Persistent Bloating and Nausea: Should You Consider an Endoscopy?
Abdominal bloating and nausea? In July of this year, I experienced bloating and nausea two hours after meals. I went to the hospital and took medication for a month, and also underwent a radiological examination of my stomach. Ultimately, they only mentioned that I had slightly e...
Dr. Cai Jinji Reply:
Hello Ms. Yang Yang: If you are still feeling unwell, you can discuss with your physician whether a gastroscopy is necessary. Director Cai Jin-ji from the Department of Hepatobiliary and Gastroenterology at Nantou Hospital.[Read More] Persistent Bloating and Nausea: Should You Consider an Endoscopy?
Understanding GERD: When Medication Stops Working and Next Steps
Gastroesophageal reflux disease (GERD) I would like to ask the doctor about gastroesophageal reflux disease (GERD). I previously underwent an endoscopy, which confirmed that I have esophageal reflux with noticeable damage to the esophagus. The doctor prescribed Nexium (esomeprazo...
Dr. Chen Shidian Reply:
The validity of the gastroscope is four months. Symptom management still requires lifestyle adjustments, and prokinetic agents may be added if necessary.[Read More] Understanding GERD: When Medication Stops Working and Next Steps
Understanding Bowel Issues: Anxiety, Diet, and Gastrointestinal Health
Bowel issues Hello Doctor: I am 28 years old and have a history of anxiety. I do not smoke or drink, and there is no family history of colorectal cancer. I had previously interrupted my medication, but I resumed taking it (Lianyou, Mijing, Sibilai) on October 6. My question is ab...
Dr. Yang Zhichao Reply:
Hello Mr. Hsiao-Kang: Based on your condition, it seems you may have Irritable Bowel Syndrome (IBS). You should consult a physician and arrange for a colonoscopy. If the results are normal, it will provide you with more peace of mind. Thank you for your inquiry.[Read More] Understanding Bowel Issues: Anxiety, Diet, and Gastrointestinal Health
Understanding Gallbladder Stones: When to Consider Surgery?
Gallbladder surgery Hello, for the past 2-3 years, I have frequently experienced abdominal bloating and discomfort after meals. Taking antacids or medications for bloating is sometimes effective and sometimes not. A few months ago, I had severe bloating and a feeling of pressure,...
Dr. Chen Shidian Reply:
It does not resemble gallstone symptoms; we can try medication management.[Read More] Understanding Gallbladder Stones: When to Consider Surgery?
Understanding Left Lower Abdominal Cramping: Causes and Solutions
Left lower abdominal cramping? Hello, doctor. I have had gastrointestinal issues for many years, experiencing bloating and stomach pain. When these symptoms occur, I take the medications prescribed by my doctor. I also take probiotics daily to help with bowel movements. A week ag...
Dr. Hu Guozheng Reply:
Please evaluate in the outpatient clinic. Thank you.[Read More] Understanding Left Lower Abdominal Cramping: Causes and Solutions
Understanding Upper Abdominal Bloating: Causes and Concerns
Abdominal bloating Hello Doctor, I would like to ask what could be the cause of a feeling of bloating and tightness in the middle of the upper abdomen? There is no pain in the abdomen, and the stool is either mushy or watery with bubbles. I have a history of adhesions due to a pr...
Dr. Chen Shidian Reply:
It is recommended to visit a gastroenterology outpatient clinic for further evaluation to determine if there are any issues related to the stomach or biliary pancreas.[Read More] Understanding Upper Abdominal Bloating: Causes and Concerns
Effective Medications to Relieve Morning Bloating and Discomfort
Response: Medications to alleviate morning abdominal bloating discomfort? Hello, doctor. Regarding my previous question: I often experience bloating in the morning when I wake up, and I tend to pass gas while lying in bed. Sometimes, it gets so severe that I have to rush to the b...
Dr. Chen Shidian Reply:
Antimotility and anti-bloating medications are available at clinics.[Read More] Effective Medications to Relieve Morning Bloating and Discomfort
Effective Remedies for Morning Bloating and Digestive Discomfort
Medications to alleviate morning abdominal bloating discomfort? Hello, doctor. I often experience bloating in the morning when I wake up, and I tend to pass gas while lying in bed. Sometimes it gets so severe that I have to rush to the bathroom. While going to the bathroom in the...
Dr. Chen Shidian Reply:
Medication can be taken before bedtime, upon waking, and before lunch as needed for control.[Read More] Effective Remedies for Morning Bloating and Digestive Discomfort
Managing Throat and Gastrointestinal Discomfort: A Patient's Journey
Throat and gastrointestinal discomfort? Hello Doctor: I have been experiencing gastroesophageal reflux and bloating issues for 2-3 years, but I can still eat normally. My symptoms have not worsened and have even improved. I was taking traditional Chinese medicine to regulate my g...
Dr. Chen Shidian Reply:
You can visit a gastroenterologist for evaluation, especially if there is significant weight loss. If you continue to experience severe palpitations or tremors, you may consider consulting a psychiatrist.[Read More] Managing Throat and Gastrointestinal Discomfort: A Patient's Journey
Understanding Abnormal Stool: When to Seek Gastrointestinal Help
Bowel issues? Hello Doctor, this afternoon before using the restroom, my stool was formed at the beginning, but the latter part was softer and had a bit of water. Later, when I tried to clean myself, some watery stool came out that felt a bit slimy (similar to the texture of mucu...
Dr. Chen Shidian Reply:
It is just normal colonic mucus; further observation is recommended.[Read More] Understanding Abnormal Stool: When to Seek Gastrointestinal Help
Understanding Post-Meal Bloating: H. Pylori or Functional Dyspepsia?
Helicobacter pylori? Functional dyspepsia?? Others??? Hello Doctor, since February 2023, I have been experiencing a feeling of abdominal bloating in the upper stomach about an hour after meals, which lasts for 4 to 6 hours before returning to normal. I have seen a doctor and unde...
Dr. Chen Shidian Reply:
If the bacteria have not been tested, one can proceed with examination or sterilization. If symptoms persist and are still functional in nature, dietary or pharmacological adjustments may be made.[Read More] Understanding Post-Meal Bloating: H. Pylori or Functional Dyspepsia?
Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Prolonged bloating in the lower right abdomen? Hello Doctor, I apologize for interrupting you during your busy schedule! Around May and June of this year, I suddenly noticed that lightly tapping my right lower abdomen (the area next to the navel down to the lower abdomen) produc...
Dr. Cai Anshun Reply:
Hello: 1. The left and right colon are not completely symmetrical, so they will not be exactly the same on both sides. 2. If menstrual symptoms are more severe, it may be necessary to consider gynecological issues such as endometriomas. Additionally, it could simply be irritable ...[Read More] Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Prolonged bloating in the lower right abdomen? Hello Doctor, I apologize for interrupting you during your busy schedule! Around May and June of this year, I suddenly noticed that lightly tapping my right lower abdomen (the area next to the navel down to the lower abdomen) produc...
Dr. Cai Anshun Reply:
Hello: 1. The left and right colon are not completely symmetrical, so they will not be exactly the same on both sides. 2. If menstrual symptoms are more severe, it may be necessary to consider gynecological issues such as endometriomas. Additionally, it could simply be irritable ...[Read More] Understanding Persistent Right Lower Abdominal Bloating: Causes and Concerns
Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Gastroesophageal reflux disease (GERD) In May, I underwent an upper gastrointestinal endoscopy, which revealed chronic gastritis, Helicobacter pylori infection, and gastroesophageal reflux disease (GERD). Occasionally, I experience throat pain due to acid reflux. The H. pylori in...
Dr. Chen Shidian Reply:
Low-dose or non-endoscopic PPI can be used under the National Health Insurance, occasionally supplemented with self-paid high-dose PPIs as needed to control symptoms. Alternatively, a repeat endoscopy can be performed to meet the criteria for insurance-covered medications. It is ...[Read More] Managing GERD: When to Consider Endoscopy and Continued PPI Therapy
Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Abdominal bloating? Hello Dr. Lin, I apologize for bothering you. I would like to ask about a feeling of tightness and bloating in my stomach that I've been experiencing for the past few months. Sometimes, I feel a bloating sensation in the area just a little to the left of ...
Dr. Lin Minghui Reply:
The sensation of a skipped heartbeat in the chest, along with tightness, may commonly be attributed to causes such as indigestion, gastroenteritis, gastroesophageal reflux disease (GERD), peptic ulcers, irritable bowel syndrome (IBS), and liver, gallbladder, or pancreatic disease...[Read More] Understanding Bloating and Discomfort: Gastrointestinal Concerns Explained
Frequent Urges to Use the Bathroom: Is It a Gut Issue?
Frequent urination? Hello doctor, I have a concern. Every morning and after meals, I feel the urge to have a bowel movement, but sometimes when I go to the bathroom, I can't seem to go. I notice that my friends don't have to go to the restroom as often as I do. Could th...
Dr. Hu Guozheng Reply:
Please observe the shape and color of the stool, as well as any accompanying symptoms such as bloating, gas, or abdominal pain. You may visit a hepatobiliary and gastroenterology clinic or a colorectal surgery clinic for evaluation. Thank you.[Read More] Frequent Urges to Use the Bathroom: Is It a Gut Issue?
Understanding Gastrointestinal Issues: Excessive Gas, Bloating, and Bowel Changes
Bowel issues, gastrointestinal problems, stool issues, and excessive flatulence? Hello, Doctor. My gastrointestinal issues have been unusual since July. I frequently experience flatulence (both loud and silent) with an increased frequency recently, along with burping and occasion...
Dr. Chen Shidian Reply:
It is likely just a case of motility disorder/irritable bowel syndrome; dietary adjustments should be made, and medication can be provided if necessary for assistance.[Read More] Understanding Gastrointestinal Issues: Excessive Gas, Bloating, and Bowel Changes
Understanding Digestive Issues: Constipation and Bowel Concerns in Teens
Bowel-related issues? Hello, doctor. I apologize for the interruption. I am currently eighteen years old, but I often struggle with intestinal issues. Specifically, I experience the following: 1. In certain situations (such as during exams or classes), I have symptoms of abdomina...
Dr. Lin Minghui Reply:
1. In certain situations (such as during exams or classes), there may be symptoms of abdominal bloating and borborygmi, along with a sensation of needing to defecate, which could indicate irritable bowel syndrome. The intestines may be more sensitive. 2. Although there is a consu...[Read More] Understanding Digestive Issues: Constipation and Bowel Concerns in Teens
Understanding Lower Abdominal Pain: Causes and Concerns
Lower abdominal bloating and pain? In the past couple of days, I've been experiencing bloating and pain in my lower abdomen shortly after getting up. I've been passing gas frequently and feel like I can't fully have a bowel movement. Even after going, the bloating ...
Dr. Chen Shidian Reply:
Most are not cancer; if concerned, you can test for occult blood in the stool.[Read More] Understanding Lower Abdominal Pain: Causes and Concerns
Persistent Low Fever and Nausea: Possible Gastrointestinal Issues?
Low-grade fever and nausea persisting for several days? Ten days ago, I started experiencing mild bloating in my stomach and a slight fever. Five days ago, I developed a low-grade fever, stomach bloating and pain, constipation, and nausea without vomiting. Three days ago, I began...
Dr. Chen Shidian Reply:
It is still possible that it is viral gastroenteritis; rest is recommended. If necessary, a follow-up visit can be scheduled.[Read More] Persistent Low Fever and Nausea: Possible Gastrointestinal Issues?