Understanding Liver Blisters: Causes, Symptoms, and Concerns
excuse me? Why does the liver develop blisters? What are the causes? What are the symptoms of blisters on the liver? Can it cause fever or instability?
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To A-mei: The true causes of some hepatic cysts are unknown (mostly congenital), while others may be due to parasitic infections or tumor-related cystic changes. If they are large enough, they can cause pain in the right upper abdomen. If they exert pressure within the abdominal ...[Read More] Understanding Liver Blisters: Causes, Symptoms, and Concerns
Understanding Stomach Ulcers: Causes, Symptoms, and Remedies
Gastric ulcer Hello Dr. Chang, I have never had any gastrointestinal issues before, but recently I experienced abdominal pain and went to see a doctor. The doctor said it was an ulcer. I remember drinking a bottle of "Every Morning Healthy Green Tea" before bed, and my...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Fred: A gastric ulcer refers to a defect in the mucosal layer and submucosal layer of the stomach wall, but it has not yet perforated through to the external cavity. Many cases require effective medication for treatment; simply drinking milk cannot resolve the issue of ulcer h...[Read More] Understanding Stomach Ulcers: Causes, Symptoms, and Remedies
Understanding Unexplained Abdominal Pain: Possible Gastrointestinal Issues
Gastrointestinal diseases I have been experiencing unexplained abdominal pain recently. It feels somewhat like the pain associated with diarrhea, but I haven't eaten anything that would upset my stomach, nor do I have the urge to have a bowel movement. My bowel movements are...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Zhang: Based on your description, the pattern of your abdominal pain seems to resemble a type of cramping similar to diarrhea. Since it does not induce the urge to defecate, the location of the pain may be in the ascending, transverse, and descending colon, excluding the sigmo...[Read More] Understanding Unexplained Abdominal Pain: Possible Gastrointestinal Issues
Understanding Gastroenteritis: Causes, Symptoms, and Dietary Tips
Gastroenteritis I tend to have a cold constitution, so I can't eat certain cold foods. I have experienced gastroenteritis; once it was acute gastroenteritis, and another time it was chronic gastroenteritis, where I feel the urge to use the restroom every time after eating. C...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Ah-Fang: The urge to use the restroom immediately after eating is a symptom of a pathological Gastrocolic Reflex. Normally, this reflex is a protective mechanism of the body that responds to specific emergency situations, such as indigestion caused by overeating in a short per...[Read More] Understanding Gastroenteritis: Causes, Symptoms, and Dietary Tips
Understanding the Causes of Black Stool: When to Seek Medical Attention
Feces What could cause black stools? I understand that consuming blood-rich foods or iron supplements can lead to this. If I only eat a small amount, like pig's blood, would that still cause black stools? About 2-3 months ago, I suddenly had black stools for three consecutiv...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Monkey: Your recurrent black stool may not necessarily indicate a new problem; it could be a recurrence of your previous hemorrhagic gastritis. You should consult the physician who performed your endoscopy to confirm this. The most common cause of black stool is gastrointestin...[Read More] Understanding the Causes of Black Stool: When to Seek Medical Attention
Can Drinking Too Many Beverages Lead to Kidney Issues?
Does drinking beverages excessively really lead to kidney deficiency? I'm worried? Does drinking a lot of beverages really lead to kidney deficiency? I'm worried that continuously drinking beverages could cause kidney issues. I'm concerned because I haven't be...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Dear Student Chen, I am very concerned that if you continue to drink beverages and reduce your water intake, over time this may lead to excessive strain on your kidneys. This condition is referred to in Western medicine as renal insufficiency, meaning that while kidney function ...[Read More] Can Drinking Too Many Beverages Lead to Kidney Issues?
Understanding Nausea After Eating: Possible Causes and Solutions
nausea Dr. Chang: I would like to ask, my friend experiences nausea and vomiting shortly after consuming foods other than bread and desserts, such as rice or certain vegetables. What could be the possible causes of this? Thank you!
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Paul: Generally speaking, vomiting caused by gastrointestinal diseases is not typically associated with specific types of food. When nausea occurs only in response to a certain category of food, it is often necessary to consider psychological factors that may stimulate the vom...[Read More] Understanding Nausea After Eating: Possible Causes and Solutions
Understanding Bloating and Diarrhea: When to Seek Medical Help
Abdominal bloating and diarrhea issues? Hello doctor, I have been experiencing diarrhea for the past two to three days. I went to the hospital yesterday for an examination and had an X-ray of my intestines, which showed that the entire intestinal tract appeared black. The doctor ...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Xiao Zhu: The intestinal X-ray examination you underwent indicates the presence of intestinal gas, which suggests that your gastroenteritis has not improved. There is a possibility that you may experience diarrhea again at any time. It would be advisable to return for a follow...[Read More] Understanding Bloating and Diarrhea: When to Seek Medical Help
Loss of Appetite and Stomach Discomfort: Understanding Your Symptoms
Loss of appetite, gastrointestinal discomfort, and watery stools? Last week, for some reason, I suddenly felt very nauseous in the middle of my sleep and ran to the bathroom to vomit once. I thought it was nothing, but less than ten minutes after lying down again, I vomited again...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Xiangzi: Your symptoms of vomiting and diarrhea occurred sequentially, and the slow recovery of your appetite suggests that it may be viral gastroenteritis. This can lead to a temporary inability to return to normal peristalsis, followed by a period of dysfunction, which may i...[Read More] Loss of Appetite and Stomach Discomfort: Understanding Your Symptoms
Navigating Care Decisions for Elderly Patients with Gastrointestinal Issues
Hello, doctor. I would like to ask for your advice? Hello Doctor, my grandmother has generally been in good health, but due to her age (currently in her 80s), she can only consume liquid foods (milk and carrot puree). She often expresses feelings of hopelessness, saying things li...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To MustLee: Honestly, as a doctor with many years of experience, I can say that in cases similar to your grandmother's, there are numerous human factors involved behind modern medical practices. No one has the right to force a patient to undergo treatment. When facing your g...[Read More] Navigating Care Decisions for Elderly Patients with Gastrointestinal Issues
Understanding Gastrointestinal Issues: Tips for Healthy Weight Gain
Gastrointestinal issues I sometimes experience bloating after eating only a small amount of food. I can still eat, but I feel very bloated, which prevents me from eating more. This doesn't happen every day, but it occurs quite frequently. Since middle school, I have been ver...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Toast: Although your current physique is somewhat lean, the frequent occurrence of postprandial bloating indicates that you do not fall into the category of "healthy thin." It is advisable to consult a gastroenterologist for a thorough examination, including an upper...[Read More] Understanding Gastrointestinal Issues: Tips for Healthy Weight Gain
Understanding Gastrointestinal Issues: Reduced Bowel Movements and Gas
Abdominal bloating with a sudden decrease in bowel movements? Hello Doctor, my symptoms have been present for about a month. I have noticed a significant decrease in my bowel movements; sometimes they are thin and at times I can hardly pass anything. Even when I do have a bowel m...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Jin: Your gastrointestinal symptoms can be analyzed as chronic intestinal gas accumulation. Although intestinal peristalsis is frequent, it is not effectively transporting contents. Over time, unabsorbed liquid material begins to accumulate in the intestines. When the pressure...[Read More] Understanding Gastrointestinal Issues: Reduced Bowel Movements and Gas
Understanding Gastrointestinal Issues: Bloating, Gas, and Their Links to Hypertension
Gastrointestinal issues I'm sorry, I have a question to ask. I often experience bloating and frequent flatulence. I have high blood pressure and often suffer from insomnia. Are these related? Thank you. Which department should I consult?
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Ah Fang: It seems that your hypertension and insomnia have significantly impacted your life, but whether they are related to bloating and excessive gas requires further evaluation. If there is a strong correlation, common causes may include metabolic syndrome associated with h...[Read More] Understanding Gastrointestinal Issues: Bloating, Gas, and Their Links to Hypertension
Understanding Gastrointestinal Issues: Possible Causes and Diagnostic Tests
Gastroenterology Gastroenterology: Due to my unfortunate experiences during military service, I had an irregular diet, often going several meals without eating, and even when I did eat, I had to lift heavy objects immediately afterward. As a result, my gastrointestinal system was...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
To Mr. Chen: Your symptoms do not seem to follow the typical course of appendicitis, nor do they appear to be related to spinal injury. Instead, they resemble gastrointestinal dysfunction, potentially including dysfunction of the important gastrointestinal sphincters. These issue...[Read More] Understanding Gastrointestinal Issues: Possible Causes and Diagnostic Tests
Understanding Digestive Discomfort: Symptoms and Diagnosis Tips
I have been feeling unwell lately? Hello, doctor: During the New Year period, I ate more than usual. Since around February 10th, I feel like even a normal meal portion (like a bento box) makes me feel almost full to the throat, similar to the feeling of being overly full during t...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Dear Nick, Your symptom description is very clear. Based on the information provided, it appears to be an issue related to the upper gastrointestinal tract, particularly abnormal gastric motility. The slow motility may lead to a relative decrease in the contents received by the ...[Read More] Understanding Digestive Discomfort: Symptoms and Diagnosis Tips
Persistent Hiccups: Understanding Causes and Concerns for Young Adults
Persistent hiccups? I am 19 years old and currently in my second year of college. Recently, for the past month, I have been experiencing a constant urge to expel gas from my throat. It's not belching; it feels like there is gas that wants to come up. I don't have any st...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Dear Cheng, Belching can manifest in various ways. The most common occurrence in healthy individuals is physiological belching, which often results from eating too quickly, leading to the ingestion of large amounts of air, or eating too slowly, causing excessive swallowing of sm...[Read More] Persistent Hiccups: Understanding Causes and Concerns for Young Adults
Unexplained Symptoms: When Gastroscopy Fails to Diagnose
The cause could not be determined through gastroscopy? He mentioned to the teacher that he has been to several major hospitals, such as Veterans General Hospital and Chang Gung Memorial Hospital. As for whether he can provide detailed information, that may take some time, because...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Ader: Since the teacher has reasons that make it inconvenient to speak, you don't need to press further. However, you can clearly express your concerns to the teacher, as he is a good classmate and an important part of our class. Keep it up! Wishing you academic success! Dr....[Read More] Unexplained Symptoms: When Gastroscopy Fails to Diagnose
Understanding Dark Green Stool: Is It a Sign of Liver Issues?
Bowel issues Hello Dr. Chang: I have noticed a small portion of dark green in my stool (very light) that returned to normal color after about 2-3 days. This has been happening for approximately three weeks. I had an upper gastrointestinal endoscopy at Chi Mei Medical Center in Ta...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Dear Mr. Chiu, The reason for black or dark green stools is primarily due to gastrointestinal bleeding. The difference is that black, tarry stools indicate upper gastrointestinal bleeding, where the blood interacts with gastric juices and undergoes changes before being expelled ...[Read More] Understanding Dark Green Stool: Is It a Sign of Liver Issues?
Understanding Belching: Causes and Remedies for Stomach Gas Issues
Blowing air from the mouth? I have been experiencing frequent bloating recently. Normally, gas is expelled through the rectum, but I am expelling it through my mouth. Is this normal? Sometimes I feel cramping in my stomach, and during these episodes, I also experience palpitation...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Hello, I am Dr. Chang. I would like to share my personal insights in response to your question. The act of expelling air from the mouth is known as "belching." It occurs when the pressure of air in the stomach reaches a certain level, creating a pressure difference betw...[Read More] Understanding Belching: Causes and Remedies for Stomach Gas Issues
Why Six Endoscopies Failed to Diagnose My Classmate's Condition
The cause could not be determined through gastroscopy? I would like to ask on behalf of my classmate about his condition; from what I understand, he experiences a metallic smell before vomiting blood, and sometimes he becomes disoriented and needs assistance to be lifted. He ment...
Dr. Zhang Siyuan reply Gastroenterology and Hepatology
Dear Ade: I can sense your concern for your classmate, which is truly commendable! First, I would like to know if the six gastroscopies were performed by the same physician or by different physicians at different hospitals. If it is the former, then that physician may highly susp...[Read More] Why Six Endoscopies Failed to Diagnose My Classmate's Condition