Managing Gastroesophageal Reflux: Symptoms and Treatment Options
Gastroesophageal reflux disease (GERD) Hello Dr. Chen: I previously underwent an endoscopy which indicated that my lower esophageal sphincter is relatively loose, and I have gastritis accompanied by esophagitis. I experience gastroesophageal reflux, which leads to bloating and be...
Dr. Chen Shidian Reply:
Please return for a follow-up appointment to discuss medication adjustments with your physician.[Read More] Managing Gastroesophageal Reflux: Symptoms and Treatment Options
Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Helicobacter pylori consultation Dear Dr. Tsai, I have been experiencing gastrointestinal issues in recent years, primarily bloating, acid reflux, belching, stomach pain, and indigestion. Therefore, I would like to proactively check for Helicobacter pylori infection. I have the ...
Dr. Cai Anshun Reply:
Hello: Q1. Not necessarily. Q2. "Blood tests" check for antibodies against Helicobacter pylori; if negative, it indicates no previous infection. Q3. It is possible. Q4. If the bacterial load is low, it may be cleared by the immune system. Q5. If there are ulcers, a fami...[Read More] Understanding Helicobacter Pylori: Symptoms, Testing, and Treatment Options
Understanding Hiccups: Causes and Concerns During Sleep
Hiccup inquiry consultation? Dear Dr. Chen, Hello. Last night, I experienced hiccups while having dinner because I ate too quickly. These hiccups were caused by sudden involuntary contractions of the diaphragm and other respiratory muscles, accompanied by the sudden closure of t...
Dr. Chen Shidian Reply:
Further observation is recommended. Avoid eating too quickly and take a walk after meals.[Read More] Understanding Hiccups: Causes and Concerns During Sleep
Understanding Weight Loss: Health Concerns and Monitoring Strategies
Weight loss Hello, doctor. I am a 30-year-old woman. Aside from a period during college when I diligently ran and exercised, reducing my weight to around 60 kg, I have generally maintained a weight above 70 kg. Since August of last year, I have been trying to lose weight primaril...
Dr. Chen Shidian Reply:
Further observation is recommended, and if necessary, an ultrasound and gastroscopy should be performed.[Read More] Understanding Weight Loss: Health Concerns and Monitoring Strategies
Understanding Persistent Indigestion and Abdominal Discomfort
Dyspepsia with upper abdominal discomfort? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an endoscopy last year that showed normal results, and the doctor mentioned that my gastrointestinal tract is qui...
Dr. Cai Anshun Reply:
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medication prescribed by your physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest food...[Read More] Understanding Persistent Indigestion and Abdominal Discomfort
Understanding Persistent Indigestion and Abdominal Discomfort
Dyspepsia and discomfort in the upper abdomen? Hello, doctor. I have been experiencing recurrent indigestion for over two years, which has led to weight loss. I underwent an upper gastrointestinal endoscopy last year, and the results were normal; the doctor mentioned that my gast...
Dr. Cai Anshun Reply:
Hello: 1. If you are experiencing anxiety and tension, you may consider trying medications prescribed by a physician. 2. Pay attention to your eating habits; for example, irregular meal times or eating too quickly, and whether you are consuming irritating or hard-to-digest foods....[Read More] Understanding Persistent Indigestion and Abdominal Discomfort
Understanding Persistent Hiccups and Bloating: A Gastrointestinal Concern
Hiccups and bloating issues? Hello Doctor: Since last year, I have been reversing my day-night cycle for exam preparation, sleeping in the morning and studying at night. I have previously lost weight and then regained it. My past weight loss method involved exercising and skippin...
Dr. Cai Anshun Reply:
Hello: It is recommended to consult a gastroenterologist, as you may need an endoscopy to check for ulcers or esophagitis. Additionally, pay attention to your diet; avoid eating too quickly or too much, and reduce the intake of irritating foods. There is no need to apply pressure...[Read More] Understanding Persistent Hiccups and Bloating: A Gastrointestinal Concern
Understanding Black Specks in Stool: When to Seek Medical Advice
Black specks or flecks in stool? Hello Doctor: I am a 26-year-old male and have been experiencing gastroesophageal reflux and upper gastrointestinal issues for the past two weeks. I have sought medical attention and am currently taking medication for ulcers and enzymes. I have al...
Dr. Lin Minghui Reply:
Hello, there is mild pressure in the lower left abdomen. The abnormal dark color of the stool may be related to the food consumed. An abnormal stool can be evaluated through a stool test to check for any issues; if abnormalities are found, further examination is necessary. Anxiet...[Read More] Understanding Black Specks in Stool: When to Seek Medical Advice
Understanding Uncontrolled Belching and Nausea: Possible Causes and Solutions
Bloating, belching, and nausea? Hello Doctor, I have been experiencing frequent burping since childhood, which feels different from typical burping. It feels like gas is rising from my esophagus, but it doesn't actually come out as a burp; it just travels upward in the esoph...
Dr. Chen Shidian Reply:
It may be due to esophageal motility disorders. If it affects your daily activities, you can visit a gastroenterology clinic for evaluation and treatment.[Read More] Understanding Uncontrolled Belching and Nausea: Possible Causes and Solutions
Understanding Green Stool: Causes, Concerns, and Solutions
Green or dark green stool with a sticky consistency? Hello Doctor: I have been taking iron supplements for six months due to gynecological issues that caused anemia. At that time, my stool was dark green. However, after stopping the supplements, my stool has remained green or dar...
Dr. Zhang Kebin Reply:
Hello! The consumption of iron supplements, vitamins, multivitamins, or a diet high in carbohydrates and dark green vegetables can lead to stools appearing dark green. If these dietary and medication factors have been ruled out and the issue persists, it is advisable to consult a...[Read More] Understanding Green Stool: Causes, Concerns, and Solutions
Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate this condition? I've been experiencing bloating and frequent burping lately; is this rel...
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may lead to impaired liver function. In severe cases, symptoms may include jaundice, ascites, hepatic encephalopathy, and bleeding from esophageal varices. Fatty liver disease is characterized by the accumulation of triglyce...[Read More] Understanding Fatty Liver: Is It the Same as Cirrhosis or Hepatitis?
Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
I have fatty liver disease? I was diagnosed with severe fatty liver during a recent health check-up. Does this mean I have cirrhosis or hepatitis? Can appropriate exercise help eliminate it? I've been experiencing bloating and frequent burping lately; is this related?
Dr. Lin Minghui Reply:
Hello, cirrhosis indicates severe liver fibrosis, which may impair liver function. In severe cases, symptoms such as jaundice, ascites, hepatic encephalopathy, and esophageal variceal bleeding may occur. Fatty liver disease is characterized by the accumulation of triglycerides in...[Read More] Understanding Fatty Liver: Is It Linked to Cirrhosis or Hepatitis?
Understanding Digestive Discomfort: When to Seek Further Medical Evaluation
Abdominal discomfort? Hello, Dr. Tsai. Over the past two to three months, I have frequently experienced not just a general feeling of fullness after eating, but also unusual discomfort symptoms that are different from before. The main issue is an abnormal increase in peristalsis ...
Dr. Cai Anshun Reply:
Hello: Please pay attention to whether you have consumed irritating foods that may cause rapid gastrointestinal motility, or if you are experiencing tension and anxiety. If dietary changes do not improve the situation, it is recommended to consult a gastroenterologist for appropr...[Read More] Understanding Digestive Discomfort: When to Seek Further Medical Evaluation
Understanding Gastrointestinal Disorders: Symptoms and Connections Explained
Gastrointestinal dysfunction Hello, doctor. I would like to describe my gastrointestinal condition as follows: 1. My bowel habits are consistent, with 2 to 4 bowel movements daily. The stool consistency varies; sometimes it is soft, and other times it is hard. Each stool sinks qu...
Dr. Cai Anshun Reply:
Hello: 1. There is no such correlation. 2. It is possible that irritable bowel syndrome may have alternating cycles. 3. For shortness of breath, it is recommended to consult a pulmonologist. 4. Gastroesophageal reflux disease and chronic laryngitis are more likely to be related. ...[Read More] Understanding Gastrointestinal Disorders: Symptoms and Connections Explained
Understanding Gastrointestinal Issues: Symptoms and Solutions
Gastrointestinal issues Hello, about a year or two ago, I started experiencing abdominal pain before having a bowel movement, which often leads to belching. My stool is generally loose and may contain food remnants. In recent months, due to changes at work, I have been under sign...
Dr. Cai Anshun Reply:
Hello, you may need to examine your dietary habits and mental stress to see if there are areas for improvement. We cannot rule out the possibility of irritable bowel syndrome. If there is no improvement, you should consult a gastroenterologist to rule out any underlying organ iss...[Read More] Understanding Gastrointestinal Issues: Symptoms and Solutions
Is It Cancer? Understanding When to Get a Colonoscopy
Could it be cancer? Is a colonoscopy necessary? Hello doctor, I have been experiencing abdominal bloating for the past five months, along with persistent belching and flatulence (each episode involves a significant amount of gas). I have sought medical attention numerous times du...
Dr. Cai Anshun Reply:
Hello: Is a colonoscopy necessary? It is recommended to be determined by a clinical physician. Changhua Hospital cares about your health. Dr. Tsai An-shun.[Read More] Is It Cancer? Understanding When to Get a Colonoscopy
Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Abdominal issues? Hello Doctor, I have been experiencing pain in the upper right quadrant of my abdomen for the past six months. I underwent an ultrasound which revealed fatty liver and gallbladder polyps, and an endoscopy indicated mild gastritis. A few weeks later, I suddenly d...
Dr. Cai Anshun Reply:
Hello, your comprehensive examinations are sufficient to diagnose diseases of all abdominal organs. However, functional issues such as abnormal peristalsis, irritable bowel syndrome; metabolic disorders (such as thyroid dysfunction, blood sugar abnormalities; or rarer conditions ...[Read More] Understanding Abdominal Pain: Insights into Gastrointestinal Issues
Post-Vaccine Digestive Issues: Bloating, Diarrhea, and Fatigue Explained
Abdominal bloating, diarrhea, dizziness, and weakness? Since receiving the second dose of the Moderna vaccine, I initially experienced simple bloating, which I thought was a side effect of the vaccine. After drinking water and eating, I still felt very bloated and uncomfortable, ...
Dr. Zhang Kebin Reply:
Hello Mr. Lin, regarding your concerns, if your symptoms do not improve after seeking medical attention or if new symptoms arise, it is recommended that you visit a family medicine department or a gastroenterology and hepatology department at a regional hospital or higher. Thank ...[Read More] Post-Vaccine Digestive Issues: Bloating, Diarrhea, and Fatigue Explained
Chronic Gastritis: Managing Symptoms and Dietary Concerns After Treatment
Chronic gastritis The gastroscopy revealed the presence of Helicobacter pylori, chronic gastritis, and gastroesophageal reflux disease (GERD), with no ulcers present. I have completed a 14-day triple antibiotic regimen prescribed by the hospital. While the symptoms of chronic gas...
Dr. Chen Shidian Reply:
Treatment needs to be observed for a while before a determination can be made. Individuals should avoid foods that they find unsuitable, primarily sweet, spicy, irritating, or dairy products.[Read More] Chronic Gastritis: Managing Symptoms and Dietary Concerns After Treatment
Morning Bloating and Urgency: Solutions for Digestive Discomfort
I often feel bloated and have the urge to have a bowel movement? Hello, I experience bloating almost every morning when I wake up, and I often feel the urge to pass gas, sometimes accompanied by burping. Due to the frequent need to pass gas, I sometimes feel the urge to have a bo...
Dr. Cai Anshun Reply:
Hello: Feeling the urge to have a bowel movement upon waking, along with gastrointestinal motility leading to belching and gas, may be a normal physiological response. It could also be a manifestation of irritable bowel syndrome triggered by psychological stress. However, if you ...[Read More] Morning Bloating and Urgency: Solutions for Digestive Discomfort