...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: These symptoms are related to gastrointestinal dyspepsia, which is usually associated with emotions or diet. However, we must first rule out any organ-related issues. Initially, an abdominal X-ray can be taken to check for excessive gas or stool in the intestines. If such ...[Read More] Managing Bloating and Digestive Issues: Tips for Relief and Well-Being
How to Treat a Stomach Ulcer: Overcoming Fear of Endoscopy
How should a perforated stomach be treated? I recently underwent an endoscopy at the hospital, which revealed a perforation in my stomach, and I have been experiencing bloody stools. The hospital informed me that the National Health Insurance requires an endoscopy for coverage, s...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Two days before the colonoscopy, start taking laxatives and drink at least 2000 c.c. of fluids daily, while trying to consume a low-residue diet. On the day of the examination, fast from breakfast (if the procedure is in the morning). Before the procedure, change into a go...[Read More] How to Treat a Stomach Ulcer: Overcoming Fear of Endoscopy
Post-Surgery Challenges for Colorectal Ulcer Patients: A Caregiver's Dilemma
Postoperative issues following colorectal ulcer surgery? Dear Dr. Yang, I would like to ask about my grandmother's condition. She is currently 78 years old and has been suffering from severe herpes zoster (commonly known as shingles) in her abdomen for the past two months, ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Typically, an endotracheal tube should be replaced every two weeks at most. If it is used beyond this period, the risk of infection increases, which can reduce the likelihood of successful extubation. Additionally, having the tube in the mouth for an extended period can be...[Read More] Post-Surgery Challenges for Colorectal Ulcer Patients: A Caregiver's Dilemma
Managing Chronic Persistent Hepatitis: Key Considerations and Risks
Chronic persistent hepatitis Hello Dr. Yang, 20 years ago (when I was 18) I had a hepatitis examination when I started college. The doctor diagnosed me with "chronic persistent hepatitis" and advised me to pay attention to my health. I had regular check-ups during my 6-...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Hepatitis B is divided into three stages. The first stage is healthy carriers, where the liver inflammation markers are within normal ranges, and medication is not required. However, regular blood tests and ultrasounds are necessary, as the risk of liver cancer remains hig...[Read More] Managing Chronic Persistent Hepatitis: Key Considerations and Risks
Understanding Bloating: Could It Be IBS? Symptoms and Treatment Explained
Intestinal bloating Doctor, I have been experiencing abdominal bloating for a month. I have a history of constipation, and recently, if I don't have a bowel movement for just one day, my entire abdomen becomes distended. Three weeks ago, I had an X-ray, and the doctor said i...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Irritable Bowel Syndrome (IBS) is typically characterized by soft, loose stools occurring multiple times a day, but it can also involve episodes of constipation lasting several days. If you often experience constipation, the longer the stool accumulates, the drier and hard...[Read More] Understanding Bloating: Could It Be IBS? Symptoms and Treatment Explained
Understanding Hiccups and Gastrointestinal Bleeding in Bedridden Patients
Hiccup My father has been bedridden for six months, unable to move or eat on his own, and is continuously fed through a nasogastric tube with liquid food. He has frequently experienced unexplained hiccups that can last for several hours. In recent weeks, there have been blood clo...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: Patients who have been using a nasogastric tube for long-term feeding may experience gastroesophageal reflux due to the inability of the lower esophageal sphincter to close completely. This can lead to the reflux of gastric acid or food into the esophagus, resulting in gas...[Read More] Understanding Hiccups and Gastrointestinal Bleeding in Bedridden Patients