Should You Take Antibiotics for Helicobacter Pylori in Gastritis?
Should I take medication to eradicate Helicobacter pylori? I underwent an upper gastrointestinal endoscopy in mid-October and was diagnosed with hemorrhagic gastritis (without ulcers). The doctor changed my medications several times, but there was still no significant improvement...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Among all gastric diseases, gastritis is the most prevalent and also one of the most challenging to treat. This is due to the numerous causes it can have, including diet, medications, emotional stress, and infections. Although there is a close relationship between Helicoba...[Read More] Should You Take Antibiotics for Helicobacter Pylori in Gastritis?
Navigating Hepatitis C Treatment: Options, Costs, and Lifestyle Considerations
Hepatitis C treatment Hello, doctors. I have been suffering from liver disease for a long time. Five years ago, a blood test revealed that I had both hepatitis B and C viruses. A month later, I went to a Christian hospital for further testing, and it confirmed only hepatitis C. S...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! First of all, it must be emphasized that hepatitis C is transmitted through blood and bodily fluids, and is fundamentally unrelated to diet. Chronic hepatitis C has a high rate of viral mutation, which makes treatment outcomes less than ideal. Currently, the most effective...[Read More] Navigating Hepatitis C Treatment: Options, Costs, and Lifestyle Considerations
Post-Gallbladder Surgery: Medication Duration and Recovery Tips
How long should medication be taken after gallstone surgery? I underwent laparoscopic cholecystectomy last week, and I have had my stitches removed. How long should I keep the breathable adhesive on the wound? The diarrhea is not severe; should I continue taking medication? (GP) ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! 1. Apply the scar treatment adhesive bandage until the wound scar is completely healed to prevent future uneven scarring. 2. If diarrhea is not severe, the mother does not need to take medication. 3. Gallstones can potentially develop in the bile duct, and the pain is simi...[Read More] Post-Gallbladder Surgery: Medication Duration and Recovery Tips
Should I Get an Abdominal CT Scan? Expert Insights on Safety and Necessity
Hello, doctor? Hello Doctor, this is Kangkang, who asked a question before. My stool test results came back normal, and the flat X-ray examination was also normal. The doctor said that if I am still worried, I could opt for a self-paid abdominal CT scan. Do you think it is necess...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello, Kang: The greatest advantage of abdominal computed tomography (CT) scans lies in their ability to detect tumors in abdominal organs, particularly in the retroperitoneal area (such as the pancreas and its head). This can compensate for the inadequacies and limitations of ot...[Read More] Should I Get an Abdominal CT Scan? Expert Insights on Safety and Necessity
Understanding Your Hepatitis B Test Results: What Do They Mean?
Hepatitis B Dear Doctor: I had a blood test that showed a negative result for Hepatitis B surface antibodies (Anti-HBs) and a positive result for Hepatitis B core IgG antibodies. Does this mean I am infected with Hepatitis B? Thank you.
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! There are three types of antibodies for Hepatitis B: surface antibody (HBsAb), e antibody (HBeAb), and core antibody (HBcAb). Among these, only the surface antibody provides protection, indicating that a person has recovered from Hepatitis B and has developed protective an...[Read More] Understanding Your Hepatitis B Test Results: What Do They Mean?
Understanding Abdominal Pain: Is It Gas or Something More Serious?
I have an unusual feeling in my abdomen? Hello, Dr. Yang. I have a question regarding my health. Just two days ago, I experienced pain when pressing about 20 centimeters to the right of my navel; no other areas hurt. Yesterday, early Saturday morning, I went to the emergency room...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Dear Mr. Luo, The tenderness located approximately 20 centimeters to the right of the umbilicus may have several potential causes, including enteritis, constipation, kidney stones, or muscle pain, among others. The typical location for an acute appendicitis attack is in the righ...[Read More] Understanding Abdominal Pain: Is It Gas or Something More Serious?
Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
請提供您想詢問的內容，我將協助您進行翻譯。 I would like to ask how other physicians would diagnose a patient during their first visit on October 12. Does this constitute medical negligence? The patient, Xu Zhanwei, a 23-year-old male senior student, was confirmed to be a carrier of hepatitis B two ye...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! First, I must clarify that I am not a member of the Medical Evaluation Committee and do not have the authority to determine whether a physician has committed medical malpractice. Furthermore, I was not present during the consultation between the doctor and the patient, so ...[Read More] Assessing Medical Oversight: A Case Study of Jaundice Diagnosis in Hepatitis B
Understanding the Regulations on Losec for Chronic Gastric Ulcers
Regarding the medication LOSEC for gastric ulcers? Hello Dr. Yang: My father has been receiving treatment for chronic gastric ulcers at Changhua Christian Hospital. In the first phase, he returned to the hospital for check-ups every two weeks, and the doctor prescribed LOSEC. Aft...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! Currently, the National Health Insurance Administration has clear regulations regarding the use of gastric medications for peptic ulcers or gastroesophageal reflux disease (GERD): 1. Losec (omeprazole) is limited to a maximum of two months if prescribed for gastric ulcers,...[Read More] Understanding the Regulations on Losec for Chronic Gastric Ulcers
Understanding Upper Right Abdominal Discomfort: When to Seek Further Tests
Hello, doctor? Hello Doctor, I am 25 years old. About two months ago, I woke up with some discomfort in my upper right abdomen, and it has persisted until today. The discomfort is mild, and my bowel movements are normal. I have undergone an ultrasound, blood tests, and gastroscop...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The tests you have undergone have ruled out peptic ulcers, gallstones, liver disease, pancreatic disease, and kidney stones. The most likely remaining issue is related to the intestines; however, given your young age, the likelihood of malignancy is low (unless there is a ...[Read More] Understanding Upper Right Abdominal Discomfort: When to Seek Further Tests
Managing Bloating and Diarrhea: Insights from Gastroenterology
Abdominal bloating & diarrhea Hello Doctor: I have a constitution that easily leads to diarrhea, but in the past six months, in addition to the diarrhea issue, I have also experienced severe bloating. Sometimes I feel bloated on an empty stomach, but after eating, the situati...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The symptoms you described are collectively referred to as "dyspepsia," which can be divided into two categories: "organic," meaning there is a disease affecting the gastrointestinal organs themselves, and "functional," indicating that there a...[Read More] Managing Bloating and Diarrhea: Insights from Gastroenterology
Understanding Bloating: Causes, Symptoms, and Treatment Options
Abdominal bloating Hello, I would like to ask you a question. Previously, I had habitual abdominal pain, constipation, and bloating issues. Initially, an X-ray indicated the presence of stool accumulation in my abdomen. Later, my symptoms improved. After some time, the same sympt...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello Lin! The symptoms you described are associated with autonomic nervous system dysregulation syndrome, with irritable bowel syndrome being one of them. These conditions are often rooted in factors such as tension, stress, and emotions. Once these underlying causes are resolve...[Read More] Understanding Bloating: Causes, Symptoms, and Treatment Options
Post-Appendectomy Concerns: Is Abdominal Pain and Bloating Normal?
Appendix issues I had an appendectomy two weeks ago, and now I experience bloating after eating if I don't move around. The appearance of the incision looks normal, but I still feel some intermittent pain. Is this phenomenon normal? Additionally, there is tenderness when I p...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! After surgery, intestinal motility may be affected, and it will take some time to return to normal. Therefore, experiencing bloating after eating is due to poor intestinal motility. The healing of the surgical wound also requires time, so mild pain in the area is a normal ...[Read More] Post-Appendectomy Concerns: Is Abdominal Pain and Bloating Normal?
Understanding Unexplained Abdominal Noises in Teens: Causes and Concerns
Borborygmi? Doctor: Hello! My daughter is 18 years old and sometimes her stomach makes noises when she breathes. It's not due to hunger, and she doesn't feel any discomfort, but it is quite embarrassing and we're unsure of the cause. Thank you!
Dr. Yang Peizhen reply Gastroenterology and Hepatology
The sounds typically originate from the peristalsis of the gastrointestinal tract, and they are particularly pronounced during episodes of indigestion, which can cause rapid peristalsis or bloating. During inhalation, the contraction of the abdominal muscles and the descent of th...[Read More] Understanding Unexplained Abdominal Noises in Teens: Causes and Concerns
Understanding Hepatitis B: Prevention, Treatment, and Family Safety
Hepatitis B I have a relative who contracted hepatitis B from donating blood when he was young. What should he do for prevention and treatment in the future? Is there a vaccine that can cure it? What precautions should he take? Can his family members be infected?
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello Judy! Among hepatitis B carriers, some individuals may eventually progress to cirrhosis or even liver cancer. Therefore, it is essential to undergo regular blood tests and abdominal ultrasound examinations, and to receive appropriate treatment when necessary, with the goal ...[Read More] Understanding Hepatitis B: Prevention, Treatment, and Family Safety
Understanding Stomach Ulcers: Symptoms, Diagnosis, and When to Get an Endoscopy
About gastric ulcers? Hello Dr. Yang, in June of this year, I experienced hunger-type abdominal pain, and at the beginning of July, I had tarry stools. I was diagnosed with gastric and duodenal ulcers and was hospitalized for treatment. Since then, I have been on medication, but ...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! In general, over 90% of peptic ulcers heal after three months of treatment with ulcer medications. Therefore, if you are still experiencing symptoms such as excessive gastric acid and left upper abdominal tenderness, it is important to consider whether there are still issu...[Read More] Understanding Stomach Ulcers: Symptoms, Diagnosis, and When to Get an Endoscopy
Understanding Blood After Bowel Movements: Causes and Concerns
Blood after bowel movements? I have a question for the doctor. I am a student, do not smoke or drink alcohol, and sometimes notice blood on the last few pieces of toilet paper after wiping. What could this be? Thank you.
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The most common issues around the anal area for young people are anal fissures or hemorrhoids caused by straining during bowel movements. The solution is to consume more fiber-rich foods, reduce the intake of irritating foods, drink plenty of water, and exercise regularly ...[Read More] Understanding Blood After Bowel Movements: Causes and Concerns
Managing Intestinal Adhesions: Alternatives to Surgery and Key Considerations
Intestinal adhesion Hello Doctor, I currently have a relative who is experiencing abdominal pain due to intestinal adhesions, which has resulted in an inability to eat or even drink plain water. I have heard that we should observe for a day or two to see if the intestines can cle...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello, Xiao C! Intestinal obstruction caused by adhesions is usually due to a history of previous abdominal surgery. Reoperating to address these adhesions may lead to recurrence, potentially with more severity. Therefore, we typically recommend fasting for a few days to allow th...[Read More] Managing Intestinal Adhesions: Alternatives to Surgery and Key Considerations
Understanding the Procedure for Colonoscopy: Key Points and Differences
Procedure for Colonoscopy in Gastroenterology & Surgery What are the key points of the procedures for colonoscopy in gastroenterology and surgery? (What are the differences?) What are the key points of the procedure for a gastroenterology colonoscopy? 1. What is the positio...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello: The key points of the colonoscopy procedure in gastroenterology are as follows: 1. The examination position is left lateral, with both legs bent as much as possible towards the abdomen; kneeling or lying face down is not acceptable. 2. Before the examination, a shot of an ...[Read More] Understanding the Procedure for Colonoscopy: Key Points and Differences
Understanding Liver Parenchymal Lesions: What Do Ultrasound Results Mean?
Hepatic parenchymal lesions The results of the abdominal ultrasound examination in July indicated "hepatic parenchymal lesions." What does this mean, and what should be done next? Thank you.
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Abdominal ultrasound examination results indicate hepatic parenchymal lesions, which suggest that the liver tissue appears more heterogeneous on ultrasound compared to normal liver tissue, which is typically more uniform. This may indicate a history of inflammation in the liver t...[Read More] Understanding Liver Parenchymal Lesions: What Do Ultrasound Results Mean?
Understanding Liver Abnormalities: What Your Ultrasound Results Mean
Provincial health check results? Hello Doctor: I had a health check-up at Taoyuan Hospital in July, and the ultrasound results indicated "hepatic parenchymal lesions." Does this indicate an abnormality? What further detailed examinations can I request from the doctor du...
Dr. Yang Peizhen reply Gastroenterology and Hepatology
Abdominal ultrasound examination results indicate hepatic parenchymal lesions, which suggest that the liver tissue appears more disorganized on ultrasound compared to normal liver tissue, which is typically more uniform. This may indicate a history of inflammation in the liver ti...[Read More] Understanding Liver Abnormalities: What Your Ultrasound Results Mean