Dr. You Ligang reply Gastroenterology and Hepatology Question

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Can IGY Be Used to Treat Stomach Ulcers and H. Pylori Infections?

What are the therapeutic effects of IGY? Can IGY be used to treat gastric ulcers and Helicobacter pylori (as indicated by the endoscopy performed by the doctor)? It seems that the stomach issues have recurred...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, IGY is a treatment method using immune antibodies targeting Helicobacter pylori, but due to the lack of large-scale evidence, its effectiveness is unclear. Currently, there are triple and quadruple therapies for eradicating Helicobacter pylori, which have empirical support...

[Read More] Can IGY Be Used to Treat Stomach Ulcers and H. Pylori Infections?


Understanding Children's Abdominal Pain: When to Seek Help

Child has a stomachache? Children occasionally complain of stomach pain, but it's not the kind associated with needing to use the restroom. She had dinner about three hours ago, and she mentions that the pain is worse when she moves, but it feels better when she is still. Th...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, lower abdominal pain is mostly related to intestinal issues and is often connected to one's constitution or diet. The most common causes are irregular bowel movements or bloating. Increasing water intake, consuming more fruits and vegetables, exercising regularly, and...

[Read More] Understanding Children's Abdominal Pain: When to Seek Help


Understanding Elevated Liver Enzymes After First Hepatitis B Interferon Injection

Long-acting interferon for hepatitis B (forwarded from the director's mailbox) I have tested positive for hepatitis B with SGPT at 109 and SGOT at 47. After consulting with a doctor at the hospital, I was advised to undergo treatment with long-acting interferon for hepatitis...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, having sufficient trust and a good doctor-patient relationship is very important for the treatment of chronic Hepatitis B. Any questions before, during, or after treatment should be directed to your physician. Lack of sufficient trust leading to unauthorized discontinuatio...

[Read More] Understanding Elevated Liver Enzymes After First Hepatitis B Interferon Injection


How Long Does Hepatitis B Vaccine Immunity Last?

After receiving the hepatitis B vaccine? How long can the hepatitis B antibodies last after vaccination? Thank you.


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, after receiving all three doses of the hepatitis B vaccine, over 95% of individuals will develop antibodies. These antibodies may diminish after ten years or more. There are two scenarios regarding the disappearance of antibodies: one possibility is that the immune memory ...

[Read More] How Long Does Hepatitis B Vaccine Immunity Last?


Persistent Nausea: Understanding Gastrointestinal Issues and Causes

Constant nausea? In the past two to three months, I have frequently felt nauseous regardless of whether my stomach is empty or full, but I do not experience diarrhea or stomach pain. There is often a feeling of heaviness in the upper part of my stomach (the cardia). Over the past...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, you may be experiencing gastroesophageal reflux disease (GERD). The causes could be related to lifestyle and dietary habits, such as smoking, alcohol consumption, sugary foods, coffee, lying down immediately after eating, constipation, high stress levels, and a tense perso...

[Read More] Persistent Nausea: Understanding Gastrointestinal Issues and Causes


Understanding Anxiety-Related Gastrointestinal Issues: A Patient's Journey

excuse me? Dear Doctor, I tend to be anxious and have a delicate mindset, often overthinking and worrying about the future. Two years ago, I stayed up late researching to buy a house, and since then, I started experiencing chest tightness and difficulty breathing, feeling like ga...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, your tests show no issues, but since the symptoms persist and affect your daily life, it is likely functional dyspepsia, which means the structure is normal but there are functional problems. The causes may stem from your personality and lifestyle. It is advisable to impro...

[Read More] Understanding Anxiety-Related Gastrointestinal Issues: A Patient's Journey


Understanding Stomach Issues: Causes of Inflammation and Bowel Changes

Gastric issues? Hello Doctor: I previously consulted a physician and underwent an endoscopy, during which the doctor indicated that I have gastritis and prescribed medication that I have been taking. However, since experiencing discomfort in my stomach, my bowel movements have no...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, discomfort in the stomach can have many causes. You have already undergone an endoscopy to rule out peptic ulcers, but some conditions may not be visible through an endoscopy, such as Helicobacter pylori infection, gastroesophageal reflux disease, functional dyspepsia, or ...

[Read More] Understanding Stomach Issues: Causes of Inflammation and Bowel Changes


Understanding Digestive Changes: Vegetarian vs. Meat Diets

Why is this happening? Hello Doctor: I used to eat a meat-based diet, but after reading religious texts that suggested vegetarianism is healthier, more environmentally friendly, and non-violent, I switched to a vegetarian diet. Prior to this, I would cook for myself, and if I wan...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, regardless of whether you are vegetarian or omnivorous, it is important to eat at regular intervals and in appropriate portions, drink plenty of water, and frequently consume fruits to replenish vitamins. Avoid binge eating, chew your food thoroughly, and do not engage in ...

[Read More] Understanding Digestive Changes: Vegetarian vs. Meat Diets


Can a Cut Near the Anus Lead to Infection? Expert Insights

There is a wound near the anus? I accidentally cut my skin and caused bleeding while wiping after using the bathroom due to my long nails. Since I have a habit of having a bowel movement every day, the wound has not been able to heal. Doctor, will this lead to an infection? Thank...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, please wipe from the opposite direction of the wound and use disinfectant. Wishing you good health. Dr. You Li-Guang, Taoyuan Hospital, Department of Health.

[Read More] Can a Cut Near the Anus Lead to Infection? Expert Insights


Understanding Dark Stool: When to Worry About Your Digestive Health

Darkening of stool color? If you have recently noticed that the color of your stool has become darker than usual, it is important to pay attention to this change. Dark stool can be a sign of various conditions, including gastrointestinal bleeding, consumption of certain foods (su...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, the color of stool can change due to food intake. Generally, gastrointestinal diseases such as bleeding or tumors should be ruled out, but these conditions are often accompanied by other symptoms such as abdominal pain, changes in bowel habits, or changes in appetite. If t...

[Read More] Understanding Dark Stool: When to Worry About Your Digestive Health


Understanding Left Abdominal Discomfort and Changes in Bowel Habits

Dull pain in the left abdomen and passage of soft stools? Hello Doctor! Previously, my bowel movements were mostly in the form of hard, pellet-like stools, and I would occasionally experience discomfort leading to diarrhea. However, for about the past two years, I have been exper...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, the most common cause of chronic diarrhea is irritable bowel syndrome (IBS), while ulcerative colitis is frequently seen in Western countries. The abdominal pain associated with IBS usually improves after a bowel movement. It is advisable to perform a stool test to rule ou...

[Read More] Understanding Left Abdominal Discomfort and Changes in Bowel Habits


Understanding Digestive Issues: Diarrhea, Constipation, and Blood in Stool

Bowel movement issues Hello, I have been experiencing diarrhea for the past three weeks, occasionally accompanied by constipation. The color of my stool has been dark greenish-black as well as clay yellow. A few days ago, I noticed fresh red blood when using the restroom, but it ...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, poor bowel habits can lead to inflammation and bleeding of internal hemorrhoids, and even prolapse. It is advisable to eat more fruits and vegetables and avoid prolonged sitting. Wishing you good health. Sincerely, Dr. You Li-Kuang, Taoyuan Hospital, Department of Health.

[Read More] Understanding Digestive Issues: Diarrhea, Constipation, and Blood in Stool


Understanding Liver Cysts and Gallbladder Polyps: When to Seek Treatment

Liver cysts At the Health Examination Center of China Medical University, the ultrasound results revealed: 1. Gallbladder polyp (0.3 cm) 2. Liver cyst (0.75 cm). I found online that gallbladder polyps are generally considered benign if they are asymptomatic and less than 1 cm, an...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, both gallbladder polyps and liver cysts are benign. As long as you have annual ultrasound follow-ups, surgery is not necessary. Wishing you good health. Sincerely, Dr. Liu Li-Kuang, Taoyuan Hospital, Department of Health.

[Read More] Understanding Liver Cysts and Gallbladder Polyps: When to Seek Treatment


Understanding Rectal Inflammation: Symptoms, Causes, and Concerns

Rectal inflammation Doctor, I experienced frequent diarrhea around March and April of this year, and during one episode, I noticed blood (which stopped after that). After that, I no longer had abdominal pain. In August, I underwent a colonoscopy, and the doctor diagnosed me with ...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, inflammation is generally acute. If diarrhea frequently recurs, a common condition in Taiwan is irritable bowel syndrome (IBS). Ulcerative rectal cancer is more prevalent in Europe and the United States and is not commonly seen locally. Typically, an endoscopy can reveal u...

[Read More] Understanding Rectal Inflammation: Symptoms, Causes, and Concerns


Dealing with Severe Hemorrhoids: When to Seek Medical Help

Hemorrhoids Hello Doctor: My hemorrhoids have recurred, and this time they are very swollen, bleeding, and I cannot push them back inside the anus. What should I do? Should I see a doctor? Thank you.


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, you should see a doctor and consider medication. If you frequently experience abdominal issues, it indicates that dietary or lifestyle changes may not be sufficient for improvement, and you might need assistance from a surgeon. Wishing you good health. Sincerely, Dr. You L...

[Read More] Dealing with Severe Hemorrhoids: When to Seek Medical Help


Does Diarrhea Disrupt the Gut Microbiome Balance?

Does diarrhea disrupt the beneficial bacteria ecosystem? Hello, doctor. I have been using the Miao Li San you recommended, and after three days, I have taken 6 packets to help establish a healthy gut microbiome. However, due to my poor digestive health, I overate last night and e...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, general probiotics can survive in the intestines for 3-5 days, but this can vary depending on the host's constitution or dietary habits. Therefore, maintaining good lifestyle habits is essential for intestinal health. Best wishes for your health, Dr. Liu Li-Kuang, Tao...

[Read More] Does Diarrhea Disrupt the Gut Microbiome Balance?


Understanding Gastrointestinal Issues: Dietary Tips for Recovery

Gastrointestinal issues Hello Doctor: Recently, I had an upset stomach. After seeing a doctor, my initial bowel movements were yellow and watery, and I did not experience any abdominal pain. After taking medication, my stool changed to a greenish watery consistency. I have not no...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, when you have an upset stomach, it usually resolves on its own. However, some individuals may develop chronic diarrhea after an intestinal infection, which requires antibiotic treatment. It is important to first conduct stool tests. It is recommended to drink plenty of wat...

[Read More] Understanding Gastrointestinal Issues: Dietary Tips for Recovery


Understanding Hepatitis B: Do I Have the Virus?

excuse me? Dear Doctor: I tested positive for hepatitis B surface antigen and positive for surface antibodies on August 14 at the municipal hospital. Then, on September 21, I tested negative for hepatitis B surface antigen and positive for surface antibodies at Chimei Hospital. D...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, this indicates that you have had hepatitis B, and the spontaneous loss of surface antibodies means that you have developed antibodies, providing you with immunity against the hepatitis B virus. Wishing you good health. Dr. You Li-Guang, Taoyuan Hospital, Department of Heal...

[Read More] Understanding Hepatitis B: Do I Have the Virus?


Understanding Red Streaks in Stool: Causes and When to Seek Help

The tip of the stool is red? Recently, due to changes in my diet, my bowel movements have shifted from once daily to once every two days. I have been experiencing hard and dry stools, accompanied by anal pain. This morning, after consuming purple cabbage and carrots, I felt the u...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, based on this situation, it appears to be hemorrhoidal bleeding and inflammation. It is recommended to eat more fruits and vegetables, drink plenty of water, exercise regularly, and avoid staying up late. If there is still rectal bleeding after a week, it is advisable to s...

[Read More] Understanding Red Streaks in Stool: Causes and When to Seek Help


Enhancing Nutrient Absorption: Tips and Over-the-Counter Solutions

Aid in gastrointestinal absorption? Hello, a higher proportion of undigested food in your stool indicates that the food is not being absorbed properly and is being lost. Are there any methods to enhance gastrointestinal absorption? Or are there any over-the-counter medications av...


Dr. You Ligang reply Gastroenterology and Hepatology
Hello, good digestive function requires considering basic issues before resorting to medication. First, the initial step in digestion is chewing; food should be chewed thoroughly and swallowed slowly, avoiding overeating or binge eating. Maintain regular meal times and portion co...

[Read More] Enhancing Nutrient Absorption: Tips and Over-the-Counter Solutions


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