Where to Get Painless Transnasal Gastroscopy in Tainan?
Which hospitals in Tainan City and County offer painless transnasal gastroscopy? Due to having gastroesophageal reflux disease and heart disease, I would like to inquire if it is possible to undergo a transnasal painless gastroscopy? Also, which hospitals in Tainan City and Count...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, if the heart disease is well controlled, it is possible to undergo a transnasal painless gastroscopy. Best regards, Dr. Liu Li-Guang, Taoyuan Hospital, Department of Health.[Read More] Where to Get Painless Transnasal Gastroscopy in Tainan?
Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Gastroesophageal reflux disease (GERD) Since February of last year, I have been experiencing symptoms of gastroesophageal reflux disease (GERD). After undergoing an endoscopy in April, I began taking medication, which I have continued to this day. In December of last year, I had ...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, the factors contributing to acid reflux involve the backflow of gastric acid or stomach contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, a burning sensation in the chest, and a feeling of a foreign body in the throat. If there are n...[Read More] Understanding the Connection Between Acid Reflux and Post-Nasal Drip
Understanding Lower Esophageal Sphincter Relaxation and GERD Management
Lower esophageal sphincter relaxation Dear Dr. You, After undergoing an endoscopy, I was diagnosed with gastroesophageal reflux disease (GERD) and advised to undergo treatment for 3 to 4 months. The physician mentioned that the symptoms are caused by the relaxation of the lower ...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, Nizatidine can be used long-term, but it should be divided into acute phase usage and general maintenance therapy. During the acute phase, it is recommended to take 1 to 2 capsules daily for 1 to 2 months. After that, the dosage can be reduced to half a capsule daily for a...[Read More] Understanding Lower Esophageal Sphincter Relaxation and GERD Management
Understanding GERD: When to Get Endoscopy and Manage Symptoms
Gastroesophageal reflux disease (GERD) I have been suffering from gastroesophageal reflux disease (GERD) for nearly ten months. I would like to ask the doctor if I need to have regular endoscopies to check for any changes in my condition. If so, when should I have the endoscopy? ...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, your symptoms have been present for a while. It is recommended that you visit a nearby medical facility with a gastroenterology specialty. Wishing you good health. Sincerely, Dr. Liu Li-Kuang, Taoyuan Hospital, Department of Health.[Read More] Understanding GERD: When to Get Endoscopy and Manage Symptoms
Understanding Constipation: Causes and Solutions for Digestive Issues
Constipation? I'm sorry to hear that your father is experiencing these issues. It sounds like he may be suffering from constipation, which can lead to abdominal bloating and discomfort. There are several potential causes for this condition, including dietary factors, dehydra...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, if you are experiencing difficulty with bowel movements, such as hard stools or infrequent but large bowel movements, it may simply be constipation. Increasing your water intake and consuming more fruits and vegetables can be helpful. If there is no improvement, you may co...[Read More] Understanding Constipation: Causes and Solutions for Digestive Issues
Understanding Subtle Esophageal Mucosal Changes in GERD Patients
Microscopic esophageal mucosal lesions refer to subtle abnormalities or changes in the lining of the esophagus that can be identified through histological examination. These lesions may indicate underlying conditions such as inflammation, infection, or precancerous changes, and o...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, if there is a change in the color of the mucosal surface or if the surface is uneven, it may not be visible on upper gastrointestinal imaging. You can think of the difference between puppet shows and shadow plays to understand the distinction between the two examinations. ...[Read More] Understanding Subtle Esophageal Mucosal Changes in GERD Patients
Understanding Post-Meal Discomfort: Causes of Stomach Pain and Bloating
Why do symptoms such as stomach pain, reduced bowel motility, and bloating often occur after meals? Hello, Doctor You. I had surgery for a gastric hemorrhage when I was younger, and I have been experiencing stomach pain, intestinal motility issues, and bloating frequently after m...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, individuals who have undergone abdominal surgery have a chance of developing intestinal adhesions, which can lead to bowel obstruction. If each episode of stomach pain is due to decreased intestinal motility and bloating, it may indicate the presence of adhesions. If the g...[Read More] Understanding Post-Meal Discomfort: Causes of Stomach Pain and Bloating
Understanding Hepatitis B Vaccination and Antibody Testing Before Pregnancy
Hepatitis B vaccine Can I get my blood drawn to check for antibodies after receiving the second dose of the hepatitis B vaccine, or should I wait until after the third dose? I'm eager to get pregnant. Also, why do the test results for hepatitis B surface antigen differ betwe...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, the hepatitis B vaccine requires three doses to increase antibody levels and provide longer-lasting protection. In fact, after the second dose of the hepatitis B vaccine, some individuals may already have detectable antibodies in their blood, although the concentration may...[Read More] Understanding Hepatitis B Vaccination and Antibody Testing Before Pregnancy
Understanding Asymptomatic Acid Reflux: What You Need to Know
Asymptomatic reflux is not considered? In your previous response, you mentioned that asymptomatic reflux does not indicate gastroesophageal reflux disease (GERD). Before being diagnosed with GERD during my endoscopy, I experienced chest tightness and sought medical attention, but...
Dr. You Ligang reply Gastroenterology and Hepatology
In normal individuals, gastric acid may occasionally reflux into the esophagus without causing any symptoms. If a healthy person undergoes a health check and the endoscopy results show esophagitis without symptoms, treatment is not necessary. Gastroesophageal reflux disease (GERD...[Read More] Understanding Asymptomatic Acid Reflux: What You Need to Know
Understanding Silent Acid Reflux: Symptoms and Treatment Insights
Gastroesophageal reflux without sensation? I did not feel the acid reflux into my esophagus before experiencing chest tightness and discomfort in my stomach. How can I know if there is acid reflux? This is the first question. The second question is why gastroesophageal reflux dis...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, 1. Gastroesophageal reflux disease (GERD) is defined as the reflux of gastric acid or gastric contents into the esophagus, resulting in uncomfortable symptoms such as chest tightness, heartburn, and a sensation of a foreign body in the throat. If there are no symptoms, i...[Read More] Understanding Silent Acid Reflux: Symptoms and Treatment Insights
Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Waking up with dry mouth and a taste similar to bile? Hello, I am a 54-year-old middle-aged male, with a smoking history of 30 years, a height of 170 cm, and a weight of 82 kg, which classifies me as having a central obesity body type. Six months ago, I began experiencing dry mou...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, experiencing dry mouth and bile reflux into the oral cavity may indicate gastroesophageal reflux disease (GERD), which involves the backflow of stomach acid, bile, and even food from the stomach into the esophagus. This condition is commonly associated with smoking, obesit...[Read More] Understanding Morning Dry Mouth and Bitter Taste: Causes and Solutions
Understanding Intestinal Twists: Risks and Treatment Options
Intestinal volvulus, how to treat it? Dear Dr. You, My father is 63 years old and last week he visited Taitung Christian Hospital. The gastroenterology department recommended a CT scan and found that there is a kink in his intestines. They suggested a surgical intervention to re...
Dr. You Ligang reply Gastroenterology and Hepatology
Dear Chen Ping, In cases of intestinal obstruction, clinical symptoms must be assessed, as there is a risk of blood flow obstruction to the intestines, which can lead to necrosis and pose a life-threatening situation. Generally, initial treatment involves conservative management...[Read More] Understanding Intestinal Twists: Risks and Treatment Options
Understanding Liver Cysts: Dietary Considerations and Patient Care
Please help me solve this with the doctor? Hello, Doctor. I am Xiao Li. I would like to ask you about a patient with blisters on the liver. What should they pay attention to, and can they consume dairy products? Please respond as soon as you see this. Thank you.
Dr. You Ligang reply Gastroenterology and Hepatology
Dear Si-Ting, Hepatic cysts are typically discovered incidentally and are benign in nature. Clinically, they usually do not present any symptoms unless they become large enough to compress adjacent organs, which may lead to symptoms. Complications such as cyst rupture or infecti...[Read More] Understanding Liver Cysts: Dietary Considerations and Patient Care
Understanding Diarrhea: Causes and When to See a Doctor
Diarrhea Hello, Doctor: I usually wake up in the evening to have my first meal, so my daily routine is irregular. Yesterday, I got up around 5 AM feeling hungry and went out to buy something to eat. Later, I experienced a cramping pain in my abdomen, followed by diarrhea that inc...
Dr. You Ligang reply Gastroenterology and Hepatology
Irregular lifestyle habits can lead to issues such as indigestion, peptic ulcers, and irritable bowel syndrome, all of which can cause diarrhea. You should first adjust your daily routine and dietary habits. If symptoms are severe, it is necessary to consult a physician for medic...[Read More] Understanding Diarrhea: Causes and When to See a Doctor
Understanding Bloating: Causes, Symptoms, and Solutions
Bloating Hello Dr. You: I have been experiencing frequent bloating lately, along with a sensation of hunger that feels uncomfortable, even though I'm not actually hungry. My bowel movements have been irregular; sometimes I go twice a day, and other times just once. The stool...
Dr. You Ligang reply Gastroenterology and Hepatology
There are many causes of bloating, such as eating too quickly or talking while eating, which can lead to swallowing excess air. Certain foods are known to cause bloating, including legumes, wheat bran, apples, peaches, onions, cabbage, grains, as well as starchy foods like sweet ...[Read More] Understanding Bloating: Causes, Symptoms, and Solutions
Understanding Blood in Stool: Causes and Necessary Tests
There is blood? Hello Doctor: I have a problem with fatty liver. Today (or sometimes in the past), after having a bowel movement, when I wipe, at first there is no blood, but towards the end, when I wipe and don't touch any stool, I notice a little blood. What could be the c...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, your condition sounds like hemorrhoidal bleeding. Most people have internal hemorrhoids, and symptoms like yours can occur due to constipation, diarrhea, prolonged sitting, a diet low in fiber, or insufficient water intake. It is advisable to visit a gastroenterology clini...[Read More] Understanding Blood in Stool: Causes and Necessary Tests
Understanding Your Digestive Concerns: Frequent Bowel Movements Explained
Doctor, I feel strange? Doctor, I often have diarrhea, but I only go once a day. Sometimes I feel my anal muscles twitching. What could that be? I'm very worried.
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, in general, chronic diarrhea in young people is commonly caused by irritable bowel syndrome (IBS), which is often related to work stress, a tense personality, irregular lifestyle, or poor diet. If bowel movements occur only once a day and do not affect daily life or work, ...[Read More] Understanding Your Digestive Concerns: Frequent Bowel Movements Explained
Understanding Black Stool in Children: Causes and Concerns
The child's stool is black? My child is currently 2 years old. On September 11, he had a stool that was shaped like a log, but one-third of it was black. On September 12, his stool was normal. However, on September 13, he had another stool that was similar to the previous on...
Dr. You Ligang reply Gastroenterology and Hepatology
General gastrointestinal bleeding results in black stools, commonly referred to as melena, which are typically unformed and deep black in color. Certain foods or medications can also cause black stools, such as vitamins, consuming pig's blood cake, or taking iron supplements...[Read More] Understanding Black Stool in Children: Causes and Concerns
Why Is My Stomach Hard? Understanding Gastrointestinal Concerns
The abdomen is very hard? You mentioned that your friend pressed on your abdomen and noted that it feels harder than usual, and since you are slim but have a relatively large belly, they suggested getting an X-ray and consulting a doctor. It would be advisable to schedule an appo...
Dr. You Ligang reply Gastroenterology and Hepatology
It is recommended to first consult a gastroenterologist, who will evaluate your symptoms and perform an initial examination. If you are female, a gynecological examination may also be necessary.[Read More] Why Is My Stomach Hard? Understanding Gastrointestinal Concerns
Understanding Chronic Constipation: Causes and Solutions
Constipation Long-term constipation has been troubling me... Whenever I have difficulty with bowel movements, I always feel like I can't urinate properly. Even though I drink a lot of water and feel the urge to urinate, I just can't seem to do it. It feels as if somethi...
Dr. You Ligang reply Gastroenterology and Hepatology
Hello, your difficulty in urination is caused by constipation, so it is important to first improve your bowel movements. Constipation can be classified into two types: "functional constipation," which is chronic and habitual, and "organic constipation," which ...[Read More] Understanding Chronic Constipation: Causes and Solutions