Can I Get Vaccinated for Hepatitis B Antibodies After Cure?
Can antibodies be administered after curing hepatitis B? Hello Doctor: I am a carrier of Hepatitis B with a 33-year history. I have currently cleared the e-antigen, but my antibodies are still negative. Can I receive the antibody vaccine? My second question is: I want to become a...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
In response to your questions: (1) Antiviral medications for hepatitis B carriers can effectively suppress the replication and activity of the hepatitis B virus in liver cells, reduce the level of liver inflammation, and prevent the deterioration of the condition in hepatitis B p...[Read More] Can I Get Vaccinated for Hepatitis B Antibodies After Cure?
Causes of Right Side Abdominal Bloating: Beyond Ultrasound Findings
Bloating on the right side of the abdomen? If you are experiencing bloating on the right side of your abdomen and an ultrasound did not reveal any issues, there are several potential causes to consider. These may include: 1. **Irritable Bowel Syndrome (IBS)**: A common gastroint...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Hello! Abdominal bloating is just a symptom, and as you inquired, it can have many causes, some of which are benign and not life-threatening if diagnosed late, while others can be life-threatening if recognized too late and should not be taken lightly. Common causes include the f...[Read More] Causes of Right Side Abdominal Bloating: Beyond Ultrasound Findings
Are Bloating and Dizziness Related? Understanding Gastrointestinal Health
Is dizziness related to bloating? Hello doctor! My husband is 55 years old and has a large abdomen. He has regular bowel movements every day but often feels bloated, and recently he has experienced occasional dizziness. Could this be related? Additionally, how should he manage hi...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Hello! Here are the answers to your questions: ★ Bloating is just a symptom that can have many causes. Benign causes may not be life-threatening even if diagnosed late, but some causes can be life-threatening if detected too late, so it should not be taken lightly. Common causes...[Read More] Are Bloating and Dizziness Related? Understanding Gastrointestinal Health
Understanding Gastrointestinal Issues: Symptoms and Concerns Explained
Gastrointestinal and bowel issues? Hello Dr. Chang, thank you for taking the time to respond to my lengthy question. To save your time, I will directly describe my situation: I have been experiencing gastrointestinal and bowel issues for over a year. Recently, I have had more not...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Xiao Qi: You have described your symptoms very clearly, which are evidently related to issues around the anal area. An anoscopy should be the starting point for examination. There may be inflammation and swelling in your anal tissue, which could be causing the frequent urge to...[Read More] Understanding Gastrointestinal Issues: Symptoms and Concerns Explained
Understanding Persistent Nausea: Causes and Solutions for Relief
Nausea Hello Doctor, on the evening of January 8th, I went out for hot pot with friends. After starting to eat, I had two pieces of fish dumplings, and immediately felt a pressure in my stomach. I also felt a foreign body sensation in my throat, followed by a sudden and intense u...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Ray: Excessive weight loss can sometimes lead to another type of reflux, occurring at a level lower than gastric reflux, which may result in persistent upper abdominal distension and an inability to vomit. At this point, it is important to consult a gastroenterologist as soon ...[Read More] Understanding Persistent Nausea: Causes and Solutions for Relief
Understanding Stomach Issues: Causes, Symptoms, and Alternative Tests
excuse me? Since entering high school, my stomach has been in poor condition for over five years. At first, I would always feel nauseous in the morning and vomit stomach acid. A relative suggested I get an endoscopy, and it seemed like there was mention of Helicobacter pylori. Af...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To my sister: Don't worry too much, because among the patients in the gastroenterology clinic, there are indeed many who have symptoms resembling both peptic ulcers and gastroesophageal reflux disease. However, it is really difficult to distinguish between them without an en...[Read More] Understanding Stomach Issues: Causes, Symptoms, and Alternative Tests
Understanding Weight Issues: Possible Digestive Absorption Problems
Underweight, suspected gastrointestinal malabsorption? Hello, doctor. I apologize for bothering you, but I have a question I would like to discuss. I have regular bowel movements every day, but sometimes I experience abdominal pain. I eat three meals a day normally, and even when...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To David: Your issue may be related to a metabolic disorder, which is characterized by rapid energy expenditure, rather than a problem with the gastrointestinal system that would cause absorption issues and weight loss. I recommend that you visit an internal medicine clinic for f...[Read More] Understanding Weight Issues: Possible Digestive Absorption Problems
Managing Stomach Issues: Best Foods and Tips for Gastric Health
Gastric disease Hello, I have been suffering from stomach issues for a long time, and recently it has worsened, affecting my mental and physical strength. Sometimes I feel weak while walking, and I have a lack of appetite; just thinking about food suddenly makes me lose my appeti...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Kan: The human gastrointestinal system has a potential capacity for digestion and absorption, but it also has its limits and individual differences. As humans are omnivorous, we can consume a wide variety of foods. However, when gastrointestinal disorders occur, the diversity ...[Read More] Managing Stomach Issues: Best Foods and Tips for Gastric Health
Managing Gastrointestinal Health: Tips for Diet and Supplements
Regarding the use of over-the-counter medications for gastrointestinal issues and maintaining gut health? Hello, Doctor: About seven years ago, I suffered from depression, which led to binge eating that only started to improve last year. However, due to my part-time work and stud...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Hachiko: *Long-term use of WAKAMOTO may not improve your current digestive and absorption issues.* Breakfast does not need to follow a fixed recipe; feel free to try different options.* Given your situation, it is best to adhere to a routine of three meals a day, allowing your...[Read More] Managing Gastrointestinal Health: Tips for Diet and Supplements
Managing Viral Gastroenteritis: Symptoms, Treatment, and Recovery Tips
Viral gastroenteritis Hello doctor, a few days ago I was taken to the emergency room due to a fever of 38 degrees Celsius and diarrhea. The doctor diagnosed me with viral gastroenteritis and prescribed medication before I went home. However, the next day I still had a fever and p...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Lei: If you are experiencing persistent dizziness, it may be due to previous episodes of diarrhea causing a deficiency in body fluids or blood volume. At this time, it is important to reduce your activity level and rest more, allowing your body to recover naturally. If you sti...[Read More] Managing Viral Gastroenteritis: Symptoms, Treatment, and Recovery Tips
What to Do If You Accidentally Ingest Plastic Wrap?
I accidentally ingested plastic today..? Hello Doctor: Today while I was eating cookies, a small piece of plastic from the packaging accidentally went into my stomach because the plastic wrap wasn't torn properly. I'm very worried that the plastic won't come out. C...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Xiao Maruko: Don't worry too much! If it was just the ingestion of a small piece of plastic bag, it shouldn't cause significant damage to the gastrointestinal mucosa or poisoning symptoms. However, if you still experience abdominal discomfort, it is advisable to seek...[Read More] What to Do If You Accidentally Ingest Plastic Wrap?
Effective Treatments for Acid Reflux After Esophageal Surgery
Gastroesophageal reflux disease (GERD) Hello Dr. Chang, I had surgery for esophageal cancer nine years ago, during which my esophagus and part of my stomach were removed. Now my stomach is located in the thoracic cavity, but I have been experiencing gastroesophageal reflux sympto...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Chikuang: Your condition appears to be more pronounced than typical gastroesophageal reflux, with nighttime gastric acid reflux reaching the throat, leading to coughing. Pantoprazole has been used at a dosage of 80 mg per day, which is double the standard treatment for gastroe...[Read More] Effective Treatments for Acid Reflux After Esophageal Surgery
Excess Salivation During Stomach Discomfort: Causes and Insights
Excessive salivation can occur when experiencing stomach discomfort? Hello, my father has been experiencing excessive salivation when he feels discomfort in his stomach for some time now. Initially, he would also faint when feeling unwell. After visiting the doctor, no specific d...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Ms. Chang: The correlation between your father's symptoms is low, making it difficult to analyze. Blood tests, X-rays, and upper gastrointestinal endoscopy are necessary to make a preliminary assessment. Possible causes include esophageal narrowing leading to increased sa...[Read More] Excess Salivation During Stomach Discomfort: Causes and Insights
Understanding Stomach Hiccups and Blood in Vomit: Causes and Concerns
Stomach burping and bleeding? Hello Doctor: In the past year or two, I have frequently experienced belching, both before and after meals, similar to the feeling of having consumed too much soda. Additionally, I often feel gas moving in my abdomen, sometimes accompanied by gurglin...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Dofin: If you experience frequent belching, it indicates that gas is accumulating in the bottom of the stomach. Coupled with abdominal rumbling, it is possible that the gas originates from the intestinal cavity. The priority should be to reduce the intake of gas-producing food...[Read More] Understanding Stomach Hiccups and Blood in Vomit: Causes and Concerns
Understanding Colorectal Tumors: What to Do When Diagnosis is Unclear
There is a tumor in the colon? Hello Dr. Chang, I have a question I would like to ask you. My grandmother went to the hospital due to stomach discomfort and had an X-ray done. Later, a black spot was found on her liver. Then, a CT scan revealed a tumor the size of an egg locate...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Julia: I can roughly understand your grandmother's and family's thoughts. What is important now is that before performing a biopsy to determine whether the tumor is benign or malignant, all necessary non-invasive imaging studies should be completed. Therefore, it may...[Read More] Understanding Colorectal Tumors: What to Do When Diagnosis is Unclear
Understanding Abdominal Pain: When to Seek Help for Digestive Issues
Dull abdominal pain? Last month, during my health check-up, a fecal occult blood test came back positive. I also experienced frequent abdominal pain and a constant urge to use the restroom, mostly resulting in diarrhea. This month, the abdominal pain has decreased, but I still fe...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To the passerby: The timeline you described shows two instances of bloody stools; the first was a positive fecal occult blood test during a health check, and the second was rectal bleeding. These are indications for a colonoscopy. A more comprehensive assessment can only be made ...[Read More] Understanding Abdominal Pain: When to Seek Help for Digestive Issues
Understanding Esophageal Discomfort After Overeating: Causes and Solutions
Esophageal obstruction? Hello, I have been overeating lately and have often vomited after meals. This may have caused some irritation, as for the past couple of days, I feel like there is something stuck in my esophagus after eating, almost as if I can't swallow properly and...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Xiao Mei: Severe vomiting usually injures the lower esophagus, but this often occurs after excessive alcohol consumption when there is a sudden increase in intra-gastric pressure. If you are vomiting only after overeating, it is less likely to cause esophageal injury, unless t...[Read More] Understanding Esophageal Discomfort After Overeating: Causes and Solutions
Understanding Bright Red Blood in Stool: Causes and Concerns
The stool has appeared with bright red blood? Dr. Chang: Hello, I am a 20-year-old female. I often experience bloating, and my bowel movements have been consistently soft lately, but they have a sour smell. In the past two days, I have noticed bright red blood in my stool. On May...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To eloha666: Your symptoms may be related to conditions that can cause rectal or anal bleeding, commonly including hemorrhoids, hemorrhagic proctitis, and anal inflammation. An endoscopy is needed for an initial diagnosis. It is recommended that you visit a gastroenterologist for...[Read More] Understanding Bright Red Blood in Stool: Causes and Concerns
Understanding Esophageal Pain: Insights for Office Workers
Esophagus Hello Dr. Zhang, I am 155 cm tall and work in a computer-related job. I have been suffering from severe back pain for three years and have not found any relief. Currently, I am taking Ultracet (tramadol), Tonec (aceclofenac), and amitriptyline HCl (for about four mont...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To May: Based on your symptom history, the respiratory infection issue has not been completely resolved, and combined with weight loss and hemoptysis, the primary task ahead is to conduct a chest X-ray examination and detailed interpretation to rule out conditions such as asthma,...[Read More] Understanding Esophageal Pain: Insights for Office Workers
Do You Need Medication After Endoscopic Polypectomy? Insights and FAQs
Is medication required for endoscopic gastric polypectomy? Recently, I experienced sudden and continuous vomiting (seven to eight times in one afternoon, once the next day, followed by several days of abdominal discomfort). The doctor initially prescribed Topaal chewable tablets,...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Vivi: The presence of scarring in the duodenum does not indicate that ulcers will not recur at that site; it is possible for ulcers to reappear. Generally, as long as gastric polyps are removed using appropriate thermal coagulation techniques for hemostasis, there should not b...[Read More] Do You Need Medication After Endoscopic Polypectomy? Insights and FAQs