Understanding Black Particles in Stool: Causes and Concerns
Black stool? Hello doctor, I often experience diarrhea or loose stools and have never had constipation. Recently, I noticed that regardless of whether my stool is in a diarrheal state or loose, there are black particles the size of Thai rice. My stool is normally colored, so the ...
Dr. Chen Shidian Reply:
This issue is a duplicate of <a href="https://adoctor.tw/article/209795">#209795</a>.[Read More] Understanding Black Particles in Stool: Causes and Concerns
Concerns About Parasites in Convenience Store Microwave Meals
Concerns about parasites We often eat microwave meals and chicken breast from 7-Eleven for lunch. Today, while eating the chicken breast, I found a white, curled object halfway through. I pulled it out with a paper towel, and it looked very much like a parasite, but it wasn'...
Dr. Chen Shidian Reply:
The principle should be that it is already cooked food, but it is important to ensure that it is heated thoroughly. Additionally, if possible, please take photos to consult with an expert.[Read More] Concerns About Parasites in Convenience Store Microwave Meals
Understanding Low-Grade Esophageal Variations: Diagnosis and Treatment Options
Low-grade esophageal dysplasia? Hello Doctor: Below is the endoscopy report from last month. The physician advised that my esophagus needs to be addressed promptly (endoscopic RFA). I have been trying to adjust my lifestyle for the past two years, but I have not been able to achi...
Dr. Lin Minghui Reply:
If the endoscopic biopsy shows Barrett's esophagus with dysplastic lesions, consideration may be given to applying endoscopic radiofrequency ablation (RFA) to treat the lesions. This is to prevent low-grade dysplasia from progressing to high-grade dysplasia and to prevent hi...[Read More] Understanding Low-Grade Esophageal Variations: Diagnosis and Treatment Options
Understanding Bloating: Causes and Solutions for Gastrointestinal Issues
Gastrointestinal bloating Hello Doctor: Before I had an upset stomach, I could consume foods like bananas, purple rice, and soy milk without experiencing bloating. Since I had an upset stomach, I took gastrointestinal medication prescribed by a general practitioner for about two ...
Dr. Hu Guozheng Reply:
It is recommended to: 1. Avoid gas-producing, coarse, or high-fiber foods, such as legumes, onions, potatoes, milk, carbonated beverages, and limit sweets. 2. Do not drink too much soup or liquid during meals; instead, hydrate between meals. 3. Follow the principle of eating smal...[Read More] Understanding Bloating: Causes and Solutions for Gastrointestinal Issues
Traveling by Plane with Liver Cancer: Safety Concerns and Risks
Liver cancer patients who wish to travel by plane? I would like to ask if a patient with liver cancer and a malignant tumor (approximately 10 centimeters in diameter) can fly on an airplane. Is there a risk that the changes in atmospheric pressure during the flight could cause th...
Dr. Chen Shidian Reply:
There is a significant risk of rupture, especially with large liver cancers located near the liver surface. We have encountered patients with similar cases (e.g., abdominal pain after disembarking from a plane → urgent transfer to the hospital → liver cancer rupture). Additionall...[Read More] Traveling by Plane with Liver Cancer: Safety Concerns and Risks
Understanding Pork Tapeworms: Safety Tips for Frozen Dumplings
Pork tapeworm Doctor, last month I ate frozen soup dumplings that were not fully cooked during the preparation process, and now I'm a bit worried. Although it's not commonly seen in Taiwan, I noticed that in the doctor's response, it mentioned that freezing at -5 d...
Dr. Chen Shidian Reply:
There have been reports of infections in Taiwan without known causes, but there is no need to worry at this time; simply monitor for any abnormalities.[Read More] Understanding Pork Tapeworms: Safety Tips for Frozen Dumplings
Understanding Bowel Issues: Causes and Solutions for Digestive Discomfort
Bowel issues In the past few days, I have experienced some irregularities with my bowel movements. Sometimes, I feel the urge to pass gas, but I have to exert effort to do so. I also experience abdominal pain when trying to have a bowel movement, and during this effort, I often o...
Dr. Chen Shidian Reply:
It may be changes in digestion/peristalsis/gas production; dietary adjustments should be noted, and further observation is recommended.[Read More] Understanding Bowel Issues: Causes and Solutions for Digestive Discomfort
Understanding Changes in Bowel Habits and Abdominal Sounds: A Gastrointestinal Perspective
Changes in bowel habits, borborygmi, and the presence of two colors in the stool? Hello Doctor, I am 21 years old and have been experiencing frequent abdominal rumbling recently. My bowel habits have changed; yesterday I had two stools that were flattened at the ends, and today I...
Dr. Chen Shidian Reply:
It is just mild peristaltic digestive changes. First, adjust your diet by reducing oil intake and increasing fruits and vegetables, and minimize prolonged sitting. This should improve the condition.[Read More] Understanding Changes in Bowel Habits and Abdominal Sounds: A Gastrointestinal Perspective
Understanding Rectal Bleeding: Insights on Tubular Adenoma and Symptoms
Blood in stool issue? Hello doctor, I noticed pink blood on the toilet paper after having a bowel movement one day, and I do not have hemorrhoids. On that day, I went to the bathroom three times, and there was blood on the stool's surface, but when I opened the stool, there ...
Dr. Lin Minghui Reply:
Possible causes of bloody stools include hemorrhoids, anal fissures, inflammation, polyps, tumors, and cancer. A colonoscopy revealed a 0.6 cm tubular adenoma in the rectum, which may be the cause of the bloody stools. If there are any other concerns, it is recommended to follow ...[Read More] Understanding Rectal Bleeding: Insights on Tubular Adenoma and Symptoms
Understanding the Hepatitis B Vaccine Schedule and Antibody Response
Hepatitis B vaccination schedule? Hello, doctor... I would like to ask about the need for a hepatitis B antibody test due to work requirements. I found that both the hepatitis B surface antigen and antibody were negative. The company recommended administering the hepatitis B vacc...
Dr. Lin Minghui Reply:
The interval between the second and third doses can be between 4 to 6 months. Please remember to get the third dose. Wishing you good health![Read More] Understanding the Hepatitis B Vaccine Schedule and Antibody Response
Understanding Diarrhea: When to See a Gastroenterologist or Psychologist
Diarrhea issues? Hello Doctor: I used to have normal bowel movements at irregular times every day (normal without any issues). However, starting in June of this year after losing my job, I began experiencing diarrhea (I have had similar diarrhea issues in the past that varied in ...
Dr. Chen Shidian Reply:
It may still be an irritability syndrome. Management should focus on lifestyle and dietary habits (reducing oil, dairy, and coffee), along with medications for gastrointestinal symptoms and anxiety. Adjustments can be made based on the response.[Read More] Understanding Diarrhea: When to See a Gastroenterologist or Psychologist
Understanding Immunoelectrophoresis Results: Concerns About Liver Cirrhosis
Hello, doctor. I would like to inquire about the immunoelectrophoresis findings that suggest liver cirrhosis? A few days ago, I underwent an immunofixation electrophoresis test at my own expense due to personal reasons, and the results are as follows: total protein 7 g/dL, albumi...
Dr. Chen Shidian Reply:
It is recommended to consult an immunologist.[Read More] Understanding Immunoelectrophoresis Results: Concerns About Liver Cirrhosis
Understanding Elevated AFP Levels: Potential Causes and Next Steps
Elevated levels of AFP (Alpha-fetoprotein) test? Hello, I underwent a health check-up on May 25th, where it was found that my alpha-fetoprotein (AFP) level was elevated at 19.3. All related liver function tests, including GOT, GPT, alkaline phosphatase, bilirubin, and albumin, we...
Dr. Chen Shidian Reply:
You can wait for the CT scan report first, and if necessary, an MRI can be added, or you can follow up with a third blood test.[Read More] Understanding Elevated AFP Levels: Potential Causes and Next Steps
Understanding Abnormal Blood Test Results: Insights on Liver and Muscle Health
Blood test values Hello, Doctor. I have a few questions regarding some lab results: 1. My lactate level is 28 (normal range: 4.5-19.8), which is elevated, and my pyruvate level is 0.98 (normal range: 0.18-0.89), which is also slightly high. Additionally, my lactate dehydrogenase...
Dr. Chen Shidian Reply:
1. This issue has not been studied, I apologize. 2. Low GOT/GPT levels are still considered acceptable; if too thin, one can increase protein intake and engage in strength training to build muscle.[Read More] Understanding Abnormal Blood Test Results: Insights on Liver and Muscle Health
Understanding Symptoms of Gastroesophageal Reflux and Related Conditions
I would like to ask Dr. Chen what symptoms might be indicated by a sudden tightening in the center of the chest when changing positions or after eating? Two years ago, I frequently enjoyed late-night snacks, particularly spicy and fried foods. One night, after finishing a snack, ...
Dr. Chen Shidian Reply:
It may be caused by anxiety. In addition to controlling it with gastric medication, it is still recommended to undergo pharmacological treatment and relaxation training from a psychosomatic specialist.[Read More] Understanding Symptoms of Gastroesophageal Reflux and Related Conditions
Persistent Hiccups with Food Taste: Causes and Dietary Solutions
Belching with a food taste? I often experience belching with a food taste after meals, and this has been ongoing for several years. I previously underwent an endoscopy, which showed no inflammation, and I was treated for Helicobacter pylori six months ago, but the belching sympto...
Dr. Chen Shidian Reply:
If it's just belching without any other discomfort, it can be monitored. Limit sweet foods and coffee.[Read More] Persistent Hiccups with Food Taste: Causes and Dietary Solutions
Post-COVID Gastroesophageal Reflux and Gastroenteritis: Symptoms and Concerns
Negative for COVID-19, experiencing gastroesophageal reflux and gastroenteritis? Hello, doctor. Thank you for your hard work. I was diagnosed with COVID-19 around late May to early June. During that time, I experienced gastrointestinal discomfort, gastroesophageal reflux, and dia...
Dr. Cai Anshun Reply:
Hello: The impact of gastrointestinal infection may cause increased peristalsis, and the intestinal mucosa has not fully healed yet, so a light diet is recommended. If you are taking electrolyte solutions, it is advisable to dilute them with water. If you experience palpitations ...[Read More] Post-COVID Gastroesophageal Reflux and Gastroenteritis: Symptoms and Concerns
Understanding Gastrointestinal Discomfort: Causes and Dietary Solutions
Gastrointestinal discomfort for about a week? Hello Doctor: I had fried takeout for lunch on Tuesday, and prior to that, I had takeout for three consecutive days, which resulted in an unbalanced diet and poor lifestyle. Starting Tuesday night, I began to feel constipated, spendin...
Dr. Chen Shidian Reply:
Please maintain a balanced diet, eat more fruits and vegetables (such as bananas), and drink plenty of water. Take a walk after meals instead of sitting for long periods, and consider using medication as needed for assistance.[Read More] Understanding Gastrointestinal Discomfort: Causes and Dietary Solutions
Concerns About Eating Raw Beef Tripe: Should You See a Doctor?
Accidental ingestion of raw beef tripe? Hello doctor, on June 19th, I had dinner at a hot pot restaurant and accidentally picked up a large piece of raw beef tripe. I thought it was cooked, so I took a bite. After chewing for about 2-3 minutes, I realized it was raw and spat it o...
Dr. Hu Guozheng Reply:
Hello, it is recommended to monitor the situation. If you experience any discomfort, please visit a family medicine or gastroenterology specialist. Thank you.[Read More] Concerns About Eating Raw Beef Tripe: Should You See a Doctor?
Understanding Stool Tests: What Abnormalities to Look For
Stool testing I'm sorry to bother you, doctor, but today my stool feels very unusual. Could you please check if there is any occult blood or other abnormalities? I'm quite worried and have no choice but to seek your help.
Dr. Cai Jinji Reply:
Hello Mr. Chen: The stool appears to be somewhat loose. To determine if there is occult blood, it is recommended to send a sample for testing for more accurate results. Dr. Cai Jin-ji, Department of Hepatobiliary and Gastroenterology, Nantou Hospital.[Read More] Understanding Stool Tests: What Abnormalities to Look For